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Complete File - Historical_MiscSpills
Management - EM43 Reporting )orting Taken by: C Creighton Reported by: NRC County: Cleveland Street Address: 135 Old Boiling Springs Rd Type: HazMat NCEM Edited: Yes Date/Time Reported: 01/24/2020 21:28:27 Agency: USCG City: Shelby https://www.ncsparta.net/coc7/boards/boarddata.ashx?comman... EVENT TYPE Animal Disease Event Type: Bomb Threat Event Type: Complaint Event Type: Fire Event Type: FNF Event Type: FNF Class: HazMat Event Type: HazMat Class: Non-LHS Petroleum Homeland Security Event: Non-FNF Event: Other Event Type: SAR Type: Transportation Event Type: Wastewater Event Type: Weather Event Type: Weather Event Name: State Resource Request Include in Report: Yes Date/Time Occurred: 01 /24/2020 21:00:27 Phone: 800-424-8802 Area: 13 Zip Code: HazMat Mode: Other Non-FNF Event Type: WMD Event Type: 1 of 1/27/2020, 8:21 AM Energy, Mineral and Land Resources ENVIRONMENTAL QUALITY ,ROY COOPER Governor MICHAEL S. REGAN Secreta,y WILLIAM E (TOBY) VINSON, JR Interim Director July 10, 20,18 NOTICE OF VIOLATIONS OF THE SEDIMENTATION POLLUTION CONTROL ACT AND GENERAL PERMIT - NCG 010000 TO DISCHARGE STORMWATER UNDER THE NATIONAL POLLUTANT ISCHARGE ELIMINATION SYSTEM ID FOR CONSTRUCTION ACTIVITIES CERTIFIED MAIL. 7016 1370 0000 2595 8877 RETURN RECEIPT REQUESTED Maksym A. Stashchak and Marina Stashchack 11 Heritage Acres Matthews, North Carolina 28104 RE:. Project Name: 4820-4820D Beulah Church Road Project ID: Not Yet Assigned County: Cleveland Compliance Deadlines: 15 days from receipt by certified mail for SPCA violations 15 days from receipt by certified mail for Construction Stormwater Permit NCG 010000 violations . Dear Sir or Madame: On June 28, 2018, personnel of this office inspected a project located on 4820-4820D Beulah Church Road, Weddington in Union County, North Carolina. This inspection was performed to determine compliance with the North Carolina Sedimentation Pollution. Control Act (SPCA) of. 1973 and General Permit - NCG 010000 to Discharge Stormwater Under The National Pollutant Discharge Elimination System for Construction Activities (Construction Stormwater Permit . NCG 010000). The inspection revealed a land -disturbing activity of approximately 5 acres being conducted. lil is our un ers an _ _ ff21Te=re9p0nsi'-th=is=ram _ The purpose of this letter is to inform you that this activity was found to be in violation of the State of North Carolina I Environmental Quality 1 Energy, Mineral and Land Resources Mooresville Regional Office 1 610 East Center Ave Ste 301 1 Mooresville, NC 28115 704 663 1699 T Notice of Violations Maksym A. Stashchak and Marina Stashchack July 10, 2018 Page 4 of 4 We solicit your cooperation, and would like to avoid taking further enforcement action. At the same time, it is your responsibility to understand and comply with the requirements of the SPCA and Construction Stormwater Permit NCG 010000. Copies of the relevant statute and administrative rules may be examined at this office or will be sent to you upon request. Should you have questions concerning this notice or the requirements of the SPCA and Construction Stormwater- Permit NCG 010000 please contact either Ms. Lily Kay or me at your earliest convenience. Sincerely, Zahid S. Khans/-CPM, CPESC, CPSWQ Regional Engineer Land Quality Section LCK/THE/cys Enclosures: Sedimentation Inspection Report Construction Stormwater Permit NCG 010000 Financial Responsibilitrm Erosion Control Plan Checklist Resources for Technical Assistance — Erosion and Sediment Control State Sediment Specialist ux�er;vrisor Regio-nal,Water�- ualiit5y ®, ��rat�lnns.S_edt orn of Land Quality Section: 610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115, Phone: (704)-663-1699 County: Union Project: 4820-4820D Beulah Church Rd. River basin: Catawba Person Financially Responsible: Maksym A. Stashchak and Marina Stashchack Project #: Not yet assigned Address: 1011 Heritage Acres, Matthews, North Carolina 28104 1. Project location: 4820-4820D Beulah Church Road .......................................... Pictures: No: F Yes: r- Video": F Digital: 17. Sunny, workable soils 2. Weather & soil conditions: __. .. ...... __ First inspection: Yes: r- No: l 3. Is site currently under notice of violation? Yes: F No: r 4. Is the site in compliance with S.P.C.A. and rules? Yes: [71 No: r If no, check violations below: 5: Violations: a. No approved plan, G.S. 113A-57 (4) and 15A NCAC 4B.0107(c) 1 b. Failure to follow approved plan, G.S. 113A-57(5) 17. c. Failure to submit revised plan, G.S. I I3A-54.1(b) and 15A NCAC 4B.0118(a) 17 d. Failure to provide adequate groundcover, G.S. 113A-57(3); 15A NCAC 4B.0107(b) or 15A NCAC 4B.0124(e) " e. Insufficient measures to retain sediment on site, G.S. 113A-57(3) g. Inadequate buffer zone, G.S. 113A-57(1) h. Graded slopes and fills too steep, G.S. 113A-57(2) or 15A NCAC 4B.0124(d) i. Unprotected exposed slopes, G.S. I I3A-57(2) j. Failure to maintain measures, 15A NCAC 4B.0113 k. Failure to self -inspect G.S. 113A-54:1(e) and 15A NCAC 4B.0131 F f. Failuretotake all reasonable measures, 15A NCAC 4B.0105 "1. Other describe) ----•- - - -- - - . --........ __ r- XT_- r"' T.T_t . 6. a site m compliance withY000fr? —Yes 1-��� o Appheabl : If no, check violations below: U., in. Failure to manage construction site pollutants, NCG 010000 Sec. II, B.1 17 n. Failure to provide ground stabilization, NCG 010000 Sec. II, B.2 �W o. Failure to maintain rain gauge or record daily rainfall,' NCG 010000 Sec. II, B.3(a, b) p. Failure to meet self -inspection and reporting requirements, NCG 010000 Sec. II, B.3(c4) q. Failure to dewater sediment basin from surface, NCG 010000 Sec. II, BA r7 r. Failure to have approved plan and NPDES permit on site, NCG 010000 Sec. III, 3(d) s. Failure to install and maintain BMP's, NCG 010000 Sec. III, 4 t. Failure to operate and maintain control measures, NCG 010000 Sec. IV, 1 u. Bypass of stormwater control facilities, NCG 010000, Sec. IV, 3 v. Other (describe)_........._.._....................__...,..._._....._.......__..........._._..........., 7. Has sedimentation damage occurred: i since last inspection.F at 1st inspection? Yes: 1-1, No: 1 If yes, where? (check all that apply): Lake/natural watercourse on the tract: 17 Lake/natural watercourse off the tract: 17 Other property: 1- N/A Description: .......... .................. ............ ...... . ................ ............. ............ .. ................ ........ ........... . _........... .................... Stormwater Discharge Outfall with sediment loss N/A Degree of damage: slight: moderate: r7 severe: F 8. Contact made with. N/A ... . Date Inspection report sent to financially responsible party With Nov Report by: Ldy Kay Others present: ... _._. 6/28/2018 11:45 12 00 Date of inspection: -- Time arriving on site. - ----- - Time leaving site: - •.. r, ....r.. ._. r .....- rIeW'111- A 1 paap 1 of') Land Quality Section: 610 East Center Avenue, Suite.301, Mooresville, North Carolina 28115, Phone: (7.04)-663-1699 cc: 9. Corrective actions needed Submit three (3) copies of an approvable sedimentation and erosion control plan and the appropriate plan review fee to this office. Until the required plan has been. approved, no land -disturbing activity may be conducted, except that which is necessary to bring the site into compliance. Until an erosion and sedimentation plan has been approved, any land -disturbing activity, except that which is necessary to bring the site into compliance, will constitute additional violations of the SPCA and G.S. 143- 215.1(a) and 15A NCAC 02H .0126. Following our review of the plan within 30 days of receipt, this office will notify you that the plan has been approved, approved with modifications or disapproved. Following approval of the plan, all land -disturbing activity on the site must be conducted in accordance with the terms of the approved plan, the SPCA and the implementing rules and Construction Stormwater Permit NCG 010000., 10. Comments: Please give the above your immediate attention. rl:,v. x f)OfI "YA II Page 2 of 2 Pat McCrory FiLEI -&V4 --..^ >r NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality - Thomas A. Reeder John E. Skvarla, III Governor Acting Director, July 8, 2013 CERTIFIED MAIL # 7010 0290 0000 4565 1882 RETURN RECEIT REQUESTED Mr. Gerald Culp, Plant Manager Buck Eye Fire Equipment P.O. Box 428 110 Kings Road Kings Mountain, North Carolina 28086-0428 Subject: Notice of Violation and Recommendation for Enforcement Tracking Number NOV-2013-DV-0141 Compliance Evaluation Inspection and Illegal Discharge Buck Eye Fire Equipment COC Number NCG050083 Cleveland County, NC Dear Mr. Culp: Secretary Chapter 143, Article 21 of the North Carolina General Statutes (G.S.) authorizes and directs the Environmental Management Commission of the Department of Environment and Natural Resources to protect and preserve the water resources of the State. The Division of Water Quality (DWQ) has the delegated authority to enforce adopted waste pollution control rules and regulations. The Mooresville Regional Office of the Division of Water Quality received a complaint of foam in a creek through the Division of Environmental Assistance and Outreach (DEAO) on June 6; 2013. The foam was observed in Long Creek behind,property located at 1005 Serenity Woods, .Bessemer City. According to the complaint, the foam in Long Creek had been occurring for several weeks and an Industrial Park off Kings Road was indicated as the area draining to this creek. Long Creek is part of the watershed drainage area for the drinking water intake to Bessemer City's potable water supply. Mooresville Regional Office Location: 610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115 Phone: (704)663-16991 FAX: 704-663-6040 Internet: http://portal.nedenr.orglweb/wq An Equal Opportunity 1 Affirmative Action Employer NorthCarohna �litllt�l���l, f Mr. Gerald Culp July 8, 2013 Page 2 of 3 As a result of the site investigation performed by Ms: Barbara Sifford with this Office and staff with the City of Kings Mountain (Ms. Kim Moss and Mr. Brian Ramsey) on June 19, 2013, the following violation of G.S. 143-215.1 was observed: 1. There was an unpermitted discharge of wastewater originating from a dike area behind the plant. This area was noted on the site plan as a concrete containment vessel between stormwater outfalls 4 and 5. The wastewater in the dike was being discharged by the siphoning of three garden hoses into a stormwater drainage ditch that flows to. Long Creek. The unpermitted discharge was creating a white foam in the drainage ditch and in Long Creek. Please be advised that pursuant to G. S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars($25,000.00) per day, may be assessed against any person who is required but fails to apply for a permit required by G. S.143-215.1. In addition, pursuant to G. S. 143-215.88A, any person who intentionally or negligently discharges oil or other hazardous substances shall incur, in addition to any other penalty provided by law, a penalty in an amount not to exceed five thousand dollars ($5000.00) for each violation. To comply with the aforementioned general statutes, your facility must cease all unpermitted.'discharges of wastewater to surface waters of the State of North Carolina. During the site visit, Ms. Sifford also conducted an inspection of your facility's stormwater program; including a review of your Stormwater Pollution Prevention Plan (SPPP), qualitative or analytical monitoring required by the permit, and each of your stormwater outfalls. Enclosed with this letter is a copy of the Compliance Evaluation Inspection (CEI) report prepared by Ms. Sifford for her inspection. The site visit and file review revealed that the subject facility is covered by NPDES Stormwater General Permit NCG050000. The following observations were noted during the inspection: 1) Stormwater Pollution Prevention Plan (SPPP) Yes X No A SPPP has been developed and implemented. 2) Qualitative Monitoring Yes X No Qualitative monitoring has been conducted and is recorded in accordance with permit requirements. Review pictures on the web site under monitoring guidance for stormwater, http://portal.ncdenr.org/web/wq/ws/su 3) Analytical Monitoring Yes No. N/A X Monitoring is not required by NCG050000 permit. Mr. Gerald Culp July 8, 2013 Page 3 of 3 It is requested that a written response be submitted to this Office by July 26, 2013, addressing your facilities actions to eliminate the illegal dike wastewater discharge. Your response should also include a permanent disposal location of this dike wastewater and whether or not arrangements can be made to treat this discharge in your pretreatment system prior to discharge to the City of Kings Mountain sewer system. Should you have any questions concerning this matter, please do not hesitate to contact Ms. Sifford or me at (704) 663-1699, or via email at Barbara.Sifford@ncdenr.gov. Sincerely, Michael L. Parker Regional Office Supervisor Surface Water Protection Section Enclosure: Compliance Inspection Evaluation Cc: Cleveland County Department of Environmental Health Kings Mountain Public Works — Dennis Wells Bessemer City Public Works — Jamey Ramsey Permit: NCG050083 SOC: County: Gaston Region: Mooresville Compiiance Inspection Report Effective: 06/01/13 Expiration: 05/31/18 Owner: Buckeye Fire Equipment Effective: Expiration: Facility: Buckeye Fire Equipment 102 Industrial Dr Contact Person: Kevin Bower Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Title: Inspection Date: 06/19/2013 Entry Time: 02:00 PM Primary Inspector: Barbara Sifford Secondary Inspector(s): Kings Mountain NC 28086 Phone: 704-739-7415 Certification: Exit Time: 04:00 PM Phone: Phone: 704-663-1699 Ext.2196 Reason for Inspection: Complaint Inspection Type: Compliance Evaluation Permit Inspection Type: Apparel/Printing/Paper/Leather/Rubber Stormwater Discharge COC Facility Status: Q Compliant ■ Not Compliant Question Areas: ■ Storm Water (See attachment summary) Page: 1 Permit: NGG050083 Owner - Facility: Buckeye Fire Equipment Inspection Date: 06/19/2013 • Inspection Type: Compliance Evaluation Reason for visit: Complaint Inspection Summary: Intentional illegal discharge from pit behind plant. Three garden hoses were siphoning untreated wastewater from a process diked area directly to the creek. Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ■ n n n # Does the Plan include a General Location (USGS) map? ■ ❑ n n # Does the Plan include a "Narrative Description of Practices"? ■ n n n # Does the Plan include a detailed site map including outfall locations and drainage areas? ■ n n n # Does the Plan include a list of significant spills occurring during the past 3 years? ■ n n n # Has the facility evaluated feasible alternatives to current practices? ■ n n n # Does the facility provide all necessary secondary containment? ■ n n n # Does the Plan include a BMP summary? ■ Cl n n # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ■ n ❑ n # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ■ n n n # Does.the facility provide and document Employee Training? ■ n n n # Does the Plan include a list of Responsible Party(s)? ■ n n n # Is the Plan reviewed and updated annually? ■ n. n n # Does the Plan include a Stormwater Facility Inspection Program? ■ n n n Has the Stormwater Pollution Prevention Plan been implemented? ® n n n Comment: Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ n n n Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? # Were all outfalls observed during the inspection? # If the facility has representative outfall status, is it properly documented by the Division? # Has the facility evaluated all illicit (non stormwater) discharges? Comment: Discharge from pit was notina designated outfalI area. Page: 2 Report to: M Q0 S w P WATER QUALITY SECTION Page _L of CHAIN OF CUSTODY (COC) RECORD NC DENR/DWQ LABORATORY (check one): Er/CENTRAL [ ] ARO [ ] WaRO l nvestigation of: l (� •_ _ j_„ ibL\ �Gvwlt' Sample collector (print name) Q,, and DM-1 forms completed by: / C ,1 �r0. 01� U % , Sample collector's signature: (% Field storage conditi s d locat' n (when applicable): Lab Use Only LAB NO. STATION NO. STATION LOCATION A E SAMPLED TIME SAMPLED NUMBER OF CONTAINERS �1` , 88 . _ UMIS �o$3 � I� - 0 3 501VWA *� r � � io S� � 7 oscx3 ar� �a �v '.15 Arc uiir - gni OFFICE Re li uis d b (si e): D to Time 3;Is( Received i atu e m : f 11 Date 11413 Time 0-0 1: _quished by (sign e): Date Time Received by i ature): I Date Time Relinquished by (signature): Date Time Received by (signature): Date Time Method of Shipment (circle one): tate Couri Hand -delivered Federal Express UPS Other: S Security Type andConditions:16, Sealed by: Broken:by: M INTRALABORATORY CHAIN OF CUSTODY - Lab Use Only '-LAB.NUMBERS :.., -..",NUMBER. :.:. ANALYSES, . , RELINQUISHED,',, .-RECEIVED .::.. - ;_ DATE : TIME , - FROM -. THROUGH: BOTTLES i : •REQUESTED .` , 'BY: BY-. :..7 rn _ QA\Forms\Sample Receiving\COC form WQ 4/10/01dbs County: CLEVELAND \NAj Sample ID: AB97885 River Basin {7r , Q� PO Number # 13W5476 Report -To MROSP, ti4� Date Received: 07/1712013• Time Received: 08:00, ' Collector: B SIFFORD Labworks LoginlD HMORGAN Region: MRO Final ReportDates 7/30/1.3. Sample Matrix: SURFACEWATER Final i�'eport' Report Print Dates 07/30/2013 Loc. Type: RIVERISTREAM Emergency Yes/No.. VisiflD CDC. Yes/No YES Loc.Desen: STINETT FARM Location ID: NCG650083 Collect Date: 'DM212013 Collect Time: 10:15 Sample'Depth 1.0 IF this report is labeled prellininary report, the results have not been validated. Do not use for Regulatory purposes. Result/,, Method Analysis ; , a , •, tIM0 ft r%ndryte Idatrlc: r�[� Qualifier vruca Reference' Date. LAB Sample temperature at receipt by lab 0.3 °e 7117(3 HMORGAN WET Chemical Oxygen Demand in liquid 20, 20 U mg/L Hach 8000 711.9/13 CGREEN NUT NH3 as N in liquid 0.02 0.03 mg/Las N Lac107107-06-1-J 7117/13 CGREEN Total Kjeldahl N as N In liquid 0.2 0.41 mg/L as,N Lachafl07-06 2-H 7123113 CGREEN NO2+NO3 as N in liquid 0.02 0A9 mg/Las N Lac10-107-04A-c 7/1711.3 CGREEN Phosphorus_ total as P in liquid 0.02 0.14 mg/Las:P Lac 10-115-01-1EF 7122/13 CGREEN Laboratory -Section» 1823 Mail service Center,; Raleigh,: NC .27699.1623 (919) 733-3908 For a'detailed description otthe qualifier modes ' -refer to ht6Yf i+ a; cc+en:. s'ef v uhdcjia6trtnfl,rNok••thai utRn nx c?uayrte rude w,'p l nn ni,l :a Plwzbf++ratr dr f xi�rfluteefox>ar r> Page 1 of 1 County* River Basin Repo To CLEVELAND MROSP bo(lector: B SIFFdRD Regiort: MRO Sample Matrix: S URFACEWATER Loc. Type: RIVERATREAM Emergency Yes/No. COCYes/No,YES 'A 0" -VI Final Repoft, Visitil) L:qc.,De.scr.; STINiTT FARM Sample ib:t PO Number# Date Re-cOved' Time Received: LabWorks Loglh'ID Firial Report Date: Report Print Datw, AB97885 13WS476 071i7%2013v HMORGAN 7130/13 07/30/2013 :1 Location lb: NCG656083. Collect bate: 67/'12/2'0.13 Collect Timer 10:15 SampleDeph .0 ff.this:rpportislabeled ,preliminary. ,report, the results have not been validated. Do: not use,for Regulatbty purposes.. CAS # Analyte Name 'POL Units QuIliffe "'VOP' Validated by . Date� LAB. Sample temperature at r6ceipt b 7/171,3 HMORG:,�N y lab WET Chemi6a[ Oxygen Demand in liquid, 20: 20'U rbg!L Hadh 8000 7/19/13 CGREEN NUT' NH3 as. N in liquid 0-02 0.03 mg/Las N Lac10-101-06-1-4 7/11/13 CGREEN a Total . Kjeld hf N as N in liquid 0.,2 0.41 mg/L as Lachatl 07-06-2-H 7/23/13 CGREEN NO2+NO3 ap,N in liquid 0.02 0.19 mg&�qs N LacI0-107-04-1-c 711710,3 'CGREEN Phosphorus —total as in liquid. 0.102 0.14 mg/L as. P Lac10-'115-01-1EF 7/22113 CGREEN LaborAWiV. Sectldh:?> 1623 Mall SeNide Cehtet,;RaI6Igh,:NC 27699.1623 (919) 733-3908 Fore ddWiled descripflon of the quafifer'Codes refer to Page 1 of 1 County: CLEVELAND� A Sample ID: AB97884 River Basin ; Q� P.O Number# 13W6475 ReportTo MROSP Date Received: 07117/2013 Time Received: 08:00 Collector: B SIFFORD• Labvorks LogihlD HMORGAN Regions MRO; Final Report Rate: 7131/13 Sample. Matrix: SURFACEWATER Final Report Report Print Dates 08701/2013 Loc. Type: RI1/ERISTREAM Emergency Yes/No. Visi41D COC`. Yes/No YES Loc. Descr.: 'SW-03 Location ID: NCG650083 Collect Date: 07/12%2013 Collect Time: 10.56 Sample Depth 1_0 If this -report is labeled preliminary report, the results have not been validated. .Do not use for Regulatory purposes. Result/` Method Analysis flail info i by VIIV. ffi' (lllWylG 11011ll3 1�%L 'vuias Qualifier Reference; .Date: LAB Sample' temperature at receipt by lab 0.3 oC. 7/17/13 I-iMO..RGAN WET Chemical Oxygen Demand in liquid 20 47 mall Hach 8000' 7119/13 CGREEN NUT NH.3 as N.in liquid 0.02' 0.02 mg/Las N Lac10-107-06-1 J 7/17/13 CGREEN Total Kjeldal l N as N In liquid 0.2 0A9 mg/Las N Lachat107-06-2-H' 7422/18 CGREEN NO2+NO3 as N in liquid 0.02 0.10 mg/Las'N Lad 0A 07-04-1. c 7117/13 CGREEN Phosphorus_ total as P in liquid 0.02 IX mg/Las; P Lac10-115-01-lEF 7/22113 CGREEN MET 7440-38-2 AsbyICPMS 2 0 2'.0 U uglL EPA 200:8 7123/13 ESTAFFORDI 7440-47-3 Cr by _ICPMS 10 1D u 4g/L EPA200:8 7123/13 ES.TAFFORD1 7440-50-8 Cu by'ICPMS 2:0 4.7 ug/L EPA200.8 7123/13 ESTAFFORD1 7440-02-0 Ni by-ICPMS 2:0 $;0 U91 EPA200;Z 7/23/13 ESTAFFORDI 7439-92-1 Pb by ICPMS 2.0 2.0 U ug%L EPA 200.'8 7123/13 ESTAFFORDI 7440-66-6 Zn by ICP' 10 $$ us1L EPA200.7 7/23/13 ESTAFFORDI Laboratory Section» 1623 Mail Service Center;, Raleigh;, NC 27699.1623 (919) 733-3908 Fora detailed -description of the quaiiher.,codes reel' IQ'8 t i•.jP,p� rat nai n"r.orq i, pbf�u�1 674 Nrrti (tech'rssict#nSta., ea IRP Csd :,.ct :c-tl rsA' x. n v� r.rlralwrb/ngto-a6/ t fi fiole- Fra {sr> Page 1 of 1 DWISIO OF WATER QUALITY / Chemistry Laboratory Report / Water Quality COUNTY PRIORITY SAMPLE TYPE . RIVER BASIN: AMBIENT VIIAINOFCUSTODY �TREAM r rc ❑ REPORT TO anal Office COMPLIANCE LAKE Other17� ��(� EMERGENCY VISIT ID ESTUARY COLLECTOR(S) (A r a I (}wry , Estimated BOD Range: Station Location!'��" ' µrwl Seed: Chlorinated: Remarks: 13W 510__� El EFFLUENT ❑ INFLUENT Lab Number`.' Date Received: ++ Time Received: ' 1 • f3 Received By O D'Irt Data Released : Date Reported: Ibtation Nflpcatiou VV int/mm/dd) dd) I Date End (yy/mm/dd) I Time Begin Time End I Depth - DM, DBt�M, I Value Typq- A, H, L Composite-T, S. B Sample Type BOD 310 mg/L COD High 340 mg/L COD Low 335 mg/L Coliform: NIF Feral 31616 /100ml Coliform: MF Total 31504 /100ml Coliform: tube Fecal 31615 /100ml Colifarrn: Fecal Strap 31673 /100ml Residue: Total 500 mg(L Volatile 505 mg/L . Fixed 510 mg(L Residue: Suspended 530 mg/L Volatile 535 mg/L Fixed 540 mg/L pH 403 units Acidity to pH 4.5 436 mg/L' Acidity to pH 8.3 435 mg/L Alkalinity to pH 8.3 415 • mg(L Alkalinity to pH 4.5 410 mg/L TOC 680 mg(L Turbidity 76 NTU Coliform Total Tube /100 ml Chlbride 940 mp/L Chlorophyll a EPA 445.0 modified option • ug/L Color: Tme 80 c.u. Color: (pH) 83 pH= C.U. Color: pH 7.6 a2 C.U. Cyanide 720 mg/L Fluoride 951 mg/L Formaldehyde 71980 mg/L Grease and Oils 556 mg/L Hardness Total 900 mg/L Specific Cond. 95 umhos/cm MBAS 38260 mg/L Phenols32730 ug/L Sulfate 945 mg/L Sulfide745 mg/L Boron Tannin & Lignin ug/L Hexavalent Chromium ug(L Bicarbonate mg/L Carbonate mg/L Total Dissolved Solids mg/L NH3 as N 610 - mg(L an N 625 mg/L NO2 plus NO3 as N 630 mp/l, P: Total as P 665 m&L PO4 as P 70507 mg/L P: Dissolved as P 666 mg/L K-Potassium mg(L Cd- Cadmium 1027 ug/L Cr-Chromium:Total 1034 ug(L Cu- Copper 1042 ug/L Ni-Nickel 1067 ug/L Pb- Lead 1051 ug/L Zn- Zinc 1092 ug/L V-Vanadium ug/L All- Silver 1077 ug/L Al- Aluminum 1105 ug/L Be- Beryllium 1012 - ug/L Ca- Calcium 916 mg/L Co- Cobalt 1037 ug/L Fe- Iron 1045 ug/L Ma -Molybdenum , ug/L Sb-Antimony ug/L Sn-Tin ug/L TI-Thal Iium ug/L Ti-Titanium ug/L Hg-1631 ng/L ium 1132 ug/L agnesium 927 mg/L anganesr1055 ug/L dium 929 mgJL jAmenic,.Total 1002 ug/L lenium 1147 ug/L Hg- Mercury 71900 ug/L Ba-Barium ug(L Organoehlorine. Pesticides Organophosphorus Pesticides Organ onitrogea.Pestici d es Acid Herbicides. Base(Neutral&Acid Extractable Organics TPH Diesel Range Purgeable Organics (VOA bottle req'd) TPH Gasoline Range TPH/BTEX Gasoline Range Phytoplankton Temperature on arrival (eC): 'L/ f3 Report to: M i2o S Uo p WATER QUALITY SECTION Page _L of r�1 CHAIN OF CUSTODY (COC) RECORD NC DENR/DWQ LABORATORY (check one): [j/CENTRAL [ 1 ARO [ I WaRO ivestigation of: aample collector (print name) (( DM-1 forms CA. f G�. ��'Si�p ice} r and completed by: Sample cotlector's signature: (% Field storaag`i s e cconnditd locat n (when applicable): %QD :. LabUse:OnlyMIMI 01NUMBER IJ A TIME OF LAB NO.`:`: = .`,' STATION NO. STATION LOCATION SAMPLED SAMPLED CONTAINERS & r 4Yr srA'` 'r'Lx Rel• uisd b (si t e): D to Time Received i natu e : Date Time J�j " jig luished by (sign e): Date Time Received by i ature): I Date Time Relinquished by (signature): Date Time Received by (signature): Date Time Method of Shipment (circle one): tate Cour' Hand -delivered Federal Express UPS Other: Security Type Sea ed by: Broken:by and onditions:.��f(1 �?tO r r { 96 INTRALABORATORY CHAIN OF CUSTODY - Lab Use Only LAB NUMBERS:::'::i: r_ NUMB ANALYSES,:;;:.' :RELINQUISHED„ :t RECEIVED.:'`::. - :DATE" ..T1ME.: 1FROM r THROUGH _ BOTTLES —REQUESTED 13. 3r ' BY :.: > T ' Elk �A .� y t&# d �':V y: F 6$*."9r aro .Xr«•''s k u�1 ..• ,✓'] (a�y�• � t jjk�s� i Kv I �l = r� sxq �� !" J y�j ;rn'j(' ._•'•• s r. \: R � GCS- ' � ; > � - :;• S 4"ril`3 ., ad ,. QA\Forms\Sample Receiving\COC form WQ 4/10/01 dbs - - FIRE 011EQUIPM July 23, 2013 Mr. Michael L. Parker Regional Office Supervisor Surface Water Protection Section 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115 E-mail: bfec@buckeyef.com Internet: http://www.buckeyef.com/fire Re: Notice of -Violation and Recommendation of Enforcement Tracking Number NOV-2013-DV-0141 Compliance Evaluation Inspection and Illegal Discharge Buckeye Fire Equipment Company COC Number NCG050083 Cleveland County NC Dear Mr. Parker: PF:Cys fED DI VISIOlq CA "-N E'ER Q$.lA,L$ijV FjUL 2 6 2013 In response to your letter dated July 8, 2013 for a request of a written response to eliminate the illegal dike wastewater discharge. The procedure listed below will eliminate any further dike discharge. Our SOP for disposal of the rainwater that has accumulated in that lower containment area has always been to pump it into 275 gallon totes and treat it through our waste water treatment facility. Moving forward, this procedure will be followed exactly and closely monitored by senior plant management. This material is non -hazardous and can be easily treated by our approved pretreatment system prior to discharge. Again, this process will be carefully monitored and documented. It should be noted that the containment area, because of natural evaporation, rarely needs to be emptied. If you should have any questions to this procedure please give me a call at 704-739-7415. Sincerely, Gerald Gulp Plant Manger, Buckeye Fire Equipment Company Buckeye Fire Equipment Company ISO 90012000 Registered r, FOAM BIODEGRADATION IN THE ENVIRONMENT Because of the widespread use of fire fighting foam con- centrates, there exists the potential for a large release of this material into the environment. Although this is a small risk, it is important to ensure that these products are as safe for the environment as possible. With increasing awareness and corporate responsibility from the Fortune 500 companies, the indiscriminate dis- charge of fire extinguishing media to the environment has been greatly reduced. There are however periodic dis- charges of fire protection systems and these could be classified, or fall into two (2) categories; accidental and deliberate. In other words, a system could discharge as a result of a malfunction, in for example a detection sys- tem, thus producing an "unwanted" discharge. Then there is the deliberate or planned activation of a system for test purposes, or the designed activation in the event of a fire. The later two examples are "wanted" discharges. In ei- ther case though, extinguishing media has been dis- charged into the environment. Buckeye Foam Concentrate formulations are configured for as rapid degradation as possible, thereby preventing surfactant buildup and accumulation in the environment. Biodegradation is a key element in reducing the environ- mental load or burden associated with the high volume use of surfactant chemicals. There are effectively seven factors when considering the environmental impact of foam concentrates and all of these factors are of concern when the end -use foam so- lutions reach natural or domestic water systems. These factors are: 1). Fluorochemicals, 2). Fish Toxicity, 3). Bio- degradability, 4). Sewage Treatment Plant Treatability, 5). Nitrogen, 6). Phosphates, 7). Heavy Metals. To deter- mine the effect that the foam concentrates might have on the environment, they are subjected to a series of tests. To ensure accurate, repetitive and un=compromised data for use by commercial & governmental organizations, an independent laboratory performs the m�jority of these tests. � . In the early 1990's a solvent called butyl carbitol (di - ethylene glycol butyl ether {DGBE)) was used as a 5 TECHNICAL BULLETIN BUCKEYE FIRE FIGHTING FOAM PRODUCTS AND THE ENVIRONMENT foam enhancer in most aqueous film forming foam (A.F.F.F.) concentrates. This material subsequently found it's way on to the Federal Register of Hazard- ous Air Pollutants. Thus every time this material was released to the environment, including that contained in the A.F.F.F. products, it was necessary to report that "spill" to the Environmental Protection Agency (E.RA.). Some of the A.F.F.F. manufacturers responded by re-formulating their products to remove the butyl carbitol. Buckeye was one of those manufacturers and we took a corporate. responsibility to make ourA.F.F.F. products as "Environmentally Friendly" as possible, while still maintaining the highest level of fire fight- ing performance. FLUOROCHEMICALS During May of 2000, The 3M Company decided to dis- continue its A.F.F.F. product line with the effective end of production occurring sometime around November 2001. The reason for this withdrawal was based on test results that determined a base material used in the production process (perfluorooctyl sulfonate) is considered P-B-T (Persistent, Bio-accumulative & Toxic) and as such fur- ther use would be harmful to the environment. It is very important to state that the major contributor to fluorochemical build-up in the environment is not by fire fighting foam concentrates but by the 3M-fabric protectorant, Scotchgard® and other complimentary prod- ucts used to protect food -wrapping paper. In fact, fire fight- ing foam concentrates represent less than 2% of the fluorochemical use, worldwide. There is no doubt that these fluorochemicals are long lasting and the announce- ment by 3M has highlighted this issue. Foam concentrates manufactured by Buckeye DO NOT CONTAIN (PFOS), the P-B-T fluorochemical used in manufacturing the 3M product. For the foreseeable future, we expect A.F.F.F. concentrates to be freely available, since they are con- sidered "essential" products for life safety. Fluorinated Surfactants All A.F.F.F. fire -fighting agents, (standard and alcohol resistant), along with the fluoroprotein and film form- ing fluoroprotein (F.F.F.P.) foam concentrates contain fluorinated surfactants. They are a key ingredient; which provides these agents with the required low 110 Kings Road, Kings Mountain, NC 28086-0428 • Tel 704-739-7415 • Fax 704-739-7418 • www.buckeyef.com 0 surface tension (15 to 17 dynes/cm) and positive spreading coefficient that enables film formation on top of most hydrocarbon fuels. The chemicals used to pro- duce fluorinated surfactants can be manufactured by different processes and have different chemical struc- tures. The fluorinated surfactants used in A.F.F.F. are produced from fluorochemicals manufactured by two methods: electrochemical fluorination and telomerization. Electrochemical Fluorination The key fluorochemical raw material produced by elec- trochemical fluorination is perfluorooctane sulfonyl fluo- ride (POSF). POSF has been produced since the 1950s for the synthesis of fluorochemicals used in paper and packaging; textile, leather, and carpet treat- ment; industrial surfactants, additives, and coatings; and surfactants in fire fighting foam agents such as A.F.F.F. The degradation of POSF-derived fluorochemicals as well as the hydrolysis or neut- ralization of POSF results in the formation of perfluorooctyl sulfonate (PFOS). PFOS is currently a major focus of the U.S. EPA's regulatory activities. PFOS - What are the issues?' The EPA has published a hazard assessment (not a risk assessment) that categorizes PFOS as P-B-T: P = persistent B = bio-accumulative T = toxic PFOS has been found in the blood of workers han- dling the chemical, the general U.S. population, people in other developed countries, and in wild birds and fish. Levels detected in workers were as high as 12 parts per million (ppm) and levels detected in the general population were in the 30-50 parts per billion (ppb) range. PFOS - How big a risk is it? The EPA does not believe that the current situation presents an imminent health risk to the general popu- lation, but the EPA has concern for potential future risk if PFOS continues to be produced and released to the environment. The EPA has questions and concerns about occupational exposures to PFOS. PFOS -What is being done? 3M will voluntarily phase out manufacture of POSF- derived fluorochemicals for use in performance prod- ucts (which includes Light-WateO A.F.F.F.) by Decem- ber 31, 2002. (A.F.F.F. concentrate production ceased prior to this date). The EPA has proposed a Significant New Use Rule (SNUR) that is intended to "close the door" on future manufacture and import of POSF-de- rived fluorochemicals as well as PFOS. Impact of The EPA's Actions The EPA's initial actions and 3M's phase out apply only to PFOS and its derivatives. Telomer-based A.F.F.F. will continue to be produced and no disruption of sup- plies will or has been experienced. The EPA is cur- rently assessing other perfluorinated chemicals like PFOA and related chemistries such as telomer prod- ucts (see below). Telomer-based A.F.F.F. does not con- tain PFOS or any other compound currently consid- ered by regulatory agencies to be P-B-T. There is no known biological pathway by which telomer-based A.F.F.F. can be oxidized or metabolized into PFOS. Telomer-based A.F.F.F. agents contain 30-60% less fluorine than A.F.F.F. based on POSF-derived fluorosurfactants. Perfluorooctanoic Acid (PFOA) The predominant production of PFOA is also by the electrochemical fluorination process. The EPA is cur- rently assessing the hazard of PFOA and expects to publish a hazard assessment sometime before mid - 2002. PFOA is known to be persistent, and substan- tial toxicity data on PFOA exists in public literature and regulatory agency files. Telomer-based A.F.F.F. is not made from PFOA-based products. Telomers Telomers is a term used to describe the most common synthetic route for manufacturing perfluoroalkyl com- pounds that have straight chains of 6-14 carbons. The fluorochemical portion of telomer molecules is persistent, but preliminary data on toxicity and bioaccumulation indicate that telomers are very differ- ent when compared to PFOS. In order to better under- stand the potential environmental effects of telomers, the manufacturers have begun a voluntary research program, the results of which will be shared with the EPA and others. The EPA will be assessing the envi- ronmental hazard presented by telomers over the next few years based on existing data and new data gener- ated by the TRP (Telomer Research Program) and elsewhere. Telomer Research Program (TRP) The TRP is a science -focused research consortium funded by global fluorotelomer manufacturers. The TRP is conducting a 2-3 year research program on common raw material: Telomer 8-2 alcohol. The test- ing program includes studies on pharmacokinetics (how the compound is metabolized), environmental fate and effects (what does the compound break down 110 Kings Road, Kings Mountain, NC 28086-0428 • Tel 704-739-7415 • Fax 704-739-7418 • www.buckeyef.com into in the environment and what are the. effects) and toxicity. A.F.F.F. Manufacturers What are A.F.F.F. manufacturers doing to address the environmental concerns aboutA.F.F.F.? A.F.F.F. manu- facturers, in conjunction with fluorosurfactant manu- facturers and telomer producers, have formed the Fire Fighting Foam Coalition (FFFC). The founding mem- bers of FFFC include, Buckeye, Ato-Fina, Dupont, Dynax, and other foam concentrate manufacturers. FFFC was formed to represent the A.F.F.F. industry's interests on all issues related to the environmental acceptability of fire fighting foams. The coalition pro- vides a focal point for industry science reviews, devel- opment of industry positions, and interactions with the EPA and other relevant organizations. FISH TOXICITY Foam solution "run-off' is always a concern in fire -fight- ing operations, since that "run-off' could work it's way into streams, rivers and the ocean. However, it is also impor- tant to consider the fuel involved in the fire, which when spilled can also present a potentially larger problem in terms of aquatic toxicity, than the foam/water solutions. Fish are relatively sensitive to the presence of pollutants in the water and as such, foam solutions are tested to determine fish toxicity. These tests are normally run on both estuarine and fresh water species, with the two most common test species being the Killifish and the Rainbow Trout. The Killifish is tolerant while the Rainbow Trout is sensitive. The tests on these two species gives an indi- cation of the broad range over which various fish popula- tions may be affected. The results are given as the 96- hour LC/50, a measurement of the concentration lethal to 50 percent of the test population, during a 96-hour pe- riod. The units of measure are milligrams/liter or parts per million (ppm). The higher the values on the test, the greater the tolerance of the fish to the Buckeye Foam Products. For Rainbow Trout we found that the test 96 LC/50 values range from 4,500 to 7,000 ppm while Killi- fish have a 96 LC/50 range from 25,000 to 37,000 ppm. There is some debate as to the exact reason the fish die; in some cases, it may not be a chemical effect from the foam concentrate, but rather an inability of the fish to "breathe" as a result of oxygen depletion in the water. Based on the test results, fish toxicity is not of particular concern for the synthetic foam concentrates. BIODEGRADABILITY The biodegradability of Buckeye foam solutions is depen- dent on a number of factors. For example: the amount of rl dilution that occurs prior to a release and the area in which the release occurs. To determine the biodegradability of these solutions two tests are conducted and a relation- ship between the two results developed. The two tests are BOD (Biological Oxygen Demand) (oxygen demand by the microorganisms) and COD (Chemical Oxygen Demand) (oxygen used in chemical decomposition). COD measures how much oxygen would be required to com- pletely break down the chemicals contained in the foam solution. BOD then measures how much oxygen the bac- teria will consume as they use up ("eat") the chemicals found in a given amount of foam solution. For an A.F.F.F., the BOD test is carried out over a 20-day cycle. Since most foam solutions have a BOD/COD over 0.5 or 50% they are considered relatively biodegradable. SEWAGE TREATMENT PLANT TREATABILITY Buckeye foam products are not particularly toxic to the ultramicroscopic size organisms found in water treatment plants. For water treatment plants that use the activated sludge process for secondary treatment, Buckeye Foam Concentrates may cause foaming, the foam could then carry over (and. out of the plant) suspended solids and consequently, a large amount of the microbial population, reducing the effectiveness of the plant. Solutions of Buck- eye foam products, up to 300 ppm can typically be handled without adverse effects. For the most part, the dilution, which takes place on the way to the water treatment plant, brings the concentration down below the 250-ppm level. If it does not, the use of a de -foaming agent such as Dimethylpolysiloxane, Dow Corning H-10, DB 110A, 1410 or Henkel WB-209, which are compatible with the treat- ment plant's flora, may allow handling of concentrations above the 300-ppm level. NITROGEN Some of the surfactants used in synthetic foam concen- trates may contain small amounts of nitrogen in an or- ganic form, however, the level is relatively low and little environmental impact can be expected. The protein based foam concentrates contain substan- tially more organic nitrogen than synthetic foam concen- trates and will act as very effective fertilizers promoting excessive growth of plants and algae in waterways. PHOSPHATES It is remotely possible that some cheaper foam com- pounds could contain phosphates. Phosphates act as fertilizers and will promote excessive growth of some 110 Kings Road, Kings Mountain, NC 28086-0428 • Tel 704-739-7415 • Fax 704-739-7418 • www.b plants and algae. Discharging phosphates into a body of water can damage the ecology by,promoting excessive plant growth along the banks that could block waterways. Buckeye Fire Fighting Foam Concentrates do not con- tain phosphates. HEAVY METALS Heavy metal ions such as zinc can be found in some pro- tein foam concentrates and could accumulate in living or- ganisms, which can be harmful. Releasing heavy metals to the environment should be avoided whenever possible. CURRENT POSITION Early on, Buckeye took a position to produce foam con- centrates with the lowest possible environmental impact and the highest possible fire fighting effectiveness. The world is becoming smaller and more aware of the impact associated with the chemicals we use in our everyday operations. Anything not of a naturally occurring sub- stance, such as man-made chemicals are likely to be undesirable for the environment and discharges should be limited. Buckeye formulates Earth Friendly Foam Concentrates without DGBE. This decision was based on information generated from the market place, with origins dating back to 1993. As a result of a ruling by the E.P.A. (Environmen- tal Protection Agency) in 1993, A.F.F.F. concentrate or A.F.F.F. solution discharges became a reportable incident under EPCRA, (Emergency Planning and Community Right -to -Know Act), SARA Title III. This was because the majority of these foam concentrates contained the glycol ether called butyl carbitol or DGBE. The glycol ether is or was used as a'foam-enhancer'to improve the foamability, increase burnback resistance and produce rapid knock- down capabilities. Once one (1) pound (0.45 kg) of glycol ether was spilled, (this represents approximately one [1] gallon or 3.8 litres of foam concentrate), it was consid- ered a reportable incident, since this material was listed on the Federal Register as a toxic hazardous material; specifically a hazardous air pollutant. In 1996 the reporting procedures for A.F.F.F. foam/water solution discharges containing glycol etherwere lifted and now there are no minimum reportable quantities. How- ever, even though it is not now necessary to report these discharges, the owner is still responsible for proper clean- up and disposal of any foam/water solution containing glycol ether. It therefore makes environmental and com- mercial sense to use A.F.F.F. concentrates that do not contain glycol ether. Thus foam concentrates offering the lowest environmen- tal impact should be chosen over those with higher envi- ronmental impact. To further reduce environmental impact Buckeye offers an environmentally benign, non -foaming agent that can be used for testing foam systems. This agent mimics ex- actly, the "real" foam concentrate and simulates the per- formance of the system to verify proportioning accuracy. Additional information on this innovative method is avail- able from the Buckeye Foam Systems Engineering De- partment. Trying to determine the foam concentrate demonstrating the lowest environmental impact is a difficult task. This is made more complex due to a lack of complete and accu- rate information. Any claim that a regular protein based foam concentrate has lower environmental impact than a fluorosurfactant based foam concentrate cannot be sub- stantiated. These two types of foam concentrate affect the environment in different ways, but neither can be shown better or worse than the other. Thus proper evalu- ation of the M.S.D.S. (Material Safety Date Sheet) should be exercised and the appropriate decision made. Buckeye has a Technical Support Department that can provide additional information and updates to these very important environmental issues. 110 Kings Road; Kings Mountain, NC 28086-0428 • Tel 704-739-7415 • Fax 704-739-7418 9 www.buckeyef.com FIR75. EQUI September 26, 2012 Mr. Robert B..Krebs Regional Supervisor Surface Water Protection Section 610 East Center Avenue Suite 300 Mooresville, NC 28115 Dear Mr. Krebs: Subiect• Notice of Violation Compliance Evaluation Inspection E-mail: bfec@buckeyef.com • Internet: http://www.buckeyef.com/fire I Buckeye Fire Equipment NPDES Permit No. NCG050000 COC No. G50583 Ate-6 ® y .3 Gaston County, NC RECEIVED DIVISION OF WATER QUALITY SEP 27 2012 SVVP SECTiON N",OO ESVILLE REGIONAL OFFICE I have enclosed the Stormwater Pollution Prevention Plan for Buckeye Fire Equipment Company that was prepared by David D Smith and Company, PLLC. Also is enclosed is the Additional MSGP Documentation plan. These plans should meet the requirements of the permit. The company is committed to meet all requirements that are required by all state and federal agencies. If you have any questions please do not hesitate to give me a call at 704-739-7415 ext. 3327. Sincerely, Barbara McDonald Human Resources/Safety Manager Enclosures (2) Buckeye Fire Equipment, Company ISO 9001 Registered Stormwater. Pollution Prevention Plan prepared for: Buckeye Fire Equipment Company 110 Kings Road Kings Mountain, NC 28086 Tel. (704) 739-7418 SWPPP Contact: Buckeye Fire Equipment Company Gerald Culp, Plant Manager 110 Kings Road Kings Mountain, NC 28086 (704) 739-7415 Fax: (704) 739-0595 SWPPP Preparation Date: 09/ 18 / 2012 Revision No.: RECEIVED DIVISION OF WATER QUALITY SEP 2 7 2012 S9./ilp SECTION MOORESVILLE REGIONAL OFFICE DAVID D. SMITH AND COMPANY, PLLC civil and structural engineering consultants landscape architecture/land planning 1949 Bob's Creek Road Zirconia, NC 28790 Tel: (828) 254-4448 Contents SECTION 1: FACILITY DESCRIPTION AND CONTACT INFORMATION......................................................1 1.1 Facility Information.................................................................................................................1 1.2 Contact Information/Responsible Parties.............:....................................................................2 1.3 Stormwater Pollution Prevention Team..................................................................................... 3 1.4 Activities at the Facility........................................................................................................... 3 1.5 General Location Map............................................................................................................ 3 1.6 Site Map................................................................................................................................ 3 SECTION 2: POTENTIAL POLLUTANT SOURCES.......................................................................................4 2.1 Industrial Activity and Associated Pollutants............................................................................. 4 2.2 Spills and Leaks..................................................................................................................... 4 SECTION 3: STORMWATER CONTROL MEASURES...................................................................................5 3.1 Minimize Exposure................................................................................................................. 5 3.2 Good Housekeeping............................................................................................................... 5 3.3 Maintenance..........................................................................................................................5 3.4 Spill Prevention and Response................................................................................................ 6 3.5 Management of Runoff...........................................................................................................6 3.6 Employee Training................................................................................................................. 6 3.8 Waste, Garbage and Floatable Debris............................................................................................. 7 SECTION5: INSPECTIONS............................................................................................................................ 7 SECTION 7: SWPPP CERTIFICATION...........................................................................................................8 SECTION 8: SWPPP MODIFICATIONS..........................................................................................................9 SWPPPATTACHMENTS..............................................................................................................................10 Attachment A — General Location Map (USGS Map) Attachment B — Site Plan C-1 Attachment C — Web address to the 2008 MSGP ii SECTION 1: FACILITY DESCRIPTION AND CONTACT INFORMATION 1.1 Facility Information Facility Information Name of Facility: Buckeye Fire Equipment Company Street: 110 Kings Road City: Kings Mountain State: NC ZIP Code: 28086 County or Similar Subdivision: Gaston County Permit Tracking Number: NCG 050083 (if covered under a previous permit) Latitude/Longitude Latitude: 1.35 ° 16' 03" N (degrees, minutes, seconds) Method for determining latitude/longitude (check one): ® USGS topographic map (specify scale: 1:24000 Longitude: 1.81 ° 19' 33" W (degrees, minutes, seconds) Is the facility located in Indian Country? ❑ Yes ® No If yes, name of Reservation, or if not part of a Reservation, indicate "not applicable." N/A (not applicable) Is this facility considered a Federal Facility? ❑ Yes ® No Estimated area of industrial activity at site exposed to stormwater: 3.10 (acres) Discharge Information Does this facility discharge stormwater into an MS4? ❑ Yes ® No If yes, name of MS4 operator: Name(s) of water(s) that receive stormwater from your facility Unnamed tributary to Long Creek Are any of your discharges directly into any segment of an "impaired" water? ❑ Yes ® No If Yes, identify name of the impaired water (and segment, if applicable): N/A Identify the pollutant(s) causing the impairment: N/A For pollutants identified, which do you have reason to believe will be present in your discharge? N/A 1 For pollutants identified, which have a completed TMDL? N/A Do you discharge into a receiving water designated as a Tier 2 (or Tier 2.5) water? ❑ Yes ® No Are any of your stormwater discharges subject tq,effluent guidelines? ❑ Yes ® No If Yes, which guidelines apply? N/A Primary SIC Code or 2-letter Activity Code: 39 / Y2 Identify your applicable sector and subsector: 3999-15 1.2 Contact Information/Responsible Parties Facility Operator (s): Name: Buckeye Fire Equipment Company - Gerald Culp, Plant Manager Address: 110 Kings Road City, State, Zip Code: Kings Mountain, NC 28086 Telephone Number: (704) 739-7415 Email address: gculp@buckeyef.com Fax number: (704) 739-0595 Facility Owner (s): Name: Bower Family Real Estate, LLC Address: Kings Mountain Industrial Park, 110 Kings Road City, State, Zip Code: Kings Mountain, NC 28086 Telephone Number: (704) 739-7415 Email address: kbower@buckeyef.com - Kevin Bower, President Fax number: (704) 739-0595 SWPPP 24 Hour Emergency Contact: Name: Gerald Culp - Plant Manager Telephone number: (704) 739-7415 Email address: gculp@buckeyef.com Fax number: (704) 739-0595 2 1.3 Stormwater Pollution Prevention Team Staff Names Individual Responsibilities Gerald Culp - Plant Manager Primary contact; responsible for day to day coordination and implementation of all activities associated with Stormwater Pollution Prevention Barbara McDonald Secondary contact; team coordinator Ken Laws Assist with sampling and monitoring Tony Daddario Assist with sampling and monitoring Charlie Ruff Assist with sampling and monitoring Bill Vegso Assist with sampling and monitoring 1.4 Activities at the Facility Manufacture, assembly and annodized finishing and painting of fire extinguishing equipment. 1.5 General Location Map See Attached Drawing (Attachment A) 1.6 Site Map See Attached Drawing (Attachment B) SECTION 2: POTENTIAL POLLUTANT SOURCES 2.1 Industrial Activity and Associated Pollutants Industrial Activity Associated Pollutants Non Hazardous Waste Storage Foam Water Rinse, Used Oil and Water, Phosphate Sludge, Caustic Sludge, used Vegetable Oil, Oil Dry, Alkaline Cleaner Sludge, Ferrous & Non Ferrous Metal Waste Bulk Product Storage in Tanks or Silos Glycol, Nitric Acid, Phosphoric Acid, Mono Ammonium Phosphate MAP New Product Storage and Unloading 3% AFFF Foam, 1 % AFFF Foam, Fluroprotien, Heptanes Ferric Metal Waste Storage Ferric Metal Non - Ferric Metal Waste Storage Non Ferric Metal Trash Compactor Oil, Grease, Hydraulic Fluid, Waste/ Floatable Debris Routine Equipment Maintenance by others Oil, Grease, Hydraulic Fluid Compressors Oil 2.2 Spills and Leaks Areas of Site Where Potential Spills/Leaks Could Occur Location Outfalls Tank/silo non hazardous waste storage along north side of building Outfall #3, Outfall #4 New product storage, near research & development building Outfall #4, Outfall #5 Trash compactor/dock, east side of facility Outfall #2 Tank/silo storage adjacent to compactor Outfall #1, Outfall #2 Loading Docks Outfall #6 (from underground storm drain connecting to trench drains 4 . Description of Past Spills/Leaks' *No significant spills or discharges have occurred since the facility opened in 1984. Date Description Outfalls Insert date of spill/leak Insert description of spill/leak (where it occurred, what happened, types of pollutants, extent of damage) Specify which outfall(s) were affected SECTION 3: STORMWATER CONTROL MEASURES 3.1 Minimize Exposure Industrial activities are located within buildings; material is loaded and unloaded at covered docks to minimize product exposure to rain. Containers are used that are compatible with the product stored. 3.2 Good Housekeeping Floors and ground surfaces are maintained both inside and outside with brooms, shovels, vacuum cleaners and cleaning machines. This minimizes exposure, especially with contaminants that may be tracked out by employees. Garbage and waste materials are picked up regularly. Equipment is routinely checked and maintained to ensure proper working condition and minimize the risks of oil and fluid leaks. A Stormwater Pollution Prevention Team conducts semi annual visual monitoring of all Outfall locations for signs of pollutants. Routine monitoring is conducted daily during facility operations and material handling. Containers are regularly checked for leaks and to ensure that container lids are tightly closed. Forklifts are regularly inspected for leaks and residue from materials being unloaded. If residue is present, it will be cleaned and disposed of in accordance with Federal Regulations. 3.3 Maintenance Buckeye has routine inspection programs for equipment and bulk storage tanks. Buckeye contracts with a third party contractor for routine equipment maintenance and repair which is performed on site. 3.4 Spill Prevention and Response ■ Containers are plainly labeled e.g. "Used Oil". "Nitric Acid", "Phosphoric Acid", in addition to the other chemicals that could be susceptible to spillage or leakage to encourage proper handling & facilitate rapid response should spills or leaks occur. Containers used for storing chemicals are compatible with the product stored. ■ Material Handling functions are monitored by supervisors to insure proper handling procedures and technicians are used while loading or unloading materials. Visual inspections are made by forklift drivers to insure that there are no leaks from the material being loaded or unloaded. In the event of a spill, oil dry will be applied immediately and then disposed of legally in a hazardous landfill. ■ Stored material is kept under cover whenever possible. ■ Secondary containment devices are provided for Bulk storage of Phosphoric and Nitric Acid in the form of 4 foot tall concrete dikes. The secondary containment devices are not connected directly to a storm water conveyance system. ■ Oil dry and lime are stored in the stock room for ready access in the event of a spill. 3.5 Management of Runoff Control measures include a roof drainage system and trench drains that collect, transport and discharge stormwater to detention basins. The two (2) detention basins are located at the southeast and southwest corners of the property. 3.6 Employee Training Annual Training of employees will be conducted covering: contents of the facility SWPPP, control measures implemented to achieve compliance with the General Permit, spill containment and cleanup proceedures, maintenance, monitoring, things to look for during inspections, areas and control measures to be inspected, planning, reporting and documentation requirements. A sign in / sign out sheet should be provided at each training class to document that employees have participated and kept current with the SWPPP. The schedule will be determined and posted in advance of the training session. rel 3.8 Waste, Garbage and Floatable Debris Trash compactor and baler at southeast corner of facility between loading dock and covered handicap ramp is utilized for waste paper products. Covered dumpsters are utilized throughout the facility for normal waste. All waste, garbage and floatable debris are removed regularly from the site by a contracted waste disposal company. SECTION 5: INSPECTIONS For the routine facility inspections and the comprehensive site inspections to be performed at your site: ■ The names of the person(s), or the positions of the person(s), responsible for inspection: Gerald Culp - Plant Manager Ken Laws Charlie Ruff Bill Vegso The schedules to be used for conducting inspections: During the last week of every month, conduct routine facility inspections during normal hours of operation and Specific areas of the facility to be inspected: Bulk container and drum storage areas: waste storage areas: tanks and silo storage tanks: Dock areas during loading and unloading: maintenance area during and following equipment maintenance. Outfall #1 through #6 shall be inspected at least once during the year when a stormwater discharge is occurring For the Semi-annual visual assessments to be performed at your site: ■ The names of the person(s), or the positions of the person(s), responsible for inspection: Gerald Culp - Plant Manager Ken Laws Charlie Ruff Bill Vegso The schedules to be used for conducting inspections: Semi annually (2 x per year) during spring and fall and Specific areas of the facility to be inspected: During normal buisiness hours, inspect Outfall #1 through Outfall #6 within 30 minutes of a representative storm event (sufficient to allow sampling): prior to semi annual visual assessment, review inspection reports & spill records for the prior year. 7 SECTION 7: SWPPP CERTIFICATION 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 gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name: Title: Signature: Date: USGS Topographic Map Buckeye Fire Equipment Co., Kings Mountain, NC Map Name.- BESSEMER CITY Map Center: 035' 16'03-00" N 081' 19'00.00" W Print Date: 09/20f12 Horizontal Datum: NAD27 0 Zi � % V- 1, 1� I gv; 2, 7 fZ, e t IR X, `:y AV IV, A. h �4 j". r Diking.- V 4fl 00. M1, Bbckeye Ire, �A -4 f. N_ Eq 4". I ipm6�t'Company. j 7" C :K, N A �Jl r 0.15 3N 4 iA N 6.Z2: W X SCALE 1:24000 Buckeye Fire Equipment Company x 4CC11 ECICO Mc,, sccc 110 Kings Road., Gaston Co-, NC FEET DAVID D. SMITH AND COMPANY, PLLC civil and structural engineering consultants landscape architecture/land planning 1949 Bob's Creek Road Zirconia, NC 28790 Tel: (828) 254-4448 ATTACHMENT A August 17, 2012 Robert B. Krebs Regional Supervisor Surface Water Protection Section 610 East Center Ave. Suite 301 Mooresville, NC 28115 Re: Notice of Violation Compliance Evaluation Inspection NOV-2012-pc-0253 Buckeye Fire Equipment NPDES Permit No. NCG050000 COC No. NCG050053 Gaston County, NC Dear Mr. Krebs: E-mail: bfec@buckeyef.com • Internet: http://www.buckeyef.com/fire RECEIVED DIVISION OF WATER QUALITY AUG 2 0 2012 MOORESVILLE REGIONAL OFFICE In response to your letter dated July 25, 2012 the Company has obtained the services of David D. Smith & Company. PLLC located in Asheville, NC to assist the Compliance issues as stated in Samar Bou-Ghazale's report. We regret that permit requirements were not completed as required by the Division of Water Quality, due to an unexpected death of the person in charge of this project. The company is working diligently to rectify this problem so that moving forward the company will be in compliance with the permit requirement. We have secured a company, Par Laboratories, Inc in Charlotte, NC to do the testing. Our goal is to have everything in place within the next 30 days. Thank you for your patience in this matter. If you should need additional information I will be glad to have Mr. Smith give you a call regarding our progress. Sincerely, �.J� Barbara McDonal Safety/Environmental Manager Buckeye Fire Equipment Company ISO 9001 Registered . IFV Cc: Kevin Bower, President Buckeye Fire Equipment Gerald Culp, Plant Manager, Buckeye Fire Equipment David D. Smith, David D. Smith Company Samar Bou-Ghazale, Surface Water Protection Section August 17, 2012 Robert B. Krebs Regional Supervisor Surface Water Protection Section 610 East Center Ave. Suite 301 Mooresville, NC 28115 Re: Notice of Violation Compliance Evaluation Inspection NOV-2012-pc-0253 Buckeye Fire Equipment NPDES Permit No. NCG050000 COC No. NCG050053 Gaston County, NC Dear Mr. Krebs: E-mail: bfec@buckeyef.com • Internet: http:/Iwww.buckeyef.com/fire RECEIVED DIVISION OF WATER QUALITY AUG 2 0 2012 MOORESVILLE REGIONAL OFFICE In response to your letter dated July 25, 2012 the Company has obtained the services of David D. Smith & Company. PLLC located in Asheville, NC to assist the Compliance issues as stated in Samar Bou-Ghazale's report. We regret that permit requirements were not completed as required by the Division of Water Quality, due to an unexpected death of the person in charge of this project. The company is working diligently to rectify this problem so that moving forward the company will be in ,compliance with the permit requirement. We have secured a company, Par Laboratories, Inc in Charlotte, NC to do the testing. Our goal is to have everything in place within the next 30 days. Thank you for your patience in this matter. If you should need additional information I will be glad to have Mr. Smith give you a call regarding our progress. Sincerely, 171 Barb ra McDonald Safety/Environmental Manager Buckeye Fire Equipment Company ISO 9001 Registered Cc: Kevin Bower, Buckeye Fire Equipment Gerald Culp, Plant Manager, Buckeye Fire Equipment David D. Smith, David D. Smith Company Samar'Bou Ghaale u` act WaterProtectio section Buckeye Fire Equipment Co. FACILITY PERMIT TRACKING NO.: NCG050083 Additional MSGP Documentation For: Buckeye Fire Equipment Company 110 Kings Road Kings Mountain, NC, 28086 RE-C,--IVED DIVISION OF WATER QUALITY SEP 2 7 m2 Si dig SECTION MOORESVILLE REGIONAL OI=EICE (704) 739-7415 Facility Permit Tracking No. (Certificate of Coverage): NCG050083 General Permit No.: NCG050000 Instructions: — Keep the following inspection, monitoring, and certification records in the same location that you keep your SWPPP: • A copy of 2008 MSGP (you can find an electronic copy at: www.epa.gov/npdes/stormwater/msgp); • Descriptions and dates of any incidences of significant spills, leaks, or other releases; • Records of employee training; • Documentation of maintenance and repairs of control measures; • All inspection reports; • Description of any deviations from the schedule for visual assessments and/or monitoring; • Description of any corrective action taken at your site; • Documentation to support any determination that pollutants of concern are not expected to be present above natural background levels, and that such pollutants were not detected in your discharge or were solely attributable to natural background sources; and — With the exception of the first 3 items, these are records that you will be updating throughout the permit term. — Follow the instructions in Sections A through I of this template to keep your records complete. Buckeye Fire Equipment Co. FACILITY PERMIT TRACKING NO.: NCG050083 Contents A. Significant spills, leaks or other releases......................................................................................1 B. Employee training.........................................................................................................................2 C. Routine Facility Inspection Reports..............................................................................................3 D. Semi -Annual Visual Assessment Reports....................................................................................7 E. Comprehensive Site Inspection Reports......................................................................................9 F. Monitoring results.......................................................................................................................10 G. Deviations from assessment or monitoring schedule.................................................................10 H. SWPPP Amendment Log.......................................................................................................11 I. Miscellaneous Documentation...................................................................................... 12 it Buckeye Fire Equipment Co. FACILITY PERMIT TRACKING NO.: NCG050083 A. Significant spills, leaks or other releases Instructions: — Include the descriptions and dates of any incidences of significant spills, leaks, or other releases that resulted in discharges of pollutants to waters of the U.S., through stormwater or otherwise; the circumstances leading to the release and actions taken in response to the release; and measures taken to prevent the recurrence of such releases. — Provide information, as shown below, for each incident, and attach additional documentation (e.g., photos, spill cleanup records) as necessary. Repeat as necessary by copying and pasting the fields below. Date of incident: Location of incident: Description of incident: Circumstances leading to release: Actions taken in response to release: Measures taken to prevent recurrence: Date of incident: Location of incident: Description of incident: Circumstances leading to release: Actions taken in response to release: _ Measures taken to prevent recurrence: Date of incident: Location of incident: Description of incident: Circumstances leading to release: Actions taken in response to release: Measures taken to prevent recurrence: Buckeye Fire Equipment Co. FACILITY PERMIT TRACKING NO.: NCG050083 B. Employee training Instructions: — Keep records of employee training, including the date of the training. — For in -person training, consider using the tables below to document your employee trainings. For computer - based or other types of training, keep similar records on who was trained and the type of training conducted. — You must train all employees who work in areas where industrial materials or activities are exposed to stormwater, or who are responsible for implementing activities necessary to meet the conditions of this permit (e.g., inspectors, maintenance personnel), including all members of your Pollution Prevention Team. Training must cover monitoring, inspection, planning, reporting, and documentation requirements in other parts of this permit. EPA recommends training be conducted at least annually (or more often if employee turnover is high). Training Date: Training Description: Trainer: Employee(s) trained Employee signature Training Date: Training Description: Trainer: Employee(s) trained Employee signature Training Date: Training Description: Trainer: Employee(s) trained Employee signature Buckeye Fire Equipment Co. FACILITY PERMIT TRACKING NO.: NCG050083 C. Routine Facility Inspection Reports Instructions: — Include in your records copies of all routine facility inspection reports completed for the facility. — The sample inspection report is consistent with the requirements in Part 4.1 of the 2008 MSGP relating to routine facility inspections. Facilities subject to State industrial stormwater permits may also find this form useful. Using the Sample Routine Facility Inspection Report — When conducting the inspection, walk the site by following your site map and numbered control measures/areas of industrial activity to be inspected. Also note whether the "Areas of Industrial Materials or Activities exposed to stormwater" have been addressed (customize this list according to the conditions at your facility). Note any required corrective actions and the date and responsible person for the correction. Monitoring Procedures for Visual Assessment: — All required monitoring must be performed on a storm event that results in an actual discharge from your site ("measurable storm event") that follows the preceding measurable storm event by at least 72 hours (3 days). The 72-hour (3-day) storm interval does not apply if you are able to document that less than a 72-hour (3-day) interval is representative for local storm events during the sampling period. In the case of snowmelt, the monitoring must be performed at a time when a measurable discharge occurs at your site. — For each monitoring event, except snowmelt monitoring, you must identify the date and duration (in hours) of the rainfall event, rainfall total (in inches) for that rainfall event, and time (in days) since the previous measurable storm event. For snowmelt monitoring, you must identify the date of the sampling event. — You must take a minimum of one grab sample from a discharge resulting from a measurable storm event as described above. Samples must be collected within the first 30 minutes of a measurable storm event. If it is not possible to collect the sample within the first 30 minutes of a measurable storm event, the sample must be collected as soon as practicable after the first 30 minutes and documentation must be kept with the SWPPP explaining why it was not possible to take samples within the first 30 minutes. In the case of snowmelt, samples must be taken during a period with a measurable discharge. Stormwater Industrial Routine Facility Inspection Report General Information Facility Name Buckeye Fire Equipment Company NPDES Tracking No. NCG050083 Date of Inspection Start/End Time Inspector's Name(s) Inspector's Title(s) Inspector's Contact Information Inspector's Qualifications Weather Information Weather at time of this inspection? ❑ Clear ❑Cloudy ❑ Rain ❑ Sleet ❑ Fog ❑ Snow ❑ High Winds ❑ Other: Temperature: Have any previously unidentified discharges of pollutants occurred since the last inspection? ❑Yes ❑No If yes, describe: Are there any discharges occurring at the time of inspection? ❑Yes ❑No If yes, describe: Control Measures • Number the structural stormwater control measures identified in your SWPPP on your site map and list them below (add as many control measures as are implemented on -site). Carry a copy of the numbered site map with you during your inspections. This list will ensure that you are inspecting all required control measures at your facility. • Describe corrective actions initiated, date co m leted, and note the gerson that completed the work in the Corrective Action Log. Structural Control Control If No, In Need of Corrective Action Needed and Notes Measure Measure is Maintenance, (identify needed maintenance and repairs, or any Operating Repair, or failed control measures that need replacement) Effectively? Replacement? 1 Detention Basin 1 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 2 Detention Basin 2 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 3 Drainage Swale 1 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 4 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 5 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 6 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 7 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement 8 ❑Yes ❑No ❑ Maintenance ❑ Repair ❑ Replacement Areas of Industrial Materials or Activities exposed to stormwa'ter Below are some general areas that should be assessed during routine inspections. Customize this list as needed for the specific types of industrial materials or activities at your facility. Area/Activity Inspected? Controls Corrective Action Needed and Notes Adequate (appropriate, effective, and operating)? 1 Raw Material & Finished ❑Yes ❑No ❑ N/A ❑Yes ❑No Product loading/ unloading and storage areas 2 Above ground chemical ❑Yes ❑No ❑ N/A ❑Yes ❑No storage tanks or basins containing chemicals 3 Waste handling and ❑Yes ❑No ❑ N/A ❑Yes ❑No disposal areas 4 Empty Tank Storage ❑Yes ❑No ❑ N/A ❑Yes ❑No 5 Stormwater Detention ❑Yes ❑No ❑ N/A ❑Yes ❑No Basins 6 ❑Yes ❑No ❑ N/A ❑Yes ❑No 7 ❑Yes ❑No ❑ N/A ❑Yes ❑No 8 ❑Yes ❑No ❑ N/A ❑Yes ❑No 9 ❑Yes ❑No ❑ N/A ❑Yes ❑No 10 ❑Yes ❑No ❑ N/A ❑Yes ❑No 11 ❑Yes ❑No ❑ N/A ❑Yes ❑No 12 ❑Yes ❑No ❑ N/A ❑Yes ❑No Describe any incidents of non-compliance observed and not described above: Additional Control Measures Describe any additional control measures needed to comply with the permit requirements: Notes Use this space for any additional notes or observations from the inspection: CERTIFICATION STATEMENT "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 gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations." Print name and title: Signature: Date: Additional MSGP Documentation BUCKEYE FIRE EQUIPMENT CO. FACILITY PERMIT TRACKING NO.: NCGO50083 D. Semi -Annual Visual Assessment Reports Instructions: — Include in your records copies of all semi-annual visual assessment reports completed for the facility. An example quarterly visual assessment report can be found on the following page. EPA Additional MSGP Documentation MSGP Semi -Annual Visual Assessment Form (Complete a separate form for each outfall you assess) Name of Facility: Buckeye Fire Equipment Company NPDES Tracking No. NCGO50083 Outfall Name: "Substantially Identical Outfall"? ❑ No ❑ Yes (identify substantially identical outfalls): Person(s)/Title(s) collecting sample: Name/Title Person(s)/Title(s) examining sample: Name/Title Date & Time Discharge Began: Date & Time Sample Collected: Date & Time Sample Examined: Substitute Sample? ❑ No ❑ Yes (identify quarter/year when sample was originally scheduled to be collected): Nature of Discharge: ❑ Rainfall ❑ Snowmelt If rainfall: Rainfall Amount: Previous Storm Ended > 72 hours ❑ Yes ❑ No' (explain): inches Before Start of This Storm? Parameter Color ❑ None ❑ Other (describe): Odor ❑ None ❑ Musty ❑ Sewage ❑ Sulfur ❑ Sour ❑ Petroleum/Gas ❑ Solvents ❑ Other (describe): Clarity ❑ Clear ❑ Slightly Cloudy ❑ Cloudy ❑ Opaque ❑ Other Floating Solids ❑ No ❑ Yes (describe): Settled Solids" ❑ No ❑ Yes (describe): Suspended Solids ❑ No ❑ Yes (describe): Foam (gently shake sample) ❑ No ❑ Yes (describe): _ Oil Sheen ❑ None ❑ Flecks ❑ Other (describe): Other Obvious Indicators ❑ No of Stormwater Pollution ❑ Globs ❑ Sheen ❑ Slick ❑ Yes (describe): " The 72-hour interval can be waived when the previous storm did not yield a measurable discharge or if you are able to document (attach applicable documentation) that less than a 72-hour interval is representative of local storm events during the sampling period. "" Observe for settled solids after allowing the sample to sit for approximately one-half hour. Detail any concerns, additional comments, descriptions of pictures taken, and any corrective actions taken below (attach additional sheets as necessary). Certification by Facility Responsible Official (facility manager or responsible corporate officer) 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 gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. IA. Name: C. Signature: B. Title: D. Date Signed: 8 Additional MSGP Documentation BUCKEYE FIRE EQUIPMENT CO. FACILITY PERMIT TRACKING NO.: NCGO50083 E. Comprehensive Site Inspection Reports Instructions: — Include in your records copies of all comprehensive site inspection reports completed for the facility. Copies of the comprehensive site inspection report form (also called the Annual Reporting Form) is included with the SWPPP for your convenience. — For corrective actions, complete part D (Corrective Actions) of the Annual Reporting Form included with this SWPPP. Additional MSGP Documentation BUCKEYE FIRE EQUIPMENT CO. FACILITY PERMIT TRACKING NO.: NCG050083 F. Monitoring results Instructions: — Include in your records copies of all monitoring results for the facility. G. Deviations from assessment or monitoring schedule Instructions: Include in your records: — A description of any deviations from the schedule you provided in your SWPPP for visual assessments and/or monitoring, and — The reason for the deviations (e.g., adverse weather or it was impracticable to collect samples within the first 30 minutes of a measurable storm event) (see Part C of this document; Routine Facility Inspection Reports - Monitoring Procedures for Visual Assessment). Use the fields below to document the deviations. Repeat as necessary for any deviations. Date: ❑ Visual assessments Describe deviation from schedule: _ Reason for deviation: Date: ❑ Visual assessments Describe deviation from schedule: _ Reason for deviation: Date: ❑ Visual assessments Describe deviation from schedule: _ Reason for deviation: Date: ❑ Visual assessments Describe deviation from schedule: _ Reason for deviation: ❑ Monitoring ❑ Monitoring ❑ Monitoring ❑ Monitoring We Additional MSGP Documentation BUCKEYE FIRE EQUIPMENT CO. FACILITY PERMIT TRACKING NO.: NCGO50083 H. SWPPP Amendment Log Instructions: Include in your records: — A log of the date and description of any amendments to your SWPPP. Fill in the appropriate columns of this table for each amendment to your SWPPP. Copy and paste additional rows into the table as necessary. Amend. No. Description of the Amendment Date of Amendment Amendment Prepared by [Name(s) and Title] 1 2 3 4 5 6 7 8 9 10 11 IF Additional MSGP Documentation BUCKEYE FIRE EQUIPMENT CO. FACILITY PERMIT TRACKING NO.: NCGO50083 I. Miscellaneous Documentation Instructions: Use this section to keep records of any additional documentation that relates to your compliance with the permit, 12 Love, Barry F From: Weaver Keith <Keith.Weaver@KSMCastings.com> Sent: Tuesday, December 01, 2015 4:55 PM To: Love, Barry F Subject: KSM Castings Spill Report Attachments: 113015 Incident.odf Hi Barry, Please find attached, a summary letter detailling the events of the waste water spill that we discussed yesterday evening. The original will be sent by US Mail on 12.02.15. Thanks for your help. Kind regards / Mit freundlichen GrOBen Keith Weaver EHS Manager KSM Castings NC Inc. 120 Blue Brook Drive Shelby NC 28150 Office Phone: +1 704 751 0629 Cell Phone: +1 704 466 0065 Fax: +1 704 313 0742 Email: Keith. Weaver(aKSMCastings.com Web: http://www.ksmcastings.com i 1 This message may contain confidential and privileged information. If it has been sent to you in error, please reply to advise the sender of the error and then immediately delete it. If you are not the intended recipient, do not read, copy, disclose or otherwise use this message. The sender disclaims any liability for such unauthorized use. PLEASE NOTE that all incoming a -mails sent to ksmcastings.com e-mail accounts will be archived and may be scanned by us and/or by external service providers to detect and prevent threats to our systems, investigate illegal or! inappropriate behavior, and/or eliminate unsolicited promotional a -mails (spam). This process could result in deletion of a legitimate e-mail before it is read by its intended recipient at our organization. Moreover, based on the scanning results, the full text of a -mails and attachments may be made available to KSM Castings Group security and other personnel for review and appropriate action. If you have any concerns about this process, please contact us. i I i MRO Incident / Complaint Report Investigator: o v_` I Received By: ar r m v� Contact Date: ,o h Date Received: Investigated Da e: i Time Received: Response Date: County: c r-v` ar r+str-&AY— �. t z ' i �" j Complaint Type: oil Investigated? ❑ yes ❑ no Incident M (BIMS, RUST, ETC) zit"S o► `r�o8 Violation? ❑ yes ❑ no �— NOV Sent? ❑ yes ❑ no Responsible Party: Complainant: Responsible Party Address / Phone:; Complainant Address / Phone: ?, d , isox .1, Ltd ►+ S 6 I:Al(-- .7- ►s1 - n 70 006 S �G� 3 Q 6S'6 `t I .�✓I?WLI Nature of Complaint: / As ✓ �t r • N N Sao rnt o, v-- 7 At n K. Wry 1 c /1 0"I ` s/ S W a ! 1 Q w q �e o^�r o . d� 1��.... -F�✓ raNA r,.. �oV ., JieiV �10 J/�� �G1!✓P. .A 1d.�o.AJ—w%0 e_�v444 ' �woi C4 to an✓�ron�sr��B %V, �6 Directions to Site: Ac�ti�ons11Taken/Comme/nts: r yvo�5-1.. WA�gr ci BSc �1ar a -W a 5 To4 K e� 1 ® j wat — W C r WcL 9 S f or' " %,,,,c e r^ o V' N/ 6%c- Y S L i I I �% 1 C (% J i .✓�r o Ivy S iN1 Wl �1 K. I E ILn f�on/ nW G-odl�A; .� `� Yer.-►bV� f Referred to: ❑ UST ❑ LQ ❑ AP ❑ SWP ❑tHaz. Waste ❑ Solid Waste ❑ PWS ❑ County HD Referred on: Referred by: - WA North Carolina Department of Environment and Natural Resources Division of Energy, Mineral, and Land Resources Land Quality Section Tracy E. Davis, PE, CPM Director March 11, 2614 Rockwood Lithium, Incorporated Attention: Mr. John Kuhn, Safety, Health, and Environmental Director 348 Holiday Inn Drive Kings Mountain, North Carolina 28086 RE: Rockwood Lithium Dam (aka Chemetall Foote Dam) State ID: CLEVE-007 Cleveland County Dear Mr. Kuhn: Pat McCrory, Governor John E. Skvarla,. III, Secretary Thank you for the letter dated February 24, 2014, and received on February 25, 2014 for the referenced dam. This letter provided an update on the status of the subject dam as requested in the Temporary Repair Approval letter issued December 3, 2009 by this Division. Your letter detailed the continued use of siphon operation and permitting activities related to the Approval to Breach issued by this Division on September 16, 2011, and extended by this Division on September 25, 2012, and September 18, 2013. Please continue to keep the impoundment level lowered and perform periodic inspections until the dam breach can be accomplished. We appreciate the periodic updates as requested in our December 3, 2009 correspondence. Thank you for your cooperation in maintaining and operating this dam to provide for public safety. Please contact me at telephone number (704) 663-1699 should you have any questions concerning this matter. Sincerely, Zahid S. Khan, CPM, CPESC, CPSWQ Regional Engineer Land Quality Section cc: State Dam Safety Engineer WUMEMP W;,,. �,. ,T Mooresville Regional Office 610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115 a Phone: 704-663-1699 / FAX: 704-663-6040 Internet: http://Portal.ncdenr.org/web/Ir/land-quality An Equal Opportunity \ Affirmative Action Employer — 50% Recycled \ 10% Post Consumer Paper NCDENR North Carolina Department of Environment and Natural Resources _Division of :Energy, Mineral, andLand "Resources Tracy-E. Davis, PE, CPM Director Certificate of Approval September.24, 2013 CERTIFIED MAIL RETURN RECEIPT City of Kings Mountain Attn: Mr. Dennis Wells PO Box 429 Kings Mountain, North Carolina 28086 RE: Approval to Repair Moss Lake Dam Cleveland County CLEVE-018 Dear Mr. Wells: Pat McCrory, Governor John E. Skvarla, III, Secretary R[:C:-:gV�D SEP 3 ® 2013 MC7UR6L L k;E-&O9VAL OFFICE This is in response to your submission dated September 3, 2013, received on September 18, 2013 of plans, specifications and design data for -repair of the subject dam in compliance with the Dam Safety Law of 1967. This dam is of high hazard classification. This project involves concrete, concrete joint, and concrete crack repairs in the spillway as well as a vertical extension of the south spillway wall. The plans, specifications and.design data submitted were prepared under the supervision of Mr. Christopher E. Wood, PE and Mr. Wayne H. Mabry, PE. This letter constitutes approval of the proposal to repair the subject dam according to the plans and specifications received by this Division on September 18, 2013 with the following stipulations: 1. Project construction shall be supervised by Mr. Christopher E. Wood, PE and Mr. Wayne H. Mabry, PE. Mr. Christopher E: Wood, PE and Mr. Wayne H. Mabry, PE shall be responsible for field observation of construction as necessary to ensure compliance with approved plans. 2.. During construction, the Division of Energy, Mineral, and Land Resources may require such progress reports as are deemed necessary Geological Survey Section • Land'Quality Section 1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr.org/web/Ir/ An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper Mr. Dennis Wells Approval to Repair September 24, 2013 Page 2 of 2 Moss Lake Dam CLEVE-018 In accordance with GS 143-215.29 and NCAC 15A-2K .0203, .0212, .0215, and .0216, within 30 days of completion of the project, Mr. Christopher E. Wood, PE and Mr. Wayne H. Mabry, PE shall inspect the completed work and upon finding that the work has been done as specified and the dam is safe, shall file with the Division of Energy, Mineral, and Land Resources two sets of record drawings and a certificate stating that the work has been completed in accordance with approved plans, specifications and other requirements. 4. In accordance with GS 143-215.30 and NCAC 15A-2K .0220, final written consent must be issued by the Director of the Division of Energy, Mineral, and Land Resources for use of this dam pursuant to these repairs. 5. The O&M plan shall updated to include components of this repair. This updated section of the O&M Plan must be submitted with the record drawings. This approval does not convey the right to access the private property of others. Any required access to perform the approved work must be secured prior to initiation of construction activities. 7. You must notify Mr. Zahid Khan, Regional Engineer, Land Quality Section, 610 East Center Avenue, Mooresville, North Carolina 28115, (704) 663-1699 ten days before the start of construction. The Army Corps of Engineers and the Water Quality Section of this Department should be - contacted to determine if additional permits are required. Also, the erosion and sediment control program having jurisdiction should be contacted to determine permit requirements. In any case, sediment must be prevented from entering the waters of the state or flowing onto neighboring property. Construction of the repairs must begin within one year of the date of this letter or this approval is void. For assistance you may contact the Mooresville Regional Office at (704) 663-1699 or a staff member of the Dam Safety Program in the Raleigh Central Office at telephone number (919) 707-9220. Sincerely, Tracy E. avis, PE, CPM Director TED/smm cc: Mr. Christopher E. Wood, PE Mr. Wayne H. Mabry, PE Mr. Zahid Khan, Regional Engineer, Land Quality Section ux�+�t eater P�atect��rn ' �-zori,�-�pe�,r� r Filename: CLEVE-018 20130924 COAR Moss Lake Dam MCDN North Carolina Department of Environment and Natural Resources Division of Water Infrastructure Pat McCrory Kim H. Colson, PE John E. Skvarla, III Governor Acting Director Secretary E D September 5, 2013 Mr. Vince Reese, Plant Manager Clearwater Paper CorporationNAt_ OFt=9CE 671 Washburn Switch Rd. Shelby, NC 28150 Subject: Clearwater Paper Corporation Real and Personal Property Tax Certification Number TCS MV-162 Cleveland County Dear Mr. Reese: As per your request, the staff of the Division of Water Infrastructure has completed the review of the Tax Certification Request for real and personal property. Please find attached a copy of Tax Certification Number TCS-MV-162 issued by this office to Clearwater Paper Corp. for the facility located in Cleveland County. A copy of this Certification is being sent to the Cleveland County Tax Administrator. along with a copy of this letter. For the record, an earlier tax certification was approved at this facility on September 17, 2012 by the NC Division of Waste Management for a resource recovery or recycling facilities at this site. Please note that as part of this Tax Certification process, the DENR staff did not make any efforts to confirm either the cost of the items certified or the year of their acquisition. If there is a need for any additional information or clarification, please do not hesitate to contact either Mr. Gerald Horton of our staff at gerald.horton@ncdenr.g_ov 919 707-9185 or the undersigned at mark.hubbard@ncdenr.fzov 919 707-9162. Si c rely, 7 ar L. Hubbard, PE, Assistant Chief Infrastructure Finance Section aINHr,;wh Attachments cc: Chris Green, Cleveland County Tax Administrator, PO Box 1210, Shelby, NC 28150 —ike'Pa kMooresville DWQ Regional Office, 610 E. Center Ave., Ste. 301, Mooresville, NC 28115 Infrastructure Finance Section — Gerald W. Horton, PE Central Files — NPDES Permit NC 002 4538 fns;l}prrC.. i?(?f.iill^ti ;i�:� r..',: �c';t �I ,fu..: ar.i�;ipi :;nor ^�i;� ;_t; ' S;�,i �, U. :.r ..nnr, T..,, �,�•Pi i! '�'� : i•ri�r ;c,n . no Infrastructure Finance Section 1633 Mail Service Center, Raleigh, North Carolina 27699-1633 One r_ Location: 81h Floor Archdale Building, 512 N. Salisbury St. Raleigh, North Carolina 27604 N®fthtCa.�ol `-- Phone: 919-707-91601 FAX: 919-715-6229%r��� Internet: ifs.nc.00v N QRTH CA+.ROLINA, DEPARTM NTI OF Ef`i'dh iQVi I'c �7 i;D NATURAL RF50UiRCF S North Carolina Division of Water Infrastructure TAX CERTIFICATION NUMBER TCS-MV-162 In accordance with the provisions of the North Carolina General Statutes G.S. 105-275.(8) this is to certify that: Clearwater Paper Corporation 671 Washburn Switch Rd. Shelby, NC 28150 Cleveland County filed a request for tax certification for real and personal property covered under Shelby Industrial User Permit CP12 issued by the City of Shelby, under authority of the Division of Water Quality NPDES Permit NC 002 4538. On August 29, 2013, staff of the Division of Water Infrastructure inspected these wastewater facilities and found or observed, based on the information supplied by the applicant, that the facilities and listed on the attached application meet the following requirements for Tax Certification: 1. The treatment equipment property has been constructed and is operational; 2. The property complies with, the requirements of the Environmental Management Commission (EMC); 3. The property is being effectively operated, in accordance with the terms and conditions of approvals issued by the EMC; and 4. The property has, as its primary rather than incidental purpose, the reduction of water pollution resulting from the discharge of sewage or waste. Please note that as part of this Tax Certification process the DENR staff did not make any efforts to confirm either the cost of the items certified or the year of their acquisition. DATE TAX CERTIFICATION ISSUED: S p tuber 5, 20 3 Mark L. Hubbard, P.E., Assistant Chief Infrastructure Finance Section Attachment cc: Chris Green, Cleveland County Tax Administrator, PO Box 1210, Shelby, NC 28150 Mike Parker, Mooresville DWQ Regional Office, 610 E. Center Ave., Ste. 301, Mooresville, NC 28115 Infrastructure Finance Section — Gerald W. Horton, PE Central Files — NPDES Permit NC 002 45388 Tax Certification Inspection Report Determination Facility: .............................................. Clearwater Paper Corporation Tax Certification Number: ........................ TCS-MV-162 Inspection Date: .................................... Thursday August 29, 2013 Site contact .......................................... Vince Reese, Plant Manager tele: 704 476-3801 Vince.reese@clearwaterpaper.com ALL ITEMS LISTED QUALIFY FOR TAX CERTIFICATION: Yes ❑ No ❑ Gerald Horton of NC DENR Infrastructure Finance Section visited subject facility Thursday August 29, 2013 for the purpose of a Tax Certification inspection. IFS discussed items in this report with Mr. Vince Reese, Plant Manager and following a brief discussion viewed and took photographs of the wastewater treatment equipment in the manufacturing plant. Clearwater produces towel and tissue paper products. Wastewater is generated in processing the "pulp" to product. Mr. Horton checked with the Mooresville Water Quality Regional Office and Mr. David Hux 704 284-2084 with the Shelby Pretreatment program and neither had cause to deny this Tax Certification at this time. Clearwater Paper's pretreatment facilities are authorized to discharge to the City of Shelby's wastewater system under the authority of the City of Shelby Industrial User Permit CP12 Pretreatment program permit. The City of Shelby holds NPDES Permit NC 002 4538. Clearwater Paper Corp. was producing approximately 0.650 MGD and has reduced this flow to under 0.450 MGD. There is an ongoing program to reduce the loading and/or the wastewater flow. 0 Effluent Rotary Screen Comments: see photo 01 Dissolved Air Floatation Comments: see photo 02 3. Sludge Press Comments: see photo 03 4. Sludge Thickener Comments: see photo 04 Qualifies? Ye No Qualifies? Yesv No Qualifies? Yee No Qualifies? Ye No L `USE" � I ��=i 1:1p41 Ih ltt` ...:,,, ,:r;•,4 6 � �`P i I i? �.1(V Page No. 1 of 1 g fi'r r^ a 1 t un�i; f �ODYY,�,�Y�•P., TCN: treatment systems and Division of Water QualityW (� Q) Rev.. 06/01/2007 DIRECTIONS: Complete and mail signed copies of the application form and all supporting information to both: 1) the County Tax Administrator for the County in which the facility is located (one copy) AND 2) to the NC Division of Water Quality, Construction Grants and Loans Section, 1633 Mail Service Center, Raleigh, NC 27699-1633 (two copies). Type or print in blue or black ink. A separate application package is required for each facility where property proposed for tax certification is located. THIS APPLICATION WILL NOT BE PROCESSED WITHOUT COMPLETE AND ACCURATE INFORMATION. If you have any questions regarding this application, please call the local tax office or the NC Division of Water Quality at 919/733-6900 or their web site at www.nccol.net for more specific contact information. Please Note: a) Tax Certifications will only be processed for facilities under the authority of the DWQ and only if the DWQ has found that the described property: 1. Has been or will be constructed or installed; 2. Complies with or that plans therefore which have been submitted to the DWQ indicate that it will comply with the requirements of the Environmental Management Commission; 3. Is being effectively operated or will, when completed, be required to operate in accordance with the terms and conditions of the permit, certificate of approval, or other document of approval issued by the DWQ; and 4. Has or, when completed, will have as its PRIMARY rather than incidental purpose the reduction of water pollution. 5). Is being used exclusively (100%) for waste treatment. b) If approved, the Tax Certification issued will incorporate all requested assets at the facility that meet the criteria for Tax Certification by DWQ. Therefore this application must include any new assets for which Tax Certification is being requested, as well as any assets previously receiving Tax Certification from DWQ for which Tax Certification is still needed. A. Applicant (Applicant is the owner of, and taxpayer for, the propeqy described in this a lication for tax certification. Name of Applicant: Name of Facility: CLEARWATER PAPER CORPORATION SHELBY CONVERTING PLANT Address of Applicant, if different from facility where property located: Physical Address of Facility where property located (no P.O. Box): PO BOX 92108, AUSTIN, TX 78709 (address) 671 WASHBURN SWITCH RD, SHELBY, NC 28150 (city) (zip) (street address) Business Relationship of Applicant to facility where property located: (city) (Zip) AGENT FOR PARENT COMPANY County where property located: CLEVELAND Name of Contact Person at Facility where property located: JAMES E. GARZA Does the Applicant hold any NC Division of Water Quality Permits? ❑ Yes ! ® No Title: AGENT Phone Number: (512) 858-2373 If yes, please list CITY OF SHELBY WASTEWATER INDUSTRIAL USER PERMIT #CP12 Permit Nos : If approved, will this be the first Tax Certification issued for this Facility? If no, attach any previously issued tax ❑ Yes I ® No certifications U. %lullifete N5 Section only If the Operator/User of the facility and equipment is different from the Owner of the facility. Name of Operator/User: Operator/User Address: Operator/User Contact Name: Relationship between Operator/User of facility and and applicant: 'ATTACH A PROCESS SCHEMATIC TO YOUR APPLICATION The number of each item for which Tax Certification is being requested must be shown on the schematic *'* Application Continues on Next Page -> DIVISION OF WATER QUALITY TAX CERTIFICATION & EXEMPTION APPLICATION Waste Treatment Systems & Equipment: Waste treatment systems & equipment must be used exclusively for the abatement of water pollution Was asset listed in IAsset Number, the permit (Yes/No) I Vehicle Identification PAGE2 Rev 06/01/2007 of Use for I Is this asset Pollution Year of I Original Historical I replacing a prior Nay..„......a,y If the asset is listed in the DWQ permit, the description must be identical as listed on the current permit If the asset is not specifically listed in the DWQ permit, the applicant must attach detailed information as to why the asset should quality for Tax Certification. When certifying systems or equipment, DENR is not certifying the cost of the equipment or the year of acquisition. Facilities: To qualify for tax certification, the building or section of building being applied for, must be used exclusively for water pollution prevention. A sketch of the building, square footage along with details as to how the building is used for water pollution prevention, is required. Land: To qualify for tax certification, the land must be used exclusively for water pollution prevention. A schematic diagram of the facility detailing the land being applied for is required. The amount of land (acreage) is required and how this land is being used to prevent water pollution. For wastewater treatment and irrigation system list separately the acreage used for actual treatment from the acreage required by the facility s water quality permit for buffers and setbacks. SIGNATURE: I hereby certify that the above equipment, facilities and/or land are used for the purpose stated, and that the information presented in this application is accurate. Furthermore, I certify that any portable or mobile equipment ' e his application w be used exclusively in the state of North Carolina Applicant Signature: YVl@ 5 rTitle: Date: (print name also) , NOTICE: The pena or false statement, represent do or certification Of: 1 ��i VOJLLo fl,�.t/p o i( `c� � � An ew herein includes imprisonment and / or the assessor of civil penalties. (Name of Applicant Business Entity) <��� V rc-wo City of Shelby, North Carolina Industrial User Permit (IUP) To Discharge Wastewater under the industrial Pretreatment Program CP12 1UP Number 430.120 40 CFR Category (If Applicable) In compliance with the provisions of North Carolina General Statute 143-215.1, any applicable federal categorical pretreatment regulations, all other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the City of Shelby Sewer Use and Industrial Wastewater Pretreatment Ordinance, the following Industry, hereafter referred to by the name or as the permittee, Industry Name, permittee: Clearwater Paper lCorporation Owner: Same Facility located at Street Address: 671 Washburn Switch Road City:. Shelby State, Zip: North Carolina, 28150 is hereby authorized to discharge wastewater from the facility located at the above listed address into the sanitary sewer collection system and the wastewater treatment facility of the City of Shelby listed below, CUP Control Authority VVWTP name: City of Shelby— First Broad WWTP NPDES Number: f11C0024538 WWTP Address: 1940 South Lafayette Street City, State, Zip: Shelby, NC 28152 in accordance with effluent limitations, monitoring requirements, and all other conditions set forth in Parts I, 11, and III of this Industrial User Permit (IUP). Effective Date: This permit and the authorization to discharge shalt become effective at 12:01 a.m. on this date: January 1, 2013 Expiration date: This permit and the authonzatiorrto discharge shag expire at midnight on this date: June 30, 2014 AexpA 29 20/ Z Z-A Date Farad R. Cornwell, PIS Public Utilities Director Form: WVVI-5001-CP-12 Effective Date: 01/01/2013 Permit No.CP12 Part I Specific Conditions IUP, Part 1, Outline_ A. WP Basic Information B. IUP Modification History V. Authorization Statement D. Description of Discharges E. Schematic and monitoring locations F. Effluent limits and monitoring requirements G. Definition and Limits page(s) notes A. ]UP Basic Information: Part I — Specific Conditions ReceivPOTW Name ing — PoNPDCS d City of Shelby —First Broad WVVTP 1 C0024538 [UP Name. [UP Number. Clearwater Paper Corporation CP-12. fUP Effective date: m� Pipe Numbers: list all regulated pipes: January 1, 2013 001, 002. JUP Expiration date: lUP 40 CFR d (if applicable), or N/A June 30, 2014 1430.120 Page 2 of 20 Form: %VWT-5001-cP-1.2 Ehective Date:01/01/13 Revision Date: 01/01/2.3 stvi ioi, 4: 0 Permit No.CP12 C. Authorization Statement: Part I —Specific Conditions L The permittee is hereby authorized to discharge wastewater in accordance with the., effluent limitations, monitoring requirements and all other conditions set forth in this Industrial User Permit (1UP) into the sewer collection system and wastewater treatment facility of the City of Shelby. L . The permittee is hereby authorized to continue operation of and discharge wastewater from the foliowing listed treatment or pretreatment facilities. These facilities must correspond to the treatment units listed on both the permit application and inspection forms. I1U Treatment Units �I List all Treatment Units: Descriptions w Dissolved Air Floatation Pulp/Paper Slurry Recovery Sludge Tank/Sludge Press '"waste"Product Processing Effluent screening Discharge. Screening Prior to Equalization Tank Flow Equalization 25,100 gal flow equalization tank I. If required by and after receiving Authorization to Construct (A to C) from the City of Shelby, the permittee shall construct and operate additional. pretreatment units as needed to meet final effluent limitations. D. Description of IUP Discharge(s): Describe the discharge(s) from all regulated pipes.. 001 Includes process wastewater from papermaking process and related maintenance activities, wash -down water and boiler/cooling tower blow -down. 002 Domestic wastewater from warehouse, office and converting operations. Process water from converting operations and related maintenance activities.. Page 3 of 20 Form: VJwT-5001-CP-12 Effective Date: 01/01/13 Revision Date: 01/01/13 {ir�FiFirsi� fl Permit No.C.P12 E. Schematic and MonitoringLocations: Part I — Specific Conditions r attlalp I: j •tt !rt'.i. ].F, it t.1/JvUfA^rf�N!iti� II'I j3� Flii� i�I�Illlt �Fi If r, I"�1 tYi1,-tr 1T t Page 4 of 20 form: VV%krl•5001-C:P-12 Gffertive Date: 01/01/13 ]revision Date: 01/01./13 Rovisiun 4: 0 t .E r.{ f 1 i a 1 j 'rt i i 1 yam,,, � i.•__\ t I � 1 I •r Pipe 002 Pipe 001 Vast I — j) eCI?IC (-ol?omons Part Permit No. ('p12 Receiving POT' name: First Broad kU Name: ; Clearwater E fipier: Linli 's and Monitoring Requirements Receiving POTW NPDtS #: r=24538 Effective date for these limits: 01/01/2013 Ili Number: Paper CP12 Pipe Number: 001 The permlttee may discharge from this specific pipe number Expiration date for these limits: 06f30/2014 40 CFR Number: 430 according to these specific dates, effluent limits, and monitoring The Limits on this page are, {Ch(,ck one below) (if not applicable put N/A) requirements. Limits for entire permit period: X Interim Limits for period #1: Interim Limits for period #2: FINAL LIMITS PAGE: Concentration Limits Mass -Based Limits NlonitorinFrequency Sample Required Daily Monthly Daily Units Monthly i Collection Laboratory Max. Average Max Avg Units by Industry by POTW Method Detection 1. Flowp,7J0a h9GD ' (C, I, G or R) Limits 2. Flow 52D GPM Metered Every Sample N/A N/A 3: Flow 700a GPM Metered Continuous j R N/,1 4. PH GA-10.5 N/A S.U. Metered Continuous R N/A I 5. 801] 190 nig/L RecordedSeeG8 Monthly G 0.10 6. TSS iG0 Q a tel;r Monthly C 2.0 7. Am,"nia 20 mg/L Quarterly Monthly C 2.5 8. Total.Nitrogen mg/L Quarterly Monthly C 0,10 9. Oil &grease mgiL Quarterly Monthly C 0.10 10.. T-Phenols � me/L Quarterly Monthly G 5.0 11. Cyanide mg/1 Quarterly Quarterly G 0.010 12. Zinr, mg/L Quarterly Quarterly G 0.010 13, f Copper mg/I Quarterly Quarterly l C 0.010 14. Chromium mg/I Quarterly Quarterly C 0.002 15. Cadmium mg/I Quarterly Quarterly C D.005 16. Barium mg/I Quarterly Quarterly C 0.002 17. Arsenic m ii Quarterly Quarterly [ C 0.010 18. Lead mg/1 Quarterly Quwlterly C 0.010 _ 19. I Mercury mg/L Quarterly Quarterly C 0.010 20. Molybdenum me/L Quarterly Quarterly C 0.0002 21. Nickel mg/L. Quarterly Q tattedy C 0.10 I 222, Selenium mg[L Quarterly Quarterly C 0.010 23, Silver mgjL Quarterly Quarterly C 0.010 PdonryPoS'rutants Quarterly Quarterly C 0.005 Annually I 40 CFR Part136 C W Composite; I - Instantaneous, G- G.rab, R - Recorded All metals ore to be analyzed as Total Metals Industry to provide continuous recording of PN "- flow. and Permitter is required to provide adequate f+ow equalization (storage) and shall not exceed an instantaneous flow dischorge of 520 gallons perntlnutc between hours of3am to 9 pm. ° • Permitree is allowed to exceed the instantaneous flow discharge of 520 gallons perminute between hours of 9 pm to 3 am, however shall not exceed 700 9A"1 ❑t any time. 0, 750• iV GD be exceeded at any point, shot! not: -nrm: Wk-W-5001-CP12 b� ur cu Effecgive Date: 03/01/2013 Reiis°an Date: 01/0/2013 Revisj;:n 91. 0 Part i --Specific Condlitions Permit No. CT12 air-L 1, :-ecliovnl I- Receiving PGTVV name: First Broad lU Name: i Clearwater . Paper R eceiving POTW NPDES #: NCO024538 1U Number, CP12 cxzl Eilluem", Urnits and Monitoring Requirements Effective date for these limits: 01/01/2013 Pipe Number: 002 the per;-niftee incy c4jcf?o.j-ge jron this sn ti er p;p'e number Expiration date.for these limits: 06/30/2014 40 CFR Number 430 -,-� to hese sperific dOtes, j"fluent Yrnits,.Gnd rmnoringr The Limits on this page are, (Check one below} (if no, applicable put N/A)iccor,jlr:c m puhreenTs. Limits for entire permit period: X interim Limits for period 41: Interim Limits for period #2.* LENAL LIMITS PAGE: Concentration Limits Mass -Based Limits Monitoring Frequency Sample Required Daily Monthly units Daily Monthly Collection Laboratory Max. Average j Max Avg Units by Industry I byPOTW Method Detection - - 1. Flow --- I(C,I,Gor Limits 2. PH ---.....MGD j Evezy Sample Ever1Sarnple N/A N/A 3. BOD GPM, Quarterly Quarterly G 0.10 4. TSS G P M, i Quarterly Quarterly C 2.0 Quart Quarterly Quarter Quarterly C 2.5 S. Ammonia mg/ Quarterly Quarterly C 0.10 6 Oil & grease n s Quarlerly QvartQrty G 5.0 7. T-Phenols ma/L Annually Annually 8 Cyanide mp/L , 1/6 months 1/6 months G 0.010 9. Zinc mp,/L i 1/6 months 1/6 months C 0.010 10. Copper 1/6 months 1/6 months C I 0.002 11. Chromium /6 months 1/6 months C 0, W S 12� Cadmium ME/] C 0.002 13. Bar um mg/l 1I6 rnon.ths 1/6 Months C 0.010 --- 14. Arsenic l mg/I 1/6 months 1/6 months C 15. Lead mp/I 1/6 months 1/6 months c 0.010 16, Mercury i mgjl 1/6 months 1/6 months C 0.0002 17, Moiybdenum mg/I 1/6 months 1/,6 months C 0.10 18. Nickel mg/Lmonths 1/6 months C 0.010 19. selenium MWLmonths 1/6 months C 0.010 20. Silver mg/L 1/6 months 1/6 months C 0.010 t Form: WIAT-S,�%-CPJZ Page 6 of 20 Ofectlye Date: 01101/20',3 Revision Vake: 01101/2013 Revision 1: 0 Part I — Specific Conditions Permit No. CP12 G. definitions and Limit Page(s) notes: In addition to the definitions in the City of Shelby Sewer Use and Industrial Wastewater Pretreatment Ordinance, tl-re following definitions apply: 3.. Composite Sample A composite sample for the monitoring requirements of this IUP, is defined as the automatic or manual collection of one grab sample of constant volume, not less than 100 ml, collected every hour during the entire Aischarge period on the sampling day. Sampling day shall be a typical production, and discharge day. Composite Sample, alternative definition A composite sample for the monitoring requirements of this IUP is the same as described above unless specifically defined below as the automatic or manual collection of a constant volume and constant time grab samples collected. and composited according to the following criteria: Specific volume of each grab sample= millimeters Specific time interval between samples= hours Total duration of sample collection period'= hours Total number of grab samples to be composited= samples 2. Daily Monitoring Frequency: Daily Monitoring Frequency as specified in this IUP shall mean each day of discharge. Grab Sample Grab sample forthe monitoring requirements of this IUP, is defined as a single "dip and take" sample collected at a representative point in the discharge stream. 4. Instantaneous measurement: An Instantaneous measurement for the monitoring requirements of this IUP; is defined as a single reading, observation or measurement. 5. Ordinance: Refers to the Code of Ordinances for the City of Shelby, as amended from time to time hereafter. G. City: .As used herein, City shall mean City of Shelby 7. Mass Loading: Where concentration limits and mass loading limits are both listed for the same parameter, only the concentration limit will be used when. flow is below permit limit. If the flow exceeds the permitted limit, the mass -loading limit (Ibs./day) will take precedence over the concentration limit. Parameters and prohibitions not included in this permit shall be regulated and limited in compliance with the Sewer Use Ordinance. i g pH Monitoring: Only pHs analyzed by a certified lab within the 15 minute hold time will be used for compliance determination (See City of Shelby Sewer Use Ordinance for definition). if a certified lab obtains a result that is an excursion, in order to show that the excursion did not last more than 15 minutes, that person Page 7 of 20 Fern: ,nWT-5001.cr:.2 ii Yective. Date: 01/01/2013 Part I — Specific Conditions Permit No. CP12 may choose to wait up to 15 minutes from the collection of the first sample and obtain an additional pH sample. in such cases, the 2"d pH will supersede the 1" one and will be utilized. For these lab analyzed pH readings, excursions of <5 or >12 s.u. will be considered violations. The POTW Director reserves the right to take enforcement action if he determines or suspects that any excursion has caused or contributed to inhibition, pass through, or damage to the POTW. Effluent pH Continuous monitoring and recording system Permittee continuous effluent pH monitoring and recording systems information will not be used to judge pH limit compliance, including chronic compliance; however if the continuous monitoring and recording system indicates a reason for concern, this permit may be revised to require the data's use for pH limit compliance (Chronic) judgment. The permittee is required to maintain the system to certain standards as detailed below, Failure to maintain continuous operating efficiency or. failure to notify City of periods of in -operation or inaccuracy may subject the permittee to enforcement action. The POTW tirector reserves the right to take enforcement action if he determines that any value indicated by the continuous pH monitoring and recording system constitutes documentation of a slug load, including those that may have caused or contributed to inhibition, pass -through or damage to the POTW. The continuous pH monitoring and recording system shall be maintained in proper operating condition at all times. All such devices shall be installed, calibrated and maintained to ensure accuracy. Calibration of the system shall be performed per the manufacturer's recommendations as often as necessary to maintain correct pH readings at all times, with a minimum calibration frequency of once per month. The permittee shall keep records to verify the proper maintenance and calibration of the system for a period of three years. The records shall be made available to City upon request. The permittee will shall keep a log of the time, date and reason for any "down time" and shall notify the City as soon as possible of any period when the effluent pH monitoring and recording system is not operational or any ektencled periods of inaccuracy. The permittee is required to have spare parts on hand in order to limit periods of in - operation. 9. Toxicity Screening: Industrial discharges may be monitored for Toxicity. Toxicity screenings will be evaluated on an individual basis based on flow and treatability concerns. The Pennittee shall be billed for toxicity screening at the arnount set forth in the City of Shelby Water and Sewer Rate Schedules. 10. Chronic Refractory Toxicity Evaluation: Within one hundred twenty (120) days of the effective date of this permit, unless all pertinent information has been previously submitted, the Permittee must complete and submit the following to the City: a) A detailed evaluation of all water treatment, cleaning, maintenance, and process chemicals used in quantities over 50 lbs./day that could be discharged to the City. This evaluation shall include, at a minimum, the specific chemical name and not just the trade name of the materials, available information on the aquatic toxicity of the materials, and manufacturers or literature data on the materials. NOTE: New chemicals which fall under the criteria stated herein used after the detailed evaluation is completed must also be evaluated and a report submitted to the City, as defined herein, within ten (10) days afterfirst use by Permittee. Pape 8 of 20 norm: VVINI-5021-CP12 t_ffective Date: 01/01/ 201�3 .... Uioji Dal r 01/01/2013 I Part I — Specific Conditions Permit No. CP12 t LTMP parameters: The Headworks Long Term Monitoring Plan specifies a minimum monitoring frequency of certain parameters which are pollutants of concern. Such parameters, may or may not be listed individually on the permit limits page, but shall be monitored as required by the Long Term Monitoring Plan. Page 9 of 20 Form: %VWT-SOOT-CP12. Eifectivaa Date: Cl/Cl/2C13 Part If General Conditions Outline of PART 11, 1, Representative Sampling 2. Reporting 3. Test Procedures 4. Additional Monitoring by Permittee 5. Duty to comply 6.. Duty to Mitigate 7. Facilities Operation, Bypass 8. Removed substances 9. Upset Conditions "of 10. RightEntry 11. Availability of Records 12. Duty to provide information 1.3. Signatory Requirements 14. Toxic Pollutants 15. Civil and Criminal Liability 16. Federal and/or State Laws 1. Representative Sampling General Conditions Permit No, CP12 17. Penalties 18. Need to Halt or Reduce 19. Transferability 20. Property Rights 21. Seve-ability 22. Modification, Revocation, Termination 23. Reapplication 24. Dilution Prohibition 25. Reports of Changed Conditions 26. Construction of pretreatment facilities 27. Reopener 28. Categorical Reopener 29. General Prohibitive Standards 30. Reports of Potential Problems 31. Surcharges 32. Samples and measurements taken as requited herein shall be representative of the volume and nature of the monitored discharge. All samples shall be taken at the monitoring points specified in this permit and, unless otherwise specified, before theeffluent joins or is diluted by any other wastestream, body of water, or substance. Monitoring points shall not be changed without notification to, and approval by, the permit issuing authority. 2. Reporting a.) Monitoring results obtained by the permittee shall be reported on forms specified by the City, postmarked no later than the twentieth day of the month following the month in which the samples were taken. If no discharge occurs during a reporting period (herein defined as each calendar rnonth) in which a sampling event was to have occurred, a form with the phrase "no discharge" shall be submitted. Copies of these and all other reports required herein shall be submitted to the City at the following address: Pretreatment Coordinator City of Shelby Utilities P,O. Box 207 Shelby, N.C. 28151-0207 b.j If the sampling performed by the permittee indicates a violation, the permittee shall notify the City within 24 hours of becoming aware of the violation. The permittee shall also repeat the sampling and analysis and submit the results of the repeat analysis to the City within 30 days after becoming aware of the violation. Pate 10 of 2.0 Farm; W*7-5001-CP12 El.edwc Cate; 01V01/Z013 P,e;•i�;azn (37?[r.: 01/01./ 211..3 General Conditions Permit No. CP12 c.) if no self -monitoring is required by this IUP, and the sampling performed by the City indicates a violation, the City shall repeat the sampling and analysis and receive the results of the repeat analysis within 30 days after becoming aware of the violation. d.) If the User receives a split of the sample collected by the City, information regarding the sample must be documented on the Record of Split Sampling Event form. This form must be postmarked, hand delivered or faxed within seven (7) days of the sample collection. if the User fails to submit the required form, the results obtained from the sampling event may be excluded from use for compliance and surcharge purposes 3. Test Procedures All pollutant analyses must be performed by a laboratory certified by the State o.f North Carolina for each parameter analyzed and in accordance with the techniques prescribed in 40 CFR Part 136 unless otherwise specified in an applicable categorical. pretreatment standard. If 40 CFR Part 136 does not contain analytical techniques for the pollutant in question, analyses must still be performed by a laboratory. certified by the State of North Carolina for each parameter analyzed. Toxicity testing must be performed using the protocol for toxicity screening as stated within this permit document. 4. Additional Monitoring -by Permittee If the permittee monitors any pollutant at the location(s) designated herein more- frequently than required by this permit, using approved analytical methods as specified above, the results of such monitoring shall be submitted to .the City of Shelby. The City of Shelby may require more frequent monitoring or the monitoring of other pollutants not required in this permit by written notification. Industrial Sampling charges for the monitoring requirements as .stipulated the responsibility by the City in Section I F are included in the Monthly Pretreatment Fee Charge, with the exception of the toxicity monitoring and any additional sampling required by the City and/or any additional sampling events needed for the industry to maintain compliance for the report period. The costs are also outlined in the City of Shelby Fee Schedule. 5. Duty to Comply This permit is issued pursuant to the Code of Ordinances of the City. of Shelby and applicable State and Federal Laws and Regulations as they now exist or as they may hereinafter be modified. The permittee must comply with all such Ordinances, laws, regulations and conditions of this permit. Any permit noncompliance constitutes a violation of the Code of Ordinances and is grounds for an enforcement action. 6. Duty to Mitigate - .Prevention of Adverse Impact The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this permit which has a reasonable likelihood of adversely affecting human health, the POTW,. the waters receiving the POTW's discharge, or the environment. P aCe Z 1. of 70 Form: WWr•500.1-CP12 Effective Date: 01/O1/2013 Re*ien Date: 01101/2013 General Conditions Permit No. CP12 7. Facilities Operation, Bypass The permittee shall at all times maintain in good working order and operate as efficiently as possible, all control facilities or systems installed or used by the permittee to achieve compliance with the terms and conditions of this permit.. Bypass of treatment facilities is prohibited except when approved in advance by the City. Bypass approval shall be given only when such bypass is in compliance with A0 CFR A03.17, S. Removed Substances Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters shall be disposed of in a manner such as to prevent any pollutants from such materials from entering the sewer system. The permittee is responsible for assuring its compliance with any requirements regarding the generation, treatment, storage, and/or disposal of "Hazardous waste" as defined under the Federal Resource Conservation and Recovery Act. 9. Upset Conditions An "upset" means an exceptional incident in which there is an unintentional and temporary noncompliance with the effluent limitations of this permit because of factors beyond the reasonable control of the permittee.. An upset does riot include noncompliance to the extent caused by operational error, improperly designed or inadequate treatment facilities, lack of preventative maintenance, or careless or improper operations. An upset may constitute an affirmative defense for action brought for the noncompliance. The permittee has the burden of proof to provide evidence and demonstrate that none of the factors specifically listed above were responsible for the noncompliance. 10. Right of Entry The permittee shall allow the staff of the State of North Carolina Department of Environment and Natural Resources, Division of Water Quality, the Regional Administrator of the Environmental Protection Agency, the City of Shelby, and/or their authorized representatives, upon the presentation of credentials: 1. To enter upon the permittee"s premises where a real or potential discharge is located or in which records are required to be kept under the terms and conditions of this permit; and 2. At reasonable times to have access to and copy records required to be kept under the terms and conditions of this permit; to inspect any monitoring equipment or monitoring method required in this permit; and to sample any discharge of pollutants. 3.1. Availability of Records and Reports The permittee shall retain records of all monitoring information, including all calibration and maintenance records as well as copies of reports and information used to complete the application, for this permit for at least three years. All records that pertain to matters that are subject to any type of enforcement action shall be retained and preserved by the permittee until all enforcement activities have concluded and all periods of limitation with respect to any and all appeals have expired. Page 12 of 20 For L+ibVl-h'001-CF17. Effed ivk Gate: 01/01/2013 nr`visiai JOl£: 01/U2,C%013 General Conditions Permit No. CP12 Except for data determined to be confidential under the -Sewer Use Ordinance, all reports prepared in accordance with terms of this permit shall be available for public inspection at the City. As required by the Sewer Use Ordinance, effluent data shall not be considered confidential. 12. Duty to Provide Information The permittee shall furnish to the Public Utilities Director or his/'ter designees, within a reasonable time, any information which the Director, his/her designee, or the Division of Water Quality may request to determine whether cause exists for modifying, revoking and reissuing, or terminating this permit or to determine compliance with this permit. The permittee shall also furnish, upon request, copies of records required to be kept by this permit. 1.3. Signatory Requirements All reports or information submitted pursuant to the requirements of this permit must be signed and certified by the Authorized Representative as defined under the Sewer Use Ordinance. If the designation of an Authorized Representative is no longer accuratee because a different individual or position has responsibility for the overall operation of the facility, or overall responsibility for environmental matters for the company, a new authorization satisfying the requirements of this section must be submitted to the City prior to or together with any reports to be signed by an authorized representative. 14. Toxic Pollutants If a toxic effluent standard or prohibition (including any schedule of compliance specified in such effluent standard or prohibition) is established under Section 307(a) of the Federal Clean Water Act fora toxic pollutant which is present in the discharge and such standard or prohibition is more stringent than any limitation for such pollutant in this permit, this permit may be revised or modified in accordance with the toxic effluent standard or prohibition and the permittee so notified. 15. Civil and Criminal Liability Nothing in this permit shall be construed to relieve the permittee from civil or criminal penalties for noncompliance. 16. Federal and/or State Laws Nothing in this.permit shall be construed to preclude the institution of any legal action or relieve the permittee from any responsibilities, liabilities, or penalties established pursuant to any applicable Federal and/or State law or regulation. 17. Penalties The Sewer Use Ordinance of the City of Shelby provides that any person who violates a permit condition is .subject to a civil penalty not to exceed$25,000 dollars per day of such violation. Under state law, (1141CIGJ 143`215.68), under cell-kaitn, circumstances it is a crime 410 violate terms,. conditions, or requirements of pretreatment .permits. It is a crime to knowingly make any false statement, representation, or certification in any record or other document submitted or required to be maintained under this permit, including monitoring reports or reports of compliance or Page 13 of 20 Form: WWT-5001-CP:12 effective Date: 01/01/2013 Revision Date: 01/01/2013 General Conditions Permit No. CP12 noncompliance. These crimes are enforced at the prosecutorial discretion of the local District Attorney. With respect to wastewater treatment, any user who is found to have violated an Order of the City Council or who fails to comply with any provisions of this permit or of the Ordinance, and the orders, rules, regulations, and permits issued pursuant thereto shall be subject to such fines and penalties as are provided in the Ordinance for each offense. Each day on which a violation shall occur or continue shall be deemed a separate and distinct offense. In addition to the penalties, the City mayrecover reasonable attorne.y's fees, court costs, court reporter's fees and other expenses of litigation by appropriate suit at law against the person found to have violated the Ordinance or the orders, rules, regulations, and permits issued. 18. need to Halt or Reduce not a Defense It shall not be a defense for a permittee in an enforcement action that it would have been necessary to halt or reduce the permitted activity to maintain compliance with the conditions of the permit. 19. Transferability This permit shall not be reassigned or transferred or sold to a new owner, new user, different premises, or a new or changed operation without approval of the City. 20. Property Rights This permit does not convey any property rights in either real or personal property, or any exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any infringement of Federal, State or local laws or regulations. 21. Severability The provisions of this permit are severable and, if any provision of this permit or the application of any provision of this permit to any circumstance is held invalid, the application of such provision to other circumstances and the remainder of this permit shall not be affected thereby. 22. Permit Modification, Revocation, Termination This permit may be modified, revoked and reissued or terminated with cause in accordance to the requirements of the City of Shelby Sewer Use Ordinance and North Carolina General Statute or implementing regulations. 23. Re -Application for Permit Renewal The permittee is responsible for filing an application for reissuance of this permit.at least 180 days prior to its expiration date. 24, Dilution Prohibition The permittee shall not increase the use of potable or process water or in any other way attempt to dilute the discharge as a partial or complete substitute for adequate treatment to achieve compliance with the limitations contained in this permit. Page 14 of 20 rm m� WvVi'-5001.-CP12 F,ffei-.JMD Up: 0]/D1/r,013 Fievi,ion Dote; W01J2013 General Conditions Permit NO.'CP12 2.5. Reports of Changed Conditions The permittee shall give notice to the City of Shelby of any planned significant changes to the permittee's operations or system which might alter the nature, quality, or volume of its wastewater at least 90 days before the change. The permittee shall not begin the changes until receiving written approval from the City of Shelby. Also see Part II, 30 below for additional reporting requirements for spill/slug issues, Significant changes may include but are not limited to: (a) increases or decreases to production; (b) increases in discharge of previously reported pollutants; (c) discharge of pollutants not previously reported to the City of Shelby; (d) new or changed product lines; (e) new or changed manufacturing processes and/or chemistry. 2.6. Construction No construction of pretreatment facilities or additions thereto shall be .begun until Final Plans and Specifications have been submitted to the City and written approval and an Authorization to Construct (A to C) have been issued. This submission and review process shall include: 1. Submission of three (3) copies of the Final Plans and Specifications to the City of Shelby. The City may require these submissions be signed by a Professional Engineer registered in North Carolina, 2. Construction shall not begin until the permittee receives from the City of Shelby an Authorization to Construct, including a signed copy of the Final Plans and Specifications. 3. upon completion of the construction and prior to the operation of the facility, the City must receive written certification from a registered Professional Engineer certifying that the newly constructed facility has been installed in accordance with the pretreatment permit, the Authorization to Construct, and the Final Plans and Specifications. 4. At least 48 hours prior to the operation of the facility, the permittee must notify the City and request a facility inspection. S. If, after completion of construction, the facility fails to perform satisfactorily, the permittee shall take immediate corrective action and notify the City of Shelby. Any additional construction will require a new Authorization to Construct. 6. The Authorization to Construct.shall not, in any way, be construed to constitute approval by the City of Shelby of the process described in the Final Plans and Specifications, or as a guarantee by the City that the process will perform as described therein, The responsibility for meeting the limitations and conditions of the permit and the conditions of the City of Shelby Sewer Use and industrial Wastewater Pretreatment Ordinance lies solely with the permittee, and nothing in the Authorization to Construct shall be construed to relieve the permittee of that responsibility. 7. Any construction of pretreatment facilities without prior approval, including an Authorization to Construct from the City of and a signed set of Final Plans and Specifications, is a violation of the Page 15 of 20 Fonw WWT-5001-GF12 Effedive Date: 01/01/7013 R,Msion Date: 01/01 f201.3 F General Conditions Permit No. CP12 pretreatment permit and will subject the permittee to enforcement action in accordance with the City of .Shelby Sewer Use and Industrial Wastewater Pretreatment Ordinance. 27. Reopener The permit shall be modified or, alternatively, revoked and reissued to comply with any applicable effluent standard or limitation for the control of any pollutant shown to contribute to toxicity of the WWTP effluent or any pollutant that is otherwise limited by the POTW discharge permit. The permit as modified or reissued under this paragraph may also contain any other requirements of State or Federal pretreatment regulations then applicable. 28. Categorical Reopener This permit shall be modified, or alternatively, revoked and reissued, to comply with any applicable effluent standard or limitation issued or approved under Sections 302(b)(2)(C) and (D), 304(b)(2), and 307(a)(2) of the Clean Water Act, if the effluent standard or limitation so issued or approved: 1.) Contains different conditions or is otherwise more stringent than any effluent limitation in this permit; or 2.) Controls any pollutant not limited in this permit. The permit as modified or reissued under this paragraph shall also contain any other requirements of the Act then applicable. 29. General Prohibitive Standards The permittee shall comply with the general prohibitive discharge standards in 40 CFR 403.5 (a) and (b) of the Federal pretreatment regulations. 30. Potential Problems The permittee shall provide protection from accidental and slug discharges of prohibited materials and other substances regulated by this permit. The permittee shall also notify the POTW immediately of any changes at its facility affecting the potential for spills and other accidental discharge, discharge of a non -routine, episodic nature, a non -customary batch discharge, or a slug load as defined in the. Sewer Use Ordinance. Additionally, the permittee shall notify by telephone the City immediately of all discharges that could cause problems to the POTW including any slug loadings as defined in the Sewer Use Ordinance. If the permittee experiences such a discharge, they shall inform the City immediately upon the first awareness of the commencement of the discharge. Notification shall include location of the discharge, type of waste, concentration and volume if known and corrective actions taken by the permittee. A written follow -Lip report thereof shall be filed by the permittee within five (5) days, unless waived by the City. 1. Surcharges The character and concentration of the constituents of the wastewater used in determining surcharges shall be determined by samples collected and analyzed by the City or, with prior.approval of the POTW Director, collected by the User and analyzed by a laboratory certified by the State of Page 16 of 20 Form, WWT-500].•4P.;,2 Fletttve Date: 01101./213 Re_visicn Date: 01/01.12.01 General Conditions Permit No. CP12 North Carolina for those parameters, or both. Samples shall be collected in such a manner as to be representative of the actual discharge and shall be analyzed using procedures set forth in 40 CFR Part 136 by a State of North Carolina Approval Authority certified laboratory for each parameter analyzed. Flow must be recorded and adjusted on an Industrial Flow Monitoring Report form, and reported on the IDMR for surcharge calculations. Although all data collected will be considered, the determination of the character and concentration of the constituents of the wastewater discharge by the POTW Director shall be binding as a basis for charges_ Volume of flow shall be based on the metered water consumption as measured by a City water meter or other monitoring devices that have been approved for use by the City and meet the City's calibration requirements. Metered flow readings adjusted to a 24 hour period will be utilized and will be determined by manual or by electronic reading of the meter(s). If fo.r any reason daily meter readings are not available, the best available flow data will be utilized to determine surcharges. 32. Legal Requirement to Meet Categorical Standards The Permittee is required to meet federal categorical standards where applicable. Limits in this permit are enforceable as local limits, but they do not take the place of categorical standards. Compliance with local limits does not relieve the legal requirement to be in compliance with the categorical standard itself. Page 1.7 of 20 Forst: WWT-5001-C.P32 Effective Date: O1/0!/20!3 Revision hate: 01/01/2013 Special Conditions Permit No. CP12 Part III Special Conditions 1. Slug/Spill Control Measures In addition to the requirements in Part 11, 30, the Permittee shall complete installation and/or commence implementation, operation, and/or maintenance of the following specific protection Measures, Activities, Plans. Etc. (Items without specific completion dates, or marked as "Continuous." must be performed for the entire duration of the permit): The Permittee shall provide updates to the Control Authority as required by Part II, 30, of this IUP. Modifications to the measures shall be approved by the Control Authority prior to installation/implementation. If a measure fails, the Control Authority shall be notified within 24 hours. 2. Sludge Management Plan Ninety days prior to the initial disposal of sludge generated by any pretreatment facility, the permittee shall submit a sludge management plan to the Control Authority, if not included in the slug/spill control measures. 3. Flow Measurement Requirements - (For SIUs with discharge flow meters) The City of Shelby shall use the flows registered on the permittee's final effluent flow meter located at Pipe 001 for the purpose of sewer billing, surcharge calculation and flow limit compliance. The permittee will required to submit records of daily wastewater discharge to the Pretreatment Section no later than the fifteenth (15") day of each month. The permittee shall maintain appropriate discharge flow measurement devices and methods consistent with approved scientific practices to ensure the accuracy and reliability of measurements of the volume of monitored discharges. Devices installed shall be a continuous recording flow meter Page 7 8 of 20 Form: L4'VJ7'-5001-f.P;12 Effective Date: D1/01/2013 flee: i,!cn o7te: I Special Conditions Permit No. CP12 capable of measuring flows with a maximum deviation of less than 10% from true discharge rates throughout the range of expected discharge volumes. The devices shall be installed, calibrated, and maintained by qualified contractor/vendor to ensure accuracy. Modifications to the flow metering equipment shall be approved by the City prior to installation. If a required flow measurement device fails, the City shall be notified within 24 hours. The direct discharge of unmetered effluent flow is strictly prohibited. SIU to provide 11.0 power and 4-20 ma connection with flow measurement device. SIU will also allow City to erect SCADA RTU panel and antennae at the facility to be able to transmit instantaneous flow measurements to the City of Shelby. 4. Certified Laboratory Analysis Pollutant analysis shall be performed by a North Carolina Division of Water Quality Certified Laboratory that is certified in the analysis of the pollutant in wastewater. 5. Certified Operator A certified operator is not required at this time however an operator must be available to manage and document daily operation and maintenance of the facility. The permittee shall name an operator/backup operator and notify the City of any personnel changes within 30 days of those changes occurring. Ei. Biocide Certification In lieu of the categorical based limits listed in 40 CFR Part 430.120, the permittee will make the following certification at permit .issuance and then annually thereafter: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the wastewater discharge permit, l certify that, to the best of my knowledge no chlorophenolic biocides are being used at this facility." At a minimum, the certification statement is due by January I" of each year. i. Plant Start-up Interim Limits In consideration of the issues with the initial start-up operations of the pretreatment facility at Clearwater; the City of Shelby is including interim Total Suspended Solids (TSS) limits for the Pipe 001 discharge. Limits will be tiered in such a way that they stepped down over a period of months until Clearwater will be required to meet the final TSS limits stipulated in the permit. The User hereby is required to: A. Implement any means necessary to meet interim permit limits established by the POTW. B. Meet and comply with all terms and conditions of this permit except those outlined in these special conditions. Page 19 of 20 Pars:?: V,14VT-5001.CP.12 Ef#ec=.;•;e Gate: 01101/2013 Revi.5lanDater 01/N120j3 Special Conditions Permit No. CP12 C. The. Permittee will undertake activities necessary to bring the User into compliance with the following schedule: I. Prepare a report of process alternatives and/or pollution prevention/waste minimization alternatives designed to achieve compliance. 2. If required, submit necessary drawings and information to obtain Authorization to Construct from the City of Shelby. 3. Begin construction and/or implement identified process alternative(s), pollution prevention and waste minimization alternatives. 4. Complete all necessary changes to bring User in .compliance with final permit limits. D. The Interim limits will be as follows: Date initiated TSS interim Limit January 15, 2013 1,500 mg/L February 15, 2013 1,000 mg/L March 15, 2013 750 mg/L April 15, 2013 450 mg/L May 15, 2013 150 mg/L Final Permit Limit Compliance Date E. City will require permittee to provide a written report within 5 days following each date specified in the Interim Limit Section above. Each report shall be narrative in form and shall detail the activities undertaken since the last report to achieve compliance. The report shall indicate whether the Permittee has met the due date for the activity and include a statement explaining the cause of not meeting the due date of an activity and probability of meeting the next activity due date. F. In addition to the reports required above the permittee shall submit all sampling, monitoring, and analysis reports for testing conducted on the effluent discharge during the period to achieve compliance. G. Once compliance is achieved, the special condition interim limits (Section 7) and requirements will expire and the permittee shall be subject to all terms of this permit, Ii. In performance of activities under these special conditions, user must otherwise follow the procedures, rules, regulations, ordinances and statutes of the City, State and Federal governments as they apply to the Permittee. Nothing contained herein shall be construed as a waiver thereof by the City. I. It is the responsibility of the City to enforce all applicable Federal, State and local pretreatment regulations. These regulations are outlined in Federal Regulation 40 CFR 403, State Regulations 15A NCAC 2H .0900 and the local City of Shelby Sewer Use Ordinance. In the event that progress is not being made or compliance is not achieved by the date of May 15, 2013, the City of Shelby can evaluate the User's performance and act in accordance with the Pretreatment Enforcement Response Plan and the City of Shelby Sewer Use Ordinance as necessary. Page 20 of 20 Fenn: IVIn!T-$QOJ •lPi2 Witt,: 0110.1/7 EI;'ertivc UJ[c: Ol,r()'/7013 April 15, 2013 North Carolina Department of Environment and Natural Resources Division of Water Quality Construction Grants and Loans Section 1633 Mail Service Center Raleigh, NC 27699-1633 Via Certified First Class Mail, Return Receipt #70I2 22I0 0000 5096 6496 RE: APPLICATION FOR TAX CERTIFICATION & EXEMPTION CLEARWATER PAPER CORPORATION 671 WASHBURN SWITCH ROAD SHELBY, NC 28150 Dear Sirs: Please find enclosed the Application for Certification and Exemption for water -cleaning equipment owned and operated by Clearwater Paper Corporation at 671 Washburn Switch Road in Shelby, North Carolina. Please review this application and contact our office to schedule an appointment for inspection. Thank you for your assistance in this matter, and please do not hesitate to call our offices with any questions or concerns. 2mes y, . Garza Managing Partner, Industrial Valuation Services Agent, Clearwater Paper Corporation. jegarza@indval.com apt:. � t OCT I I Z012 TAX C E RT I F I CAT I O IVY In accordance with the provisions of the General Statutes of North Carolina [G.S. 130A - 294(a)(3); G.S. 105-122(b); G.S. 105-130.10; G.S. 105-130.5(b)(6); and G.S. 105-275(8)], this is to certify that: CLEARWATER PAPER CORP - SHELBY CONVERTING PLANT 671 WASHBURN SWITCH ROAD SHELBY NC 28150 CLEVELAND COUNTY filed a request for tax certification on resource recovery or recycling facilities and/or equipment on 8/17/2012. . The Division of Waste Management of the North Carolina Department of Environment and Natural Resources inspected or verified these resource recovery or recycling facilities and/or equipment on 9117/2012, and found that the facilities and/or equipment in Enclosure (1) meet the requirements of the Standards for Special Tax Treatment of Recycling and Resource Recovery Equipment and Facilities. DATE TAX CERTIFICATION APPROVED: 9/20/2012 son Watkins, Environmental Supervisor Field Operations Branch, Solid Waste Section Division of Waste Management Enclosure: Property Listing cc: Cleveland County Tax Supervisor Bill Wagner, Environmental Senior Specialist Jason Watkins, Environmental Supervisor 1646 Mail Service Center, Raleigh, North Carolina 27699-1646 Phone: 919-707-8200 An Equal Opportunity/Affirmative Action Employer 4 CLEARWATER PAPER CORP -y' 4ELB`i CONVERTI CLEVELAND COUNTY 9/20/2012 Property Type / Description Year Acquired Serial/Asset Number Original Cost COMPACTOR #1 MDL 7460-2-6 11 AN 506773, SN 101210472 $35,300.00 2 TRIM FANS 11 ASSET #506811 $63,890.00 SHREDDER LOG FEED HOPPER AND FOOD CONVEYOR 11 ASSET #506853 $53,850.00 SHREDDER 11 ASSET #506861 $114,480.00 SHREDDER TRANSFER FAN TCF915 RBP 25HP 11 ASSET #506870 $25,670.00 BALER LOG FEED HOPPER AND FOOD CONVEYOR 11 ASSET #506896 $53,850.00 BALER C+M 6042-AT310 11 ASSET #506909 $167,426.00 TRIM SYSTEM it ASSET #506925 $239,020.00 . Total $753,486.00 Page 2 of 2 MCDENR North Carolina Department of Environment and Natura Division of Water Quality Pat McCrory Thomas A. Reeder Governor Acting Director July 22, 2013 537 Mr. John Kuhn Rockwood Lithium, Inc 348 Holiday Inn Drive Kings Mountain, NC 28086 Resources FILE Subject: North Carolina Wastewater/Groundwater Laboratory Certification Dear Mr. Kuhn: John E. Skvarla, III Secretary Per the written request dated July 15, 2013, we are discontinuing the North Carolina Wastewater/Groundwater Laboratory Certification of ,your laboratory #573 Rockwood Lithium, Inc. We will proceed with removing your laboratory from the certified list. You are reminded that it is not legal to analyze environmental samples required by G. S. 143 Article 21 without our certification. Do not hesitate to call on us if we can be of assistance in the future. Contact us immediately at (919) 733-3908 if this action is incorrect or if you have questions. Sincerely, J. Kent Wiggins Laboratory Section Chief Laboratory Section cc: Chet Whiting Gary Francies Mooresville Regional Office DENR DWQ Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 Phone: 919-733-3908 i FAX: 919-733-6241 Internet: www.dwQlab.orq Nne ordiCarolina An Equal Opportunity \ Affirmative Action Employer 07 EMERGENCY SERVICFSdggA ENVIRONMENTAL July 17, 2013 Sent Certified Mail 7012 2210 0001 4287 2377 North Carolina Department of Environment and Natural Resources Mr. Mike Parker RE:CE-111:n 610 East Center Ave. DIVISION OF WATER rLIALI T Y Mooresville, North Carolina 28115 JUL 2 2 2013 RE: DIESEL FUEL RELEASE — FINAL REPORT I00OP ESViLLIE F;_:G u NAL OFFIv2 GREATWIDE LOGISTICS SERVICES 2354 INTERSTATE 85 NORTHBOUND GROVER, CLEVELAND COUNTY, NORTH CAROLINA CES PROJECT NO.. EM130212S3 NRC INCIDENT NO. 1039925 NCDENR REPORT NO. 030313 GREATWIDE CLAIM NO. 30-5693 Mr. Parker; Please accept this document as the final report detailing the emergency response and corrective actions taken regarding the diesel fuel release that occurred on March 3, 2013,. at the above -referenced location. Attached is a copy of 'the Cura Emergency Services, L.C. (CES) hazardous materials incident report (HMIR), as well as a Professional Geologist report prepared by our subcontractor describing the response and corrective actions taken regarding the above -referenced incident. As the quantity of diesel fuel released was above the minimum reportable level of 25 gallons as required by state regulations, the CES incident manager made verbal notification to the National Response Center (NRC) at approximately 3:17 am CST on March 3, 2013, and report number 1039925 was assigned to the incident. The CES incident manager also made verbal notification of the release to the North Carolina Department of Environment and Natural Resources (NCDENR) and report number 030313 was assigned to the incident. Following remediation operations, no visual or olfactory evidence of diesel fuel existed at the site. Analytical data shows Gasoline Range Organics (GRO) and Diesel Range Organics (DRO) levels within acceptable limits per state regulations (see attached Professional Geologist report). Based on these results, it appears that all corrective actions were successful and no further actions should be required. CES recommends that the incident be closed at this time. Greatwide Logistics Services and Cura Emergency Services, L.C. appreciate your assistance during this incident. Should any questions arise, please feel free to contact us at (972) 378-7333. Respectfully, Cura Emergency Services, L.C. Brett E. Johnson Incident Manager Attachments: CES Hazardous Materials Incident Report Physical Geologist Report Site Photos Waste Disposal Manifest CC. Greatwide Logistics Services Mr. Jay Cole 12404 Park Central, Suite 300S Dallas, TX 75251 Jay.cole@greatwide.com Cura Emergency Services, L.C. 6205 Chapel Hill Boulevard, Suite 100 Plano, Texas 75093 Ph. (972) 378-7333 Fax (972) 378-6789 A. Incident Information: Client File No.: 30-5693 Incident Manager: Brett Johnson Project No.: EM13021253 Project Name: Greatwide Logistics Services - Grover - NC Date of Loss: 3/3/2013 Time Loss Occured: 01:21 AM EST Date Reported to CES: 3/3/2013 Time Reported to CES: 02:38 AM CST Person Reporting: Jay Cole Phone: (214) 215-9170 Driver: Tractor #: Trailer #: Incident Location Contact: John Pallent Phone: (980) 522-1896 Incident Location: 23 54 Interstate 85 NB City: Grover County: Cleveland State: NC Incident Description: On March 3, 2013, at approximately 1:21 am EST, a tractor -trailer operated by Greatwide Logistics Services (GLS) was traveling at the above -referenced location when the unit exited the roadway, detroying_ the tractor's cab, and releasing approximately 200 gallons of diesel fuel to the surface of a concrete drainage gutter and surrounding soil. The diesel fuel further migrated into a nearby creek Surfaces affected: 0 soil/grass ❑ asphalt V concrete ❑ other Water affected: V surface ❑ groundwater ❑ none ❑ other creek Sensitive Receptor Impact: Creek Wednesday, July 17, 2013 EM13021253 Incident Report (Cont.) B. Chemical Information Project No.: EM13021253 Client File No.: 30-5693 Reportable Reported Actual* Gal/ Quantity Volume Volume Lbs .Chemical: diesel fuel, 3, 1993 25 200 200 Gals Chemical: Chemical: C. Health & Safety: Site Monitoring (if applicable): PPE: ❑ Vapor Concentration (ppm): unmetered ❑ Level A ❑ Level C ❑ Available Oxygen (%): ambient ❑ Level B❑ Level D ❑ LEL Exceeded ❑ MSDS Attached Site Special Precations: No special precautions were noted for this site. Site Condition: No complicating conditions existed at the site during clean up operations Injuries: Explain: Yes The driver was transported to the emergency room for treatment. D. Emergency Response: Initial Emergency Actions: On March 3, 3013, Mr. John Pallent and other members of Cleveland County Fire Department (CCFD) arrived at the site to ensure public safety and provide preliminary response for the diesel fuel release CCFD -personnel deployed absorbent boom and pads to the diesel fuel -impacted creek to prevent further migration of diesel fuel from the site. At approximately 2:38 am CST, a representative from GLS, Mr. Jay Cole, retained Cura Emergency Services, L.C. (CES) to manage the environmental remediation of the site on their behalf. Based on the available information. the CES incident manager dispatched a crew from JBR Environmental Services (JBR) to assess and remediate the site. *Unless specified in the Incident Description section, the Actual Volume" is an estimate, based on the observations of the CES subcontractor. Wednesday, July 17, 2013 EM13021253 Incident Report (Cont.) Project No.: EM13021253 E. Corrective Actions: Client File No.: 30-5693 Corrective Actions: On March 3 2013 at approximately 5.30 am EST JBR personnel arrived at the site and performed a walk- through with Mr. Pallent, assessing the release and devising a remediation plan. Following the initial walk- through, the JBR crew deployed granular absorbents to the diesel fuel -impacted gutter and worked it in with hand tools. The spent absorbents were then loaded int6 a lined roll -off box for transport and disposal The crew then deployed absorbents pads to the creek to collect any diesel fuel from the surface and loaded the spent pads into the lined roll -off box Once the spent pads were removed, JBR personnel used a vacuum truck to collect any remaining diesel fuel and impacted water from the creek and pumped it into one (1) 55-gallon drum for transport and disposal. Following the collection of diesel fuel -impacted water, the crew used an excavator to remove all diesel fuel -impacted soil from the site Excavation operations continued until no visual or olfactory evidence of diesel fuel existed at the site. After securing the site JBR personnel demobilized and would return the following day to backfill and over seed the excavation See final report for additional details. On Monday, March 4, 2013, JBR personnel returned to the site with top soil, straw, and grass seed to complete F. Responsible Party Information: Responsible Party: Greatwide Logistics Services Contact: Jay Cole Title: 0 Send report Address: 12404 Park Central, Suite 300S City: Dallas State: TX Zip: 75251- Phone: (972) 228-7362 Fax: (972) 228-7363 Wednesday, July 17, 2013 EM13021253 Incident Report (Cont.) Project.No.: EM130212S3 G. Regulatory Agencies: Client File No.:30-5693 ❑� Reportable Spill (check if yes) Explain.: Pursuant to North Carolina state regulations, petroleum related releases in excess of 25 gallons are considered reportable. National Response Center (U.S. Coast Guard) Contact Person: Civilian Bennett Address: City: W Report Required Note: NCDENR-Mooresville Contact Person: State: Contact Date: 3/3/2013 Phone:(800) 424-8802 Contact Time: 3:17 AM Confirmation No.:1039925 Zip: Fax: _ Contact Date: 3/3/2013 Address: 610 East Center Ave. Phone:(704) 663-1699 City: Mooresville State: NC Zip: 28115- W Report Required Confirmation No.: 030313 Note: Contact Time: 3:30 AM Fax: (704) 663-6040 July 17, 2013 EM130212S3 Incident Report (Cont.) Project No.: EM130212S3 Client File No.:30-5693 H. Disposal Facilities: Waste Facility: JBR Environmental Services Contact Person: Address: 210 Alice Street City: Spartanburg State: SC Zip: 29303 Phone: 864-583-2717 Ext: Fax: E-mail: Website: Disposal Date: 3/3/2013 Amount: 4.17 tons Disposal Documents Waste Facility: Palmetto Landfill Contact Person: Address: 251 New Hope Road City: Wellford State: SC Zip: 29385- Phone: (864) 439-8426 Ext: Fax: E-mail: Website: Disposal Date: 3/4/2013 Amount: 11'.81 tons Disposal Documents Attached Waste Facility: Palmetto Landfill Contact Person: Address: 251 New Hope Road City: Wellford State: SC Zip: 29385- Phone: (864) 439-8426 Ext: Fax: E-mail: Website: Disposal Date: 3/7/2013 Amount: 13.70 tons 0 Disposal Documents July 17, 2013 EM130212S3 Incident Report (Cont.) Project No.: EM13021253 I. Contractors: Company: JBR Environmental Services Contact Person : Rex Russell Address: 210 Alice Stree, P.O. Box 4098 (29305) City: Spartanburg State: SC Zip: 29303- E-mail• Client File No.:30-5693 Phone: 864-583-2717 Fax: 864-583-0650 July 17, 2013 EM13021253 EMROSOUTH Environmental Consultants May 28, 2013 JBR Environmental Services P.O. Box 4098 Spartanburg, SC 29305 Attention: Mr. Steve Rivers Re: Confirmation Soil Samples CURA — S-03045010 — DNR Diesel Fuel Spill Site 1-85 Northbound (Mile Marker 3) Rest Stop Cleveland County, North Carolina EnviroSouth Job No. 1697 Dear Mr. Rivers: EnviroSouth, Inc. is pleased to provide you with this report concerning soil samples collected at the referenced location. It is our understanding that a diesel fuel spill occurred on March 3, 2013. Diesel - impacted soils were excavated and removed for disposal immediately following the spill. At the request of your firm, EnviroSouth personnel mobilized to the site on March 29, 2013 to collect native soil samples from the upper 6-inches of soil directly below the zone of excavation. The soil samples were collected with decontaminated sampling tools and placed into laboratory -prepared bottles, then transferred to an iced cooler for submittal to a North Carolina certified laboratory. Analyses were performed for Gasoline Range Organics (GRO) per EPA Method SW5035 and for diesel -range organics (DRO) per EPA Method SW3550C. Among the four (4) samples (S-1, S-2, S-3, and S-4), S-2 and S-3 exceeded the NCDENR clean- up limit of 10 mg/kg for DRO. No other GRO or DRO analyses reported values exceeding 10 mg/kg. In response to the elevated concentrations of DRO in the soils at locations S-2 and S-3, JBR and EnviroSouth personnel re -mobilized to the spill site on May 13, 2013. JBR personnel excavated additional shallow soils in the general vicinities of samples S-2 and S-3. Following excavation, EnviroSouth personnel collected soil samples from the upper 6-inches of native soil in those two (2) areas. Laboratory results from the May 13 re - sampling (samples S-26 and S-313) indicated that no GRO or DRO concentrations were detected at concentrations exceeding 10 mg/kg. Based on the laboratory results, it appears that the clean-up standards set forth by NCDENR have been satisfied and no additional excavation or sampling is necessary. We have attached copies of the laboratory reports and a site aerial photo showing the soil sample locations. We appreciate the opportunity to provide you with this report. If you have any questions, please call. attachments Sincerely, EnviroSouth, Inc. / 4Li30&U 57, )&m Thomas F. Donn, P.G. President N.C. License No. 1762 phone: 864.236.9010 9 fax: 864.236.9097 3440 Augusta Road 9 Greenville, SC 29605 • www.envirosouth.com s r `g as �4 w� 5-4 S-3, S-36 S-2, S-26 1 , 1 S-1 EXPLANATION ® = SOIL SAMPLE LOCATION ANALYnCAL FIVVIRONMENTAL SERVICES, INC. AES April 17, 2013 Kevin Herrina Pace Analytical Services, Inc. 9800 Kincev Avenue. Suite 100 Huntersville NC 28078 TEL: (704) 875-9092 FAX: (704) 875-9091 RE: 92153376 Dear Kevin Herring: I Order No: 1304553 Analytical Environmental Services, Inc. received 4 samples on Ami15. 2013 12:25 am for the analyses presented in following report. No problems were encountered during the analyses. Additionally, all results for the associated Quality Control samples were within EPA and/or AES established limits. Any discrepancies associated with the analyses contained herein will be noted and submitted in the form of a project Case Narrative. AES' certifications are as follows: -NELAC/Florida Certification number E87582 for analysis of Environmental Water, soil/hazardous waste, and Drinking Water Microbiology, effective 07/01/12-06/30/13. -AIHA Certification ID #100671 for Industrial Hygiene samples (Organics, Inorganics), Environmental Lead (Paint, Soil, Dust Wipes, Air), and Environmental Microbiology (Fungal) effective until 09/01/13. These results relate only to the items tested. This report may only be reproduced in full. If you have any questions regarding these test results, please feel free to call. I'M 4 Larissa Elslev Project Manager Revision 4/17/2013 3755 PRPSID[NTIAI. PIRKIVAY - ATIANTA, GF.ORGIA 30340 • Ti--i.: (770) 457-8177 • FAX: (770)45 7-8188 Page 1 of 10 N O O Chain ®f Custody Workorder. 92153376 Workorder Name: DRO/GRO Results Requested 41tf2M 13 o y�y, ceiyti+eai® wAw4wcvIabs.mn L4 ).9 �-NA! 11 - Kevin Herring Pace Analytical Charlotte P.O S ti 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 Phone(704)875-9092 Email: kevin.herring@pacelabs.com F1 LAB USE ONLY - =Y " ♦ - ZD 5 1 S-1 3/29/201311:00 92153376001 Solid 2 S-2 31291201311:30 92153376002 Solid ✓ �/ 3 S-3 31291201312:00 92153376003 Solid 4 S-4 3/29/201312:30 92153376004 Solid 5 .. J ; �.-.., -;, . �:...< �s,.'.:t���`��'�.�--=:s"�� r"E�- �,:=.- -t`� z.-:.F>`n.ill v:.c- A �'.`.`i�� s.�-:�` .-- ;1��'?,_�.s ., _a.,, ..�= _ �" i_ ,,w•,�..r�: -�.-�± ___ .,�t,�. �,.:zr�""� '_:�.-.d.�,z -�.:� Tn�,-.ea-�✓ [d. .;,a.•-cxata€n�� ,'� _ r �y��""�,y .��-,..t3�-.. a �gp�G..�'�%`�P•'. i?�'m. �''_. � - -� n. wt .�,-.ate.. $�'�s�r - - �•' r �.�.,_ „T. `� �.��`,�--' Transfers Released By Daterrime Received By Daterrime _ /2i2♦ 1 2 3 Cooler Tem erature on Receipt °C CustodySeal Y or N Received on Ice Y or N samples Intact Y or N Wednesday, April 03, 2013 5:30:44 PM FMT-ALL-C-002rev.00 24March2009 Page 1 of 1 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. Project: 92153376 Case Narrative Lab ID: 1304553 DRO Analysis by Method 8015C: Due to sample matrix, sample 1304553-002 required dilution during preparation resulting in elevated reporting limits. Page 3 of 10 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. Client Sample ID: S-1 Project Name: 92153376 Collection Date: 3/29/2013 11:00:00 AM Lab ID: 1304553-001 Matrix: Solid Analyses Result Qual MDL Reporting Limit Units BatchID DF Date Analyzed Analyst GASOLINE RANGE ORGANICS SW8015C TPH (Gasoline Range Organics) BRL Surr: a.a.a-trifluorotoluene 94.9 DIESEL RANGE ORGANICS SW8015C TPH (Diesel Range Organics) 10 Surr: Dioctylphthalate 79.8 PERCENT MOISTURE D2216 Percent Moisture 20.3 Qualifiers: " Value exceeds maximum contaminant level BRL Not detected at MML H Holding times for preparation or analysis exceeded N Analyte not NELAC certified B Analyte detected in the associated method blank NC Not confirmed (SW5035) 0.18 0.52 mg/Kg-dry 174532 1 04/05/201315:52 JE 0 52.7-141 %REC 174532 1 04/05/201315:52 JE (SW3550C) 1.9 8.4 mg/Kg-dry 174489 1 04/07/2013 05:57 SH 0 46-123 OAREC 174489 1 04/07/2013 05:57 SH 0 0 wt% R241699 1 04/08/201313:00 AS E Estimated value above quantitation range S Spike Recovery outside limits due to matrix J Estimated value detected below Reporting Limit > Greater than Result value < Less than Result value Narr See case nanative Page 4 of 10 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. Client Sample ID: S-2 Project Name: 92153376 Collection Date: 3/29/2013 11:30:00 AM Lab ID: 1304553-002 Matrix: Solid Analyses Result Qual MDL Reporting Units BatchID DF Date Analyzed Analyst Limit GASOLINE RANGE ORGANICS SW8015C (SW5035) TPH (Gasoline Range Organics) BRL 0.17 0.49 mg/Kg-d'y 174532 1 04/05/2013 15:24 JE Sun: a.a.a-trifluorotoluene 62.6 0 52.7-141 %REC 174532 1 04/05/2013 15:24 JE DIESEL RANGE ORGANICS SW8015C (SW3550C) TPH (Diesel Range Organics) 54 J 20 86 mg/Kg-dry 174489 1 04/07/2013 06:21 SH Surr: Dioctylphthalate 278 S 0 46-123 %REC 174489 1 04/07/2013 06:21 SH PERCENT MOISTURE D2216 Percent Moisture 7.07 0 0 wt% R241699 1 04/08/2013 13:00 AS Qualifiers: • Value exceeds maximum contaminant level BRL Not detected at MDL H Holding times for preparation or analysis exceeded N Analyte not NELAC certified B Analyte detected in the associated method blank NC Not confirmed E Estimated value above quantitation range S Spike Recovery outside limits due to matrix J Estimated value detected below Reporting Limit > Greater than Result value < Less than Result value Narr See case narrative Page 5 of 10 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. Client Sample ID: S-3 Project Name: 92153376 Collection Date: 3/29/2013 12:00:00 PM Lab ID: 1304553-003 Matrix: Solid Analyses Result Reporting y Qual MDL Units BatchID DF Date Analyzed Analyst Limit GASOLINE RANGE ORGANICS SW8015C TPH (Gasoline Range Organics) BRL Surr: a.a.a-trifluorotoluene 84.7 DIESEL RANGE ORGANICS SW8015C TPH (Diesel Range Organics) 13 Surr: Dioctylphthalate 82.1 PERCENT MOISTURE D2216 Percent Moisture 28.5 Qualifiers: • Value exceeds maximum contaminant level BRL Not detected at MDL H Holding times for preparation or analysis exceeded N Analyte not NELAC certified B Analyte detected in the associated method blank NC Not confirmed (SW5035) 0.22 0.62 mg/Kg-dry 174532 1 04/05/201316:21 JE 0 52.7-141 %REC 174532 1 04/05/201316:21 JE (SW3550C) 2.2 9.3 mg/Kg-dry 174489 1 04/07/2013 06:44 SH 0 46-123 °/oREC 174489 1 04/07/2013 06:44 SH 0 0 wt% R241699 1 04/08/201313:00 AS E Estimated value above quantitation range S Spike Recovery outside limits due to matrix J Estimated value detected below Reporting Limit > Greater than Result value < Less than Result value Narr See case narrative Page 6 of 10 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. Client Sample ID: S-4 Project Name: 92153376 Collection Date: 3/29/2013 12:30:00 PM Lab ID: 1304553-004 Matrix: Solid Analyses Result Reporting Y Qual MDL Units BatchID DF Date Analyzed Analyst Limit GASOLINE RANGE ORGANICS SW8015C TPH (Gasoline Range Organics) BRL Surr: a.a.a-trifluorotoluene 97.3 DIESEL RANGE ORGANICS SW8015C TPH (Diesel Range Organics) 6.5 Surr: Dioctylphthalate 86.5 PERCENT MOISTURE D2216 Percent Moisture 13.4 Qualifiers: " Value exceeds maximum contaminant level BRL Not detected at MDL H Holding times for preparation or analysis exceeded N Analyte not NELAC certified B Analyte detected in the associated method blank NC Not confirmed 0.18 0 J 1.8 0 0 (SW5035) 0.52 mg/Kg-dry 174532 1 04/05/201316:49 JE 52.7-141 %REC 174532 1 04/05/2013 16:49 JE (SW3550C) 7.7 mg/Kg-dry 174489 1 04/07/2013 00:30 SH 46-123 %REC 174489 1 04/07/2013 00:30 SH 0 wt% R241699 1 04/08/201313:00 AS E Estimated value above quantitation range S Spike Recovery outside limits due to matrix J Estimated value detected below Reporting Limit > Greater than Result value < Less than Result value Nair See case narrative Page 7 of 10 Analytical Environmental Services, Inc. Sample/Cooler Receipt Checklist Client Work Order Number Checklist completed by Signature Date Carrier name: FedEx vUPS Courier Client US Mail Other Shipping container/cooler in good condition? Yes No Custody seals intact on shipping container/cooler? Yes No _ Custody seals intact on sample bottles? Yes _ No Container/Temp Blank temperature in compliance? (4°Cf2)* Yes No _ 3 � Not Present Not Present _ Not Present _ Cooler #1 1Cooler #2 Cooler #3 Cooler #4 Cooler#5 Chain of custody present? Yes _-� No _ Chain of custody signed when relinquished and received? Yes / No _ Chain of custody agrees with sample labels? Yes No _ Samples in proper container/bottle? Yes No _ Sample containers intact? Yes _� No _ Sufficient sample volume for indicated test? Yes = No All samples received within holding time? Yes _'� No Was TAT marked on the COC? Yes _ No _ Proceed with Standard TAT as per project history? Yes _ No _ Water - VOA vials have zero headspace? No VOA vials submitted _ V Yes _ Water - pH acceptable upon receipt? Yes _ No _ Cooler #6 Not Applicable No _ Not Applicable _ Adjusted? Checked by Sample Condition: Good /'Other(Explain) (For diffusive samples or AIHA lead) Is a known blank included? Yes — No See Case Narrative for resolution of the Non -Conformance. " Samples do not have to comply with the given range for certain parameters. \L\Quality Assurance\Checklists Procedures Sign -Off Templates\Checklists\Sample Receipt Checklists\Sample_Cooler Receipt_Checklist Page 8 of 10 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. ANALYTICAL QC SUMMARY REPORT Project Name: 92153376 Workorder: 1304553 BatchID: 174489 Sample ID: MB-174489 Client ID: Units: mg/Kg Prep Date: 04/05/2013 Run No: 241610 SampleType: MBLK TestCode: DIESEL RANGE ORGANICS SW8015C BatchID: 174489 Analysis Date: 04/06/2013 Seq No: 5058745 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Diesel Range Organics) 1.724 6.7 0 0 0 0 0 0 0 0 J Surr: Dioctylphthalate 2.869 0 3.3 0 86.9 46 123 0 0 0 Sample ID: LCS-174489 Client ID: Units: mg/Kg Prep Date: 04/05/2013 Run No: 241610 SampleType: LCS TestCode: DIESEL RANGE ORGANICS SW8015C BatchID: 174489 Analysis Date: 04/07/2013 Seq No: 5058751 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Diesel Range Organics) 27.35 6.7 33.3 1.724 76.9 47.9 116 0 0 0 Surr: Dioctylphthalate 2.677 0 3.33 0 80.4 46 123 0 0 0 Sample ID: 1304553-004BMS Client ID: S-4 Units: mg/Kg-dry Prep Date: 04/05/2013 Run No: 241610 SampleType: MS TestCode: DIESEL RANGE ORGANICS SW8015C BatchID: 174489 Analysis Date: 04/07/2013 Seq No: 5058756 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Diesel Range Organics) 37.04 7.7 38.45 6.506 79.4 36.8 120 0 0 0 Surr: Dioctylphthalate 3.154 0 3.845 0 82 46 123 0 0 0 Sample ID: 1304553-004BMSD Client ID: S-4 Units: mg/Kg-dry Prep Date: 04/05/2013 Run No: 241610 SampleType: MSD TestCode: DIESEL RANGE ORGANICS SW8015C BatchID: 174489 Analysis Date: 04/07/2013 Seq No: 5058760 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Diesel Range Organics) 92.64 Surr: Dioctylphthalate 3.116 Qualifiers: > Greater than Result value BRL Below reporting limit I Estimated value detected below Reporting Limit Rpt Lim Reporting Limit 7.7 38.33 6.506 225 36.8 0 3.833 0 81.3 46 < Less than Result value B Estimated (value above quantitation range) N Analyte not NELAC certified S Spike Recovery outside limits due to matrix 120 37.04 85.7 30.2 SF 123 3.154 0 0 B Analyte detected in the associated method blank H Holding times for preparation or analysis exceeded R RPD outside limits due to matrix Page 9 of 10 Analytical Environmental Services, Inc Date: 17-Apr-13 Client: Pace Analytical Services, Inc. ANALYTICAL, QC SUMMARY REPORT Project Name: 92153376 Workorder: 1304553 BatchID: 174532 Sample ID: MB-174532 Client ID: Units: mg/Kg Prep Date: 04/05/2013 Run No: 241621 SampleType: MBLK TestCode: GASOLINE RANGE ORGANICS Sw8015C BatchID: 174532 Analysis Date: 04/05/2013 Seq No: 5058653 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Gasoline Range Organics) BRL 0.50 0 0 0 0 0 0 0 0. Surr: a.a.a-trifluorotoluene 0.05154 0 0.05 0 103 52.7 141 0 0 0 Sample ID: LCS-174532 Client ID: Units: mg/Kg Prep Date: 04/05/2013 Run No: 241621 SampleType: LCS TestCode: GASOLINE RANGE ORGANICS Sw8015C BatchID: 174532 Analysis Date: 04/05/2013 Seq No: 5058694 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Gasoline Range Organics) 0.9006 0.50 1 0 90.1 60.3 135 0 0 0 Surr: a.a.a-trifluorotoluene 0.05579 0 0.05 0 112 52.7 141 0 0 0 Sample ID: 1304553-002AMS Client ID: S-2 Units: mg/Kg-dry Prep Date: 04/05/2013 Run No: 241621 SampleType: MS TestCode: GASOLINE RANGE ORGANICS Sw8015C BatchID: 174532 Analysis Date: 04/05/2013 Seq No: 5058697 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Gasoline Range Organics) 0.8337 0.54 1.076 0 77.5 50.1 134 0 0 0 Surr: a.a.a-trifluorotoluene 0.05748 0 0.0538 0 107 52.7 141 0 0 0 Sample ID: 1304553-002AMSD Client ID: S-2 Units: mg/Kg-dry Prep Date: 04/05/2013 Run No: 241621 SampleType: MSD TestCode: GASOLINE RANGE ORGANICS sw8015c BatchID: 174532 Analysis Date: 04/05/2013 Seq No: 5058701 Analyte Result RPT Limit SPK value SPK Ref Val %REC Low Limit High Limit RPD Ref Val %RPD RPD Limit Qual TPH (Gasoline Range Organics) 0.8250 Surr: a.a.a-trifluorotoluene 0.05719 Qualifiers: > Greater than Result value BRL Below reporting limit J Estimated value detected below Reporting Limit Rpt Lim Reporting Limit 0.54 1.076 0 76.7 50.1 0 0.0538 0 106 52.7 < Less than Result value E Estimated (value above quantitation range) N Analyte not NELAC certified S Spike Recovery outside limits due to matrix 134 0.8337 1.06 20 141 0.05748 0 0 B Analyte detected in the associated method blank H Holding times for preparation or analysis exceeded R RPD outside limits due to matrix Page 10 of 10 aceAnaljftal www.pacelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (336)623-8921 May 21, 2013 Tom Donn EnviroSouth, Inc. 3440 Augusta Rd. Greenville, SC 29605 RE: Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 Dear Tom Donn: (828)254-7176 (704)875-9092 Enclosed are the analytical, results for sample(s) received by the laboratory on May 15, 2013. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated o_ n the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Kevin Herring kevin.herring@pacelabs.com Project Manager Enclosures cc: Ms. Diane Farrugia, EnviroSouth, Inc. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 12 ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnalXical 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 www.pacelabs.com Eden, NC 27288 Asheville, NC 28804 Huntersville, NC 28078 (336)623-8921 (828)254-7176 (704)875-9092 CERTIFICATIONS Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 South Carolina Certification #: 99006001 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. �ac`eAnalytcal 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 www.pacelabs.com Eden, NC 27288 Asheville, NC 28804 Huntersville, NC 28078 (336)623-8921 (828)254-7176 (704)875-9092 SAMPLE ANALYTE COUNT Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92158207001 S-2B EPA 8015 Modified RES 2 PASI-C EPA 8015 Modified RGF 2 PASI-C ASTM D2974-87 TNM 1 PASI-C 92158207002 S-3B EPA 8015 Modified RES 2 PASI-C EPA 8015 Modified RGF 2 PASI-C ASTM D2974-87 TNM 1 PASI-C REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 aceAnalyiical www.paMobs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunters,die, NC 28078 (704)875-9092 Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 Sample: S-213 Lab ID: 92158207001 Collected: 05/1.3/13 09:30 Received: 05/15/13 13:40 Matrix: Solid Results reported on a "dry -weight" basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8015 GCS THC-Diesel Analytical Method: EPA 8015 Modified Preparation Method: EPA 3546 Diesel Components ND mg/kg 6.0 1 05/16/13 14:00 05/17/13 20:40 68334-30-5 Surrogates n-Pentacosane (S) 78 % 41-119 1 05/16/13 14:00 05/17/13 20:40 629-99-2 Gasoline Range Organics Analytical Method: EPA 8015 Modified Preparation Method: EPA 5035A/5030B Gasoline Range Organics ND mg/kg 7.2 1 05/17/13 17:11 05/18/13 20:47 8006-61-9 Surrogates 4-Bromofluorobenzene (S) 93 % 70-167 1 05/17/13 17:11 05/18/13 20:47 460-00-4 Percent Moisture Analytical Method: ASTM D2974-87 Percent Moisture 17.0 % 0.10 1 05/16/13 14:52 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/21/2013 07:49 AM without the written consent of Pace Analytical Services, Inc.. Page 4 of 12 ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnalytical 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 www.pacelabs.com Eden, NC 27288 Asheville, NC 28804 Huntersville, NC 28078 (336)623-8921 (828)254-7176 (704)875-9092 ANALYTICAL RESULTS Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 Sample: S-3B Lab ID: 92158207002 Collected: 05/13/13 10:30 Received: 05/15/13 13:40 Matrix: Solid Results reported on a "dry -weight" basis Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8015 GCS THC-Diesel Analytical Method: EPA 8015 Modified Preparation Method: EPA 3546 Diesel Components ND mg/kg 5.6 1 05/16/13 14:00 05/17/13 23:47 68334-30-5 Surrogates n-Pentacosane (S) 86 % 41-119 1 05/16/13 14:00 05/17/13 23:47 629-99-2 Gasoline Range Organics Analytical Method: EPA 8015 Modified Preparation Method: EPA 5035A/5030B Gasoline Range Organics ND mg/kg 6.7 1 05/17/1317:11 05/18/13 21:10 8006-61-9 Surrogates 4-Bromofluorobenzene (S) 90 % 70-167 1 05/17/13 17:11 05/18/13 21:10 460-00-4 Percent Moisture Analytical Method: ASTM D2974-87 Percent Moisture 11.1 % 0.10 1 05/16/13 14:53 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/21/2013 07:49 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical www.pacelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 QC Batch: GCV/6898 QC Batch Method: EPA 5035AI5030B Associated Lab Samples: 92158207001, 921582070.02 METHOD BLANK: 977349 Associated Lab Samples: 92158207001, 92158207002 Parameter Units Gasoline Range Organics mg/kg 4-Bromofluorobenzene (S) % Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Analysis Method: EPA 8015 Modified Analysis Description: Gasoline Range Organics Matrix: Solid Blank Reporting Result Limit Analyzed Qualifiers ND 6.0 05/18/1311:57 94 70-167 05/18/1311:57 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 977350 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Gasoline Range Organics mg/kg . 25 27.6 111 70-165 4-Bromofluorobenzene (S) % 96 70-167 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 977351 977352 MS MSD 92157983001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua[ Gasoline Range Organics mg/kg ND 36 36 38.6 39.1 107 108 47-187 1 4-Bromofluorobenzene (S) % 97 91 70-167 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/21/2013 07:49 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 (�55'neAnalytcal www.pacelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Batch: OEXT/22129 Analysis Method: EPA 8015 Modified QC Batch Method: EPA 3546 Analysis Description: 8015 Solid GCSV Associated Lab Samples: 92158207001, 92158207002 METHOD BLANK: 975985 Associated Lab Samples: 92158207001, 92158207002 Parameter Units Diesel Components mg/kg n-Pentacosane (S) % Matrix: Solid Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 05/17/1311:39 81 41-119 05/17/1311:39 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE: 975986 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Diesel Components mg/kg 66.7 55.8 84 49-113 n-Pentacosane (S) % 85 41-119 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 975987 975988 MS MSD 92158115002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qua] Diesel Components mg/kg ND 88.8 88.8 74.2 77.2 82 85 10-146 4 n-Pentacosane(S) % 82 93 41-119 Date: 05/21/2013 07:49 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. �aneMalXical 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 www.pacelabs.com Eden, NC 27288 Asheville, NC 28804 Huntersville, NC 28078 (336)623-8921 (828)254-7176 (704)875-9092 QUALITY CONTROL DATA Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 QC Batch: PMST/5532 Analysis Method: ASTM D2974-87 QC Batch Method: ASTM D2974-87 Analysis Description: Dry Weight/Percent Moisture Associated Lab Samples: 92158207001, 92158207002 SAMPLE DUPLICATE: 975555 92158207001 Dup Parameter Units Result Result RPD Qualifiers Percent Moisture % 17.0 17.2 1 SAMPLE DUPLICATE: 975556 92158074002 Dup Parameter Units Result Result RPD Qualifiers Percent Moisture % 96.2 96.2 0 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/21 /2013 07:49 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnalXical 205 East Meadow Road - Suite A 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 www.pacelabs.com Eden, NC 27288 Asheville, NC 28804 Huntersville, NC 28078 (336)623-8921 (828)254-7176 (704)875-9092 QUALIFIERS Project: NC 1-85 Spill Site (mm3) Pace Project No.: 92158207 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PRL - Pace Reporting Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-C Pace Analytical Services - Charlotte REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/21/2013 07:49 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical www.pBcelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: NC 1-85 Spill Site (mm3) 92158207 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92168207001 S-213 EPA 3546 OEXT/22129 EPA 8015 Modified GCSV/14628 92158207002 S-313 EPA 3546 OEXT122129 EPA 8015 Modified GCSV/14628 92158207001 S-2B EPA 5035A/5030B GCV/6898 EPA 8015 Modified GCV/6899 92158207002 S-313 EPA 5035AI5030B GCV/6898 EPA 8015 Modified GCV/6899 92168207001 S-213 ASTM D2974-87 PMST/5532 92158207002 S-313 ASTM D2974-87 PMST/5532 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/21/2013 07:49 AM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 Sample Condition Upon Receipt (SCUR Pa e 1 01 z aceAnaoical' Document Number: Issuing Authority: I F-CHR-CS-03-rev.10 Pace Huntersville Quality Office Client Name: 7 Where Received: Iuntersvill.e ❑ Asheville ❑ Eden ❑ Raleigh Courier: ❑Fed Ex ❑ UPS❑ USPS❑ Client❑ Commercial❑ Pac Other f� `iolali:s��'��:'�? �ilK � N.��G'Ck�i Custody Seal on Cooler/Box Present: ❑ yes �no Seals intact: ❑ yes ❑ noeY� Packing Material: ❑ Bubble Wrap ❑ Btfbble gs ❑ None ❑ Other Thermometer Used: IR Gun T1101 10 Type of IcjW�Wet Blue None [�-3�amples on Ice, cooling process has begun e__a_. T44A4• Pain (:mmnefinn T2Nn Cnrrection Corrected Cooler Temp.: C Biological Tissue is Frozen: Yes No NIA Date and Initials of persogexamining contents: r ryri Temp should be above freezing to 6°C Comments: Chain of Custody Present: Yes '❑No ❑NIA I. Chain of Custody Filled Out: es ❑No ❑N/A 2. Chain of Custody Relinquished, Yes ON. ❑NIA 3. Sampler Name & Signature on COC: es ❑No ❑NIA 4. Samples Arrived within Hold Time: Yes ❑No ❑N/A 5. Short Hold Time Analysis <72hr): ❑Yes ❑ ❑NIA 6. Rush -Turn -Around Time Requested:- Sufficient Volume: es ❑No o ❑N/A 17. NiA 8. V Correct Containers Used: 'E�Y—es []No ❑N/A 9. -Pace Containers Used: Yes ❑No ❑N/A Containers Intact: es UNo ❑N/A 10. Filtered volume received for Dissolved tests Sample Labels match COC: -Includes date/time/ID/Analysis Matrix: ❑Yes 2No es o ❑ IA 1. 1 L J� —3 , 13. , All containers needing preservation have been checked. DYes ❑No .J:Iw All containers needing preservation are found to be in compliance with EPA recommendation. ❑Yes ❑No }WK / exceptions: VOA, coliform, TOC, O&G, WI-DRO (water) . ❑Yes o Samples checked for dechlorination: ❑Yes ❑No WA— 14. .15. Heads ace in VOA Vials >6mm : []Yes ❑No /A Trip Blank Present: ❑Yes []No ❑�NIIAA 16. Trip Blank Custody Seals Present ❑Yes ❑No E A Pare Trin Blank Lot # (if Durchased): Client Notification/ Resolution: Field Data Required? Y / N Person Contacted: Date/Time: Comments/ Resolution: SCURF Review: Date: 1 5MI15 SRF Review: Date: S 119 Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( Le out of hold, incorrect preservative, out of temp, incorrect containers) Page 11 of 12 CHAIN -OF -CUSTODY / Analytical Request Document eAnalytical o The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. N 0 www.pacelahs.cum Page: of Section A Section B Section C Required Client Information: Required Project Information: Invoice Information: Company: ` .I— Report To: �'t� Aftenfion: �r1V j to 4' y-<-. 1665543 Address: Copy To: Company Name: REGULATORY AGENCY Address: F NPDES !— GROUND WATER I~ DRINKING WATER F UST ' RCRA r OTHER Email To: �� Purchase Order No.: Pace Quote Reference: Phone: Fax: Project Name: p� /' q' ! 1 �I l� P�� ,i I Pace Project Manager: Site Location A — STATE; Requested Due DaterrAT: 1 d . Project Number. Pace Profile #: Requested Analysis Filtered (Y/N) - Section D Matrix Codes RequiredClientlnfornation MATRIX I CODE — COLLECTED Preservatives a z r Drinking Water DW �^ o z 0T Water W Waste Water WW S U COMPOSITE COMP¢SLE W _ Z Product P m START END ® SoiltSolid SL y o rn � ® SAMPLE ID oil OL " ¢ w c Wipe (A-Z. 0-9 / r) Air AR CI aW a aai 0) N Y� U ��� •� Sample IDS MUST BE UNIQUE Tissue TS O L) . w , I _ L 1 Other OT Ja ~ a O w U O ?. tO O dO U O@ w 1= ¢ < rn DATE TIME DATE TIME ¢ 3 _ Z _ = Z II Z E ' O Q y Pace Pro ect No./ Lab I.D. j - t3 SL G s i3 930 S 2 S- 3 3 - s4 ' l3 !3 jo3o -5 5c X x 3 4 6 6 7 8 9 10 11 12 ADDITIONAL COMMENTS RELINQUISHED BY /' LIATION DATE TIME ACCEPTED BY / AFFILIATION DATE TIME SAMPLE CONDITIONS 8i1 —, [ W fS1. L `-✓ SAMPLER NAME AND. SIGNATURE o m ORIGINAL v E m i T o U Z C to Z PRINT Name of SAMPLER: ��r ar s tT m `—' tr O) E V SIGNATURE of SAMPLER: T/ _DATE Signed S " �., (MMIDDNY): �� to _By signing this form you are accepting Paces NET 30 day payment terms and agreeing to late charges of 1.5% per month for any invoices not paid within 30 days. F-ALL-Q-020rev.07, 15-May-2007 "MATERIAL JBR Environmental Services Manifest Document No. , MANIFEST P. O. Box 4098� Page of ; Spartanburg, SC-29305 Job No Emergency Phone Number: 864 583-271 T ,!GENERATOR_ INFQRMATION Name: P /" / %� .-�- US EPA ID No. xj Street Address Mailing Address Phone No. J1Wj,) "Sic• r�s 7 Contact DESCRIPTION OF MATERIALS HM USDOT Proper Shipping Name ' Hazard UNM Packing Containers ' Total Unit (Complete All Items for Hazardous Materials)' Class ,- 'A Group Quantity Wt.Nol. Qty Type -... ," ID.No. . l?[ t'r b. C. c 'i ADDITIONAL INFORMATION ERG No. JBR-Profile Code Facility -Use a. r jat<�G; ,� ;�':t.�:.i• l 'l' r t'i%ram � 1'..�:c.>C -. •��tlt� !� h[:�,G't ,. = , b. _ _C' C.- GENERATORS CERTIFICATION This is to certify that the above -described materials are properly classified, described, packaged, marked and labeled, and are in proper condition for ' - transportation according to the applicable regulations of the Department of Transportation.' 1 further certify that -none of the materials described,above are a hazardous waste as defined by EPA 40 CPR Part 261 or any applicable'state law, and unless specifically identified above, the materials contain less tha_n+ 1,000 ppm total halogens and do not contain quantifiable levels (2 m) of PCBs as defined by EPA 40 CFR. Parts 279 and 761. Printedrryped Name Signature. ;%f + ,. Mo.fDay/Yr., 6'"/ V�i C�i/�}� i;�.n .t1� {.rY �'; 6/!s�""�'•'U" L, _ i„sfPP w% ` .✓J '_ je- t' TRANSPORTER INFORMATION' Transporter ces1 JBR Environmental Servi_ hereby acknowledge receipt of the above -described materials for transport from the generator . site listed above.- r _ =' "�- _ Address 210 Alice Street Spartanburg, SC 29303" signature-," _`j Shipment Date.- Transporter or Unit No.- 1 hereby aVKn—owledgeetha�t,t4q above -described rnarerials were Mceived from.the generatorsite EPA ID No.. SC R000004358 �.. and were. transported to the facility listed below. f ,%�/ . <'` _./ ✓ " % Signature ..- ,.. Delivery Date Phone -864-583-271.7 - - FACILITY INFQRMATION' Facility 1 herebyacknowledge receipt of the materials covered by this manifest except for any , JBR, Environmental Services discrepancy noted below.. Address 210 Alice Street Spartanburg, SG' 29303 Signature '°""" Receipt Date >< . Facility Or "' 'DlscPepancies Routing Codes -Handling Methods: EPA ID No. SCR000004358 a Phone 864-583-2717 b Contact Rex Russell " Original - Facility Retain COPY 2 - Return to Generator COPY,3 -Transporter Retain COPY 4 - Generator Retain � PAL1�/1�7T0. LAI\I®FLLDo ` - . A WASTE MANAGEiV1ERIT CC�IVIPANY. ,( Gate. Ticket No. NON -HAZARDOUS WASTE MANIFEST S. Generator JBk Environmental 1Vlailing Address Sliipping Location (Return ,completed manifest %to;) Street:210 Alice Street Street or P O. Box. 4048 S rr City: Spartanburg State:. SC City: .Spartanburg County: Spartanburg State: SCE"" Zip Code: 29305 Phone: ( 864 583-2717 Phone: 864 ) 583-2717 Description of Profile . Total Unit of Coniianer . _. uVaste,:MateriAls _. _ -_ t vNumber Quantity Measure Type ? - - Non Reg4ilated Solid; nos CF321.9 TPH Contaminated S ' CQ6803 }} } { Construction Debris CQ8252 I hereby,;certify that the above-describ.ed materials are not hazardous wastes as delinediy 40 CFY2, )'art 261 or any applicable` tate law, have been fully. and accurately described, ciassified and packaged, and . are n r per condition'for transportation according to app icable deg lations..: Genera o Authorized Agent Name (Print) Signat' Delivery Date • •P ,iu„ transporter Name JBR Driver Name'(Print) Address 210 Alice Street Truck Number 9/ P 'S 'artanbur SC 29303.. g T hereby ack`riowledge receiptof the airove described.. I.hereby acknowledge receibCof the above materials: described'makerials .for transport from the ite, and Wei, received frgm the generator s ere generator site listed above: transported without incident, to the vie destination as started on th10 is'"form k ' briv Signature Shipment, ate DriveeOIgnature: Deli 'Miry D to V, Site Name: Palmetto Landfill &Recycling Center Phone Number:~($64) 439-8426 • Fax: 439=0047• Address: 251 New Hope Road, Wellford, South Carolina 29385 ": Ds oral Location ' North West Level. t i P �' s Ihoc ereby acknowledge receipt.of the aboye,described materials.. i Name of Authorized Agent.(Print) Signature Receipt Date, NOTE: MANIFEST MUST -BE FILLED OUT COMPLETELY BEFORE DISPOSAL PAL101 WHITE -ORIGINAL • YELLOW -TRANSPORTER RETAIN• PINK - LANDFILL RETAIN GOLD - GENERATOR RETAIN - - '4Q did" 7b �9fA/ 3 Tm r + • Fa E d tdL �gfys, MIN #, it r► l ''�` EMERGENCY SERVICES 1-7 �• $ � � . . , a' - 7 phi >.e,�` w. Q t rk yam; •� -'y ` _ � , n} t� � <<�� � ' , i ;' it �• :.��� .r.. [� "} y�' -:�. },•.t "' J EMERGENCY SERVICES EMERGENCY SERVICES North Carolina Emergency Management - EM43 Reporting North Carolina Emergency Management - EM43 Reporting EM Level: NCEM Edited: Include in Report: 4 Yes Yes Taken by: Date/Time Reported: Date/Time Occurred: R Brown 05/21/2013 10:44:25 05/21/2013 10:44:25 Reported by: Agency: Phone: Jill Klocek 84 Components 412-758-2952 County: City: Area: Cleveland Kings Mountain 13 Street Address: Zip Code: 420 Dixon Dairy Rd EVENT TYPE Type: HazMat Animal Disease Event Type: Bomb Threat Event Type: Complaint Event Type: Fire Event Type: FNF Event Type: FNF Class: HazMat Event Type: HazMat Class: HazMat Mode: Diesel Fuel Petroleum Fixed Facility Homeland Security Event: Non-FNF Event: Non-FNF Event Type: Other Event Type: SAR Type: Transportation Event Type: Wastewater Event Type: Weather Event Type: Weather Event Name: WMD Event Type: State Resource Request Pagel of 3 Event Description: A truss manufacturing plant reported the release of 100-150 gallons of diesel fuel to the ground due to operator error during forklift refueling operations. An unknown amount of the product entered a storm drain. Hepaco conducted cleanup operations and it was believed that all of the product was removed from the storm drain. No state resources were requested. Attachment Filename: NRC.docx Deaths: Injuries: Evacuation: Radius: 0 0 0 0 Responsible Party: Responsible Party Phone: Point of Contact: Latitude: 00.000000 Point of Contact Phone: Longitude: -00.000000 https://www.ncsparta.net/eoc7/boards/board.aspx?tableid=275&viewid=l 011 &uvid=1.408... 5/22/2013 North Carolina Emergency Management - EM43 Reporting Page of 3 RRT Request: RRT Approved: RRT Team Number: RRT Mission Number: https://www.nesparta.netleoc7/boardslboard.aspx?tableid=275&viewid=1011 &uvid=l .408... 5/22/2013 North Carolina Emergency Management - EM43 Reporting Page 3 of 3 NOTIFICATIONS LEMC: SO: PD: LFD: CHealth: Sewer: PWRK: Other Local Agencies: AC: SHP/SWP: ENV MGMT: WATER: DRP: CAP: DOT: Other State Agencies: Notes: Hepaco POC: Luke Gibson, 704-564-8849 Plant manager: Ed Shaner, 336-552-9411 1054 - J Ramsey, S Lewis emailed - rjb 1055 - J Ramsey read receipt rec'd - rjb 1104 - S Lewis read receipt rec'd - rjb ATTACHMENTS Filename: Filename: Filename: Filename: Filename: Filename: Filename: Filename: Filename: https://www.ncsparta.net/eoc7/boards/board.aspx?tableid=275&viewid=1011 &uvid=1.408... 5/22/2013 PV NATIONAL RESPONSE CENTER 1-800-424-8802 ***GOVERNMENT USE ONLY* "GOVERN MENT USE ONLY*** Information released to a third party shall comply with any applicable federal and/or state Freedom of Information and Privacy Laws Incident Report # 1047831 INCIDENT DESCRIPTION *Report taken by: MST3 RUDOLPH GANTHER at 11:15 on 21-MAY-13 Incident Type: MOBILE Incident Cause: UNKNOWN Affected Area: STORM DRAIN Incident occurred on 20-MAY-13 at 20:00 local incident time. Affected Medium: WATER STORM DRAIN REPORTING PARTY Name: JILL KLOCEK Organization: 84 COMPONENTS Address: 420 DIXON DAIRY RD KINGS MOUNTAIN, NC PRIMARY Phone: (412)7582952 Type of Organization: PRIVATE ENTERPRISE SUSPECTED RESPONSIBLE PARTY Name: JILL KLOCEK Organization: 84 COMPONENTS Address: 420 DIXON DAIRY RD KINGS MOUNTAIN, NC PRIMARY Phone: (412)7582952 INCIDENT LOCATION 420 DIXON DAIRY RD County: CLEVELAND City: KINGS MOUNTAIN State: NC RELEASED MATERIAL(S) CHRIS Code: ODS Official Material Name: OIL: DIESEL Also Known As: Qty Released: 150 GALLON(S) Qty in Water: 0 UNKNOWN AMOUNT DESCRIPTION OF INCIDENT THERE WAS A SPILL OF 100-150 GALLONS OF DIESEL FUEL FROM A FORKLIFT WHILE THE FORKLIFT WAS BEING FUELED. Frr SENSITIVE INFORMATION ON SCENE POINT OF CONTACT: ED SHANER, PHONE 336-552-9411. INCIDENT DETAILS Road Mile Marker: Length of Service Disruption: Airbag Deployed: UNKNOWN ---WATER INFORMATION --- Body of Water: STORM DRAIN Tributary of: Nearest River Mile Marker: Water Supply Contaminated: UNKNOWN ---MOBILE INFORMATION --- Vehicle Type: FORK LIFT Vehicle Number: UNKNOWN Trailer/Tanker Number: Vehicle Fuel Capacity: Cargo Capacity: Cargo On Board: Hazmat Carrier: UNKNOWN Carrier Licensed: UNKNOWN Suspected Non Compliance: UNKNOWN IMPACT Fire Involved: NO Fire Extinguished: UNKNOWN INJURIES: NO Hospitalized: Empl/Crew: Passenger: FATALITIES: NO Empl/Crew: Passenger: Occupant: EVACUATIONS:NO Who Evacuated: Radius/Area: Damages: NO Hours Direction of Closure Type Description of Closure Closed Closure N Air: N Major Road: Artery: N N Waterway: N Track: Environmental Impact: UNKNOWN Media Interest: NONE Community Impact due to Material: REMEDIAL ACTIONS CONTRACTOR HAS BEEN HIRED, CLEANUP UNDERWAY. Release Secured: YES Release Rate: Estimated Release Duration: WEATHER ADDITIONAL AGENCIES NOTIFIED Federal: State/Local: NC DNR State/Local On Scene: State Agency Number: NOTIFICATIONS BY NRC DHS NOC (NOC) 21-MAY-13 11:25 (202)2828114 DHS I&A STATE AND LOCAL PRGM OFFICE (RALEIGH, NC FUSION CENTER) 21-MAY713 11:25 (202)5575179 DHS SOUTH CAROLINA FUSION CENTER (LE SENSITIVE ADVISORS & LIASON PROGRA 21-MAY-13 11:25 (866)4728477 DOT CRISIS MANAGEMENT CENTER (MAIN OFFICE) 21-MAY-13 11:25 (202)3661863 U.S. EPA IV (MAIN OFFICE) (404)6504955 U.S. EPA IV (NC/SC INCIDENTS) 21-MAY-13 11:25 (404)6504955 NC DEPT OF EMERGENCY MGMT (MAIN OFFICE) 21-MAY-13 11:25 (800)8580368 NC OCCUPATIONAL ENVMTL EPIDEMIOLOGY (COMMAND CENTER) 21-MAY-13 11:25 (919)7075950 NC PUBLIC HEALTH PREPARE AND RESPNS (PHPR COMMAND CENTER) 21-MAY-13 11:25 (919)7150919 NATIONAL INFRASTRUCTURE COORD CTR (MAIN OFFICE) 21-MAY-13 11:25 (202)2829201 NOAA RPTS FOR NC (MAIN OFFICE) 21-MAY-13 11:25 (206)5264911 NATIONAL RESPONSE CENTER HQ (AUTOMATIC REPORTS) 21-MAY-13 11:25 (202)2671136 SC EMERGENCY MANAGEMENT DIVISION (MAIN OFFICE) 21-MAY-13 11:25 (803)7378500 SEAHAWK IOC (INTER -AGENCY OPERATIONS CENTER) 21-MAY-13 11:25 (803)2060971 STATE OF NORTH CAROLINA DENR (MAIN OFFICE) 21-MAY-13 11:25 (919)8076300 SC DEPT OF ENV CNTL ATTN: ERS (MAIN OFFICE) 21-MAY-13 11:25 (803)2536488 1 USCG DISTRICT 5 (D5 DRAT) 21-MAY-13 11:25 (757)3986231 ADDITIONAL INFORMATION *** END INCIDENT REPORT#1047831 *** Report any problems by calling 1-800-424-8802 PLEASE VISIT OUR WEB SITE AT http://www.nrc.uscg.mil E-mail correspondence sent to and from this address may be subject to the provisions of G.S. 132-1, the North Carolina Public Records Law, and may be subject to monitoring and disclosed to third parties, including law enforcement personnel, by an authorized state official. NATIONAL RESPONSE CENTER 1-800-424-8802 ***GOVERNMENT USE ONLY***GOVERNMENT USE ONLY*** Information released to a third party shall comply with any applicable federal and/or state Freedom of Information and Privacy Laws Incident Report # 937151 INCIDENT DESCRIPTION *Report taken by: CIV TIMOTHY SMITH at 14:35 on 15-APR-10 Incident Type: MOBILE Incident Cause: TRANSPORT ACCIDENT Affected Area: BEASON CREEK Incident occurred on 15-APR-10 at 09:00 local incident time. Affected Medium: WATER BEASON CREEK REPORTING PARTY Name: NATE WALDEN Organization: ERTS Address: 8401 CHARGIN RD CHAGRIN FALLS, OH 44023 ERTS reported for the responsible party. PRIMARY Phone: (440)5432400 Type of Organization: PRIVATE ENTERPRISE SUSPECTED RESPONSIBLE PARTY Name: US INTERMODAL CORP Organization: US INTERMODAL CORP Address: PO BOX 1202 SAVANNAH, GA INCIDENT LOCATION 407 S. CANSLER ST. County: CLEVELAND City: KINGS MOUNTAIN State: NC PARKING LOT/ROADWAY RELEASED MATERIALS) CHRIS Code: ODS Official Material Name: OIL: DIESEL Also Known As: DIESEL FUEL Qty Released: 75 GALLON.(S) Qty in Water: 60 GALLON(S) DESCRIPTION OF INCIDENT TRACTOR TRAILER SUFFERED A PUNCTURED SADDLE TANK AFTER STRIKING A CEMENT CURB. THE RELEASED FUEL TRAVELED APPROXIMATELY 15-20 FT. INTO A NEARBY STORM DRAIN. AFTER ENTERING THE STORM DRAIN THE FUEL TRAVELED AN ESTIMATED 100 YARDS INTO A NEARBY CREEK (BEASON CREEK). THE LOCAL FIRE DEPARTMENT CONTAINED THE RELEASED FUEL. AN UNDERFLOW DAM WAS CREATED 20 FT. FROM THE STORM DRAIN DISCHARGE LOCATION. SENSITIVE INFORMATION INCIDENT DETAILS Road Mile Marker: Length of Service Disruption: Airbag Deployed: ---WATER INFORMATION --- Body of Water: BEASON CREEK Tributary of: Nearest River Mile Marker: Water Supply Contaminated: NO ---MOBILE INFORMATION --- Vehicle Type: TRACTOR TRAILER Vehicle Number: 103678-11 Trailer/Tanker Number: Vehicle Fuel Capacity: 300 GALLON(S) Cargo Capacity: Cargo On Board: Hazmat Carrier: UNKNOWN Carrier Licensed: UNKNOWN Suspected Non Compliance: UNKNOWN IMPACT Fire Involved: NO Fire Extinguished: UNKNOWN INJURIES: NO Hospitalized: Empl/Crew: Passenger: FATALITIES: NO Empl/Crew: Passenger: Occupant: EVACUATIONS:NO Who Evacuated: Radius/Area: Damages: NO Closure Type Description of Closure N Air: N Road: N Waterway: N Track: Hours Direction of Closed Closure Environmental Impact: UNKNOWN Media Interest: NONE Community Impact due to Material: Major Artery:N REMEDIAL ACTIONS DISPATCHED ENVIRONMENTAL CLEANUP TO THE SITE FOR INITIAL RESPONSE AND REMEDIATION ACTIVITIES. A VACUUM TRUCK WAS UTILIZED TO REMOVE THE FUEL FROM THE WATER AND DRAIN LINES. Release Secured: UNKNOWN Release Rate: Estimated Release Duration: Weather: UNKNOWN, OF WEATHER ADDITIONAL AGENCIES NOTIFIED Federal: N/A State/Local: NCDNR State/Local On Scene: N/A State Agency Number: N/A NOTIFICATIONS BY NRC DHS NOC (NOC) 15-APR-10 14:54 (202)2828114 DHS I&A STATE AND LOCAL PRGM OFFICE (RALEIGH, NC FUSION CENTER) 15-APR-10 14:54 (202)5575179 DHS SOUTH CAROLINA FUSION CENTER (LE SENSITIVE ADVISORS & LIASON PROGRA 15-APR-10 14:54 (866)4728477 DOT CRISIS MANAGEMENT CENTER (MAIN OFFICE) 15-APR-10 14:54 (202)3661863 U.S. EPA IV (MAIN OFFICE) (404)6504955 U.S. EPA IV (NC/SC INCIDENTS) 15-APR-10 14:54 (404)6504955 FEMA REGION 4 (WATCH UNIT) 15-APR-10 14:54 (770)2203158 USCG NATIONAL COMMAND CENTER (MAIN OFFICE) (202)3722100 NC DEPT OF EMERGENCY MGMT (MAIN OFFICE) 15-APR-10 14:54 (800)8580368 NC OCCUPATIONAL ENVMTL EPIDEMIOLOGY (COMMAND CENTER) 15-APR-10 14:54 (919)7075950 NC PUBLIC HEALTH PREPARE AND RESPNS (PHPR COMMAND CENTER) 15-APR-10 14:54 (919)7150919 NATIONAL INFRASTRUCTURE COORD CTR (MAIN OFFICE) 15-APR-10 14:54 (202)2829201 NOAA RPTS FOR NC (MAIN OFFICE) 15-APR-10 14:54 (206)5264911 SC EMERGENCY MANAGEMENT DIVISION (MAIN OFFICE) 15-APR-10 14:54 (803)7378500 STATE OF NORTH CAROLINA DENR (MAIN OFFICE) 15-APR-10 14:54 (919)7335083 SC DEPT OF ENV CNTL ATTN: ERS (MAIN OFFICE) 15-APR-10 14:54 (803)2536488 TN BUREAU OF INVESTIGATION (TBI) 15-APR-10 14:54 (615)7444318 WEB REPORT (WEB REPORT SUBMITTER) 15-APR-10 14:54 ADDITIONAL INFORMATION PLACED AN UNDERFLOW DAM APPROXIMATELY 20FT FROM THE DISCHARGE PIPE PREVENTING ANY FURTHER MIGRATION OF FUEL DOWN STREAM *** END INCIDENT REPORT #937151 *** ENVIRONMENTAL COMPLIANCE SERVICES of North Carolina, P.C. May 4, 2010 Ms. Marcia Allocco NCDENR Division of Water Quality Mooresville Regional Office 610 East Center Street, Suite 301 Mooresville, NC 28115 Re: Kings Mountain Emergency Spill Response 407 South Cansler St. Kings Mountain, NC ECS Project No. 14-214102 Incident No. 04162010 Dear Ms. Allocco: This report presents the results of the emergency spill response events documented by Environmental Compliance Services of NC, PC (ECSNC) at the referenced site (Figure 1). Emergency Response & Training Solutions (ERTS) called ECSNC on April 15, 2010 and ECSNC was mobilized to 407 South Cansler St, Kings Mountain, NC to document the cleanup actions by JBR Environmental. The following report details the activities documented and provides the results of the soil and surface water analytical testing. The following Tables, Figures, and Appendices have been attached: • Table 1: Summary of Surface Water Analytical Data • Table 2: Summary of Soil Analytical Data • Figure 1: Site Locus • Figure 2: Site Map • Appendix A: Waste Manifests • Appendix B: Laboratory Report EMERGENCY SPILL RESPONSE On April 15, 2010, ECSNC received a phone call from Mr. Nathan Walden at ERTS requesting a professional engineer be on site to observe and document the activities of a spill of approximately 75 gallons of diesel fuel from a truck's saddle tank. The accident occurred when a truck pulled out from a loading dock and punctured its diesel tank. Approximately 75 gallons of diesel fuel was released and ran downhill into an adjacent dock (Dock #5 - Yard Receiving) and down into a storm drain. The storm drain ran approximately 500 ft west northwest of Dock #5 and emptied into a creek which travels west. Upon arrival ECSNC's professional engineer Engineering and Consulting Services 13504 South Point Boulevard, Unit F . Charlotte, NC Tel: (704) 583-2711 Fax. (704) 583-2744 (PE) noted that approximately 4-5 gallons of diesel fuel was contained in a green curb bucket (Serial # 00 004443 - City of Kings Mountain) and oil absorbent material was placed around the dock area and down around the drain. The oil absorbent material was vacuumed up by JBR and a fresh batch was applied to the area. The PE then travelled to the storm water outfall location (Beason Creek) where the Kings Mountain Fire Department had contained the spill with an earthen dam. Oil absorbent pads and booms were placed downstream of the storm water outfall to prevent the diesel from impacting the creek further away. JBR began vacuuming the diesel fuel on the surface of the water as well as diesel contaminated soil contained within the earthen dam at 1445. Approximately 2 hours later (1645) the vac truck was filled to capacity with diesel contaminated soil and water. Prior to leaving site it was discussed that a roll off container and _ an excavator will be brought_ to the site _and used to remove the remaining contaminated soil that was stockpiled. The 4-5 gallons of diesel fuel that was found in the green bucket at Dock #5 was vacuumed by JBR and properly disposed of at JBR's receiving facility (See Appendix A for waste manifest). Prior to leaving site the outfall was secured with caution tape and 6 oil absorbent booms were placed downstream of the outfall to prevent free floating diesel migration. On April 16, 2010 ECSNC's PE remobilized to the site to observe and document the excavation of diesel contaminated soil. Using a mini excavator, JBR removed approximately 6.71 yards of diesel contaminated soil. The storm water outfall contained a concrete pad which prevented the contamination from spreading down into the soil immediately at the outfall (Figure 2). The concrete pad was exposed by removing all diesel contaminated soil on top of it. A location where the concrete stopped and native soil began was dug down approximately 1.5 to 2 ft below the bottom of the creek. A sample was collected at this spot (SW-1). After soil excavation seized, a second soil sample (SW-2) was collected downstream just beyond the concrete pad. After all excavation activities were complete JBR continued to vacuum the surface of the water to remove free floating residual diesel fuel that would exit the storm water outfall. JBR called the Kings Mountain Fire Department and requested that the sewer system be flushed out to remove residual diesel fuel caught within the sewer system. Flushing of the storm water sewer system began at 1430 by the Kings Mountain Water District opening up a fire hydrant and allowing several hundred gallons of water to enter the storm sewer system. JBR and the PE observed the outfall and JBR maintained a vacuum on the surface water to capture residual diesel fuel. Several new absorbent booms were placed downstream to collect residual diesel fuel that the vacuum could not get. Flushing of the system lasted for 1 hour (1430 to 1530). After the flushing period the creek outfall contained a minor sheen on it. Prior to leaving site clean booms were left at the location where the creek bottle necks beyond the outfall (approximately 10-15 ft away) to collect the sheen. The PE spoke with Nathan Walden of ERTS prior to leaving site to notify him that the contaminated soil was removed and oil absorbent booms were left to collect the sheen on the creek's surface. A surface water sample from the creek (CR-1) was also collected prior to leaving site. Based on the attached waste manifests approximately 6.71 yards of TPH contaminated soil was removed from the site and an approximate total of 17.41 tons of diesel/water/soil/debris mixture were removed during the emergency activities on April 15 and April 16, 2010. The waste manifests are included with this report as Appendix A. ANALYTICAL RESULTS The surface water and soil samples were collected while wearing disposable iutrile gloves, containerized in laboratory prepared glass bottles, packed on ice, and transported to Pace Analytical Services, Inc. (Huntersville, NC), a North Carolina certified laboratory. Standard chain -of -custody procedures were maintained, as documented in the laboratory reports included as Appendix R. Three samples were collected on April 16, 2010. Two soil samples were collected from two locations; SW-1 located adjacent to the concrete pad near the outfall and SW-2 located downstream of the outfall and approximately 4-5 ft from where the concrete pad ends at the outfall. The soil samples were collected for TPH-DRO using EPA Method 8015 Modified and prepared using the EPA 3546 Preparation Method. Soil sample SW-1 was reported to contain 198.0 mg/kg of TPH-DRO. Soil sample SW-2 was reported to contain 81.3 mg/kg of TPH-DRO. One surface water sample (CR-1) was collected for volatile organic compounds using Standard Method 6200B. Total Xylenes was reported in CR-1 as 2.7 µg/L. Benzene, Toluene, Ethylbenzene, Diisopropyl Ether, MTBE and Naphthalene were reported to be less than the laboratory's method detection limit. Analytical results from the 2 soil samples and 1 surface water sample are presented as Table 1 and Table 2. Sample locations are presented in Figure 3. If you have any questions or require additional information, please contact the undersigned at (704) 583- 2711, or email bschaefer@ecsconsult.com. Sincerely, ENVIRONMENTAL COMPLIANCE SERVICES OF NC, PC Brett G. Schaefer, PE NC Licensed Engineer #036114 Enclosures cc: Mr. Nathan Walden, ERTS File TABLES TABLE 1 SUMMARY OF SURFACE WATER ANALYTICAL DATA April 16, 2014) Kings Mountain Emergency Spill Response Well ID Benzene Toluene Ethylbcn Totalzenc \ylenes MTBE IPE Naphthalene ()ig/L) (µg/L) (pg/L) (1rg/L) (!ig/L) CR-1 <0.5 <0.5 <0.5 2.7 <0.5 <0.5 <2.0 INCGWQS 1 600 600 50,0 Notes: 1. Laboratory analyses for purgeable aromatics by EPA Method 6200B 2. Concentrations in bold face type exceeded the NCGWQS. 3. Less than the reporting limit specified in the laboratory report. 4. North Carolina Groundwater Quality Standard specified in Title 15A NCAC 02L .0202. Revised 1/13/2010 Page 1 01, 1 TABLE 2 SUMMARY OF SOIL ANALYTICAL DATA April 16, 2010 Kings Mountain Emergency Spill Response Well H) TPH-DRO (mg/kg) SW-1 198.0 SW-2 81.3 Notes: 1. Laboratory analyses for TPH-DRO Page 1 of 1 FIGURES Figure 1 Topographic Map 'FIR 78 vw,* „ •f ; { � t � � ,t � I F ' 1. -� r i14 � i - r. ® Outfall Location u (Beason Creek) A t, ,• Spill Location ' " _ r _ r _ "e ry , y , jai{'" [� • '. L i Y �.. a w Magnetic Declination Ohn �17— tf. �i �A'° SCALE 1:4M 0 100 200 300 YARDS }� 0 1000 FEET 0 100 200 300 METERS 6.91°W '� �' I_ N 1 r Copyright (C) 2009 MyTopo Oil Absorbent Booms General Notes: All locations, dimensions, and property lines depicted on this plan are approximate. This plan should not be used for construction or land conveyance purposes. s . G cs 588 Silver Street • Agawam, MA 01001 Phone: 1-800-789-3= Far: 413-789-P778 PROJECT: Kings Mountain Spill Response 407 S. Canster Rcl Kings Mountain, NC TITLE: SITE PLAN CLIENT: Emergency Response & Environmental Services GRAPHIC SCALE: N a Q N N COMPUTER CAOFILE DRAWN BY: DESIGNED BY: CHECKED BY: APPROVED BY: BS BS BS SCALE: DATE: JOB NO: FIGURE NO: N.T.S. 5/4/10 14-214102 2 APPENDIX A MATEMAL JBR Environmental SorviCOs M rife t DiC`rc4FtTlent Nri Spartanburg, C 29305 Fags of ' .�an,nre anrvr�r o%trex.%ei Ki khrihAr, `F�.% Af A-2 i -77 GENERATOR Name- stroee AddfeSs MalfI g Ar ms;5 << �tir� lac.=. t ontaci Yy _IKON OF NIATERLALS HM OOT .r r at<fp tg NMMzt � 'L�h14J �s@kinq Gontair�rs i' ►�I Un0,a{sli6 1rtt3 rr H�zrlt{t}lass u Ti`t� �sr ter t s� f H F e d a A,DDMt1NAL !NFQ9 1 A'nG CA. p •'=,�;,�yrt' d :j j',^ .Sz t y ... _. „&� a1F ( _.. . (g� - h b-. 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PaOing ogntalmo-r 'MAW mard VWN unt A C�&ljp' ul.n err* for Hazard4*4 *r�alslla a. Y' ADDMIDNAL INFORMAT T§_R. W®R 6, Fam"I'll 4 GENERATORS GEAITPICAMN �'�b pr,"- try 4r?d jar�kU igp -ill rppo,, , ipA. me 6A rmrj,5pqytzt�p_ id "o rhit �app abf6 mjpi��aqs' 0i ma 6ejotffponf L0 trax�jj;,vYattbo, -tfbL above am a p �% ljaiv&d3' waste ae der ftecrby EPA 40 C-t4:R Pail Z_ I . a 6.-'& sfv& 'ta w, 8 (0 Cf wif &SLg 49 &C-dr. 0 lyy ken fl"6' th a ,poir f �Gfl r 'h of confaiit O&A096m �evofs�f 2 a P06-5 do -.wLk 2 Ta7 9 j�4 Teag&n5qmdd6m Aqpd m 40 CFF? F f3rritffae l fleY signal um ... TRANSPERMAINF, MAT ,rar ol si?# 6sted ah6v"V. J mq sip "nature 1k Shipfae, D, A wafb skg Um,I4 I hej'yiby aG*n&A'McVe _rA_ �19�0 pb.;�d mqran EFAJR NQ. j �jid k; tO 4 P h mgBPS Dge FACILRYINFORMATION Faktff I y nemrfilmsr e'vtapr lu"ar-y AdOesp� 21 G AJ ice St Spartanburg, :5C' 29W3 Facility or EPA, ID No. SCROOODD4358 Phone Rex Russell. OT19fiW - f acil0y,R&An COPY 2 Return fij Gemeratof C4:'PY:,' - Transporler Rriahl 4 - GerieratDr Relllh .AL ,9V1E=F9 j LANDFOLL , !MY A WqSTE, AAANAGEMENT C.QNAPAPJ'( 0 2 NON-11A ZAR,f)() tit; 1 11 - G=emera for; 'm 0 1 Shipp n- — - — -------- tttcsls ... . ... ... 1% (u Wied SoUd, mmi� Pdmiihri,g -ss Ail flT0 Ram ro eoqlq-stered, int-mifest, fw) Srrzwol, Bw,- I I b U r g, Up 'Cody 2930 4 5=2717 Pn;Mu loco Q31 I 500 >1 CQU25,' 4mm M 1 vuakhmm- iiisi;e f QW .1 WE, CordlY 41MI Me OWWW"Dwd mmROWS mm 130 ll,gzv(hus wams as &Aoedty 0, CTR, Pwc 20L or any OPPHOOK state hive, bwvv lwm filly Clod aeLljratd.,!� deseribell. 11 P10gmij rl c14 arv, Etl pnP,01, eu adir"dow 111 Tvaoixl�,orter Nn me Addrns f hemby aWwwledg, receipt of the aFtove described matei-jids fOr Irmr6porl 00m Me genyvajor she I lited above- -Av j1,T1w11l:: 'Oliver Name (FT1nQ,: I hereby 3,ektio"Iedgemedgmf tbo aWl"t, qkxriltvil molork-LIS: vvc�re received froull the g-VateraLf"r site, tt wert, m(n%,pparted withiml hiddent, to the &Sfiffitg 0 as NWRNUI 01t ildN fiJl 1:1 - 0 �V ,40A IN Delivcr., Phu ne N amber: $864) 43 9-8426 - Elm 43 OTUTY J Lo Novi Dk p#,�:A , v:�n i Woo 1.,! . .... . ...... 1K, 0 N1 A N1 FES-F M L N I B E F R 1. E I C C.- I I L, I P, I y k j I , � 4 A APPENDIX B Pace Analytical Services, Inc. Pace Analytical Services, Inc. AaceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 / www.pacelabs.com Asheville, NC 28804 Huntersville, NC 28078 (828)254-7176 (704)875-9092 April 28, 2010 Mr. Brett Schaefer Environmental Compliance Services 13504 South Point Blvd. ---Unit F - - Charlotte, NC 28273 RE: Project: Kings Mountain Spill Response Pace Project No.: 9267703 Dear Mr. Schaefer: Enclosed are the analytical results for sample(s) received by the laboratory on April 20, 2010. The results relate only to the samples included in this report. Results reported herein conform to the most current NELAC standards, where applicable, unless otherwise narrated in the body of the report. Inorganic Wet Chemistry and Metals analyses were performed at our Pace Asheville laboratory and Organic testing was performed at our Pace Huntersville laboratory unless otherwise footnoted. All Microbiological analyses were performed at the laboratory where the samples were received. If you have any questions concerning this report, please feel free to contact me. Sincerely, Kevin Herring kevin.herring@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS Page 1 of 18 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. hel1Cf 1,.AaceAnalytical J wwmpacelabs.com r i Project: Kings Mountain Spill Response Pace Project No.: 9267703 Charlotte Certification IDs 9800 Kincey Ave. - Ste 100 Huntersville, NC 28078 Connecticut Certification #: PH-0104 Virginia Certification #: 00213 Tennessee Certification #: 04010 South Carolina Drinking Water Cert. #: 990060003 South Carolina Certification #: 990060001 Pennsylvania Certification #: 68-00784 - - --North Carolina Wastewater -Certification #: 12 - Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828 )254-7176 CERTIFICATIONS North Carolina Field Services Certification #: 5342 North Carolina Drinking Water Certification #: 37706 New Jersey Certification #: NCO12 Louisiana/LELAP Certification #: 04034 Kentucky UST Certification #: 84 Florida/NELAP Certification #: E87627 West Virginia Certification #: 357 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. rlela' f Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Page 2 of 18 Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 / Asheville, NC 28804 Huntersville, NC 28078 www.pacelabs.com { f (828)254-7176 (704)875-9092 SAMPLE SUMMARY Project: Kings Mountain Spill Response Pace Project No.: 9267703 Lab ID Sample ID Matrix Date Collected Date Received 9267703001 SW-1 Solid 04/16/1011:00 04120/1014:15 9267703002 SW-2 Solid 04/16/1015:15 04/20/1014:15 9267703003 CR-1 Water 04/16/1015:20 04/20/1014:15 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. 2� ��a6C Page 3 of 18 aceAnalltical J` J mimpacelabs.com 1 i Project: Kings Mountain Spill Response Pace Project No.: 9267703 Lab ID Sample ID 9267703001 SW-1 9267703002 SW-2 9267703003 CR-1 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 SAMPLE ANALYTE COUNT Method EPA 8015 Modified ASTM D2974-87 EPA 8015 Modified - - -ASTM D2974-87-- - - SM 6200B REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. .oco`o neaGf Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytes Analysts Reported Laboratory RES 2 PASI-C JEA 1 PASI-C RES 2 PASI-C -JEA - - - - - - - 1 - ----PASI-C- - - - - AW 64 PASI-C Page 4 of 18 Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 ( vAm..pacelabs.com Asheville, NC 28804 Huntersville, NC 28078 (828)254-7176 (704)875-9092 i ANALYTICAL RESULTS Project: Kings Mountain Spill Response Pace Project No.: 9267703 Sample: SW-1 Lab ID: 9267703001 Collected: 04/16/10 11:00 Received: 04/20/10 14:15 Matrix: Solid Results reported on a "dry -weight" basis Report Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual 8015 GCS THC-Diesel Analytical Method: EPA 8015 Modified Preparation Method: EPA 3546 Diesel Components 198 mg/kg 27.5 17.1 1 04/21/10 14:30 04/26/10 21:54 68334-30-5 P3 n-Pentacosane (S) 0 % 50-135 1 04/21/10 14:30 04/26/10 21:54 629-99-2 S4 Percent Moisture Analytical Method: ASTM D2974-87 Percent Moisture 9.2 % 0.10 0.10 1 04/26/10 09:06 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. �%nelacm= Page 5 of 18 Pace Analytical Services, Inc. Pace Analytical Services, Inc. ll�aceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 ( mmpacelabs.corn Asheville, NC 28804 Huntersville, NC 28078 (828)254-7176 (704)875-9092 I ANALYTICAL RESULTS Project: Kings Mountain Spill Response Pace Project No.: 9267703 Sample: SW-2 Lab ID: 9267703002 Collected: 04/16/10 15:15 Received: 04/20/10 14:15 Matrix: Solid Results reported on a "dry -weight" basis Report Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual 8015 GCS THC-Diesel Analytical Method: EPA 8015 Modified Preparation Method: EPA 3546 Diesel Components 81.3 mg/kg 32.0 19.9 1 04/21/10 14:30 04/26/10 22:23 68334-30-5 P3 n-Pentacosane (S) 0 % 50-135 1 04/21/10 14:30 04/26/10 22:23 629-99-2 S4 Percent Moisture Analytical Method: ASTM D2974-87 Percent Moisture 21.9 % 0.10 0.10 1 04/26/10 09:07 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ,,\ ac Page 6 of 18 ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnal ical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 -" vrrowpacelabs.com Asheville, NC 28804 Huntersville, NC 28078 J (828)254-7176 (704)875-9092 1 ANALYTICAL RESULTS Project: Kings Mountain Spill Response Pace Project No.: 9267703 Sample: CR-1 Lab ID: 9267703003 Collected: 04/16/10 15:20 Received: 04/20/10 14:15 Matrix: Water Report Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual 6200E MSV Analytical Method: SM 6200B Benzene ND ug/L 0.50 0.50 1 04/27/10 17:52 71-43-2 Bromobenzene _ _ _ ND_.ug/L_- _ _ 0.- _ _ 0.50 _ 1 _ _ _ _ 04/27/10 17:52 108-86-1___ ._ Bromochloromethane ND ug/L 0.50 0.50 1 04/27/10 17:52 74-97-5 Bromodichloromethane 2.3 ug/L 0.50 0.50 1 04/27/10 17:52 75-27-4 Bromoform ND ug/L 0.50 0.50 1 04/27/10 17:52 75-25-2 Bromomethane ND ug/L 5.0 1.0 1 04/27/10 17:52 74-83-9 n-Butylbenzene 1.4 ug/L 0.50 0.50 1 04/27/10 17:52 104-51-8 sec-Butylbenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 135-98-8 tert-Butylbenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 98-06-6 Carbon tetrachloride ND ug/L 0.50 0.50 1 04/27/10 17:52 56-23-5 Chlorobenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 108-90-7 Chloroethane ND ug/L 1.0 1.0 1 04/27/10 17:52 75-00-3 Chloroform 18.9 ug/L 0.50 0.50 1 04/27/10 17:52 67-66-3 Chloromethane ND ug/L 1.0 1.0 1 04/27/10 17:52 74-87-3 2-Chlorotoluene 0.60 ug/L 0.50 0.50 1 04/27/10 17:52 95-49-8 4-Chlorotoluene ND ug/L 0.50 0.50 1 04/27/10 17:52 106-43-4 1,2-Dibromo-3-chloropropane ND ug/L 1.0 1.0 1 04127/1017:52 96-12-8 Dibromochloromethane ND ug/L 0.50 0.50 1 04/27/10 17:52 124-48-1 1,2-Dibromoethane (EDB) ND ug/L 0.50 0.50 1 04/27/10 17:52 106-93-4 Dibromomethane ND ug/L 0.50 0.50 1 04/27/10 17:52 74-95-3 1,2-Dichlorobenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 95-50-1 1,3-Dichlorobenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 541-73-1 1,4-Dichlorobenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 106-46-7 Dichlorod ifluorom ethane ND ug/L 0.50 0.50 1 04/27/10 17:52 75-71-8 1,1-Dichloroethane ND ug/L 0.50 0.50 1 04/27/10 17:52 75-34-3 1,2-Dichloroethane ND ug/L 0.50 0.50 1 04127/1017:52 107-06-2 1,1-Dichloroethene ND ug/L 0.50 0.50 1 04/27/10 17:52 75-35-4 cis- 1,2-Dichloroethene ND ug/L 0.50 0.50 1 04/27/10 17:52 156-59-2 trans-1,2-Dichloroethene ND ug/L 0.50 0.50 1 04/27/10 17:52 156-60-5 1,2-Dichloropropane ND ug/L 0.50 0.50 1 04/27/10 17:52 78-87-5 1,3-Dichloropropane ND ug/L 0.50 0.50 1 04/27/10 17:52 142-28-9 2,2-Dichloropropane ND ug/L 0.50 0.50 1 04/27/10 17:52 594-20-7 1,1-Dichloropropene ND ug/L 0.50 0.50 1 04/27/10 17:52 563-58-6 cis- 1,3-Dichloropropene ND ug/L 0.50 0.50 1 04/27/10 17:52 10061-01-5 trans-1,3-Dichloropropene ND ug/L 0.50 0.50 1 04/27/10 17:52 10061-02-6 Diisopropyl ether ND ug/L 0.50 0.50 1 04/27/10 17:52 108-20-3 Ethylbenzene ND ug/L 0.50 0.50 1 04/27/10 17:52 100-41-4 Hexachloro-1,3-butadiene ND ug/L 2.0 2.0 1 04/27/10 17:52 87-68-3 Isopropylbenzene (Cumene) ND ug/L 0.50 0.50 1 04/27/10 17:52 98-82-8 Methylene Chloride ND ug/L 2.0 2.0 1 04/27/10 17:52 75-09-2 Methyl-tert-butyl ether ND ug/L 0.50 0.50 1 04/27/10 17:52 1634-04-4 Naphthalene ND ug/L 2.0 2.0 1 04/27/10 17:52 91-20-3 n-Propylbenzene 0.99 ug/L 0.50 0.50 1 04/27/10 17:52 103-65-1 Styrene ND ug/L 0.50 0.50 1 04/27/10 17:52 100-42-5 1,1,1,2-Tetrachloroethane ND ug/L 0.50 0.50 1 04/27/10 17:52 630-20-6 1,1,2,2-Tetrachloroethane ND ug/L 0.50 0.50 1 04/27/10 17:52 79-34-5 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS Page 7 of 18 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Dy in. elac,= ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. I_AaceAnalXical 2225 Riverside Dr. 9800 KinceyAve. Suite 100 Asheville, NC 28804 Huntersville, NC 28078 mmpacefabs.com !� (828 )254-7176 (704 )875-9092 I Project: Kings Mountain Spill Response Pace Project No.: 9267703 Sample: CR-1 Parameters 6200B MSV Tetrachloroethene Toluene._ 1,2,3-Trichlorobenzene 1,2,4-Trichlorobenzene 1,1,1-Trichloroethane 1,1,2-Trichloroethane Trichloroethene Trichlorofluoromethane 1,2,3-Trichloropropane 1,2,4-Trimethylbenzene 1,3,5-Trimethylbenzene Vinyl chloride m&p-Xylene o-Xylene 1,2-Dichloroethane-d4 (S) Dibromofluoromethane (S) 4-Bromofluorobenzene (S) Toluene-d8 (S) Date: 04/28/2010 02:55 PM ANALYTICAL RESULTS Lab ID: 9267703003 Results Units Collected: Report Limit 04/16/10 15:20 MDL DF Received: 04/20/10 14:15 Matrix: Water Prepared Analyzed CAS No. Qual Analytical Method: SM 6200B 0.85 ug/L 0.50 0.50 1 04/27/10 17:52 127-18-4 _ND ug/L_- _ _._ _ _0.50 ._ 0.50 _1_ _ _ 04127/1017:52108-88-3 ND ug/L 2.0 2.0 1 04/27/10 17:52 87-61-6 ND ug/L 2.0 2.0 1 04/27/10 17:52 120-82-1 ND ug/L 0.50 0.50 1 04/2711017:52 71-55-6 ND ug/L 0.50 0.50 1 04/27/10 17:52 79-00-5 ND ug/L 0.50 0.50 1 04/27/10 17:52 79-01-6 ND ug/L . 1.0 1.0 1 04/27/10 17:52 75-69-4 ND ug/L 0.50 0.50 1 04/27/10 17:52 96-18-4 5.6 ug/L 0.50 0.50 1 04/27/10 17:52 95-63-6 ND ug/L 0.50 0.50 1 04/27/10 17:52 108-67-8 ND ug/L 1.0 1.0 1 04/27/10 17:52 75-01-4 1.6 ug/L 1.0 1.0 1 04/27/10 17:52 1330-20-7 1.1 ug/L 0.50 0.50 1 04/27/10 17:52 95-47-6 86 % 70-130 1 04/27/10 17:52 17060-07-0 92 % 70-130 1 04/27/10 17:52 1868-53-7 113 % 70-130 1 04/27/10 17:52 460-00-4 96 % 70-130 1 04/27/10 17:52 2037-26-5 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. n'elac,= Page 8 of 18 Pace Analytical Services, Inc. Pace Analytical Services, Inc. 1��aceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 �--' www.pacelabs.com Asheville, NC 28804 Huntersville, NC 28078 / (828)254-7176 (704)875-9092 t QUALITY CONTROL DATA Project: Kings Mountain Spill Response Pace Project No.: 9267703 QC Batch: OEXT/9787 Analysis Method: EPA 8015 Modified QC Batch Method: EPA 3546 Analysis Description: 8015 Solid GCSV Associated Lab Samples: 9267703001, 9267703002 METHOD BLANK: 431820 Matrix: Solid Associated Lab Samples: 9267703001, 9267703002 - - - - - -- - Blank _ Reporting - - - - - - Parameter Units Result Limit Analyzed Qualifiers Diesel Components mg/kg ND 5.0 04/26/10 11:32 n-Pentacosane (S) % 82 50-135 04/26/10 11:32 LABORATORY CONTROL SAMPLE: 431821 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Diesel Components mg/kg 167 167 100 50-114 n-Pentacosane(S) % 104 50-135 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 431822 431823 MS MSD 9267534002 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Diesel Components mg/kg ND 199 199 212 157 106 79 50-107 30 30 n-Pentacosane(S) % 118 84 50-135 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. nelacf Page 9 of 18 Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAna1XJca1 2225 Riverside Dr. 9800 KinceyAve. Suite 100 --' wwwpacelabs.com Asheville, NC 28804 Huntersville, NC 28078 (828 )254-7176 (704 )875-9092 i QUALITY CONTROL DATA Project: Kings Mountain Spill Response Pace Project No.: 9267703 QC Batch: MSV/10716 Analysis Method: SM 6200B QC Batch Method: SM 6200B Analysis Description: 6200B MSV Associated Lab Samples: 9267703003 METHOD BLANK: 433087 Associated Lab Samples: 9267703003 - Parameter Matrix: Water - -- - - Blank --------- Reporting--- Units Result Limit - Analyzed 1,1,1,2-Tetrachloroethane ug/L ND 0.50 04/23/10 13:05 1,1,1-Trichloroethane ug/L ND 0.50 04/23/10 13:05 1,1,2,2-Tetrachloroethane ug/L ND 0.50 04/23/10 13:05 1,1,2-Trichloroethane ug/L ND 0.50 04/23/10 13:05 1,1-Dichloroethane ug/L ND 0.50 04/23/10 13:05 1,1-Dichloroethene ug/L ND 0.50 04/23/10 13:05 1,1-Dichloropropene ug/L ND 0.50 04/23/10 13:05 1,2,3-Trichlorobenzene ug/L ND 2.0 04/23/10 13:05 1,2,3-Trichloropropane ug/L ND 0.50 04/23/10 13:05 1,2,4-Trichlorobenzene ug/L ND 2.0 04/23/10 13:05 1,2,4-Trimethylbenzene ug/L ND 0.50 04/23/10 13:05 1,2-Dibromo-3-chloropropane ug/L ND 1.0 04/23/10 13:05 1,2-Dibromoethane (EDB) ug/L ND 0.50 04/23/10 13:05 1,2-Dichlorobenzene ug/L ND 0.50 04/23/10 13:05 1,2-Dichloroethane ug/L ND 0.50 04/23/10 13:05 1,2-Dichloropropane ug/L ND 0.50 04/23/10 13:05 1,3,5-Trimethylbenzene ug/L ND 0.50 04/23/10 13:05 1,3-Dichlorobenzene ug/L ND 0.50 04/23/10 13:05 1,3-Dichloropropane ug/L ND 0.50 04/23/10 13:05 1,4-Dichlorobenzene ug/L ND 0.50 04/23/10 13:05 2,2-Dichloropropane ug/L ND 0.50 04/2311013:05 2-Chlorotoluene ug/L ND 0.50 04/23/10 13:05 4-Chlorotoluene ug/L ND 0.50 04/23/10 13:05 Benzene ug/L ND 0.50 04/23/10 13:05 Bromobenzene ug/L ND 0.50 04/23/10 13:05 Bromochlorom ethane ug/L ND 0.50 04/23/10 13:05 Bromodichloromethane ug/L ND 0.50 04/23/10 13:05 Bromoform ug/L ND 0.50 04/23/10 13:05 Bromomethane ug/L ND 5.0 04/23/10 13:05 Carbon tetrachloride ug/L ND 0.50 04/23/10 13:05 Chlorobenzene ug/L ND 0.50 04/23/10 13:05 Chloroethane ug/L ND 1.0 04/23/10 13:05 Chloroform ug/L ND 0.50 04/23/10 13:05 Chloromethane ug/L ND 1.0 04/23/10 13:05 cis- 1,2-Dichloroethene ug/L ND 0.50 04/23/10 13:05 cis-1,3-Dichloropropene ug/L ND 0.50 04/23/10 13:05 Dibromochloromethane ug/L ND 0.50 04/23/10 13:05 Dibromomethane ug/L ND 0.50 04/23/10 13:05 Dichlorodifluoromethane ug/L ND 0.50 04/23/10 13:05 Diisopropyl ether ug/L ND 0.50 04/23/10 13:05 Ethylbenzene ug/L ND 0.50 04/23/10 13:05 Hexachloro-1,3-butadiene ug/L ND 2.0 04/2311013:05 Isopropylbenzene (Cumene) ug/L ND 0.50 04/23/10 13:05 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. belac= Qualifiers Page 10 of 18 IV /® Pace Analytical Services, Inc. Pace Analytical Services, Inc. _ aceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 wv w.pacefabs.com Asheville, NC 28804 Huntersville, NC 28078 (828 )254-7176 (704 )875-9092 f Project: Kings Mountain Spill Response Pace Project No.: 9267703 METHOD BLANK: 433087 Associated Lab Samples: 9267703003 Parameter QUALITY CONTROL DATA Matrix: Water Blank Units Result Reporting Limit Analyzed Qualifiers m&p-Xylene ug/L ND Methyl-tert-butyl ether ug/L ND Methylene Chloride - - - - ug/L - - - - - -ND - - n-Butylbenzene ug/L ND n-Propylbenzene ug/L ND Naphthalene ug/L ND o-Xylene ug/L ND sec -Butyl benzene ug/L ND Styrene ug/L ND tert-Butyl benzene ug/L ND Tetrachloroethene ug/L ND Toluene ug/L ND trans-1,2-Dichloroethene ug/L ND trans-1,3-Dichloropropene ug/L ND Trichloroethene ug/L ND Trichlorofluoromethane ug/L ND Vinyl chloride ug/L ND 1,2-Dichloroethane-d4 (S) % 119 4-Bromofluorobenzene (S) % 87 Dibromofluoromethane (S) % 113 Toluene-d8 (S) % 102 METHOD BLANK: 434760 Matrix: Water Associated Lab Samples: 9267703003 Parameter Units Blank Result 1,1,1,2-Tetrachloroethane ug/L ND 1,1,1-Trichloroethane ug/L ND 1,1,2,2-Tetrachloroethane ug/L ND 1,1,2-Trichloroethane ug/L ND 1,1-Dichloroethane ug/L ND 1,1-Dichloroethene ug/L ND 1,1-Dichloropropene ug/L ND 1,2,3-Trichlorobenzene ug/L ND 1,2,3-Trichloropropane ug/L ND 1,2,4-Trichlorobenzene ug/L ND 1,2,4-Trimethylbenzene ug/L ND 1,2-Dibromo-3-chloropropane ug/L ND 1,2-Dibromoethane (EDB) ug/L ND 1,2-Dichlorobenzene ug/L ND 1,2-Dichloroethane ug/L ND 1,2-Dichloropropane ug/L ND 1,3,5-Trimethylbenzene ug/L ND 1,3-Dichlorobenzene ug/L ND 1,3-Dichloropropane ug/L ND 1.0 04123/1013:05 0.50 04/23/1013:05 - 2.0 - 04/23/10 13:05 0.50 04/23/1013:05 0.50 04/23/1013:05 2.0 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 0.50 04/23/1013:05 1.0 04/23/1013:05 1.0 04/23/1013:05 70-130 04/23/1013:05 70-130 04123/1013:05 70-130 04/23/1013:05 70-130 04/23/1013:05 Reporting Limit Analyzed 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 2.0 04/27/1017:08 0.50 04/27/1017:08 2.0 04/27/1017:08 0.50 04/27/1017:08 1.0 04/2711017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 Qualifiers Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS Page 11 of 18 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ,N �LCpyO o � elac= aceAnalXical vnmpacelabs.com i� i Project: Kings Mountain Spill Response Pace Project No.: 9267703 METHOD BLANK: 434760 Associated Lab Samples: 9267703003 Parameter Pace Analytical Services, Inc. Pace Analytical Services, Inc. 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 Asheville, NC 28804 Huntersville, NC 28078 (828)254-7176 (704)875-9092 QUALITY CONTROL DATA Matrix: Water Blank Units Result 1,4-Dichlorobenzene ug/L 2,2-Dichloropropane ug/L -2=Chlorotoluene - - - - -- ---ug/L-- ---- 4-Chlorotoluene ug/L Benzene ug/L Bromobenzene ug/L Bromochlorom ethane ug/L Bromodichloromethane ug/L Bromoform ug/L Bromomethane ug/L Carbon tetrachloride ug/L Chlorobenzene ug/L Chloroethane ug/L Chloroform ug/L Chloromethane ug/L cis-1,2-Dichloroethene ug/L cis-1,3-Dichloropropene ug/L Dibromochloromethane ug/L Dibromomethane ug/L Dichlorodifluoromethane ug/L Diisopropyl ether ug/L Ethylbenzene ug/L Hexachloro-1,3-butadiene ug/L Isopropylbenzene (Cumene) ug/L m&p-Xylene ug/L Methyl-tert-butyl ether ug/L Methylene Chloride ug/L n-Butylbenzene ug/L n-Propylbenzene ug/L Naphthalene ug/L o-Xylene ug/L sec-Butylbenzene ug/L Styrene ug/L tert-Butylbenzene ug/L Tetrachloroethene ug/L Toluene ug/L trans-1,2-Dichloroethene ug/L trans-1,3-Dichloropropene ug/L Trichloroethene ug/L Trichlorofluorom ethane ug/L Vinyl chloride ug/L 1,2-Dichloroethane-d4 (S) % 4-Bromofluorobenzene (S) % Dibromofluoromethane (S) % Toluene-d8 (S) % ND ND - - - ND - ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND ND 86 112 91 97 Reporting L imit Analyzed 0.50 04127/1017:08 0.50 04/27/1017:08 - - -0.50 04/27/10 17:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 5.0 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 1.0 04/27/1017:08 0.50 04/27/1017:08 1.0 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 2.0 04/27/1017:08 0.50 04/27/1017:08 1.0 04/27/1017:08 0.50 04/27/1017:08 2.0 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 2.0 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 0.50 04/27/1017:08 1.0 04/27/1017:08 1.0 04/27/1017:08 70-130 04/27/1017:08 70-130 04/27/1017:08 70-130 04/27/1017:08 70-130 04/27/1017:08 Qualifiers Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS Page 12 of 18 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. melacf = ® Pace Analytical Services, Inc. Pace Analytical Services, Inc. 2225 Riverside Dr. 9800 KinceyAve. Suite 100 1�.KaceAnalyticalvnvw.pacelabss.coomAsheville, NC 28804 Huntersville, NC 28078 (828)254-7176 (704)875-9092 I Project: Kings Mountain Spill Response Pace Project No.: 9267703 LABORATORY CONTROL SAMPLE: 433088 Parameter 1,1,1,2-Tetrachloroethane 1,1,1-Trichloroethane 1,1,2,2-Tetrachloroethane __.__l.,1,2-.Trichloroethane____.__ 1,1-Dichloroethane 1,1-Dichloroethene 1,1-Dichloropropene 1,2,3-Trichlorobenzene 1,2,3-Trichloropropane 1,2,4-Trichlorobenzene 1,2,4-Trimethylbenzene 1,2-Dibromo-3-chloropropane 1,2-Dibromoethane (EDB) 1,2-Dichlorobenzene 1,2-Dichloroethane 1,2-Dichloropropane 1,3,5-Trimethylbenzene 1,3-Dichlorobenzene 1,3-Dichloropropane 1,4-Dichlorobenzene 2,2-Dichloropropane 2-Chlorotoluene 4-Chlorotoluene Benzene Bromobenzene Bromoch lorom ethane Bromodichloromethane Bromoform Bromomethane Carbon tetrachloride Chlorobenzene Chloroethane Chloroform Chloromethane cis- 1,2-Dichloroethene cis- 1,3-Dichloropropene Dibromochlorom ethane Dibromomethane Dichlorodifluoromethane Diisopropyl ether Ethylbenzene Hexachloro-1,3-butadiene Isopropylbenzene (Cumene) m&p-Xylene Methyl-tert-butyl ether Methylene Chloride n-Butylbenzene n-Propylbenzene Date: 04/28/2010 02:55 PM QUALITY CONTROL DATA Units Spike Conc. LCS Result ug/L 50 50.9 ug/L 50 59.2 ug/L 50 54.0 _ ug/L. _ _ 50 _ __. 54,1 ug/L 50 65.3 ug/L 50 63.4 ug/L 50 63.4 ug/L 50 44.3 ug/L 50 48.3 ug/L 50 48.2 ug/L 50 56.1 ug/L 50 59.7 ug/L 50 49.8 ug/L 50 50.8 ug/L 50 60.2 ug/L 50 61.3 ug/L 50 57.1 ug/L 50 51.6 ug/L 50 53.8 ug/L 50 52.6 ug/L 50 56.7 ug/L 50 57.6 ug/L 50 56.2 ug/L 50 59.3 ug/L 50 58.5 ug/L 50 53.2 ug/L 50 59.2 ug/L 50 56.1 ug/L 50 52.6 ug/L 50 62.2 ug/L 50 50.7 ug/L 50 47.2 ug/L 50 59.4 ug/L 50 65.9 ug/L 50 63.2 ug/L 50 63.4 ug/L 50 53.3 ug/L 50 47.8 ug/L 50 52.8 ug/L 50 62.5 ug/L 50 52.0 ug/L 50 47.4 ug/L 50 52.2 ug/L 100 106 ug/L 50 61.4 ug/L 50 61.4 ug/L 50 59.6 ug/L 50 59.1 LCS % Rec 102 118 108 108 131 127 127 89 97 96 112 119 100 102 120 123 114 103 108 105 113 115 112 119 117 106 118 112 105 124 101 94 119 132 126 127 107 96 106 125 104 95 104 106 123 123 119 118 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ¢�r�elacf % Rec Limits 60-140 60-140 60-140 60-140 60-140 CL 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 60-140 Qualifiers Page 13 of 18 a Pace Analytical Services, Inc. Pace Analytical Services, Inc. AaceAnalytical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 / mwi.pacelabs.com Asheville, NC 28804 Huntersville, NC 28078 ( (828)254-7176 (704)875-9092 i QUALITY CONTROL DATA Project: Kings Mountain Spill Response Pace Project No.: 9267703 LABORATORY CONTROL SAMPLE: 433088 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Naphthalene ug/L 50 48.1 96 60-140 o-Xylene ug/L 50 51.9 104 60-140 sec-Butylbenzene ug/L 50 57.8 116 60-140 -Styrene-- ---------___-- ---ug/L_- _ -- -510- . 51.2--- 102 60-140 tert-Butyl benzene ug/L 50 53.1 106 60-140 Tetrachloroethene ug/L 50 47.3 95 60-140 Toluene ug/L 50 55.7 111 60-140 trans-1,2-Dichloroethene ug/L 50 63.9 128 60-140 trans-1,3-Dichloropropene ug/L 50 62.2 124 60-140 Trichloroethene ug/L 50 51.8 104 60-140 Trichlorofluoromethane ug/L 50 55.7 111 60-140 Vinyl chloride ug/L 50 57.2 114 60-140 1,2-Dichloroethane-d4 (S) % 114 70-130 4-Bromofluorobenzene (S) % 87 70-130 Dibromofluoromethane (S) % 108 70-130 Toluene-d8 (S) % 105 70-130 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 433089 433090 MS MSD 9267836008 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual 1,1,1,2-Tetrachloroethane ug/L ND 20 20 16.2 22.1 81 110 60-140 31 30 R1 1,1,1-Trichloroethane ug/L ND 20 20 20.5 27.3 102 137 60-140 29 30 1,1,2,2-Tetrachloroethane ug/L ND 20 20 16.9 23.1 84 115 60-140 31 30 R1 1,1,2-Trichloroethane ug/L ND 20 20 18.4 24.6 92 123 60-140 29 30 1,1-Dichloroethane ug/L ND 20 20 22.1 29.7 111 148 60-140 29 30 MO 1,1-Dichloroethene ug/L ND 20 20 21.7 27.8 108 139 60-140 25 30 1,1-Dichloropropene ug/L ND 20 20 21.0 27.3 • 105 137 60-140 26 30 1,2,3-Trichlorobenzene ug/L ND 20 20 14.0 21.8 70 109 60-140 43 30 R1 1,2,3-Trichloropropane ug/L ND 20 20 15.8 21.3 79 107 60-140 30 30 1,2,4-Trichlorobenzene ug/L ND 20 20 14.8 21.9 74 110 60-140 39 30 R1 1,2,4-Trimethylbenzene ug/L ND 20 20 18.7 25.3 93 126 60-140 30 30 1,2-Dibromo-3-chloropropane ug/L ND 20 20 16.9 24.6 84 123 60-140 37 30 R1 1,2-Dibromoethane (EDB) ug/L ND 20 20 15.7 21.3 79 106 60-140 30 30 1,2-Dichlorobenzene ug/L ND 20 20 16.7 23.3 84 116 60-140 33 30 R1 1,2-Dichloroethane ug/L ND 20 20 20.0 26.8 100 134 60-140 29 30 1,2-Dichloropropane ug/L ND 20 20 20.8 28.0 104 140 60-140 30 30 1,3,5-Trimethyl benzene ug/L ND 20 20 18.8 25.5 94 128 60-140 31 30 R1 1,3-Dichlorobenzene ug/L ND 20 20 16.8 23.1 84 115 60-140 31 30 R1 1,3-Dichloropropane ug/L ND 20 20 17.6 24.1 88 120 60-140 31 30 R1 1,4-Dichlorobenzene ug/L ND 20 20 17.1 23.1 85 115 60-140 30 30 2,2-Dichloropropane ug/L ND 20 20 13.5 21.1 68 105 60-140 44 30 R1 2-Chlorotoluene ug/L ND 20 20 19.6 26.5 98 133 60-140 30 30 4-Chlorotoluene ug/L ND 20 20 19.6 26.2 98 131 60-140 29 30 Benzene ug/L ND 20 20 20.2 26.6 101 133 60-140 27 30 Bromobenzene ug/L ND 20 20 20.2 27.7 101 138 60-140 31 30 R1 Bromochloromethane ug/L ND 20 20 20.2 27.1 101 136 60-140 29 30 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ,,,- . v `/Clelac= Page 14 of 18 Pace Analytical Services, Inc. Pace Analytical Services, Inc. _ aceAnalXical 2225 Riverside Dr. 9800 Kincey Ave. Suite 100 J www.pacelabs.com Asheville, NC 28804 Huntersville, NC 28078 t (828 )254-7176 (704 )875-9092 i QUALITY CONTROL DATA Project: Kings Mountain Spill Response Pace Project No.: 9267703 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 433089 433090 MS MSD 9267836008 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Bromodichloromethane ug/L ND 20 20 18.6 24.9 93 125 60-140 29 30 Bromoform ug/L ND 20 20 14.4 20.4 72 102 60-140 35 30 R1 ____,Bromomethane_ _ ug/L _. ND_ _ _ _20 __ 20 18.6 _. 24.1 _. _ 93 120 60-140 26 _ 30 Carbon tetrachloride ug/L ND 20 20 22.6 30.0 113 150 60-140 28 30 MO Chlorobenzene ug/L ND 20 20 17.3 23.0 87 115 60-140 28 30 Chloroethane ug/L ND 20 20 24.4 32.5 122 162 60-140 29 30 MO Chloroform ug/L ND 20 20 19.8 26.2 99 131 60-140 28 30 Chloromethane ug/L ND 20 20 20.2 26.8 101 134 60-140 28 30 cis-1,2-Dichloroethene ug/L ND 20 20 21.9 29.1 109 145 60-140 28 30 MO cis- 1,3-Dichloropropene ug/L ND 20 20 14.9 21.6 74 108 60-140 37 30 R1 Dibromochlorom ethane ug/L ND 20 20 15.5 21.5 77 108 60-140 33 30 R1 Dibromomethane ug/L ND 20 20 16.6 21.9 83 110 60-140 27 30 Dichlorod ifluorom ethane ug/L ND 20 20 17.1 22.0 85 110 60-140 25 30 Diisopropyl ether ug/L ND 20 20 21.0 28.7 105 143 60-140 31 30 MO,R1 Ethylbenzene ug/L ND 20 20 18.3 24.1 91 120 60-140 27 30 Hexachloro-1,3-butadiene ug/L ND 20 20 15.1 19.3 75 96 60-140 24 30 Isopropylbenzene (Cumene) ug/L ND 20 20 18.4 25.2 92 126 60-140 31 30 R1 m&p-Xylene ug/L ND 40 40 37.8 49.8 95 125 60-140 27 30 Methyl-tert-butyl ether ug/L ND 20 20 20.2 28.5 100 142 60-140 34 30 MO,R1 Methylene Chloride ug/L ND 20 20 20.0 27.1 100 135 60-140 30 30 n-Butylbenzene ug/L ND 20 20 19.2 27.4 96 137 60-140 35 30 R1 n-Propylbenzene ug/L ND 20 20 21.2 28.8 106 144 60-140 30 30 M0,R1 Naphthalene ug/L ND 20 20 14.3 22.3 72 111 60-140 44 30 R1 o-Xylene ug/L ND 20 20 18.4 24.9 92 125 60-140 30 30 sec-Butylbenzene ug/L ND 20 20 20.0 28.3 100 141 60-140 34 30 MO,R1 Styrene ug/L ND 20 20 16.5 21.7 83 108 60-140 27 30 tert-Butylbenzene ug/L ND 20 20 18.6 26.3 93 132 60-140 35 30 R1 Tetrachloroethene ug/L ND 20 20 15.5 20.4 78 102 60-140 27 30 Toluene ug/L ND 20 20 18.8 24.9 94 124 60-140 28 30 trans- 1,2-Dichloroethene ug/L ND 20 20 21.6 27.9 108 140 60-140 26 30 trans-1,3-Dichloropropene ug/L ND 20 20 13.9 20.4 70 102 60-140 38 30 R1 Trichloroethene ug/L ND 20 20 17.4 22.5 87 113 60-140 26 30 Trichlorofluoromethane ug/L ND 20 20 22.1 28.2 111 141 60-140 24 30 MO Vinyl chloride ug/L ND 20 20 20.5 25.7 102 129 60-140 23 30 1,2-Dichloroethane-d4 (S) % 114 113 70-130 4-Bromofluorobenzene (S) % 88 88 70-130 Dibromofluoromethane (S) % 109 109 70-130 Toluene-d8 (S) % 103 103 70-130 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. v ac Page 15 of 18 �Z aceAnal�%�Ica! J ` J vm wpacelabs.com 1 I Project: Kings Mountain Spill Response Pace Project No.: 9267703 QC Batch: PMST/3153 QC Batch Method: ASTM D2974-87 Associated Lab Samples: 9267703001, 9267703002 SAMPLE DUPLICATE: 433273 Parameter Units Percent Moisture % Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 Analysis Method: ASTM D2974-87 Analysis Description: Dry Weight/Percent Moisture 9267703001 Dup Max Result Result RPD RPD Qualifiers 9.2 9.8 7 25 SAMPLE DUPLICATE: 433274 9267980001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Percent Moisture % 14.4 16.1 11 25 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 16 of 18 _ aceAnal�/�ical J` / wvvipacelabs.com i QUALIFIERS Project: Kings Mountain Spill Response Pace Project No.: 9267703 DEFINITIONS Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL-Adjusted Method Detection Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. Pace Analytical is NELAP accredited. Contact your Pace PM for the current list of accredited analytes. U - Indicates the compound was analyzed for, but not detected. LABORATORIES PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS Cu The continuing calibration for this compound is outside of Pace Analytical acceptance limits. Analyte presence below reporting limits in associated samples. Results unaffected by high bias. MO Matrix spike recovery and/or matrix spike duplicate recovery was outside laboratory control limits. P3 Sample extract could not be concentrated to the routine final volume, resulting in elevated reporting limits. R1 RPD value was outside control limits. S4 Surrogate recovery not evaluated against control limits due to sample dilution. Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS Page 17 of 18 This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. �heac Pace Analytical Services, Inc. Pace Analytical Services, Inc. aceAnalytical 2225 Riverside Dr. 9800 KinceyAve. Suite 100 ( www.pacelabs.com Asheville, NC 28804 Huntersville, NC 28078 (828)254-7176 (704)875-9092 1 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Kings Mountain Spill Response Pace Project No.: 9267703 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 9267703001 SW-1 EPA 3546 OEXT/9787 EPA 8015 Modified GCSV/7511 9267703002 SW-2 EPA 3546 OEXT/9787 EPA 8015 Modified GCSV/7511 9267703003 CR-1 SM 6200B MSV/10716 _92677.03001__ _____ — .SW-1 ____ __-- ASTMD2974-87 _. PMST/3153 9267703002 SW-2 ASTM D2974-87 PMST/3153 Date: 04/28/2010 02:55 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. -(nelac Page 18 of 18 ; ceAnal ical www.pacela6s.com i CHAIN -OF -CUSTODY / Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Section B Section C Page: / of / Required Client Information: Required Project Information: Invoice Information: Company: • Report To: Attention: i �% 11 VCIY i � 19468 Addre;s pf 1 Copy To: Company Name: REGULATORY AGENCY' _ Address: j— NPDES j— GROUNDWATER r DRINKING WATER (— UST r RCRA ✓OTHER Email To:��'"^' .CS.�C�C�C �'t'SCdI�iK Purchase Order No. : [/ 7 �e�I7 /Qp� Pace Quote Reference: Phone: _ F (� 'yf �/ Project Name: //�% n Pace Project �! Site Location sraE:: Requested Due DaterrAT: Project Number. Vr, �- Pace Profile #: 2 9 Requested Analysis' - Filteted (YIN) Section D Matrix Codes �- z. Required Client Information MATRIX / CODE o O COLLECTED Preservatives %, Drinking Water DW V Z ' Water WT O Waste Water WW v m COMPOSITE COMPOSITE � W Product P — START END/GRAB Q Z Soil/Solid SL SAMPLE ID Wipe WP YL ° CO /jJt (A Z, 0-9 1 ,) Air AR w a. W N Fy /y �lV] //J]�'D Sample IDS MUST BE UNIQUE Tissue TS O D- � _Z Q o L (`'/li ✓ 1 G st Other OT U X Lu rw- w Z O Z , U w 1 � i tL �' O = O rn c L a� m ~ DATE TIME DATE TIME � = 2 2 Z Z 2 O y. Pace Project No./ Lab I.D. 2 -a sc G ,ors a a 3 �d 4 C- G rS"aZo 3 3 3 5 6 7 8 9 10 11 12 ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BY PAFFILIATION DATE TIME SAMPLE CONDITIONS t/�%s' +PCs y/6 jig i7Try CSdw , Z 1 , 2 SAMPLER NAME AND SIGNATURE I,. ORIGINAL PRINT Name of SAMPLER: /2 U l v} a o o0Z yZ DATE Si ned SIGNATURE of SAMPLER: _ __g 41Z Z E of — O m d E -f'aceAraEytical a SZry Client Name: �,�;,, IQAee Project # 1,4 q-710.3 Courier: ❑ Fed Ex ❑ UPS ❑ USPS ❑ Client ��n mmercial ,�J Pace Other OpUonaf Custody Seal on Cooler/Box Present: 1-1yes o Seals intact: ❑ yes no Prof Due Date N/R { Packing Material: ❑ Bubble Wrap Bubble Bags ❑ None ❑Other Thermometer Used T060 Type of Ice OVV Blue None Samples on ice, cooling process has begun Cooler Temperature Biological Tissue is Frozen: Yes No N/A Date and Initia p5 son fn' g Temp should be above freezing to 6°C contents: /d Comments: Chain of Custody Present. - Chain of Custody Filled Out. - Chain -of Custody Relinquished: - Sampler Name & Signature on COC: Samples Arrived within Hold Time: Short Hold Time Analysis (<72hr): ,,L6I No ❑ N/A 1. ❑No ❑N/A 2. Yes ❑No ' ❑N/A 3 L?IY ❑No ❑N/A 4. es El No NIA 5. ❑Yes No ,ON/A 6. Rush Turn Around Time Requested: Oyes 12 o ❑N/A 7. Sufficient Volume: Yes ❑No ❑N/A g. Correct Containers Used: Yes [INN/A g. -Pace Containers Used: ❑Ye ;No ❑N/A Containers Intact: Yes ❑No pN/ 10 . Filtered volume received for Dissolved tests ❑Yes No N/A 11 Sample Labels match COC: Yes ❑No ❑N/A 12. -Includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked, Yes ❑No ❑N/A 13. All containers needing preservation are found to be in compliance with EPA recommendation. Yes ❑No ❑N/A exceptions: VOA, coliform, TOC, O&G, WI-DRO (water) ❑Yes ❑No nitial when completed Samples checked for dechlorination: ❑Yes ❑No NIA 14. Headspace in VOA Vials ( >6mm): ❑Yes No ❑NIA 15. Trip Blank Present: ❑Yes ❑No 16. Trip Blank Custody Seals Present ❑Yes ❑No N/A Pace Trip Blank Lot # (if purchased): N/A Client Notification/ Resolution: Field Data Required? Y / N / N/A Person Contacted: Date/Time: Comments/ Resolution: Project Manager Review: W Date: 1,/ lote: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR :ertification Office ( i.e out of hold, incorrect preservative, out of temp, incorrect containarc) NC®ENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary May 11, 2009 , ,E 5 Mayor Alton Beal Town of Lattimore P.O. Box 272 Lattimore, NC 28089 CERTIFIED MAIL Return Receipt Requested M, AY 1 3 2009 DM-� . _ . o ..r: n:..I., �lu.:v �ison Subject: Notification of Watershed Program Deficiency Dear Mayor Beal: The purpose of this letter is to notify the Town of Lattimore of its program deficiency pursuant to N.C. General Statute § 143-214.5 for failing to implement a watershed protection ordinance in the Broad River watershed. The Water Supply Watershed Protection Act (N.C.G.S § 143-214.5) and Rule 15A NCAC 2B .0104(b) require that all local governments having land use jurisdiction within a water supply watershed adopt and implement land use ordinances. The ordinances must meet the minimum requirements of the Environmental Management Commission's (EMC) rules under 15A NCAC 2B .0200 for the classification assigned to the watershed. Failure by a local government to adopt land use ordinances after notice of the watershed reclassification can result in assumption of the local program by the EMC and civil penalties pursuant to N.C.G.S. 143-215.6A(e). As you are aware, the EMC reclassified a segment of the Broad River and other river sections, creeks, and lakes in the Town of Lattimore and surrounding areas (Broad River Basin) from Class C to Class WS-IV and WS-IV-CA. The reclassification became effective on March 1, 2007. , The Town of Lattimore was notified of the reclassification on March 6, 2007 and was given until December 1, 2007 to comply by adopting a watershed ordinance and map. The town failed to meet that deadline. DWQ initially informed the town of the deficiency in our letter of May 19, 2008. To date, we have not received a response. Pursuant to N.C.G.S. § 143-214.5, the EMC, or its designee, must notify a local government of program deficiencies and allow a local government a minimum of 120 days and a maximum of 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-6300 \ FAX: 919-807-6492 \ Customer Service:1-877-623-6748 NorthCarolina . Intemet:.www.ncwaterquality.org ��t�r�'��� An Equal Opportunity \ Affirmative Action Employer 6 365 days to bring its program into compliance. At anytime between 120 days and 365 days after local government receipt of notice, the EMC may determine that no substantial progress has been made. At such time that the EMC determines no substantial progress has been made, the EMC shall order assumption of a local program. Upon assumption of a local program, civil penalties of up to $10,000 per month may also be assessed pursuant to N.C.G.S §143-215.6A(e). This letter initiates the statutory notification process for the Town of Lattimore. Your receipt of this letter establishes the timeframe for compliance of 120 to 365 days. The Town of Lattimore must address this deficiency by adopting and implementing a watershed ordinance and map for the Broad River watershed. You may consider seeking assistance from Cleveland County in completing these actions and administering your watershed protection program. To avoid further enforcement action, the following actions must be taken: 1. Adopt and implement the appropriate watershed protection ordinance. 2. Submit to DWQ three copies of the town's ordinance for approval by the EMC or its designee. 3. Submit to DWQ an updated map indicating your local government boundaries (corporate and ETJ) and the location of the reclassified waters, including critical area and protected area boundaries within your jurisdiction. DWQ plans to present an update on the steps that the town has taken to bring its program into compliance at the July 2009 Water Quality Committee meeting. Please provide this office a report on the status of the city's compliance efforts by June 26, 2009. Please send this information to the attention of Julie Ventaloro at'NC DWQ, Wetlands and Storm -water Branch, 1617 Mail Service Center, Raleigh, NC 27604. Thank you for your prompt attention to this matter. If you need further assistance, please contact Julie Ventaloro at (919) 807-6370 or julie.ventalorota'-,ncdenr.gov. Sincerely, Matt Matthews Surface Water Protection Section Chief cc: Tom Martin, Flowers, Martin, Moore and Ditz, P.A., 212 South Dekalb St., Shelby, NC 28150 John Hennessy, NPS-ACO Unit Julie Ventaloro, Water Supply Watershed Protection Program Rob I reb_s;1Vloo er sv :fle-DWQ Enclosures 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 1�7One 1 Phone: 919-807.6300 \ FAX: 919-807-6492 \ Customer Service: 1-877-623-6748 i� OTthCCU* Alma Internet: www.ncwaterquality.org 9,N� //� Ari Equal Opportunity \ Affirmative Action Employer Natul UU11115ENGINEERS April 16, 2007 OFFICE APR 17 2007 r a•r - '�J tl' Public Water Supply Section NC Division of Environmental Health 1634 Mail Service Center Raleigh, North Carolina 27699-1634 Subject: Water System Improvements Chestnut Street Area Water Lines City of Shelby - Cleveland County - I.D. 0123010 Gentlemen: 925.014 (34) This letter is to verify that construction of the subject project has been completed in substantial compliance and intent of the plans and specifications approved under Division of Environmental Health serial number 06-00707 dated May 19, 2006. Yours very truly, WILLIS ENGINEERS cm, " -t /'� C. A. Willis, P.E. CAW: jcs cc: Mr. Brad R. Cornwell, PLS MQoresil e Reg oval -Office-> Cleveland County Health Department Registration Number 3322 ®g�n�fle®ae�os, SEAL 2 2, .r, ART" 1520 South Boulevard Charlotte, North Carolina 28203 704.377.9844 Fax 704.377.2965 EMERGENCY RESPONSE&TRAINING SOLUTIONS For those 2vho demand results August 4, 2006 NC Department of Environment and Natural Resources Mooresville Regional Office Division of Water Quality 610 East Center Ave. Mooresville, NC 28115 RE: Corrective Action Final Report Knight Transportation Diesel Fuel Release 2081West Dixon Blvd. Shelby, NC Cleveland County ERTS Project # 07252006ShelbyNC Dear Sirs, AND HATU' :L RESOURCE„ 0300REVU-7, ` '�00NAL OFF1 AUG 1 0 200-1 C ' ON The following serves as the final report detailing the emergency response and corrective action taken in response the incident that occurred on July 25, 2006, at the above referenced location. Incident Background: On, July 25, 2006 at approximately 1:00 am. EST, a Knight Transportation tractor -trailer suffered a diesel fuel release due to impact with a vehicle and brick sign which resulted in a puncture to the saddle tank. The punctured saddle tank released diesel fuel onto the lawn area. There was no water impact from the release. Emergency Response: On July 25, 2006, Knight Transportation retained Emergency Response and Training Solutions (ERTS) to manage and oversee environmental operations on their behalf. ERTS dispatched JBR Environmental to the scene to ensure the site was contained and secured. JBR Environmental personnel arrived onsite to perform containment operations of the released diesel. 8401 Chagrin Road, Suite 15B • Chagrin Falls, Ohio 44023 Tel. 440.543.2400 • Fax 440.543.2444 Regulatory Notifications: Pursuant to North Carolina regulations, ERTS notified the North Carolina Department of Environment and Natural Resources (NCDENR). The NCDENR did not issue a confirmation number to the report. Corrective Action: On July 28, 2006, Protect Environmental performed excavation of the diesel contaminated soils was completed. All diesel —impacted soils were containerized for transportation and disposal. The site was back -filled, regraded and reseeded to complete the remediation and restoration to original conditions. Waste Disposal: On July 28, 2005, 41.65 tons of diesel contaminated soil were transported to and disposed of at Environmental Soils in Lattimore, NC. Attached are the non- hazardous waste manifests (Appendix 1). Conclusion and Recommendations: No evidence was found that suggests any significant environmental impact remains on the sites following corrective action. ERTS recommends that the incident be closed and that no further assessment is needed. ERTS and Knight Transportation appreciate your assistance in this matter. If you have any questions regarding this project, please do not hesitate to contact me at (440) 543-2400 ext 302. Respectfully, Emergency Respons :andTraining Solutions Christine Kovach Project Manager CC: Greg Williams — Knight Insurance Appendix 1 Non -Hazardous Waste Manifests Environmental Soils Inc. PO Box 295 - Lattimore, NC 28089 Phone 704-434-0075 - Fax 704-434-9533 7 Ncin Hazardous Waste Manifest # Date U Load Number 22361 (numbered sequentially as trucks are dispatched) ENVIRONMENTAL CONSULTANT Contact: GEXER,4T0R_- Phone: Fax: Address: "Y' 1County: Contact: I ? Phone: WASTE OR[GJ7V,4T10NPOL?VT- omplete Address: _-Z tj Class &Type of Contaminate in soil K-14 4- .. - SOURCE, OF CONT_4MLV,4TI0N.• (ex. UST or other source) GENER,4TORS CERTIFIC,4TION OF WASTE CONSTITUEATTS. In lieu of submitting analytical data (methods 8240 and 82 70) verifying that the waste in question does not contain organic constituents other than those which would normally appear in analysis of virgin petroleum product residue, Iam submitting Certificate of Waste P tti rtifi as e Constituents. Icertify that I am familiar with the source of contamination of the soil and further certify the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators Signa Date: TRdNSPORTER- Contact: Phone: As the carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. Carrier Signature:. Date: , 1 4- TRUCK#: rT-Ay #: VOLUME: TRUCK DRIVER SIGNATURE: :"-/; DATE: DESTTVATION.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 I certify that- the carrier has delivered the materials described above to this facility, and I hereby accept this material ,for treatment and/or disposal in a manner that has been authorized by the Sate of North Carolina.') Facility Signature: Date: Signature: Date: Company. Name Tide: White/Facility .-yink/Carrier Golden -j�od/G&nerator Cknary/Invoic.e_ PPP , Environmental Soils Inc. PO Box 295 • Lattimore, NC 28089 Phone 704-434-0075 • Fax 704-434-9533 Non -Hazardous Waste Manifest # 2 2 3 6 2 Date - = 1,'.: Load Number _(numbered sequentially as trucks are dispatched) ENURONMENT4L CONSULTANT Contact: s '.: r' '� -,- ;�-< Phone: Fax: `iI �•, GENER,4TOR T7 1' i Address: + J°", F ..r _�,, ' County: Contact: /" �:. _ x.. c - 1 Phone: W14STE ORIGIM47YONPOINT Complete Address: A Class &Type of Contaminate in soil SOURCE OF CONTAMINATION.• (ex. UST or other source) GENER,ITORS CERTIFICATION OF W,ISTE CONSTITUENTS: In lieu ofsubmitting analytical data methods 8240 and 8270) verifying that the waste in question does not contain organic constituents other than those which would normally appear in analysis of virgin petroleum product residue, I am submitting this Certificate of Waste Constituents. I certify thatl am familiar with the source of contamination of the soil and further cert� the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators Signature: t �:,:;-„_� ,� ��1� _ ..,r„- i- - � �, 'r _. Date: r f<_t ,t TRANSPORTER: C- 6_1 C ) Contact: _. �;r < • �r Phone: As the carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. - i Carrier Signature:-`r�r: - r. Date: f r ', _ �< _�;-�•� TRUCK #: C� TAG #: VOLUME: % TRUCK DRIVER SIGNATURE: DATE:f�-r- , ` J DESTIN-ITION,• Environment;all Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 - I certify that the carrier has delivered the materials described above_to this facility, and.I hereby accept this material for treatment and/or disposal, in a manner that has been authorized by the Sate of North Carolina.. Facility Signature: Signature: _ r? Company Name Date: Title: Date: White/Facility . Canary/Invoice Pink/Carrier G-oldenrod/Generator. pppppr Environmental Soils Inc. _ .. PO Box 295 • Lattimore, NC 28089 Phone 704-434-0075 • Fax 704-434-9533 Non -Hazardous Waste Manifest # 22363 f Date %r! - _- `f'�j L Load Number �! (numbered sequentially as trucks -are dispatched) ENVIRON E : _ 1V� NT4L CONSULT4NT .J �"`' �� .. `:: '�- . j � it _�y,�� fit, Contact: ."a i J f. ' f ., ! Phone: Fax: GENERATOR- s Address: �r Y 1 ;Y r t 4iF y i,.. { ` '. f J T'rb r': e! ti 1 County: �` ! Contact: Phone:' W12STE ORIGIN,ITIONPOINT Complete Address: Class &Type of Contaminate in soil SOURCE OF CONT4MLV,4TI0N (ex. UST or other source) GENEP,4TORS CERTIFICATION OF WJSTE CONSTITUENTS: In lieu of submitting analytical data methods 8240 and 8270) verifying that the waste in question does not contain organic constituents other than those which would normally appear in analysis of virgin petroleum product residue, I am submitting this Certificate of Waste Constituents. I certify thatl am familiar with the source of contamination of the soil and further certify the source; to the best of my knowledge, contains no contaminants other than that listed above. GeneratQrsxgnaxure=_ IJate: TP.ANSPORTER: ;' .... . Contact:. Y- ,..+, w� ; -= .1G ^ r - �^:�'' � r i ' iv�� Phone: As the, carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. '.1i , Carrier Signature: ,/ ..� -ti�:�� .- '7, /1 ;.� - Date: <- I " TRUCK #: �' ;-�-� %�, ..._., r TAG #: VOLUME: , TRUCK DRIVER SIGNATURE: DATE,: 1 r` DESTINATION • Environmental Soils Inca 91Q Crowder -Rd, Shelby,ANC 28150 Dedicated Land Application Site Permit #SR03;00038 I certify that-t.e carrier has. delivered the materials described, above to this facility, and I hereby accept this material for treatment'and/or disppsal in a manner that has been. authorized by the Sate of North Carolina. . Facility Signature: f _ - F Date: f `" /f JR I Signature: %' r' .t h� is ::': 'r -- :-•Bate: Company Name Title: White/Facility Canary/Invoice :.- Pink. Carrier. Goldenrod/Generator Fax: GENER,4TOR- Address: County: tL- Contact: Phone: 16' S_ �9 MSTE ORIG17VATIONPOINT. Complete Address,: Class &-Type of Contaminate in soil SOURCE OF CONT4MLV,47I0N• (ex. UST or other source) GENERdTORS CERTIFICATION OF W_4STE CONSTITUENTS. In lieu of submitting analytical data (methods 8240 and 82 70) verifying that the waste in question does not contain organic constituents other than those which would normally appear in analysis of virgin petroleum product residue, Iam submitting this Certificate of Waste Constituents. Icertify thatlainfamiliar with the source of contamination of the soil and further certify the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators Signature: : Date T10%."SPORTE Contact: Phone: As the carrier, I certify that the materials described abova�5eing"' shipped under this non -hazardous materials manifest ani est are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. Carrier Signature: Environrnentad Soils Inc. PO Box 295 - Lattimore, NC-28089 Phone 704-434-.0075 - Fax 704-434-9533 Non -Hazardous Waste Man ifest #22364 Date Load Number. (numbered sequentially as trucks are dispatched) ENVIRONMENTAL CONSULTANT - Contact: Phone: Date: ti 21'r TRUCK #: TAG #: VOLUME: 10-4 TRUCK DRIVER SIGNATURE:)Xf, / DATE: DESTINATION. Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 I certify that the carrier has delivered the materials described above to this facility, and I hereby accept this material for treatment and/or disposal in '' ' er that has been authorized by the Sate of North Carolina. Amann Facility Signature:; f -Date: f Signature: i Date: Company Name Title: White/Facility Canary/lnwice...'.. Pink/Carrier Goldenrod/Generator." aceAnalytical cvrevpaLWabS-rom CHAIN -OF -CUSTODY / Analytical' Request Document The Chain-cf-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section A Required Client Information: Section B Required Project Information: Section C Invoice Information: Page: \ of Company: PROTECT Environmental Services Report To: David Hadster Attention: David Hardister REGULATORY Address: 7104 Sandy Pines Or Copy To: Company Name: PROTECT Environmental Services S r GROUND WATER r- DRINKING WATER Youngsville, NC 27596 Address: 7104 Sand Pines Dr Youn sviile, NC 27596 r- RCRA t' OTHER Email To: ftardister(@wearotect.us Purchase Order No.: Pace Quote Reference: JF11tered j� GA I- IL r IN I- MI .4;AC Phone: 877-524-2005 Fax: 919-556-2508 Project Name: Cleveland Yutaka Pace Project Manager. • j-'- OH j" SC r WI j-• OTHER - Requested Due DatarrAT: Project Number. Pace Profile #: ) Section D Required Client InformationValid SAMPLE ID One Character per box. (XZ, 0-9 / ,-) WSamplelDsMUST ~ Mix CodesMATRI 0 orsamawnm+ ON „mow Bwr „, P M a— re w x a 12 0 o r, COLLECTED a 2 o 9 8o m Z Preservatives Requested arysls: cJ a Pau pm Lab IJ-tND m - ` CT _ r = d 6 COMPOSITE START coarosreaaoaRae DATE TIME DATE TIME A P C 1 2 6 0 1 D C SL G 1 725/06 8:00 725/06 8:05 A P C 1 2 6 0 G C `SL G 725/06 8:10 725/06 8:15 �+ A P C 1 2 6 0 C L SL G 725/06 15:20 725/06 15:25 Additional Comments: • • • • SAMPLE CONDITIONS SAMPLER NAME AND SIGNATURE PRINT N e of SAMPLER; 610NA1-UR of PLEB: dzO'STE,2 DATE Signed ( DD//�/y) U S r a� o d o a 02 S c m E e-File(ALLQ020rev.3,31 Mar05))22Jun2005 EMERGENCY RESPONSE&TRAINING SOLUTIONS For those 2vho demand results August 18, 2006 NC Department of Environment and Natural Resources Mooresville Regional Office Division of Water Quality 610 East Center Ave. Mooresville, NC 28115 RE: Corrective Action Final Report Knight Transportation Diesel Fuel Release 2081West Dixon Blvd. Shelby, NC Cleveland County ERTS Project # 07252006ShelbyNC Dear Sirs, AND NATURAL RESOURCES 'nOORES` ILLS a ECIC�##� OFFICE AUG 2 1 2006 The following serves as the amended final report detailing the emergency response and corrective action taken in response the incident that occurred on July 25, 2006, at the above referenced location. Incident Background: On, July 25, 2006 at approximately 1:00 am. EST, a Knight Transportation tractor -trailer suffered a diesel fuel release due to impact with a vehicle and brick sign which resulted in a puncture to the saddle tank. The punctured saddle tank released diesel fuel onto the lawn area. There was no water impact from the release. Emergency Response: On July 25, 2006, Knight Transportation retained Emergency Response and Training Solutions (ERTS) to manage and oversee environmental operations on their behalf. ERTS dispatched JBR Environmental to the scene to ensure the site was contained and secured. JBR Environmental personnel arrived onsite to perform containment operations of the released diesel. 8401 Chagrin Road, Suite 15B • Chagrin Falls, Ohio 44023 Tel. 440.543.2400 • Fax 440.543.2444 Regulatory Notifications: Pursuant to North Carolina regulations,. ERTS notified the North Carolina Department of Environment and Natural Resources (NCDENR). The NCDENR did not issue a confirmation number to the report. Corrective Action: On July 28, 2006, Protect Environmental performed excavation of the diesel contaminated soils. Samples were taken to verify clean closure. The analytical data is attached as Appendix 1. All diesel —impacted soils were containerized for transportation and disposal. The site was back -filled, regraded and reseeded to complete the remediation and restoration to original conditions. Waste Disposal: On July 28, 2005, 41.65 tons of diesel contaminated soil were transported to and disposed of at Environmental Soils in Lattimore, NC. Attached are the non -hazardous waste manifests (Appendix 2). Conclusion and Recommendations: Based on contractor observations and review of analytical results, no evidence was found that suggests any significant environmental impact remains on the sites following corrective action. ERTS recommends that the incident be closed and that no further assessment is needed. ERTS and Knight Transportation appreciate your assistance in this matter. If you have any questions regarding this project, please do not hesitate to contact me at (440) 543- 2400 ext 302. Respectfully, Emergency Response and Training Solutions Christine Kovach Project Manager CC: Greg Williams — Knight Insurance Appendix 1 Analytical Data _ .. aceAnalytical60 www.pacoiabs.com August 11, 2006 Mr. David Hardister Protect Environmental 7104 Sandy Pine Drive Youngsville, NC 27596 RE: Lab Project Number: 92124440 Client Project ID: Cleveland Yutaka Dear Mr. Hardister: Pace Analytical Services, Inc. 9800 Kinccy Avenue:, Suite 100 Huntersvillo, NC 26078 Phone; 704.875.9092 Fax: 704, 075.9091 Pace Analytical Services, Inc. 2225 Riverside: Drive Asheville, NC 28804 Phone. 828,254.7176 Fax, 828.252.4618 Enclosed are the analytical results for sample(s) received by the laboratory on August 2, 2006. Results reported herein conform to the most current NELAC standards, where applicable, unless otherwise narrated in the body of the report. Inorganic Wet Chemistry and Metals Analyses were performed at our Pace Asheville laboratory and Organic testing was performed at our Pace Charlotte laboratory unless otherwise footnoted. If you have any questions concerning this report please feel free to contact me. Sincerely. k I-L ltv Kate Knauff kate.knauff@pacelabs.com (704) 875-9092 ext. 236 Project Manager Enclosures As Mlle c. tef ificatia REPORT OF LABORATORY ANALYSIS NC Wastewater 40 This report shall not be reproduced, except in full, NC Drinking Water 37712 without the written consent of Pace Analytical Services. Inc. so 99030 �r, roh FL NELAP E87648 ^�� °' f ;Mac fLariotty Certification IDs NC Wastewater 12 NC Drinking Water 37706 SC 99006 FL NELAP E87627 Ed Wd06:b6 960E 91 '6nd i36SESISS616: 'ON Xdd SaotnJaS l?1uawu0uinu3 iO3iOLld: WONA s. ace Analytical o wwur.pacelabs.conr Solid results are reported on a dry weight basis Lab Sample No: 927261693 Client Sample ID: APC1260 DC Pace Analytical Services, Inc. 9800 Kinney Avenue, Suite 100 Nuntelsvillc, NC 28078 Phone., 704.875.9092 Fier. 704.875.9091 Pace Analytical Services, Inc. 2225 Riverside Drive Asheville, NC26804 Phone'826.254.7176 Fax, 826.252.4618 Lab Project Number: 9212444D Client Project ID: Cleveland Yutaka Project Sample Number: 92124440-001 Date Collected: 07/25/06 08:05 Matrix: Sail Date Received: 08/02/06 10:45 Parameters Results Units Report Limit Analyzed By CAS No. Qual R,egLmt Wet Chemistry Percent Moisture Method: X Moisture Percent Moisture 17.9 X 08/02/06 17:58 TNM GC Semivolatiles TPH in Soil by 3545/8015 Diesel Fuel n-Pentacosane (S) Date Extracted Date: 08/11/06 hevilk Certifiution l9 NC Wastewater 40 NC Drinking Water 37712 5C 99030 FL NELAP E81648 Prep/Method: EPA 3545 / EPA 8015 11000 mg/kg 1200 0 08/03/06 08/07/06 20:31 KBS 08/07/06 20:31 KBS 08/03/06 REPORT OF LABORATORY ANALYSIS This report shall not be reprudticed, except in full, withuut the written consent of Pace Analytical Scrvlces. Inc. pt nccdgai • et; s ;e hmr- 68334.30-5 629-99-2 1 Page: 1 of a c4mgte ' qedjration Uh NO Wastewater 12 NC Drinking Water 37706 SC 99006 FL NELAP E87627 zd Wdlo:b0 900E 9T -6nd 80SE9SS6TG: 'ON Xti.d SaainuaS (eluawuo.alnu0 10910idd: WONJ _ aceAnalytical ° www. pacclabs. cnm Lab Sample No: 927261701� Client Sample ID: APC1260 GC Pace Analytical Se"Ices, Inc. 9800 Kllle;QV Avenue, Srrite 100 Nuntersvillc, NC 28078 Phone; 704.67,5. y092 Fix: 704.875.9091 Pace Analytical Services, Inc. 2225 Riverside Drive Asheville, NO 26804 Phone: 828.254.7176 Fix.- 828.252,4618 Lab Project Number: 92124440 Client Project I0: Cleveland YuL'aka Project Sample Number: 92124440-002 Date Collected: 07/25/06 08:15 Matrix: Soil Date Received: 08/02/06 10:45 Parameters .Results Units Report Limit Analyzed By CAS No. Qual Re9Lmt Wet Chemistry Percent Moisture Method: % Moisture Percent Moisture 17.2 V 08/D2/06 17:58 TNM GC Volatiles GAS. Soil Gasoline 4-Bromofluorobenzene (S) Date; 08/11/06 Ashev' CertifiS�a&.IUB NC Wastewater 40 NC Drinking Water' 37712 SC 99030 FL NELAP E87648 Method: EPA 8015 NO Ong/kg 7.2 08/07/06 20:14 DHW 90 % 08/07/06 20:14 DHW 460-00-4 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced. except in full, without the written consent of Paco Analytical Services, Inc. 1� AI: L'OyA Page: 2 of 8 Chart Certifi n IN NO Wastewater 12 NC Drinking Water S7706 SC 99006 FL NELAP E87627 bd WdT0:b0 900E 9T '6nd 80SF9SS6T6: 'ON Xdd saOlnJag 121uawu0,A1nu3 10310dd: WONJ _ . ace Analytical www.pacelabs.com Lab Sample No: 927261719 Cl-ient Sample ID: APC1260 CL Pace Analytical Services, Inc. 9800 ICincey Avenue, Suite 100 Pluntersville, NC 28078 Phone: 704.875.9092 Far:704.875.9091 Pace Analytical Services, Inc. 2225 Riverside Drive AyhavIlle, NC 28804 Mono: 828.254.7776 . Pax: 628.252.4618 Lab Project Number: 92124440 Client Project Iu: Cleveland Yutaka Project Sample Number: 92124440.003 Date Collected. 07/25/06 15:25 Matrix: Soil Date Received: 08/02/06 10:45 Parameters Results Units Report Limit _ Analyzed By CAS No, Qual Re2Lmt Wet Chemistry Percent Moisture Method: X Moisture Percent Moisture 34.6 . % 08/02/06 17:59 TNM GC Semivolatiles TPH in Soil by 3545/8015 D'lesel Fuel n-Pentacosane (S) Date Extracted Date: 08/11/05 A ±eville ►tific• 'nn Ift NC Wastewater 40 NC Drinking Water 37712 Sc 99030 FL NELAP E87648 Prep/Method: EPA 3545 / EPA 8015 No mg/kg 7.6 57 X 08/08/06 08/10/06-13:38 KBS 68334-30.5 08/10/06 13:38 KBS 629.99.2 08/08/06 REPORT OF LABORATORY ANALYSIS This *report sliall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc. ineiacC , Page: 3 of 8 CharlotteCILtIftioatiQLM NC Wastewater 12 NC Drinking Water 3770B Sc 99006 FL NELAP E87627 Sd WdT0:vo 900z 9T -6nd 80Sz9SSST6: 'ON XHd saoln, % i21uawueulnu3 1OEIiO'ld: W06A aceAnalytical www.pacelabs.com PARAMETER FOOTNOTES Paco Analytical Services, Inc. 9800 Kincoy Avenue, Suite 100 Huntersville, NC 28078 Phone: 704.875.9092 Fax, 704.875.9091 Pace Analytical Services, Inc. 2225 Riversido Drive Asheville, NC 28804 Phone: 828.254.717E Fax: 628.252.4618 Lab Project Number: 92124440 Client Project ID: Cleveland Yutaka Method 9071E modified to use ASE. All pH, Free Chlorine, Total Chlorine and Ferrous Iron analyses conducted outside of EPA recommended iineediate hold time. Depending on the moisture content the PRLs can be elevated for all soil samples reported on a dry weight basis. 2-Chloroethyl vinyl ether has been shown to degrade in the presence of acid. ND Not detected at or above adjusted reporting limit NC Not calculable J Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit MDL Adjusted Method Detection Limit (S) Surrogate Ill Surrogate standards were not recovered due to sample dilution. Date; 08/11/06 Page: a of 8 Ast ille Ge fica-- DLs REPORT OP LABORATORY ANALYSIS NG Wastewaterratio 1 IU,4 NG Wastewater 40 This report shall not qe reproduced, except in full, NG Drinking Water 37706 NG Drinking Wator 37712 without the written consent of Paco Analytical Services, Inr. sC 99006 SG 99030 a %� FL NELAP E87627 FL NELAP E87648 <``', �`• 9d Wd1;0:b0 900E 9T '6nd 80SE9SS6T6: 'ON Xtid s03in. DS 121uawu0.u1nu3 10910Nd: WONA Pace Analytical Services, Inc. Pace Analytical Services, Inc. 9800 Kinney Avenue, Suite 100 2225 Riverside- Drive Huntersville, NC 28078 Asheville, NC 28804 Analytical o Phone: 704.875.9092 Phone: 828.254.7176 Fax 704.875.9091 Fax. 626.252.4618 www.pace►ahs.coin QUALITY CONTROL DATA Lab Project Number: 92124440 Client Project ID: Cleveland Yutaka QC Batch: 163980 Analysis Method: EPA 8015 QC Batch Method: EPA 3545 Analysis Description: TPH in Soil by 3545/8015 Associated Lab Samples: 927261693 927261719 METHOD BLANK: 927269159 Associated Lab Samples: 927261693 927261719 Blank Reporting Parameter Units Result Limit Footnotes Diesel Fuel mg/kg ND 5.0 n-Pentacosane (S) X 90 LABORATORY CONTROL SAMPLE: 927269167 spike LCS LCS Parameter Units Conc. Result 9 Rec Footnotes Diesel Fuel mg/kg 165.70 149.0 89 n-Pentacosane (S) 123 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 927269176 927269183 927267419 Spike MS MSD MS MSD Parameter Units Result Conc. Result Result X Rec X Rec RPD Footnotes Diesel Fuel mg/kg 3.496 179.80 134.5 132.8 73 72 1 n-Pentacosane (S) 101 103 page: 5 of a Date: 08/11/96 Asheville C re tifica n Ins REPORT OF LABORATORY ANALYSIS _ Charlotte Ce ' 'c:ation.l >S NC Wastewater 12 NC Wastewater 40 This report shall no( be reproduced, except in full, NC Drinking Water 37706 NC Drinking Water 37712 wittwuttile written consent of Paco Analytical Services, Inc. SC 99006 SC 99030 wn �x ^�«hFL NELAP E87627 FL NELAP E87648 --- -- — — - - - Zd WdTO:b0 900E 91 -,6nti 80SESISS616: 'ON Xtid saO'AaaS I21-uawuOui6ud 103-LONd: WOdd Pace Analytical services, Inc. 9800 Kincey Avenue, Suite 100 Huntersville, NO 28078 Analytical © Phune: 704.875.909 hux: 704.875.9091 www.pacelabs.com QUALITY CONTROL DATA Pace Ana►yncei aervjvuas, mu. 2225 Riverside Drive Asheville, NC 28804 Phone: 628.254.7170 Fax: 628.252.4618 Lab Project Number: 92124440 Client Project ID: Cleveland Yutaka QC Batch: 164298 Analysis Method: EPA 8015 OC Batch Method: EPA B015 Analysis Description: GAS, Soil Associated Lab Samples: 927261701 METHOD BLANK: 927280834 Associated Lab Samples: 927261701 Blank Reporting Parameter Units Result Limit Footnotes Gasoline mg/kg NO 6.0 4-Bromofluorobenzene (S) 9 72 LABORATORY CONTROL SAMPLE: 927280842 Spike LCS LCS Parameter Units Conc, Result X Rec Footnotes Gasoline mg/kg 31.25 45.34 145 4-Bromofluorobenzene (S) 71 SAMPLE DUPLICATE: 927280867 Parameter Units Gasoline mg/kg 4-Bromofluorobenzene (S) X Date: 08/11/06 927259911 OUP Result Result RPD Footnotes NO NO NC 112 82 shevigeC_ertifi tion.Qa REPORT OF LABORATORY ANALYSIS NG Wastewater 40 This report shall not be reproduced, except in full, NC Drinking Water 37712 without the written consent of Pace Analytical SBrvices, Inc. $13 99030 FL NELAP E87048 `v ne�ac Page: 6 of e QL01lotte C.Lrfificatlon IDs NC Wastewater 12 NC Drinking Water 37706 gC 99006 I-L NELAP E87627 8d WdZ0:b0 900e 91 -6nd BOSE9996T6: 'ON XUA S20TAU2S 12TUMUOUtnU3 1031ONd: WONA Pace Analytical Services, Inc. 9800 Kincey Avenue, Su to 100 Hunlensville, NO 28078 Analytical Phone, 704.875.909 Fax.' 704.875.9091 www.pacelabs.com QUALITY CONTROL DATA Pace Analytical Services, Inc. 2225 Riverside- Drive Asheville, NO 28804 Phone; 828,254.7176 Fax, 828•P,52.4h18 Lab Project Number: 92124440 Client Project I0: Cleveland Yutaka QC Batch: 163899 Analysis Method:rX Moisture QC Batch Method: Analysis Description: Percent Moisture Associated Lab Samples: 927261693 927261701 927261119 SAMPLE DUPLICATE: 927265702 927264697 DUP Parameter Units Result Result RPD Footnotes Percent Moisture z 24.80 24,80 0 Bate; 05/11/06 AshGuLe Ge firatiQ( 1Ds NC Wastewater 40 NC Drinking Water 37712 SC . 99030 FL NELAP E87648 REPORT OF LABORATORY ANALYSIS This repoit shalt not be reproduced, except in full, without the written consent of Paco Analytical Services, Inc. �N nrcuyn 4i Page: 7 of 8 Qharlo rtillcdt{on IDS NC Wastewater - 12 NC Drinking Water 37706 SC 99006 FL NELAP E87627 6d WdZO:b0 900Z 9Z '6n d 80SZ9SS616 : 'ON XUA s ao ; n,la8 l uluaUJUOU T nu8 10=6d : W06A ace Analytical O' www pacoiabs.com QUALITY CONTROL DATA PARAMETER FOOTNOTES Pace Analytical Services, Inc. ,9800 Kincey Avenue, Suite 100 Huntersville, NC 28078 Phone; 704.875.9092 Fax., 704.875.9091 Pace Analytical Services, Inc. 2225 Riverside Drive Asheville, NC 28804 Phone: 828,054.7176 Fix. 828.252.4618 Lab Project Number:'92124440 Client Project ID: Cleveland Yutaka Consistent with EPA guidelines, unrounded concentrations are displayed and have been used to calculate X Rec and RPD values. LCS(D) Laboratory Control Sample (Duplicate) MS(D) Matrix Spike (Duplicate) DUP Sample Duplicate NU Not detected at or above adjusted reporting limit NC Not Calculable J Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit MUL Adjusted Method Detection Limit RPU Relative Percent Difference (S) Surrogate Date: 06/11/06 AS ville, rtificd L ID.S NC Wastewater 40 NC Drinking Water 37712 5C 99030 FL NELAP E87648 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Ine. ,a �4COgG °�relc �. Page: 8 of 8 G • riotte rtlficati�[l IDS NC Wastewater 12 NC Drinking Water 37706 SC 99006 FL NELAP E87527 8Td WdEO:00 900E 9T -6n ti 80Si?9SSGT6: 'ON Xdd saO1AUag tE;UaWUOJtnUd i33iONd: WOHJ / e2eAnd"car Section A itequlnd CYmRi lilofi: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chartwf-CuADdy is a LEGAL DOCUMENT. All r0evard ftelds must De=mpW1ed —rat*- SOCHon B Section C P d itewrhod pmisd Irdanvfnn: Irtvdw lnromtadon: Carps. PROTECT Er>r=mwr t Sarvlcas Report To: DawW Ha tdw Abwdkirr David HardisW - NPDES i GROUNDWATER - DRINKW-%YAER r UST r RCS` uniER_ Addlem: 7104 Sandy Ptws Or CopyTo: CompeM Name PROTECT Envirorlmerllal Services rowgsIlle• NCn"-ss - 7104 SancjV Pines Or Youngsville, KC 27596 r GA r- 1- IN ,- Mr 441C �n0i1T« air.-�r�is�r rotz�i:�5 PundLaseorda"O.: Pam r DH r SC - vw r oTHER-V-- It d Me Phaa: 5T1o74-M Fes: 819-M&M PR�iedNw D>�IdYut&" P— M R"wetodDoDaUfrAT PrgeetNimbar_ PaerPmfileg: i a„ SeCtion D q@q*ed Crnotlffxmw6w vceew . MnTqjcc f COLLECTED Fvasma6,vs SAMPLE ID „:.�, o ° a Mrs bile Chai7dK pBC Dale onaa K ~ m W J D • '1!' S tArZ.�Dif% WW q C01906'IE'JfARr �OOu! M. D p Sa gw. IDS wisT 8E UreQue aD f �+ u C `o PS Mepd 5 tan r DATE TOM DATE TIME i z` • i ' A P C 1 i 6 D 1 01 C I I I SL I G Ire" 77LSM 8:16 I A P C 1121.6 0 = G C i SL G7125.Va B;10 7R51o6 8:15 A P C 1 2 5 1. 0 1 C L ? SL f G 7J25M 1 1520 7725M 18:25 ! l- j 1 I � . I i t QAY9" F Co11rn1TIDUS AditoW Cair ikwi , O 3 �11 O --I m n —1 ITI c 7 0 7 a tD C+ W N r0 7 Q f8 N lD F-� lD to LA 9) 19 O e-Fi*ALLQ020rev_3,3?h1aeO5Y 22JUP2005 Appendix 2 Non -Hazardous Waste Manifests Environmental Soils Inc. PO Box 295 - Lattimore, NC 28089 Phone 704-434-0075 - Fax 704-434-9533 Nc . in- Hazardous Waste Manifest # 22361 Date Load Number (numbered sequentially as trucks are dispatched) EAWIRONMENT4L CONSULT4NT- Contact: Fax: GENEX4TOR_- Address: County: 0 Contact: 7 7 - Al Phone: WWSTE ORIGLVATIONPOINT- Complete Address: Phone: Class &Type of Contaminate in soil k SOURCE'OF CONT4MINATION. (ex. UST or other source) GENERATORS CERTIFICWTION OF W,4STE CONSTITUENTS. In lieu ofsubmitting analytical data (methods 8240 and8270) ver�ing that the waste in question does not contain organic constituents other than those wbicb would normally appear in analysis of virgin petroleum product residue, Iam submitting Certificate of P tt rt�i Waste Constituents. Icert� that Iamfamiliar with the source of contamination of the soil and furtber cert� the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators Signature: Date: TR,4WSPORTER: t :a Contact: Phone: As the carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. Carrier Signature:,, Date: TRUCK#: 7- rT-AG #: VOLUME: TRUCK DRIVER SIGNATURE:; DATE: DESTIN,4710N.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 I certifythat the carrier has delivered the materials described above to this facility, and I hereby accept this material for,treatment and/or disposal in a manner that has been authorized by the Sate of North Carolina. Facility Signature: if Signature: Date: Company Name Title: Date: White/Facility Canary/Invoice.. .-Pink/Carrier -Goldenrod/Ge'nerator Environmental Soils Inc. PO Box 295 • Lattimore, NC 28089 Phone 704-434-0075 • Fax 704-434-9533 r Non -Hazardous Waste Manifest # 2 2 3 6 2 Date ' ' .' ;.;. Load Number _(numbered sequentially as trucks are dispatched) ENVIRONMENT4L CONSULTANT - Contact: f _ �, a Phone: Fax: a . GENERf4TOR: Address: <_ f s` = f a ,t.. _ !:4- - - County: Contact: Phone: W-4STE ORIGI VATIONPOINT Complete Address: . 2.stj Class &Type of Contaminate in soil 3` SOURCE OF CONT4MLM4TION.• (ex. UST or other source) I GENER4TORS CERTIFIC,47ION OF W-4STE CONSTITUENTS: In lieu of submitting analytical data methods 8240 and 8270) verifying that the waste in question does not contain organic constituents other than those which would normally appear in analysis of virgin petroleum product residue, Iam submitting this Certificate of Waste Constituents. I certify that am familiar with the source of contamination of the soil and further certio the source, to the best of my knowledge, contains no contaminants other than that listed above. _ . S _r-Generators Signature:� ���_ `- Date:_ - '.1 TX 4NSPORTER: Contact: _ - . , �.., Phone: r' As the carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. =' _ r I i Carrier Signature: _ , Date: �•�.� <: �_� - TRUCK #: TAG #: VOLUME: TRUCK DRIVER SIGNATURE: _ _r DATE: DEST VATION.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 - I certify that the carrier has delivered the materials described above to this facility, and.I hereby accept this material for treatment and/or disposal in a manner that has been authorized by the Sate of North Carolina. Facility Signature: Signature: ;V ' j Company Name Date: Date: Title: f ,,White/Facility.,....,Canary/Invoice Pink/Carrier , Goldenrod/Generator. Environmental Soils Inc. PO Box 295 • Lattimore, NC 28089 Phone 704-434-0075 • Fax 704-434-9533 Non -Hazardous Waste Manifest # 22363 Date / ; -' `' = Load Number (numbered sequentially as trucks are dispatched) ENiIIRONENT4L CONSULT4NT Contact:a,' i iJ i— Phone: GENERfITOR: Address: Contact: i _ WASTE ORIGIN,4TIONP0INT Complete Address Fax: L r County: _ w ;Phone: r Class &Type of Contaminate in soil —i SOURCE OF CONT4MINIITION.• (ex. UST or other source) GENER,4TORS CERTIFICATION OF WASTE CONSTITUENTS: In lieu of submitting analytical data (metbods 8240 and 8270) ver fving that the waste in question does not contain organic constituents other than those wbicb would normally appear in analysis of virgin petroleum product residue, I am submitting this Cert yicate of Waste Constituents. I certio that am familiar with the source of contamination of the soil and furtber certify the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators, S,igrrature: `.. „ : ' .. _ _ - .-. Date: TX4NSPORTER: Contact:. i r, i' Phone: As the carrier, I certify that the materials described above being shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. Carrier Signature: Date: f r'�? (x`. TRUCK #: TAG #: VOLUME: •'- TRUCK DRIVER SIGNATURE: -t ;� DATEf;, `-l�'f` ..< { f DESTINATION.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 I certify that tie carrier has. delivered the materials described above to this facility, and I hereby accept this material for treatment 'and/or'disp.os Al_ in a manner that has been authorized by the Sate of North Carolina. . Facility Signature:f = D 1 i ate: i f. Signature:. c:! , Date: an �f Com N(~~ Company Title:: White/Facility.. , Canary/Invoice - Pink/Carrier Goldenrod/Generator. Environmental Soils Inc. PO Box 295 • Lattimore, NC 28089 Phone 704-434-0075 • Fax 704-434-9533 -- Non -Hazardous Waste Manifest # 2 2 3 6 4 �• J 3 Date 1 ei ENVIRONMENT4L CONSULT4NT 4-'Y w' Contact: I Load Number (numbered sequentially as trucks are _dispatched) Phone: Fax: GENERJTOR: Address: County: y'y Contact: i- Phone: WASTE ORIG1JVATIONPOINT Complete Address: ,' _'i • 1 � V Class &Type of Contaminate in soil` = "; SOURCE OF CONT4MTVATION.• (ex. UST or other source) GENERJTORS CERTIFICATION OF WASTE CONSTITUENTS. In lieu of submitting analytical data (methods 8240 and 8270) verifying that the waste in question does not contain organic constituents other than those which would normally appear in analysis of virgin petroleum product residue, I am submitting this Certyicate of Waste Constituents. I cert f thatl am familiar with the source of contamination of the soil and further certio the source, to the best of my knowledge, contains no contaminants other than that listed above. Generators Signature: Date: TR,4NSPORTEJ?: Contact: Phone: As the carrier, I certify that the materials described abovebeing shipped under this non -hazardous materials manifest are properly classified, packaged, labeled, secured, and are in proper condition for transport in commerce under the applicable regulations governing transportation, and I hereby receive this material for delivery to the facility designate. Carrier Signature: " v - - Date: TRUCK #: - j I _� TAG #: VOLUME: TRUCK DRIVER SIGNATURE: E _ DATE: DESTLVATION.• Environmental Soils Inc. 910 Crowder Rd, Shelby, NC 28150 Dedicated Land Application Site Permit #SR0300038 I certify that the carrier has delivered the materials .described above to this facility, and I hereby accept this material for treatment and/or disposal in a' manner that has been authorized by the Sate of North Carolina. f' Facility Signature: �` - Date: Signature: D ate: Company Name - Title: Canary/Invoice... Pink/Carrier Goldenrod/Generator: Appendix 1 Non -Hazardous Waste Manifests CLEVELAND COUNTY HEALTH DEPARTMENT1`1�OE OFFICE MAY 2 5 211)0,', May 23, 2006 DATER QUA- 1TY SECT ION Wes Bell Division of Water Quality 610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115 Dear Mr. Bell: On May 2, 2006 Kevin Whetstine, Environmental Health Specialist and Shea Webster, Environmental Health Program Specialist from the Cleveland County Health Department made a visit to the property adjacent to 124 Laren Road. The nature of the complaint was regarding corrugated pipe(s) discharging into a creek at points marked by yellow stakes driven into the opposite side of creek bank. After evaluation of the creek, no pipe(s) were found emptying into the creek. Mr. Shawn McNeilly was present, and advised us that he had installed drainage pipes to drain surface water standing in the low area of his property. However, no pipe(s) were found going into the creek. On May 3, 2006 Marty Allen, Environmental Health Director, and Shea Webster made another visit to 124 Laren Road. Efforts again were made to locate any pipe(s) discharging into the creek. No malfunction of the septic system was found, and again no pipe(s) were detected going into the creek. On May 11, 2006 Marry Allen and Shea Webster met with Mr. Shawn McNeilly, again, at 124 Laren Road. More evaluation was done, and no pipe(s) were found at that time. In summary, no illegal activity was found relating to the septic system at 124 Laren Road. If you have any questions concerning this matter, please feel free to contact the Cleveland County Health Department at (704) 484-5130. Sinc rely, Marty Allen, R.S., L.S.S. Shea Webster, R.S. cc: Shawn McNeilly „yfh,B.-,t.0 U, 315 E. Grover St., Shelby, NC 28150 3,998---(704)-484-5100 - Fax (704) 484-5220 6-Q-VdCe'J Co MEMORANDUM To: Through: From: Subject: Background Division of Water Quality Biological Assessment Unit February 8, 2006 Jimmie Overton Trish Finn MacPherson _�F_ URCESiPL _ FEB 1 3 2006 p^ , Eric Fleek ' Biological Monitoring of Potts Creek (BRD Subbasin 05). Cinderella Mills Tetrachloroethylene Release Study, July 2005 (BAU Memo B-060208). Staff of the Mooresville Regional Office requested that a macroinvertebrate sample be conducted on Potts Creek. Potts Creek at SR 1001 is downstream of the former Cinderella Mills (Figure 1) site where a recent release of Tetrachloroethylene (also know as PERC, PCE, Perch loroethyl ene, and Tetrachloroethene; ATSDR 1997) was detected. Tetrachloroethylene evaporates readily into the air and microorganisms also break down some portions of this chemical upon contact with soil or groundwater (ATSDR 1997). The Tetrachloroethylene was released into several tributaries of Potts Creek and this sample was conducted in order to determine if there were any deleterious effects on Potts Creek. There have been no previous biological samples on Potts Creek. Site Description Potts Creek, SIR 1001. Cleveland County. This reach of Potts Creek is approximately six meters in width and has a drainage area of 9.3 square miles. Most of this catchment is comprised of scattered residential and light commercial areas. This catchment also drains portions of the western edge of the town of Kings Mountain and the US 74 corridor. Substrate along this reach was a fairly unembedded mix of boulder (10%), rubble (30%), gravel (20%), sand (30%), and bedrock (10%). The most notable habitat problem observed was the lack of well -developed pool habitat. Conductivity was 70.3 µmhos/cm and the .habitat received a score of 78. Figure 1. Potts Creek, Cinderella Mills Tetrachloroethylene Release -qti Axi Rrnarl n-r ('lAVAlanrl C'ni into Methods Benthic macroinvertebrates for this study were collected using the Division of Water Quality's EPT Method. This collection method is comprised of one leaf -pack sample, one kick net sample, and one sweep net sample. In addition, each member of the three -person team conducts visual collections. All organisms are picked in the field. The purpose of these collections is to inventory the aquatic EPT fauna and produce an indication of the relative abundance for each taxon. Organisms are classified as Rare (1-2 specimens, denoted by "R" on taxa tables), Common (3-9 specimens, "C"), or Abundant (>10 specimens, "A"). Several data -analysis summaries (metrics) can be produced from benthos samples to detect water quality problems. These metrics are based on the fact that unstressed streams and rivers have many invertebrate taxa and are dominated by intolerant species. Conversely, polluted streams have fewer numbers of invertebrate taxa and are dominated by tolerant species. The diversity of the invertebrate fauna is evaluated using EPT taxa richness counts; the tolerance of the stream community is evaluated using a biotic index. Bioclassifications for EPT samples are based on the total diversity of EPT present in a sample. EPT abundance (EPT N) calculations also are used to help examine between -site differences in water quality. Criteria for the Piedmont ecoregion were used. An assessment of the stream habitat and of the landuse within the catchment is also completed at each stream sampled. More specifically, these habitat evaluations assess the quality and quantity of instream habitat, the quality and quantity of the stream's riparian zone, and also evaluate detrimental impacts on stream habitat such as bank erosion and substrate embeddedness. Habitat evaluations result in a score between 1 and 100. Field measurements were taken at the time of sampling such as water temperature, dissolved oxygen, specific conductance, and pH using an YSI 85 meter and an Accumet pH meter. Results and Discussion Table 1 presents the summaries of the biological, physical, and chemical data for the Potts Creek study site. These data summaries are not used in assigning the bioclassifications, only EPT taxa richness. Table 1. PottsCreek (BRD 05) Study Site: Taxa richness (by group), summary parameters and station description, July2005. Method EPT Site Potts Creek, SR 1001 BIOLOGY Parameter: Ephemero tera 11 Plecoptera 3 Trichoptera 12 EPT Richness 26 EPT Biotic Index 4.4 EPT Abundance 121 HABITAT Width (m) 6 Depth: Average (m) 0.3 Maximum m 0.6 Canopy % 90 Aufwuchs No 3 Table 1. PottsCreek (BRD 05) Study Site: Taxa richness (by group), summary parameters and station description, July 2005—Continued. Bank Erosion Moderate Drainage Area mi 9.3 Substrate %: Boulder 10 Rubble 30 Gravel 20 Sand 30 Silt 10 Bedrock 0 CHEMISTRY Field Chemistry: Temperature C 21.2 Specific Conductance mhos/cm 70 pH 6.6 Habitat Score 78 Bioclassification Good Discussion Potts Creek, SR 1001. The July 14, 2005 EPT sample resulted in an EPT taxa richness of 26, an EPTBI of 4.4, and a Good bioclassification. Based on benthic data, there seem to be no adverse effects on Potts Creek as a result of the PCE release. Pollution intolerant EPT taxa present from this collection included the mayflies Acentrella, the stonefly Acroneuria abnormis, and the caddisflies Lepidostoma, Chimarra, Rhyacophila torva, and R. carolina. In addition, the long-lived, pollution intolerant stonefly Acroneuria abnormis was common at this location. This taxon requires between two and three years to complete larval development and its collection suggests generally favorable, long-term water quality at this location. Conclusions In 2005, the EPT sample resulted in a Good bioclassification with several pollution intolerant taxa present. Ir addition, one long-lived, pollution intolerant taxon (the stonefly Acroneuria abnormis) was common at this location. Based on benthic data, there seem to be no measured adverse effects on Potts Creek as a result of the Tetrachloroethylene release from Cinderella Mills. This conclusion supports the environmental toxicity data of this chemical (ATSDR, 1997). C P� :a orates 0 References Agency for Toxic Substances and Disease Registry (ATSDR). 1997. Managing Hazardous Materials Incidents. Volume III — Medical Management Guidelines for Acute Chemical Exposures: Tetrachloroethylene PERC . Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service. Appendix 1. BRD 05—Potts Creek; Cinderella Mills Tetrachloroethylene Release Study. July, 2005. A=Abundant, C=Common, R=Rare. All sites collected with EPT Methodology. Taxon POTTS CR 7/14/2005 SR 1001 EPHEMEROPTERA ACENTRELLA SPP C PLAUDITUS DUBIUS GP A BAETIS FLAVISTRIGA C BAETIS INTERCALARIS R BAETIS PLUTO A ISONYCHIA SPP A PROCLOEON SPP R STENONEMA MODESTUM A SERRATELLA DEFICIENS R STENACRON PALLIDUM C TRICORYTHODES SPP C PLECOPTERA ACRONEURIA ABNORMIS C LEUCTRA SPP R PERLESTA SPP A TRICHOPTERA CHEUMATOPSYCHE SPP A CHIMARRA SPP R DOLOPHILODES SPP A HYDROPSYCHE BETTENI A LEPIDOSTOMA SPP R NEOPHYLAX OLIGIUS C POLYCENTROPUS SPP R RHYACOPHILA CAROLINA R RHYACOPHILA FUSCULA R RHYACOPHILA TORVA R SYMPHITOPSYCHE SPARNA C TRIAENODES IGNITUS A NC®ENR North Carolina Department of Environment and Natural Resources Division of Land Resources Land Quality Section James D. Simons, P.G., P.E. Director and State Geologist December 11, 2006 Mr. Dennis Wells Water Resources Director City of Kings Mountain Post Office -Box 429 Kings Mountain, North Carolina 28086 RE: Kings Mountain City Lake Dam State I.D. CLEVE-013 Dear Mr. Wells: Michael F. Easley, Governor William G. Ross Jr., Secretary r;5JUJI Ur t-MU ttk uL94Cc" t 'J ^; v i J& as pt#W"'E14T OF ENVIRGNM_' ! ' This is to acknowledge receipt on January 11, 2006 of as -repaired drawings and engineer's certification for the subject dam. The dam will be inspected by staff from the Land Quality Section Mooresville Regional Office. We endeavor to respond within 60 days of receipt. Please contact Mr. Zahid Kahn, Regional Engineer, Mr. Clinton Cook, PE, Assistant Regional Engineer, or Mr. Scott Harrell at telephone number (704) 663-1699; or a meinber of the Dam Safety Program staff in the Central Office at telephone number (919) 733-4574 if you have questions concerning this matter. Sincerely, Maxwell R. Fowler, PE AtW E } " C DURCES State Dam Safety Engineer V4O0ti E IAL OFFICE cc: Mr. J. C. Bumgarner, PE, President, Pinnacle Engineers v Mr. D. Rex Gleason, PE, Surface Water Protection Regional Supervisor JAN 17 2006 Mr. Zahid Kahn, Regional Engineer ; Mr. Clinton Cook, PE, Assistant Regional Engineer 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 •919-733-4574/ FAX: 919-733-2876 512 North- Salisbury Street, Raleigh, North Carolina, 27604 An Equal Opportunity 1 Affirmative. Action Employer — 50% Recycled 110% Post Consumer Paper NCDENR North Carolina Department of Environment and Natural Resources Division of Land Resources Land Quality Section James D. Simons, P.O., P.E. Director and State Geologist November 12, 2005 Mr. Michael P. Tonelius Plant Manager Kings Mountain Mining, LLC Post Office Box 729 Kings Mountain, North Carolina 28086 RE: Proposed Dam Cleveland County Dear Mr. Tonelius: Michael F. Easley, Governor William G. Ross Jr., Secretary , lA e�-LMD ftSCf€J`r u LWQUALITY SECTION v� €e ' ADV 5 2605 This is to acknowledge receipt of your application dated November 7, 2005 for the jurisdictional determination of the proposed dam. The application was received in our office on November 9, 2005. A copy of the submittal has been sent to the Mooresville Regional Office (MRO) for review and a site visit. A staff member from MRO should contact you within a few days. Applications for jurisdictional determination of a dam will be reviewed by this office in the order they are received except that existing high hazard potential dams will be prioritized. We endeavor to respond to applications within 60 days of receipt of the application. Please contact Mr. Zahid Kahn, Regional Engineer, or Mr. Clinton Cook, PE, Assistant Regional Engineer at telephone number (704) 663-1699; or a member of the Dam Safety Program staff in the Central Office at telephone number (919) 733-4574 if you have questions concerning this matter. Sincerely, A; r��r.ol1PCES .., ; pt"I;ICE Maxwell R. Fowler, PE State Dam Safety Engineer cc: 0—Id-r-D. Rex Gleason, PE, Surface Water Protection Regional Supervisor Mr. Zahid Kahn, Regional Engineer Mr. Clinton Cook, PE, Assistant Regional Engineer 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 •919-733-4574 / FAX: 919-733-2876 512 North Salisbury Street, Raleigh, North Carolina, 27604 An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper SEP-28-2005 WED 11:04 AM ESA 1 FAX NO, 502 499 6395 P. 01 qP FAX Transmission 1So0 )Envoy Circle web Site www.ESAI.coln Suite 1801 Telephone Number (502) 499-6490 Louisville, Kentucky 44299 FAX Nuunber (5b2) 499-6395 bate: September 28, 2005 To; Open Records f FOIA Officer Phone: (828) 296-4500 Company: NCUFNR - ille Regional Office Fax Number: 8 )-29 - From eli�s:�-We "�Veo E-Mail: mweisbard Prflject #: SNC2-0028 - to Vollow. Parsuant to the State of North Carolina's Pu lie Records Act, please send copies of any records the Department of Environmental and Natura Resources has on file with the ground water protection, superfund, UST, _w�#:e ollntica.0 fgc nd hazardous waste divisions concerni" r idly �RCt1i[,iEW permits or violations and/or environmental repo s or other information about envira6`5n� e�ppia1'ryry�}}� pp' ®p���+ //fi�ee 33 //�� ��qq ��® �W�{;l ii!^ll_ IfiLt7lJ�J�H)✓v'1. conditions for the following property (please call fore incurring any expens, ): r 13! OC)RESViLL iCNAL- ONCE Site Owner: �:,•,., :. , ' =`i Prabhuji Investunents, LLC Site Name; OCT 0 3 200a Travelodgej� %,f-7fN--8 ddress: Fork Road ings mountain, Cleveland County, NC 28086 'Please reference ESA P0-Protect Nun 1 C2-0028 when Tr�Ea Meuse copy arnad forivard to offices that regralate f-he f `oll0wilig, topical areas: 4iM, Groundwater Quality, Air Quality, Solid Waste and Iazardous Waste/Substances, ' n erground Storage Tanks, and Environmental Response If you have any questions, please contact the sender at the telephone number listed above. Thank You. p� [ D SEP 2 8 2005 rd i WATER QUALITY SECTION ASHEVILLE REGIONAL CF---J10E I Revised 8/Z2/05 Ava NCDENR North Carolina Department of Environment and Natural Resources Division of Land Resources Land Quality Section James D. Simons, P.G., P.E. Director and State Geologist September 19, 2005 Mr. Ron Chidester 126 Cedar Lake Farm Road Cherryville, North Carolina 28021 RE: Cedar Lake Dam Cleveland County CLEVE-002 Dear Mr. Chidester: Michael F. Easley, Governor William G. Ross Jr., Secretary r rW� CiF= 61 •' �', ... 4;,r_1N OF f��ft -. Jx This is to acknowledge receipt of your application for repair of the subject dam dated August 9, 2005 concerning the subject dam. The application was received in our office on September 14, 2005. Applications will be reviewed by this office in the order they are received except that existing high hazard potential dams will be prioritized. We endeavor to respond to applications within 60 days of receipt of the application. Please contact Mr. Clinton Cook, PE or Mr. Scott Harrell, PE in our Mooresville Regional Office at telephone number (704) 663-1699; or Mr. Max Fowler, PE, State Dam Safety Engineer or me at telephone number (919) 733-4574 if you have questions concerning this matter. Sincerely, William H. Denton, IV, EIT Asst. State Dam Safety Engineer cc: Mr. Johnny H. Denton, PE Mr. Zahid Khan, PE, Regional Engineer 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 -919-733-4574! FAX: 919-733-2876 512 North Salisbury Street, Raleigh, North Carolina, 27604 An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper EMERGENCY RESPONSE&TRAINING SOLUTIONS For those wbo demand results September 2, 2005 North Carolina Department of Environmental and Natural Resources Mooresville Regional Office 610 East Center Ave Mooresville, NC. 28115 RE: Corrective Action Final Report USF Rolland Diesel Fuel Spill 1818 W. Dixon Blvd. Shelby, NC Cleveland County ERTS Project NO.0825200SHE Dear Sirs: eJii ,'iia•r-j 0 NATURAL RE -SOURCES '1 S its r iQL CFF1cz QUAUTY SHIM `1 The following serves as the final report detailing the emergency response and corrective actions taken in response to the incident that occurred on August 25, 2005 at the above referenced location. Executive Summary Incident Background: On August 25, 2005, a tractor trailer operating at the above referenced location had its saddle tank punctured after crossing median and running up a bank thru a fence, releasing 100 gallons of diesel fuel. Emergency Response: On August 25, 2005, Shelby Fire Department arrived on scene and assisted EMS with an injury to the passenger car driver. Soon afterward they checked the damage to the USF Holland tractor - trailer. One saddle tank was empty from a large hole ripped in it. Shelby Fire Department then proceeded to remove cross over line from other tank to prevent drainage of second saddle tank. Wrecker service was called to remove USF Holland truck out of pasture. USF Holland retained 3201 Enterprise Parkway, Suite 330 • Beachwood, Ohio 44122 Tel. 216.593.7173 • Fax 216.593.7141 Emergency Response and Training Solutions (ERTS) to manage and oversee environmental operations. ERTS dispatched Stat, Inc. to the scene to perform environmental restoration. Regulatory Notifications: Pursuant to North Carolina State regulations, ERTS notified the North Carolina Department of Environment and Natural Resources. The NC Department of Environment and Natural Resources issued 05-0824-0175 as a confirmation number. Field Activities Corrective Action: On August 25, 2005, Stat personnel arrived onsite. The site was secured. Absorbent material was spread on the shoulder of the road. The spent absorbent material was swept up and containerized for transportation and disposal. The pasture that was impacted by diesel fuel was excavated and containerized for transportation and disposal. All remediation activities were completed that day. All backfill that was used at site was topsoil. This site is secure. Waste Disposal: On August 25, 2005 all spent absorbents and contaminated soils were transported to, and disposed of at, Soil Technologies located in Shelby, NC. Attached are the non -hazardous waste manifests (Appendix 1). Conclusions and Recommendations No evidence was found that suggests any significant environmental impact remains on the site following corrective action. ERTS recommends that the incident be closed and that no further assessment is needed. ERTS and Calhoun Transport Services, Inc. appreciate your assistance in this matter. If you have any questions regarding this project, please do not hesitate to contact me at (216) 593-7153. Respectfully, Emergency Response & Training Sol! Brian Lee Cobb Project Manager CC: Susan Camara-USF Rolland APPENDIX 1 NON -HAZARDOUS WASTE 1VIANIFEST Sir! a: t r-,. : p ®s}un®eue a s a Xa� U � uoi aa9srp afr o �1 out ` arf c �c art al ,;�l�-- . .,,�.,��,I �,..--:.r-:" ,-.i, �pi�� .�.- ,�,-.�-.,,i-7� -I,r-4,I .�A� A'��.� � , ,i-., fso� ui: Waryev►�c►s hua �o- sous daote o _'..F1,: t �-t_;.'.,�, l."-�."-��34.o1,1,,._..."-,!,.`I-..""_`-.,.!_;i:,, �-,11v,.1:1,-,�;,-.4.,,_,����i1�,1 tx.-.iZ .�,.'-:t.h,1�.f-��R�I��;�I�;,,I"'n, A.�.It. 3�f1�3�! ;3Wfoa %.- sa_ r... W _u! `sai9' ftf.'al- S It 3 5 KII sti r erpt ," 1 T 1 1 f � �N e h it - •' ^ , "t4 pN,dad p*ads s lr :�J £ i t«a f .i k : i _ + 7 :�4 7 k'{ f v vkt f'�" �fF dry F i7, 4 r-Jkl [ x ,.2 1,7) t x s I r 3 7 r { Y r. r, { r;J 1'2 t T,- �r 'r.1 ' 3 !. . ' f I - "} 2 Z4 , �' :Llt_ t - ^/1 3} `� �� .ram-. aa.:1DHi:SUej t , t _ t .. t t 1� .1 r� 1 Txi St1 3` 'Yx<f '(Sviq f t 3t .'w ;a a sf f,j dam, } ?rS ];;; °71 �a r x ,. 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Lffl �!'i t�� si"xaafi r Z .P `'�5 i L "`" .r z ,T St , J %. i; - t 4i�' fy ,p��!'y }� C.'licat : STAT, lnc. P. O. Box 1443 Lenoir, NC: 28645 Attention: Mr. 0. Spa.rl<s Date Received: 9/26/17005 Report Date: 31-Aug-05 Sample Date: 26-Auk;-05 13RL 9: BRL-2005-0661 Lab SHmpl€ [D: LSID-2005-03319 Client Sample I D: LRTS Ino les Shelby Parameter Result 1V1<.Ql, 355p 429 5 >p3() 1'3,9 2 Unit Method dn• mg/kg 5030/3550 TY di-y ms;/kg 5030/35.90 TP Reported BY: atheson, S..I. Job nson Concentratiom are below Minimum Quantification Limit except where noted. NC Laboratory Certificate No. 275 Page I of 1 Analvsis Analysis Time Date. Analy-t 12:54 8/31 /05 KSv1 15:23 8/11/05 KSlvt Blue Ridge Labs, s, ne. faU: 'r, 'O. IWx 2940 Ship Tn' - 506 Pine Nftn . R.d- 1,enoir, w' k. 28645 Telegbona (828-) 72S�0149- Fax (828) 72"131 CHAIN CIF C.USTDDY RECORD i`` PDS Reporbrng _ Az-'MU,7chYater/UST,_ Hez. Waste Industrial lVon State F,eporina REPORT e O: --- --- 'Eli - l r PRoJ--CT NAVER�P '�6. �' � ` or NUMBER: -- PO # : .—A 47; fJ Smple ID Sample Type rltLU Collection i Date Time UA 1 A cin 1 i-, - Res. CE Field � Preservatives Temp. Cherked Dealorinaled PH Res. Temp. YIN Yes i Flo C1 Pf Sampler Initials Requested analysis r i REt3NIQUISHED 'BY" ($19 j i3A'f�SC:FhEz isf�rr� DAME a� 05 /211 i fG C1 .�T1 ri(y=E@ - 3 :-y-O ^cs are FiI d: he . ime work I4 zcmple'.LG'w_ 1pe aC17-0 -a a.zr. Ml t i pall 3T, -m : 9 .� ' , ; .i roc ".i "b:..'.::4v:.i1C� l:l•'(1iC�i .�.c2`�.. 'x �''..:3arcT— .^.a�^.a .... '.•.5$ �fc_ 1:lOT:�t: Wr.J..� DE ....iSC.:✓`Ci3Q+"�. dl'1 a3,3, a5t-C:3a'c3GC:71:^�9. When�_.. __ _ lei i:: Ei:.:6 iS.tC_-C.!a! 'las',"13 {?Rx.1 bllw� 311%:Q„'��ES 3,�;�� MC �7@1-F:7r31i 4P_�V 'C:1E 3.:�e.�V':.' �......_.�::?•� ^psi _4'i:i�rs.nq s - all, ag_ee� :a 33: :vim) F::: _ _S! 3X :: 3� �5.^.�;+5 3? =2 C 1 �J:Y:L day a� f3E �1i1 1k:X3i . 317_2 �iGlP.1 �.d }� '�49a_i.r'c _ �.t_"�i '���::!!.�oLi:3':.':LU: `.`.)r 3 �t ;+vOi. S s act been made i,^ �,ffF!Ct: ''endva'.:-U 'rl:d� �dC3 be cif: _ep : 'y any --? r� _,:aC^ U authe, G Z.%',: ::,a,—;.l ..l_^• )' .. C.f.23�3_ 5:'aa c ss:�. .. ,�:o::si'L:__..- �� .: o�t�c n n c n a c 4 c c c c c C _e Al, L° 1 by r NCDENR i v 0ceoa lyrk'm � North Carolina Department of Environment and Natural Resources Division of Land Resources James D. Simons, PG, PE Michael F. Easley, Governor Director and State Geologist William G. Ross Jr., Secretary July 1, 2005 CERTIFIED MAIL RETURN RECEIPT REQUESTED 7003 1010 0003 5645 1655 Mr. Michael Tonelis Zemex Industrial Minerals, Inc. PO Box 729 Kings Mountain, North Carolina 28086 RE: Mining Permit No. 23-03 Moss-Neisler Mine Cleveland County Broad River Basin Dear Mr.- Tonelis: ri4, 0EPT. OF MN IRQZ�M-IM � AND 14ATU,RVAf- RESOURCES 1Y'+. Y 4 .L. JUL 19 2005 WATER nY; SECTION Your request to have the corporate name changed on the referenced mining permit from Oglebay Norton Specialty Minerals to Zemex Industrial Minerals, Inc. is hereby approved. As we have received the required surety in an amount sufficient to cover this operation, I am enclosing a new cover sheet for the updated mining permit. The permit number, expiration date and mine name shall remain the same as before this corporate name change. Please review the cover sheet carefully and notify this office of any objections, questions or corrections that may need to be addressed. I have also enclosed surety bond no. 40OKB6879 issued by St. Paul Fire and Marine Insurance Company for your disposal. Thank you for your cooperation in this matter. If you should have any questions, please contact Kristin Hicklin, Assistant State Mining Specialist, at (919) 733-4574. pniams,PG, CPG, CPESC State Mining Specialist Land Quality Section FRW/kh- Enclosures: Surety Bond No. 40OKB6879 cc: Mr. Doug Miller, PE, w/permit Mr. Bradley Bennett-DWQ, w/permit Ms. Shannon Deaton -WRC, w/permit Mr. William Gerringer-DOL, Mine and Quarry Bureau, w/o enclosures Land Quality Section 919-733-4574 \ FAX:919-733-2876 - Geological Survey Section 919-733-2423 \ FAX: 919-733-0900 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 Division of Land Resources 919-733-3833 \ FAX: 919-715-8801 1 Internet: www_dlr.enr- state.nc.us/dlr.htm An Equal Opportunity \ Affirmative Action Employer— 50% Recycled \ 10% Post Consumer Paper DEPARTMENT OF ENVIRONMENT . AND NATURAL RESOURCES DIVISION OF LAND RESOURCES LAND QUALITY SECTION PERMIT for the operation of a mining activity In accordance with the provisions of G.S. 74-46 through 68, "The Mining Act of 1971," Mining Permit Rule 15A NCAC 5 B, and other applicable laws, rules and regulations Permission is hereby granted to: Zemex Industrial Minerals, Inc. Moss-Neisler Mine Cleveland County - Permit No. 23-03 for the operation of a Mica and By -Products Mineral Mine which shall provide that the usefulness, productivity and scenic values of all lands and waters affected by this mining operation will receive the greatest practical degree of protection and restoration. MINING PERMIT EXPIRATION DATE: April 5 2015 Page 2 In accordance with the application for this mining permit, which is hereby approved by the Department of Environment and Natural Resources hereinafter referred to as the Department, and in conformity with the approved Reclamation Plan attached to and incorporated as part_ of this permit, provisions must be made for the protection of the surrounding environment and for reclamation of the land and water affected by the permitted mining operation. This permit is expressly conditioned upon compliance with all the requirements of the approved Reclamation Plan. However, completed performance of the approved Reclamation Plan is a separable obligation, secured by the bond or other security on file with the Department, and may survive the expiration, revocation or suspension of this permit. This permit is not transferable by the permittee with the following exception: If another operator succeeds to the interest of the permittee in the permitted mining operation, by virtue of a sale, lease, assignment or otherwise, the Department may release the permittee from the duties .imposed upon him by the conditions of his permit and by the Mining Act with reference to the permitted operation, and transfer the permit to the successor operator, provided that both operators have complied with the requirements of the Mining Act and that the successor operator agrees to assume the duties of the permittee with reference to reclamation of the affected land and posts a suitable bond or other security. In the event that the Department determines that the permittee or permittee's successor is not complying with the Reclamation Plan or other terms and conditions of this permit, or is failing to achieve the purposes and requirements of the Mining Act, the Department may give the operator written notice of its intent to modify, revoke or suspend the permit, or its intent to . modify the Reclamation Plan as incorporated in the permit. The operator shall have right to a hearing at a designated time and place on any proposed modification, revocation or suspension by the Department. Alternatively and in addition to the above, the Department may institute other enforcement procedures authorized by law. Definitions Wherever used or referred to in this permit, unless the context clearly indicates otherwise, terms shall have the same meaning as supplied by the Mining Act, N.C.G.S. 74-49. Modifications June 12, 1979: This permit has been modified to include an additional 465 acres identified as the Neisler and U.S. Gypsum Corporation Tracts. September 20, 1981: This permit has been renewed and transferred from Kings Mountain Mica Company, Inc. to KMG Minerals, Inc. May 16, 1994: This permit has been modified to include the changes to the operation as indicated on the revised mine maps, Sheets 1 through 17 of 17, dated March 9, 1994. October 14, 1994: This permit has been transferred in its entirety from KMG Minerals, Inc. to Franklin Industries, Inc. Page 3 March 10, 1997: This permit has been modified to incorporate Mining Permit No. 23A 0 (Hawks Mine) in its entirety and to add the Archdale Tract as indicated on the mine map last revised February 11, 1997. November 19, 1998: This permit has been modified to allow test blasting to be conducted at the Hawks Mine as indicated on the 8 Y2 by 11 inch section of the mine map received by the Land Quality Section on October 15, 1998 with stipulations. May 12, 1999: A partial release has been granted to release Tract No. 1, Tract No. 3, Tract No. 4, and Tract No. 5 from the permitted and affected acreage at this site. Tract No. 2 was previously released. March 6, 2000: This permit, issued to Franklin Industries, Inc., has been transferred in its entirety to Oglebay Norton Specialty Minerals, Inc. January 8, 2001: This permit has been modified to increase the permitted acreage to 753.92 acres and increase the affected acreage to 381.03a'creSr as indicated on the Moss Mine's No.- 1 & No. 2 Mine Map last revised November 30, 2000 and the Archdale Mine - East Mine Map last revised August 21, 2000. This modification includes a 2.0-acre stockpile/excavation area on the 4.19-acre addition (the McIntosh Addition) and a 1.03-acre mine area that will be converted to a waste storage area on the 1.03 acre addition (the Landstar Addition). July 1, 2005: This permit has been modified to have the corporate name changed on the mining permit from Oglebay Norton Specialty Minerals to Zemex Industrial Minerals, Inc. Expiration Date This permit shall be effective from the date of its issuance until April 5,, 2015. Conditions This Permit shall be subject to the provisions of the Mining Act, N.C.G.S. 74-46, et. seq., and to the following conditions and limitations: OPERATING CONDITIONS: Wastewater and Quarry Dewatering A. Any wastewater processing or mine dewatering shall be in accordance with the permitting requirements and rules promulgated by the N.C. Environmental Management Commission. Page 4 B. Any storm water runoff from the affected areas at the site shall be in accordance with any applicable permit requirements and regulations promulgated by the Environmental Protection Agency and enforced by the N.C. Environmental Management Commission. It shall be the permittee's responsibility to contact Division of Water Quality to secure any necessary storm water permits or other approval documents. 2. Air Quality and Dust Control A. Any mining related process producing air contaminant emissions including fugitive dust shall be subject to the requirements and rules promulgated by the N.C. Environmental Management Commission and enforced by the Division of Air Quality. - B. During processing. operation, water trucks or other means that may be necessary shall be utilized to prevent dust from leaving the permitted area. 3. Buffer Zones A. Any mining activity affecting waters of the State, waters of the U. S., or wetlands shall be in accordance with the requirements and regulations promulgated and enforced by the N. C. Environmental Management Commission. B. Sufficient buffer (30 foot undisturbed) shall be maintained between any affected land and any adjoining waterway or wetland to prevent sedimentation of that waterway or wetland from erosion of the affected land and to preserve the integrity of the natural watercourse or wetland. C. All buffer zones shown on the Moss Mine's No. 1 & No. 2 and Overall Property Map both received by the Land Quality Section on August 1.7, 2004, and the Archdale Mine — East, Archdale West, Archdale Mine, Hawks Mine, and Neisler Mine's No. 1, No. 2, & No. 3 mine maps received by the Land Quality Section on December 13, 2004 shall be maintained to protect adjoining property. These buffer zones, with the exception of the installation of required sediment control measures and approved earthen berms, shall remain undisturbed. D. An undisturbed buffer zone of 25 feet along both sides of the gas line located near Concept Drive on the Neisler 1 and 2 Tracts shall be maintained. In addition, all excavated slopes adjacent to the buffer zones along the gas line shall be maintained at a 2-foot horizontal to 1-foot vertical or flatter slope. Page 5 4. Erosion and Sediment Control A. Adequate mechanical barriers including, but not limited to diversions, earthen dikes, check dams, sediment retarding structures, rip rap pits, or ditches shall be provided in the initial stages of any land disturbance and maintained to prevent sediment from discharging onto adjacent surface areas or into any lake, wetland or natural watercourse in proximity to the affected land. B. All, -mining activities, including the installation and maintenance of all erosion and sedimentation control measures, shall be conducted as indicated on the Moss Mine's No. 1 & No. 2 and Overall Property Map both received by the Land Quality Section on August 17, 2004, and the Archdale Mine— East, Archdale West, Archdale Mine, Hawks Mine, and Neisler Mine's No. 1, No. 2, & No. 3 mine maps received by the Land Quality Section on December 13, 2004, and the Erosion & Sediment Control Details Drawings 1 and 2, dated February 11, 2005. C. Appropriately designed erosion and sediment control measures shall be installed and maintained, as necessary, below the previous United States Gypsum plant area to prevent off -site sedimentation. D. Appropriately designed diversions and chute spillway shall be provided and maintained, as necessary, to control surface drainage on the fill area between the plant area and Interstate 85. E. An erosion and sediment control plan(s) shall be submitted to the Department for approval prior to any land disturbing activities not indicated on the revised erosion control plan or mine maps submitted with the approved application for a mining permit and any approved revisions to it. Such areas include, but are not limited to, expansion outside of the approved pit area, creek crossings, or expansion -of overburden or waste disposal areas. F. The surface water runoff from the 2.0 acres stockpile/excavation area on the 4.19 acre addition to the Moss Mine's No. 1 & No. 2 tract and the 1.03 acre mine area that will be converted to a waste storage area on the 1.03 acre addition to the Archdale Mine —.East tract shall be diverted internal to the mine excavation or into existing sedimentation and erosion control measures to prevent off site sedimentation. - 5. Groundwater Protection Groundwater monitoring wells shall be installed and monitored as deemed appropriate by the Department. Page 6 6. Graded Slopes and Fills A. The angle for graded slopes and fills shall be no greater than the angle which can be retained by vegetative cover or other adequate erosion control measure, structure, or device. In any event, exposed slopes or any excavated channels, the erosion of which may cause off -site damage because of siltation, shall be planted or otherwise provided with groundcover, devices or structures sufficient to restrain such erosion. 7. Surface Drainage The affected land shall be graded so as to prevent collection of pools of water that are, or likely to become, noxious or foul. Necessary structures -such as drainage ditches or conduits shall be constructed or installed when required to prevent such conditions. 8. Blastinq The operator shall monitor each blast with a seismograph located at a distance no farther than the closest off site regularly occupied structure not owned or leased by the operator. A seismographic record including peak particle velocity, air overpressure, and vibration frequency levels shall be kept for each blast (except as provided under Operating Condition Nos. 8B and 8D of this permit). The following blasting conditions shall be observed by the mine operator to prevent hazard to persons and adjacent property from surface blasting: A. Ground Vibration With Monitoring: In all blasting operations, the maximum peak particle velocity of any component of ground motion shall not exceed Figure 1 (below) at the immediate location of any regularly occupied building outside of the permitted area such as a dwelling house, church, school, or public, commercial or institutional building. Page 7 ti r Blast Vibration, Frreque'ncy, e &x n6g / try Cm I sl aurce. f -n Odirleul from �q�r - ..fix a .T Ground Vibration Without.Monitoring: In the event of seismograph malfunction or other condition which prevents monitoring, blasting shall be conducted in accordance with the following formulas: W = (D/DS)2 DS = D W 1/2 V = 160(DS)-''6 W = Maximum charge weight of explosives per delay period of 8.0 milliseconds or more (pounds). D = Distance from the blast site to the nearest inhabited building not owned or leased by the mine operator (feet). Ds = Scaled distance factor. V = Peak Particle Velocity (inches per second). The peak particle velocity of any component shall not exceed 1.0 inch per second, for the purposes of this Section. Page 8 C. Air blast With Monitoring: Air blast overpressure resulting from surface blasting shall not exceed 129 decibels linear (dBL) as measured at the immediate location of any regularly occupied building not owned or leased by the operator outside of the permitted area such as a dwelling house, church, school, or public, commercial or institutional building, unless an alternate level based on the sensitivity of the seismograph microphone as specified below is being used: Lower Frequency Limit of Max Level, Measuring System, in Hz in dBL 0.1 Hz or lower -flat response 134 peak 2.0 Hz or lower -flat response 133 peak 6.0 Hz or lower -flat response 129 peak D. Air blast Without Monitoring: In the event of seismograph malfunction or other condition which prevents monitoring, blasting shall be conducted in accordance with the following formulas: To convert U (psi) to P (dBL): U = 82 (D/W0.33)-1.2 P = 20 x log (U/2.9x10-9) Confined Air blast/Overpressure (dBL) for quarry situation: A=P-35 U = Unconfined air overpressure (pounds per square inch). W = Maximum charge weight of explosives per delay period of 8.0 milliseconds or more (pounds). D = Distance from the blast site to the nearest inhabited building not owned or leased by the mine operator (feet). P = Unconfined air overpressure (decibels). A = Air blast or air overpressure for typical quarry situations (decibels). The air blast/overpressure shall not exceed 129 decibels, for the purposes of this Section. Page 9 E. - Record Keeping: The operator shall maintain records on each individual blast describing: the total number of holes; pattern of holes and delay of intervals; depth and size of holes; type and total pounds of explosives; maximum pounds per delay interval; amount of stemming and burden for each hole; blast location; distance from blast to closest offsite regularly occupied structure; and weather conditions at the time of the blast. Records shall be maintained at the permittee's mine office and copies shall be provided to the Department upon request. F. Excessive Ground Vibration/Air blast Reporting_ If ground vibration or Air blast limits are exceeded, the operator will immediately report the event with causes and corrective actions to the Department. Use of explosives at the blast site that produced the excessive reading shall cease until corrective actions approved by the Department are taken. However, blasting may occur in other approved areas within the permitted boundary. Authorization to blast at the blast site may be granted at the time of the verbal reporting of the high ground vibration or high air blast reading if the circumstances justify verbal approval. Failure to report will constitute a permit violation. G. Flyrock Prevention: The operator shall take all reasonable precautions to ensure that flyrock is not thrown beyond areas where the access is temporarily or permanently guarded by the operator. Failure to take corrective measures to prevent flyrock and repeated instances of flyrock shall be considered a violation of the Mining Permit. H. Flyrock Reporting: Should flyrock occur beyond the permitted and guarded areas, the operator shall immediately report the incident to the Department. Further use of explosives on the mine site shall be suspended until the following actions have been taken: 1. A thorough investigation -as to the cause(s). of the incident shall be conducted. 2. A. report detailing the investigation shall be provided to the Department within 10 days of the incident. The report shall, at a minimum, document the cause(s) of the incident along with technical and management actions that will be taken to prevent further incidents. The report shall meet with the approval of the Department before blasting may resume at the mine site. Page 10 I. Studies: The operator shall provide to the Department a copy of the findings of any seismic studies conducted at the mine site in response to an exceedence of a level allowed by these blasting conditions. The operator shall make every reasonable effort to incorporate the studies' recommendations into the production blasting program. J. Notice: The operator shall, when requested by the Department, give 24-hour advance notice to the Land Quality Section Regional Office prior to any blast during a . period for which notice is requested. K. The test shots in the Hawks Pit shall be conducted as indicated on the 8 Y2 by 11 inch section of the mine map and related correspondence received by the Land Quality Section on October 15, 1998 with the following stipulations: 1. _the test shall be limited to two shots, 2. the above blasting conditions shall be followed for the test shots, and 3. the blasting consultants shall submit to the Land Quality Section two copies of the seismograph recordings and blasting records, including -any conclusions made, shortly after completion of the test. L. A modification shall be submitted to and approved by the Division of Land Resources prior to incorporating blasting activities into the routine mining activities at the site. Prior to submitting the modification request, a meeting shall be conducted as described in the additional information letter from Ms. Judy Wehner dated October 19, 1998. 9. High Wall Barrier .A physical barrier consisting of chain link fencing, vegetated earthen berms, 4-strand barbed wire fencing (a minimum 4-feet,-high), or large boulders placed end -to -end shall be maintained at all times along the perimeter of any highwall to prevent inadvertent public access. In addition, a minimum 10 foot wide horizontal safety bench shall be provided at the junction between the top of rock and the toe of any overburden cut slope. 10. Visual Screening A. _ Existing vegetation shall be maintained between the mine and public thoroughfares to screen the operation from the public. Additional screening methods, such as constructing earthen berms, shall be employed as deemed appropriate by the Department. Page 11 B. Vegetated earthen berms and other acceptable screening shall be located and maintained as shown on the Moss Mine's No. 1 & No. 2 and Overall Property Map both received by the Land Quality Section on August 17, 2004, and the Archdale Mine — East, Archdale West, Archdale Mine, Hawks Mine, and Neisler Mine's No. 1, No. 2, & No. 3 mine maps received by the Land Quality Section on December 13, 2004. Berms shall be constructed a minimum five foot high with a 16 foot top width and a minimum two horizontal to one vertical or flatter side slopes. C. In addition to grasses, long leaf and/or Virginia pines or other acceptable evergreen species shall be planted as deemed appropriate by the -Department to improve visual and noise buffering. 11. Plan Modification A. The operator shall notify the Department in writing of the desire to delete, modify or otherwise change any part of the mining, reclamation, or erosion/sediment control plan contained in the approved application for a mining permit and any approved revisions to it. Approval to implement such changes must be obtained from the Department prior to on -site implementation of the revisions. B. A modification request shall be submitted to and approved by the Division of Land Resources prior to incorporating blasting activities into the routine mining activities at the site. Prior to submitting the modification request, a meeting shall be conducted as described in the additional information letter from Ms. Judy Wehner dated October 19, 1998. 12. Refuse Disposal A. No on -site disposal of refuse or other solid waste that is generated outside of the mining permit area shall be allowed within the boundaries of the mining permit area unless authorization to conduct said disposal has first been obtained from both the Division of Waste Management and the Land Quality Section, Department of Environment and Natural Resources. The method of disposal shall be consistent with the approved reclamation plan. B. Mining refuse as defined. by G.S. 74-49 (14) of The Mining Act of 1971 generated on -site and directly associated with the mining activity may be disposed of in a designated refuse area. All other waste products must be disposed of in a disposal facility approved by the Division of Waste Management. No petroleum products, acids, solvents or their storage containers or any other material that may be considered hazardous shall be disposed of within the permitted area. C. For the purposes of this permit, the Division of Land Resources considers the following materials to be "mining refuse" (in addition to those specifically listed under G.S. 74-49 (14) of the N.C. Mining Act of 1971): Page 12 1. on -site generated land clearing debris 2. conveyor belts 3. wire cables 4. v-belts 5. steel reinforced air hoses 6. drill steel D. If mining refuse is to be permanently disposed within the mining permit boundary, the following information must be provided to and approved by the Division of Land Resources prior to commencement of such disposal: 1. the approximate boundaries and size of the refuse disposal area; 2. a list of refuse items to be disposed; 3. verification that a minimum of 4 feet of cover will be provided over the refuse; 4. verification that the refuse will be disposed at least 4 feet above the seasonally high water table; and 5. verification that a permanent vegetative groundcover will be established 13. Annual Reclamation Report An Annual Reclamation Report shall be submitted on a form supplied by the Department by February 1 of each year until reclamation is completed and approved.. 14. Bonding The security, which was posted pursuant to N.C.G.S. 74-54 in the form of a $500,000.00 blanket bond, is sufficient to cover the operation as indicated in the approved application. This security must remain in force for this permit to be valid. The total affected land shall not exceed the bonded acreage. 15. Archaeological Resources Authorized representatives of the Division of Archives and History shall be granted access to the site to determine the presence of significant archaeological resources. Page 13 APPROVED RECLAMATION PLAN The Mining Permit incorporates this Reclamation Plan, the performance of which is a condition on the continuing. validity of that Mining Permit. Additionally, the Reclamation Plan is a separable obligation of the permittee, which continues beyond the terms of the Mining Permit. The approved plan provides: Minimum Standards As Provided By G S 74-53 1. The final slopes in all excavations in soil, sand, gravel and other unconsolidated materials shall be at such an angle as to minimize the possibility of slides and be consistent with the future use of the land. i 2. Provisions for safety to persons and to adjoining property must be providedin all excavations in rock. 3. All overburden and spoil shall be left in a configuration which is in accordance with accepted conservation practices and which is suitable for the proposed subsequent use of the land. 4. No small pools of water shall be allowed to collect or remain on the mined area that are, or are likely to become noxious, odious or foul. 5. The revegetation plan shall conform to accepted and recommended agronomic and reforestation practices as established by the North Carolina Agricultural Experiment Station and the North Carolina Forest Service. 6. Permittee shag conduct reclamation activities pursuant to the Reclamation Plan herein incorporated. These activities shall be conducted according to the time schedule included in the plan, which shall to the extent feasible provide reclamation simultaneous with mining operations and in any event, provide reclamation at the earliest practicable time after completion or termination of mining on any segment of the permit area and shall be completed within two years after completion or termination of mining. RECLAMATION CONDITIONS: 1. Provided further, and subject to the Reclamation Schedule, the planned reclamation shall be to allow the quarry excavation to fill with water, provide a permanent barricade (fence) along the top of any high wall, and grade and revegetate any areas in unconsolidated material. 2. The specifications for surface gradient restoration to a surface suitable for the planned future use are as follows: Page 14 A. Overburden shall be used to slope all side .slopes of the mine excavation in unconsolidated material to a 1 '/Z horizontal to 1 vertical or flatter slope on the Moss Tract and United States Gypsum Tract and to a 2 horizontal to 1 vertical or flatter slope on the Neisler, Hawks, and Archdale Tracts. B. All lakes shall be excavated to maintain a minimum water depth of four feet measured from the low water table elevation. C. The side slopes of the lake excavation shall be graded to a 3 horizontal to 1 vertical or flatter above the water level and 1 '/Z horizontal to 1 vertical below the water level. D. Any settling ponds and sediment.control basins shall be backfilled, graded, and stabilized or cleaned out and made into acceptable lake areas. E. The processing, stockpile, and other disturbed areas neighboring the mine excavation shall be leveled and smoothed. F. Compacted surfaces shall be disced, subsoiled or otherwise prepared before revegetation. G. No contaminants shall be permanently disposed of at the mine site. On -site disposal of waste shall be in accordance with Operating. Conditions Nos. 12A through 12D. H. The affected land shall be graded to prevent the collection of noxious or foul water. 3. Revegetation Plan: Disturbed areas shall be permanently revegetated according to the Revegetation Plan prepared by Mr. Ben Robinson, NRCS District Conservationist dated April 12, 2004. Whenever possible, disturbed areas should be vegetated with native warm season grasses such as switch grass, Indian grass, bluestem and gamma grass. In addition, the permittee shall consult with a professional wildlife biologist with the N.C. Wildlife Resources Commission to enhance post -project wildlife habitat at the site.. Page 15 4. Reclamation Plan: Reclamation shall be conducted simultaneously with mining to the extent feasible. In any event, reclamation shall be initiated as soon as feasible after completion or termination of mining of any mine segment under permit. Final reclamation, including revegetation, shall be completed within two years of completion or termination of mining. This permit, issued to Kings Mountain Mica Company, Inc..July 26, 1972, modified June 12, 1979, renewed and transferred in its entirety to KMG Minerals, Inc. September 20, 1981, renewed and modified May 16, 1994, transferred in its entirety to Franklin Industries, Inc. October 14, 1994, modified March 10, 1997, November 19, 1998, and May 12, 1999, transferred in its entirety to Oglebay Norton Specialty Minerals, Inc. March 6, 2000, modified January 8, 2001, and renewed April 5, 2005, is hereby modified to have the corporate name changed on the mining permit from Oglebay Norton Specialty Minerals to Zemex Industrial Minerals, Inc. this 1st day of July 2005. By: James D. Simons, Director Division of Land Resources By Authority of the Secretary Of the Department of Environment and Natural Resources