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NCG030492_MONITORING INFO_20190326
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v 4 V— DOC TYPE STORICAL FILE MONITORING REPORTS DOC DATE ❑ p� � o) YYYYMMDD ft Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Mar 12 2019 CERTIFICATE OF COVERAGE NO. NCG03 0492 SAMPLE COLLECTION YEAR _2019 FACILITY NAME STABILUS, INC. SAMPLE PERIOD an -June 0 July -Dec COUNTY GASTON Or X Monthly' Feb month PERSON COLLECTING SAMPLES �C r i1 rr—DaSCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA LABORATORY Lab Cert. # ❑Zero -flow []Water Supply []SA Comments on sample collection or analysis: MAR 9 ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Part A: Stormwater Benchmarks and Monitoring Results No discharge this period ?2 24-hour pH' Non -Polar Outfall No. Date Sample i rainfall Total Suspended Standard Copper Lead Zinc o&G/ Total Total Toxic s Collected amount, Solids units Petroleum Organics (mo/dd/yr) Hydrocarbons Inches3 Benchmarks _ - 100 mg/L or So 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L ===> mg/0 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). ECEI EAc:r- LIAR 2 6 Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 i + Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the 5tormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S Facility Engineer Title (Print title Wj (Si nature) (Dat ^ t Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Nan -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XXmg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L" 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 7NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES R NO ❑ REGIONAL OFFICE CONTACT NAME: Annett Lucas Mail an original and one copy of this DMR, including oil "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case o "No Dischar e" re orts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are signi nt a ties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signat re tee) (Dot Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 • Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 . , Date submitted Feb 2Z 2019 CERTIFICATE OF COVERAGE No. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY_ Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR _2019 SAMPLE PERIOD an -June Q July -Dec Or I X J Monthly' Jan (month) _ DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ❑Zero -flow ❑Water Supply []SA❑Other MAR 2 6 2019 Part A: Stormwater Benchmarks and Monitoring Resultsii'� PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 —) No discharge this period?2 24-hour pH' Non -Polar Outfail No. Date Sample rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic s Collected' amount, Solids units Petroleum Organics (mo/dd/yr) Hydrocarbons Inches Benchmarks _ - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L mg/0 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S, Facility Engineer Title f Print title) A /A #Oate) {Sign ture) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they_must be reported in the -format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or filer 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 -- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES R NO ❑ REGIONAL OFFICE CONTACT NAME: Annett Lucas Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (_or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines nd imprisonment for knowing violations." (�ignayure of P'e-rf flee) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Feb 9, 2019 CERTIFICATE OF COVERAGE NO. NCG03 0492 RECEIVED SAMPLE COLLECTION YEAR _2018 � FACILITY NAME STABILUS, INC. 2019 SAMPLE PERIOD []Jan -June X❑ July -Dec COUNTY GASTONor Monthly' ______month) PERSON COLLECTING SAMPLES rCE-ivTRAIL Ili_.FS DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY_ PRISM Lab Cert. # 402 ComniieA :� `' _~nAEC'. E I V E n. ❑Zero -flow ❑Water Supply [:]SA an sample collection or analysis: [:]Other A P zati9 CCNTR L FILr-S PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 isl,VR SIE CT10j,'i Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?z hour pH' Non -Polar Outfall Na. Date Sample i rainfall rainfall Total Suspended Standard Capper Lead Zinc O&G/ Total Total Toxic s Collected amount, Solids units Petroleum Organics (mo/dd/yr) Inche? Hydrocarbons Benchmarks - - 100 mg/L or 50 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L -==> mg/La #1 12/28/2018 0.25 13 mg/L 6.8 0.010 mg/L <0.0050 mg/L 0.074 mg/L <5.0 mg/L BRL #2 12/28/2018 0.25 6.3 mg/L 6.9 0.0057 mg/L I <0.0050 mg/L 0.076 mg/L <5.0 mg/L BRL #3 12/28/2018 0.25 7.5 mg/L 6.4 0.005 mg/L <0.0050 mg/L 0.094mg/L <5.0 mg/L BRL 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) 1_H&S, Facility Engineer Tit] t title) (Signatu() ate Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?2 Outfal! No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks ===> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES X❑NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Annett Lucas Mail an oriainal and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are Significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 2- g/� (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Sept 19, 201 CERTIFICATE OF COVERAGE NO. NC603 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY —PRISM Lab Cert. # �402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR �2017 SAMPLE PERIOD Dan -June ® July -Dec RE�+ or ❑ Monthly' (month) LEIV@S I&RGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA OCT 04 ZOP ❑Zero -flow ❑Water Supply ❑SA ❑Other CENTRAL FILES OWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period 24-hour pH' Non -Polar Outfall No. Date Sample n rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic 5 Collected amount, Solids units Petroleum Organics (mo/dd/yr) Hydrocarbons Inches Benchmarks - - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L ===> mg/L4 #1 8/09/2017 0.15 14 mg/L 8.0 0.01 mg/L <0.00090 mg/L 0.16 mg/L <1.1 mg/L BRL #2 8/09/2017 0.15 6 mg/L 6.8 <0.00040 mg/L <0.00090 mg/L 0.049 mg/L <1.1 mg/L BRL #3 8/09/2017 0.15 5 mg/L 6.8 0.012 mg/L 0.005 mg/L 0.1 mg/L <1.1 mg/L BRL 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 4 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S. Facility Engineer _ Title (Print title) a (Signature) (DO ) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfah No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 -- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 ~ Note.''lf you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copv of this DMR, includina all "No Discharge" reports, within 30 dovs of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permit Date: 11/1/2012-10/31/2017 (? 14 Zo !7 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _Aug 25,2017 CERTIFICATE OF COVERAGE NO. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY_ Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR �2017 SAMPLE PERIOD Dan -June Q July -Dec Or X Monthly' Jul month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED []Other OCT 04 2011 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILEs"WR SECTION X I No discharge this period?' 24-hour pH' Non -Polar Outfall No. Date Sample rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic Collected' amount, Solids units Petroleum Organics5 (mo/dd/yr) Inches3 Hydrocarbons Benchmarks - - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L mg/L4 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfali, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S. Facility Engineer Title (Print title) (Sig ature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX melt", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period:2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 • Note If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an aridinal and one copy of this DM R including a!1 "No Discharge"reports, within 30 days of receipt of the lab results far at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 2S ? [Date Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report J for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _July 12, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY_ Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD an -June ❑ July -Dec Or LXJ Monthly' June_ (month) RECEW 4:1OG TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow [:]WaterSupply ❑SA OCT 0 3 2017 ❑other CENTRAL FILES I)WR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 FX]No discharge this period?Z 24-hour pH' Non -Polar Outfall No. Date Sample rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic Collected' amount, Solids units Petroleum Organicss (ma/dd/yr) Inches' Hydrocarbons Benchmarks _ - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L i mg/L mg/0 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3 The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469,31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be"waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S, Facility -Engineer Title (Print title) qIll. ) l2 he 7 Pg-ture) (Date Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mig/_L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, lnches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 1S mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART li SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION a. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results ror at end of monitoring period in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signatu* of Permittee) Permit Date:11/1/2012-10/31/2017 -7 hz A-17 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date subiit�ci. CERTIFICATE OF COVERAGE NO. NCG03 0492 . OCT 0 3 2011 FACILITY NAME STABILUS, INC. CENTRAL FILES COUNTY GASTON pWR 8r:cT10N PERSON COLLECTING SAMPLES LABORATORY_ PRISM Lab Cert. # �402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD an -June July -Dec or Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA []Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Nan -Polar Date Sample 24-hour Total Suspended pH' O&G/ Total Total Toxic Outfall No. Collected' rainfall Solids Standard Copper Lead Zinc Petroleum Organicss [mo/dd/yrj amount, units Hydrocarbon Inches s Benchmarks - - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L mg/0 #1 5/23/2017 0.08 44 mg/L 7.2 0.01 mg/L <0.00090 mg/L 0.086 mg/L <1.1 mg/L BRL #2 5/23/2017 0.08 1 59 mg/L 6.4 0,014 mg/L <0.00090 mg/L 0.12 mg/L <1.1 mg/L BRL #3 5/23/2017 0.08 6.7 mg/L 6.7 0.01 mg/L <0.00090 mg/L 0.13 mg/L <1.1 mg/L BRL ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S, Facility Engineer Title (Print title) (Signature) (q e) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<)(X mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [:]NO[] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 7 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted „_,_July 1,2017 CERTIFICATE OF COVERAGE NO. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORYLab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD an -June 0 July -Dec Or UXJ Monthly( Apr (month) DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA []zero -flow ❑Water Supply ❑SA []Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 FX No discharge this period ?2 24-hour pH' Non -Polar Outfall No. Date Sample rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic s Collected' amount, Solids units Petroleum Organics (mo/dd/yrl Inches Hydrocarbons Benchmarks _ - 100 mg/L or 50 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L ===> mg/0 #3 No sample Taken this month 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S, Facility Engineer Title (Print title) � �O r 4 Az f&= �4 !7 (Signature) f (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 -Note: you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or filer 3 responses. See General Permit text. FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [:]NOR IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an original and one copy of this MR, includina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: ' Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties forjubmitting false information, including the possibility of fines and imprisonment for knowing violations." ) �9/,/ G �C�'J [Si ature of tee ( e) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 9, 201 A CERTIFICATE OF COVERAGE NO. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY_ _PRISM Lab Cert. # _402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD an -June Q July -Dec or Monthly' Agr Imonth) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA .❑Other REC EI 'pLEQ REMEMBER TO SIGN ON PAGES 2 AND/OR 3 OCT 0 3 2017 CENTRAL FILES DWR SECTION ❑ No discharge this period?-7 24-hour pH' Non -Polar Outfall No. Date Sample i rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic s Collected Solids units Petroleum Organics (mo/dd/yr) Hydrocarbons Inche?, nches Benchmarks - - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L --_> mg/0 #1 4/5/2017 0.66 260 mg/L 7.4 0.025 mg/L 0.01 mg/ 0.24 mg/L <1.1 mg/L BRL ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the -EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHALL ELLINGTON Name (Print name) EH&S. Facility Engineer Title (Print title) ZA��) (Signat re) (D ) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Date Sample 24-hour rainfall Outfall No. Collected' amount, Non -polar O&G/TPH by (mo/dd/yr) Inches; EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 5o mg/L" 6.0 -- 9.0 SU Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 000 Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See Genera! Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART I S CTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCE ENC S FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one cony of this DMR, includinct all "No Discharge" reports, within 30 days of receipt of the lab results (or at end o} monitoring period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permit Date:11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Apr.g, 2017 REC` -10 A CERTIFICATE OF COVERAGE NO. NCG03 0492 OCT 0 3 ZD17 FACILITY NAME STABILUS, INC. CENTRAL FILES COUNTY GASTON DWR SECTION PERSON COLLECTING SAMPLES LABORATORY —PRISM Lab Cert. # _402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD an -June 0 July -Dec or Monthly' Mar (month) DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA []Zero -flow ❑Water Supply ❑SA [-]Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' hour pH' Non -Polar Outfall Na. Date Sample i rainfall rai Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic s Collected amount, Solids units Petroleum Organics {mo/dd/yr) Inches3 Hydrocarbons Benchmarks - - 100 mg/L or 50 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L mg/La #1 3/19/2017 0.25 25 mg/L 6.1 0.011 mg/L 0.012 mg/ 027 mg/L <1.1 mg/L BRL ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S. Facility Engineer Title (Print title) (Si524 na ure) Date} Io`� Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 9 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Date Sample 24-hour rainfall Qutfall No. Collected' amount, Non -polar O&G/TPH by (mo/dd/yr) Inches; EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports, within_ 30 days of rece�l t o the lab results (or at end of monitoring period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "l certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of4lermittee) Permit Date: 11/1/2012-10/31/2017 (D e) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Sto_r_mwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _Mar 18, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0492 SAMPLE COLLECTION YEAR _2017 FACILITY NAME STABILUS, INC. SAMPLE PERIOD an -June 0 July -Dec COUNTY GASTON Or X Monthly; Feb (month) PERSON COLLECTING SAMPLES Iv V /E' IFISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY_ Lab Cert. # �❑Zero-flow ❑Water Supply [:]SA Comments on sample collection or analysis: S E P 27 Z017 ❑Other V ENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results X No discharge this period 2a-hour pH' Non -Polar Outfail No. Date Sample i rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic s Collected amount, Solids units Petroleum Organics (mo/dd/yr) Inches3 Hydrocarbons Benchmarks _ - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L ===> mg/La 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S, Facility Engineer Title (Print title) 4naw & 31 2 of i ig ture) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 5o mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coov of this DMR. including all "No Discharge" reports, within_30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 .3 11 p 7 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 .. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted _Feb 15,2017 CERTIFICATE OF COVERAGE NO. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY_ Lab Cert. # Comments on sample collection or analysis: SAMPLE COLLECTION YEAR _2017 SAMPLE PERIOD an -June 0 July -Dec Or X Monthly' Jan . (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply []SA E C EIVE D ❑Other SEP 2 7 2017 Part A: Stormwater Benchmarks and Monitoring Results D SEQ- R � 10N PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 51 No discharge this period? 24-hour pH' Non -Polar Outfall No. Date Sample 1 rainfall Total Suspended Standard Copper Lead Zinc O&G/ Total Total Toxic s Collected amount, Solids units Petroleum Organics (mo/dd/yr) Inches3 Hydrocarbons Benchmarks - - 100 mg/L or 50 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L mg/0 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be -Waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) EH&S, Facility Engineer Title (Print title) (Signature) r (Dot ) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Nete. if you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. + 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3,. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mal! an original and one copy of this DMR, including ail "No Discharge" reports, within 30 days o receipt a the lab results (or at end of monitarinaperiod in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 ,2 l�20 (Date)" SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted MAR 15, 2015 CERTIFICATE OF COVERAGE No. NCG03 0492 FACILITY NAME STABILUS, INC. COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY PRISM Lab Cert. if 402 Comments on sample collection or analysis: Part A: 5torrnwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2 015 R SAMPLE PERIOD ® Jan -June ❑ July -Der kt ci,E&GING or El Monthly' (month) AUTO CLASS ❑ORW ❑HCIW ❑Trout ❑PNA i 2015 ❑zero -flow ❑Water Supply ❑SA pEUA�f7-, ❑other 'ram S�Cr/ NS PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?2 Outfall No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, lnches' Total Suspended Solids p H, Standard units � Copper Lead zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks ===> - - 100 mg/L or so mg/L 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L OUTFALL #1 2/9/15 0.42 11 7.00.095 BRL 0.20 BRL OUTFALL ##2 2/9/15 0.42 95 6.8 0.019 0.011 0.17 BRL OUTFALL #3 2/9/15 0.42 13 6.6 BRL BRL 0.049 BRL ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here, 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. S Total Toxic Organics sampling Is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CPR 469.12; for electronic crystal manufacture use the definition as found in 40 CPR 469.22; and for cathode ray tube manufacture use the definition found in 40 CPR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities mat Incorporate a solvent management plan into the Stormwater Ponution Prevention Plan may so certify, and the requirement for TTO monitoring ' may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: " "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (70), i certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since fiiing the last discharge monitoring report, I further certify that this facility is imp{ementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) ENVIRONMENTAL & FACILITY ENGINEER Title (Print title) ( ignature) (Date) Note; Results must be reported in numerical format, Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported In the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value /n excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this aerlod?z Outfall No. Date Sample Collected' (mo/dd/yr) .. 24-hour rainfall amount, Inches Non -polar 0&G/TPH by EPA 1664-(5GT-HEM) Total Suspended Solids pH Benchmarks =__> - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B w See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 2 of 3 i Note: if you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCE;EDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCE:EDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR includin all "No Discharge" reports, within 30 Lays of receipt of the lab results for at end oLmonitoring period In the cgse of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 7 zlal-26L�- (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 NCQER Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: l.ncdenr r w w w - Permit No.: or Certificate of Coverage No.: Nlg�1_9131M4 /VZ_1 Facility Name: STABILUS , INC. County: GASTON Phone No. f 7041 Rcs-7444 . Inspector: Michael Date of Inspection: FEB 9, 2 01 S Time of Inspection: 1 : 00PM Total Event Precipitation (inches): O.4 5 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ❑ Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"ar "measureable storm event" (requirements vary, depending on the permit) - Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A `measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours I prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter 1 interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. i By this signature, i certify that this repgrt is accurate and complete to the best of my knowledge: of Permittee or Pagel of 2 SWu-242. Last modified 10/25/2012 Feb 9, 2015 1. outfall Description: Outfall No. ## 1 S Receiving Stream: Kaylor Describe the industrial activit North Side of buil :ure (pipe, ditch, etc.) Pipe anch of Long Creek that occur within the outfall drainage area: ng drive way, roof drain, sludge containment apron 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors: CLEAR 3. Odor: Describe any distinct odors that the discharge may have (i.e., swells strongly of oil, weak chlorine odor, etc): NONE 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: I it 2 3 4 5 7. is there any foam in the stormwater discharge? Yes i a_ is there an oil sheen injthe stormwater discharge? Yes &0 9. is there evidence of erosion or deposition at the outfall? Yes CN) 10. Other Obvious indicators of Stormwater Pollution: I List and describe I Note: Low clarity, high solids; and/or the presence of foam, oil sheen., or erosion/deposition maybe indicative of pollutani exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Cast modified 10/25/2012 fEB 09 , 2015 1. Outfall Description.: Outfall No. # 2 cture (pipe, ditch, etc.) Ditch along Southeast corner Receiving Stream: naylor nranch of Long Creek Describe the industrial activities that occur within the outfall drainagb area: East side Parking Lo ,roof drains,stormwater asin 2. Color. Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors: CLEAR 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): NONE 4. Clarity: Choose the number which best describes the clarity of the discharge, where i is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 i b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: t l 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil: sheen in jthe stormwater discharge? Yesa 9. Is there evidence of erosion or deposition at the outfall? Yes nN 10. Other Obvious Indicators of Stormwater Pollution: List and describe i Note: Low clarity, high solids; and/or the presence of foam, on sheen, or erosion/deposition may be indicative of pollutant exposure'. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Feb 09,2015 1. Outfall Description: Outfall No. #1 3 Structure (pipe, ditch, etc.)Ditch along 1-85 Southside property Receiving Stream: Kaylor branch of Long Creek Describe the industrial activities that occur within the outfall drainage area: West side truck apron, south side storm basin,west side root rains 2. Color: Describe the collar of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: CLEAR 3. Odor. Describe any distinct odors that the discharge may have Cie, smells strongly of oil, weak chlorine odor, etc.): NONE 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i� 2 3 4 5 S. Floating Solids: Choosje the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: I{ 1f 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: i i t 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes a. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious lndicatims of Stormwater Pollution: I List and describe i i Note: Low clarity, high solids; and/or the presence of foam, on sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-z42, Last modified 10/25/2012 STABILUS (STUS) Storm Water Semi -Annual Inspections Log USSE Up dated: Mar 2014 by: M. Ellington 1 USSE STABILUS - GASTONIA, NORTH CAROLINA Log Sheet to Document Semi -Annual Inspections of the Fscillty Dateffirne Person(s) Storm Water Systems Inspected Weather ., Results/Comments :; Maintenance Maintenance of Inspection Conducting Conditions, ra Required? Completed Inspection (Yes/No) (Date) May 17, 2010 M. Ellington ALL OUTFALL LOCATION/AREAS Light RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Oct 25, 2010 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod. RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Jul 13, 2011 M. Ellington ALL OUTFALL LOCATION/AREAS Mod. RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 21, 2011 M. Ellington ALL OUTFALL LOCATION/AREAS Mod. RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR May 14, 2012 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 26, 2012 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Jun 7, 2013 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Nov. 26, 2013 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR May 15, 2014 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 21, 2014 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Feb 09,2015 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Revision History Form ' ',, NC Certification No. 402 Case Narrative L�. SC Certification No. 99012 Pi Futl-Service Analytical & NC Drinking Water Can No. 37735 02/26/2015 tF R I S M Environmental Solutions VA Certification No. 460211 MG DoD ELAP: L-A-B Accredited Certificate No. L2307 ISOIIEC 17025: L-A-B Accredited Certificate No. L2307 Stabilus Project: Stormwater Mike Ellington 1201 Tulip Dr. Lab Submittal Date: 02/10/2015 Gastonia, NC 28052 Prism Work Order. 5020193 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. 01/1' -"0' Terri W. Cole Project Manager Data Qualifiers Key Reference: Reviewed By Terri W, Cole Project Manager A ICV result is below the control limits. Analyte not detected in the sample. No further action taken. HT Sample received and analyzed outside of the hold time. ICV ICV result is above the control limits. Analyte not detected in the sample. No further action taken. OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not extracted for TPH (SGT-HEM). BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit_ All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529.6364 - Toll Free Number. 1.8001529-6364 - Fax: 70VS26-M9 Page 1 r 7� C Full -Se —ice Analytical & EP R I S M ( Environmental Solutions Sample Receipt Summary 02/26/2015 Prism Work Order: 5020193 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Outfall1 5020193-01 Water 02/09/15 02/10/15 Outfall11 5020193-02 Water 02/09/15 02/10/15 Outfall111 5020193-03 Water 02/09/15 02/10/15 Samples were received in good condition at 2.1 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the mitten consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 7041629-6364 - Toll Free Number: 1-8001529-0364 - Fax: 704I525-0409 Page 2 of 13 L&D Laboratory Report ismIFull-Servica Analytical 8 Environmental Solutions 02126/2015 ueorwrawE.q �xc. Stabilus Project: Stormwater Client Sample ID: Outfall Attn: Mike Ellington Prism Sample ID: 5020193-01 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 2BU52 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MDL Dilution Method Analysis Anatyst Batch Limit Factor Datelrime ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOG mWL 5.0 0.59 1 '1664B 2125/15 8:45 JAB P560478 pH 7.0 HT pH Units 1 'SM4500a•I B 2110/15 15:30 EGC P5130200 Total Suspended Solids 11 -91L 4.2 1.0 1 'SM 2540 D 211WIS 9:50 EGC P580303 Semivolatile Organic Compounds by GCIMS 1,2,4-Trichlarob-enzene BRL ug/L 10 1.6 1 '625 2120115 140 KC P550298 1,2-Dichlorobenzene BRL ug/L 10 1.7 1 '625 2120115 1A0 KC P560298 1,3-Dichlorobenzene BRL ug/L 10 1.7 1 '625 2120115 1A0 KC P560298 1,4-Dichlorobenzene BRL ug/L 10 1.7 1 '625 2120115 1:40 KC P5130298 1-Methylnaphthalene BRL ug/L 10 1.6 1 '625 MOM 1:40 KC P5B0298 2,4,6-Trichlorophenal BRL ug/L 10 1.5 1 '625 2120M5 1:40 KC P5130298 2,4-Dichlorophenol BRL ug1L 10 1.6 1 '625 2120l15 1:40 KC P5130298 2,4-Dimethylphenot BRL ug/L 10 1.6 1 "625 2/20115 1:40 KC P560298 2,4-Dinitrophenol BRL ug/L 10 0,54 1 625 2/20115 1:40 KC P560298 2,4-Dinitrotoluene BRL ug1L 10 1.4 1 '625 2120115 1:40 KC P5130298 2,6-Dindratoiuene BRL ug/L 10 1.4 1 '625 2/20115 1:40 KC P5130298 2-Chloronaphthalens BRL ug1L 10 1.8 1 '625 212011 S 1:40 KC PSB0298 2-Chloraphenol BRL ug1L 10 1.4 1 '625 2120115 1:40 KC P580296 2-Methylrtaphthalene BRL ug/L 10 1.7 1 '625 2120115 1:40 KC P5B0298 2-Nitroptienol BRL ug/L 10 1.5 1 '625 2/20115 1:40 KC P5130298 3,3'-Dichlorobenzidine BRL ug/L 10 1.5 1 '625 2/20115 1:40 KC PSB0298 314-Methylphenol BRL ug/L 10 1.2 1 '625 2/20/15 1:40 KC P560298 4,6-Diniuo-2-methylphenol BRL ug/L 10 1.2 1 "625 2120/15 1:40 KC P560298 4-Bromophenyl phenyl ether BRL ug/L 10 1.3 1 "625 2120/15 1:40 KC P560298 4-Chloro-3-methylphenoi BRL ug/L 10 1.6 1 "625 2120/15 1:40 KC P560298 4 Chloroaniline BRL ug/L 10 1.6 1 "625 2120/15 1:40 KC P560298 4-Chlorophenyl phenyl ether BRL ug/L 10 1.2 1 •625 2120/15 1:40 KC P560298 4-Nitrophenol BRL ug/L 50 1.0 1 •625 2120/15 1:40 KC P5130298 Acenaphthene BRL ug1L 10 1.7 1 •625 2120115 1:40 KC P5B0298 Aoenaphthylene BRL ug/L 10 1.6 1 "625 2120115 1-40 KC P560298 Anthracene BRL ug/L 10 1.6 1 '625 2120115 1:40 KC P5130298 Benzidine BRLA ug/L 100 2.9 1 •625 2120115 1:40 KC P580298 Benzo(a)anthracene BRL ug/L 10 1.5 1 '625 2120115 1:40 KC P5130298 Benzo(a)pyrene BRL ug/L 10 1.7 1 '625 2120115 1:40 KC P5130298 Benzo(b)fluoranthene BRL ug/L 10 1.8 1 -625 2/20115 1:40 KC P5130298 Benzo(g,h,i)perylene BRL ug1L 10 1.6 1 '625 2/20115 1:40 KC P5130298 Benzo(k)fluoranthene BRL ug1L 10 1.7 1 '625 2/20115 1:40 KC P5130298 Benzoic Acid BRLiCy ug1L 100 1.0 1 '625 2120115 1:40 KC P5130298 Benzyl alcohol BRLA ug/L 10 1.2 1 '625 2/20115 1:40 KC P5B0298 bis(2-Chloroethoxy)rrethane BRL uglL 10 1.3 1 '625 2/20115 140 KC P560298 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 3 of 13 Laboratory Report �PR I S n V' I A FunService Analytical d ' Environmental Soluiiany 02/26/2015 �i7iaeoP.,raA�a u.c Stabilus Project: Stormwater Client Sample 1D: Outfall I Attn: Mike Ellington Prism Sample 1D: 5020193-01 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatelTme ID Bfs(2-Chlorcethyl)ether BRL ug1L 10 1.7 1 '625 2f20115 1:40 KC P5130298 eis(2-chloroisopropyl)ether BRL ugfL 10 1.3 1 'fi25 2120115 1:40 KC P5130298 Bis(2-Ethylhexyl)phthatate BRL ug(L 10 1.6 1 '625 2120115 1:40 KC P5130298 Butyl benzyl phthalate BRL ugfL 10 1.4 1 `625 2/20115 1:40 KC P5130298 Chrysene BRL ugfL 10 1.4 1 '625 2120115 1:40 KC P580298 Dibenzo(a,h)anthracene BRL ug/L 10 1.6 1 '625 2120/15 1:40 KC P580298 Dibenzofuran BRL ug/L 10 1.6 1 `625 2120115 1:40 KC PSB0298 Diethyl phthalate BRL ug/L 10 0.98 1 `625 2/20115 1:40 KC PSB0298 Dimethylphthalate BRL ug/L 10 1A 1 `625 2120115 1:40 KC P5130298 Di-n-butyl phthalate BRL ug/L 10 1.6 1 `625 2/20115 1740 KC P5130298 Di-n-octyl phthalate BRL ug/L 10 1.8 1 `625 2/20115 1:40 KC P5130298 Fluoranthene BRL uglL 10 1.4 1 '625 2/20115 1:40 KC P5B0298 Fluorene BRL ug/L 10 1.5 1 '625 2/20115 1:40 KC P5130298 Hexachlorobenzene BRL ug/L 10 1.2 1 `625 2120115 1:40 KC P5B0298 Hexachlorobutadiene BRL ug/L 10 2.0 1 `625 2120115 1:40 KC P580298 Hexachlorocyclopentadiene BRL uglL 10 1.6 1 '625 2/20/15 1:40 KC P560298 Hexachloroethane BRL ug/L 10 2.0 1 '625 2120115 1:40 KC P5B0298 Indeno(1,2,3-ed)pyrene BRL ug/L 10 2.2 1 `625 2/20/15 1:40 KC P5B0298 Isophorone BRL ugfL 10 1.5 1 '625 2/20115 1:40 KC P5130298 Naphthalene BRL uglL 10 1.6 1 '625 2/20115 1:40 KC P5130298 Nitrobenzene BRL ug/L 10 1.4 1 '625 2120115 1:40 KC P550298 N-Nitrosodimethylamine BRL ugfL 10 0.96 1 '625 2120/15 1:40 KC P55029B N-Nitroso-di-n-propylamine BRL ug/L 10 1.2 1 `625 2120/15 1:40 KC P5B0298 N-Nitrosodiphenylamine BRL ug/L 10 1.4 1 `625 2120/15 1:40 KC P5B029B Pentachlorophenol BRL ugfL 10 1.5 1 '625 2120/15 1:40 KC P5B0298 Phenanthrene BRL ug/L 10 1.4 1 '625 2f20115 1:40 KC P580298 Phenol BRL ugfL 10 0.90 1 '625 2120/15 1:40 KC P5130298 Pyrene BRL ug/L 10 1.5 1 `fi25 2120115 1:40 KC P5B0298 Surrogate Recovery Control Limits 2,4,6-Tdbromophenol 86 % 31-144 2-Fluorobiphenyl 86 % 49-118 2-Fluorophenol 48 % 22-84 Nitrobenzene-d5 69 % 43-123 Phenol-d5 32 % 10-63 Terphenyi-d14 98 % 49-151 Total Metals Copper 0.095 mg1L 0.010 0.0014 1 '200.7 211WIS 23.31 BGM P5B0268 Lead BRL mglL 0.0050 0.00056 1 '200.7 2/16/15 23:31 BGM P580258 Zinc 0.20 mg1L 0.030 0.0024 1 '200.7 2116115 23:31 BGM PSB0258 Volatile Organic Compounds by GC1MS 1,1,1-Trichioroethane BRL ug/L 5.0 0.061 1 fi24 2117/15 21:00 VHL PSB0333 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 7041629-6364 - Tall Free Number. 1-8001529-0364 - Fax: 7WS25-0409 Page 4 of 13 Laboratory Report C; I Full -Service Analytical & 0212612015 ' �P R i S M ( Environmenia! Solutions f��aBOM�iow�S u,c ' Stabilus Project Stormwater Client Sample ID: Outfall I Attn: Mike Ellington Prism Sample ID: 5020193-01 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/1513:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID 1,1,2,2-Tetmchloroethane BRL ug/L 5.0 0,036 1 '624 2M7115 21:00 VHL P5130333 1,1,2-Trichloroethane BRL ug1L 5.0 0.066 1 '624 2/17115 21:00 VHL P5130333 1,1-Dichloroethane BRL ug1L 5.0 0.083 1 '624 2/17/15 21:00 VHL P5130333 1,1-Dichloroethylene BRL ug1L 5.0 0.083 1 '624 2/17115 21:00 VHL P5130333 1,2-Dichlorobenzene BRL ug1L 5.0 0.076 1 '624 2/17/15 21:00 VHL P5130333 1,2-Dicl1loroethane BRL ug1L 5.0 0.066 1 '624 2/17/15 21:00 VHL P5130333 1,2-Dichloropropane BRL ug1L 5.0 0.11 1 '624 2117115 2100 VHL P5130333 1,3-Dichlorobenzene BRL ug1L 5.0 0.054 1 '624 2117/15 21:00 VHL P5130333 14-Dichlorobenzene BRL ug1L 5.0 a050 1 '624 2/17115 21:00 VHL P560333 2-Chloroethyl Vinyl Ether BRL ug1L 10 0.37 1 '624 2/17115 21:00 VHL P5130333 ACrolein BRL ug1L 100 0.20 1 '624 2117115 21,00 VHL P560333 Acryionitrile BRL ug/L 100 0.20 1 '624 2117/15 21:00 VHL P560333 Benzene BRL ug1L 5.0 0.048 1 '624 2117115 21:00 VHL P5130333 Bromodichioromethane BRL ug1L 5.0 0.062 1 "624 2117115 21:00 VHL P560333 Bromoform BRL ug1L 5.0 0.040 1 '624 2117115 21:00 VHL P580333 Bromomethane BRL ug/L 10 0.18 1 '624 2117115 21:00 VHL P5B0333 Carbon Tetrachloride BRL ugA- 5.0 0.11 1 '624 2117115 21:00 VHL P5130333 Chlorobenzene BRL ug1L 5.0 0.062 1 '624 2117115 21:00 VHL 1`5130333 Chloroethane BRL ug1L 10 0.22 1 '624 2117115 21:00 VHL P5130333 Chloroform BRL ug1L 5,0 0.076 1 '624 2l17115 21:00 VHL P580333 Chloromethane BRL ug1L 10 0.079 1 '624 2/17/15 21:00 VHL P51310333 cis-1,3-Dichloropropylene BRL ug1L 5.0 0.079 1 '624 2/17/15 21:00 VHL P5B0333 Dibromochloromethane BRL ug1L 5.0 0.081 1 '624 2117115 21:00 VHL P580333 Ethylbenzene BRL ug/L 5.0 0.061 1 '624 2117115 21:00 VHL P560333 Methylene Chloride BRL ug/L 5.0 0.083 1 '624 2117/15 21:00 VHL PSB0333 Tetrachloroethylene BRL ug/L 5.0 0.098 1 '624 2117115 21:00 VHL P5B0333 Toluene BRL ugfL 5.0 0.044 1 '624 2117115 21:00 VHL P5130333 trans-1,2-Dichloroethylene BRL ug1L 5.0 0.094 1 '624 2117115 21:00 VHL P560333 trans-1,3-Dichloropropylene BRL ug/L 5.0 0.070 1 '624 2117115 21:00 VHL P560333 Trichloroethylene BRL ug/L 5.0 0.078 1 624 2117/15 21:00 VHL P560333 Trichlorolluoromethane BRL ug1L 10 0.062 1 `624 2117/15 21:00 VHL 1`560333 Vinyl chloride BRL ugJL 10 0.097 1 `624 2117115 21:00 VHL P560333 Surrogate Recovery Control Limits 4-Bromofluombenzene 108 % 74-126 Dibromofluoromethane 104 % 75-127 Toluene-d8 101 % 74-122 This report should not be reproduced, except in its entirety, without the mitten consent of Prism Laboratories, Inc_ 449 Springbrook Road - P.O. Box 240543 - Chado te, NC 2822"543 Phone: 7041529.6364 - To0 Free Number. 1-8001529-6364 - Fax: 7041526-W9 Page 5 of 13 P.°� Laboratory Report �1 1R ism -oviv omen -ice al SGE do s [- Environmental SoFutions 0212612015 4aon�roa�Es u.c Stabilus Project: Stormwater Client Sample ID: Outfall 11 Attn: Mike Ellington Prism Sample ID: 5020193-02 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DateRme ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRL pG mg1L 5.0 0.59 1 "1664B 2J25/15 8:45 JAB PSB0478 PH 6.8 HT pH Units 1 'SM4500-H B 2110116 15:30 EGC PSB0200 Total Suspended Solids 95 mgR 6.0 1.0 1 'SM 2540 D 2116116 9:50 EGC PSB0303 Semivolatile Organic Compounds by GCIMS 1,2,4-Trichlorobenzene BRL ug/L 10 1.6 1 '625 2120/15 0:37 KC P5B0298 1,2-Dichlorobenzene BRL ug1L 10 1.7 1 '625 2120115 0:37 KC P5B0298 1,3-Dichlorobenzene BRL ug/L 10 1.7 1 '625 2120/15 0:37 KC P5B0298 1,4-Dichlorobenzene BRL ug/L 10 1.7 1 '625 2120115 0:37 KC P580298 1-Methylnaphthalene BRL ug/L 10 1.6 1 '625 2/20/15 0:37 KC P5130298 2,4,6-Trichlorophenal BRL ug/L 10 1.5 1 '625 2J20115 0:37 KC P5B0298 2,4-Dichlorophenol BRL ug/L 10 1.6 1 "625 2/20115 0:37 KC P5B0298 2,4-Dimethylphenol BRL ug/L 10 1.6 1 '625 2120115 0:37 KC P560298 2,4-Dinitrophenol BRL ug/L 10 0.54 1 '625 2120115 0:37 KC P5130298 2,4-Dinitrotoluene BRL ug1L 10 1.4 1 '625 2121115 0:37 KC P5B0298 2,6-Dinitrotoluene BRL ug/L 10 1.4 1 '625 2/20115 0:37 KC PSB0298 2-Chloronaphthalene BRL ug/L 10 1.8 1 '625 2/20115 0:37 KC P5B0298 2-Chlorophenol BRL ug/L 10 1.4 1 '625 2120/15 0:37 KC P5B0298 2-Methylnaphthalene BRL ug1L 10 1.7 1 '625 2/20115 0:37 KC P5B0298 2-Nitrophenol BRL ug1L 10 1.5 1 '625 2/20115 0:37 KC P5130296 3,X-Dichiorobenzidine BRL ugfL 10 1.5 1 '625 2/20/15 0:37 KC P5B0298 3/4-Methylphenol BRL ug/L 10 1.2 1 '625 2120115 0:37 KC P5130298 4,6-Dindro-2-methylphenol BRL ug1L 10 1.2 1 '625 2/20115 0:37 KC P5B0298 4-Bromophenyl phenyl ether BRL ug/L 10 1.3 1 "625 2/20115 0:37 KC P5B0298 4-Chloro-3-methylphenol BRL ug/L 10 1.6 1 '625 2/20/15 0:37 KC P5B0298 4-Chloroaniline BRL ug/L 10 1.6 1 '625 2/20115 0:37 KC P5130298 4-Chlorophenyl phenyl ether BRL ug/L 10 1.2 1 '625 2/20115 0:37 KC P5B0298 4-Nitrophenol BRL ugfL 50 1.0 1 '625 2120115 0:37 KC P5B0298 Aoenaphthene BRL ug/L 10 1.7 1 '625 2120/15 0:37 KC P5B0298 Acenaphthylene BRL ug/L 10 1.6 1 '625 2I20115 0:37 KC P580298 Anthracene BRL ug/L 10 1.6 1 '625 2/20115 0:37 KC PSB0298 Bertzidine BRLA uglL 100 2.9 1 '625 2/20/15 0:37 KC PSB029B Benzo(a)anthraoene BRL ugJL 10 1.5 1 '625 2/20/15 0:37 KC P560298 Benzo(a)pyrene BRL ug/L 10 1.7 1 '625 2120115 0:37 KC P5Bo29a Benzo(b)fluoranthene BRL ug/L 10 1.8 1 '625 2/20115 0:37 KC P513029a Benzo(g,h,i)perylene BRL ug/L 10 1.6 1 '625 2/20/15 0:37 KC PSB0298 Benzo(k)fluoranthene BRL ug/L 10 1.7 1 '625 2120/15 0:37 KC 1`5130298 Benzoic Acid BRLICv ug/L 100 1.0 1 '625 2120/15 0:37 KC P580298 Benzyi alcohol BRLA u91L 10 1.2 1 'fi25 2J20115 0:37 KC P5B0298 bis(2-Chloroethoxy)methane BRL u91L 10 1.3 1 '625 2120115 0:37 KC P5B0298 Bis(2-Chloroethyl)ether BRL ug1L 10 1.7 1 '625 2J20115 0:37 KC P5130298 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Sprtngbrook Road - P.O. Box 240543 - Charkstte, NC 28224-0543 Phone: 7041529-6364 - Tall Free Number. 1-8001529.6354 - Fax: 70V5264M9 Page 6 of 1.3 d& Laboratory Report RISMI Environmental Solutions 4212612415�a Stabilus Project: Stormwater Client Sample ID: Outfall II Attm Mike Ellington Prism Sample ID: 5020193-02 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MIX Dilution Method Analysis Analyst Batch Limit Factor Dateffime ID Bis(2-chloroisopropyl)ether BRL ug/L Bis(2-Ethyihexyl)phthalate BRL ug/L Butyl benzyl phthalate BRL ug/L Chrysene BRL ug/L Dibenzo(a,h)anthracene BRL ug/L Dibenzofuren BRL ug/L Diethyl phthalate BRL ug/L Dimethyl phthalate BRL ug/L Di n-butyl phthalate 8RL ug/L Di-n-ootyl phthalate BRL ug/L Fluoranthene BRL ugfL Fluorene BRL ug/L Hexachlorobenzene BRL ug/L Hexachlorobutadiene BRL ug/L Hexachlorocyclopentadiene BRL ug/L Hexachloroethane BRL ug/L Indeno(1,2,3-cd)pyrene BRL ugh- Isophorone BRL ug/L Naphthalene BRL ug/L Nitrobenzene BRL ug/L N-Nitrosodimethylamine BRL ug/L N-Nltroso-di n-propytamine BRL ug/L N-Nitrosodiphenylamine BRL ug1L Pentachlorophenol BRL ug/L Phenanthrene BRL ug/L Phenol BRL ug/L Pyrene BRL ug/L 10 1.3 1 625 212DI15 0:37 KC 135130298 10 1.6 1 `fi25 2120/15 0:37 KC P5130298 10 1.4 1 `625 MOM 5 0:37 KC P5B0298 10 1.4 1 `625 2120115 0:37 KC P5B0298 10 1.6 1 `fi25 2120115 0:37 KC P5BO298 10 1.6 1 `625 2120/15 0:37 KC P5130298 10 0.98 1 '625 2120/15 0:37 KC P580298 10 1.4 1 '625 2/20115 0:37 KC P5130298 10 1.6 1 '625 2120/15 0:37 KC P5130296 10 1.8 1 `625 2120/15 0:37 KC PSB0298 10 1.4 1 `625 2120115 0:37 KC P5130298 10 1.5 1 `fi25 2/20I15 0:37 KC P5130298 10 1.2 1 `625 2120/15 0:37 KC P580298 10 2.0 1 `625 2120/15 0:37 KC P5130298 10 1.6 1 `625 2120115 0:37 KC P580298 10 2.0 1 '625 2120115 0:37 KC P550298 10 2.2 1 '625 2120115 0:37 KC P550298 10 1.5 1 '625 2120115 0:37 KC P580298 10 1.6 1 '625 2120/15 0:37 KC P5150298 10 1.4 1 '625 2/20115 0:37 KC P5130298 10 0.96 1 '625 2120115 0:37 KC P5130298 10 1.2 1 '625 2/20115 0:37 KC P5130298 10 1.4 1 `625 2120115 0:37 KC P5130298 10 1.5 1 '625 2/20/15 0:37 KC P560298 10 1.4 1 '625 2/20115 0:37 KC P5S0298 10 0.90 1 '625 2/20115 0:37 KC P5B029B 10 1.5 1 '625 2/20115 0:37 KC P5130298 Surrogate Recovery Control Limits 2,4,6-Tribromophenol 83 % 31-144 2-Fluorobiphenyl 77 % 49-116 2-Fluorophenol 41 % 22-84 NitrobenzeneA5 81 % 43-123 Phenol-d5 27 % 1D-63 Terphenyl-d14 100 % 49-151 Total Metals Copper 0.019 rng1L 0.010 0.0014 1 '200.7 2116115 23:43 BGM PSB0258 Lead 0.011 ffKA 0.0050 0.00066 1 '200.7 2116115 23:43 BGM PSB0258 Zinc 0.17 rag/L 0.030 0.0024 1 '200.7 2/16115 23:43 BGM PSB0258 Volatile Organic Compounds by GCIMS 1,11-Trichloroethane BRL ug/L 5A O.D61 1 '624 2/17115 21:26 VHL P580333 I,1,2,2-Tetrachloroethane BRL ug/L 5.0 0.036 1 '624 2/17115 21:26 VHL P5130333 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-OS43 Phone: 7041629-6364 - Toll Free Numher. 1-8001529-6364 . Fair: 7041525-0409 Page 7 of 13 M ( Full -Service aj sal lcai s Laboratory Report t En�ironmentaf Solutions 02/26/2015 . Stabilus Project: Stormwater Client Sample ID: Outfali 11 Attn: Mike Ellington Prism Sample ID: 5020193-02 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID 1,1,2-Trichloroethane BRL ug/L 5.0 0.066 1 '624 2117115 21:26 VHL P5B0333 1,1-Dichloroethane BRL ug/L 5.0 0.083 1 '624 2/17115 21:26 VHL P5B0333 1,1-Dichloroethylene BRL ug/L 5.0 0.083 1 '624 2117115 21:26 VHL P5B0333 1,2-Dichlorobenzene BRL uglL 5.0 0.076 1 '624 2117115 21:26 VHL P5B0333 1,2-Dichtoroethane BRL ug1L 5.0 0.066 1 '624 2117115 21:26 VHL P5B0333 1,2-Dichioropropane BRL ug/L 5.0 0.11 1 '624 2/17115 21:26 VHL P5B0333 1,3-Dichlorobertzene BRL ug/L 5.0 0.054 1 '624 2117115 21:26 VHL P5B0333 1,4-Dichlorobenzene BRL ug/L 5.0 0.050 1 '624 2117115 21:26 VHL P5B0333 2-Chloroethyl Vinyl Ether BRL ug/L 10 0.37 1 `624 21t7115 21:26 VHL P5B0333 Acrolein BRL ug/L 100 0.20 1 '624 2/17115 2116 VHL P5B0333 Acrylonitrile BRL ug1L 100 0.20 1 '624 2117115 21:26 VHL P5B0333 Benzene BRL ug/L 5.0 0.040 1 '624 2117115 21:26 VHL P5B0333 Bromodichloromethane BRL ug1L 5.0 0.062 1 '624 2117i15 21:26 VHL P5B0333 Bromotorm BRL ug/L 5.0 0,040 1 '624 2117/15 21:26 VHL P580333 Bromomethane BRL ug1L 10 0,10 1 '624 2117/15 21:26 VHL P5130333 Carbon Tetrachloride BRL ug1L 5.0 0.11 1 '624 '2/17115 21:26 VHL P5B0333 Chlorobenzene BRL ug/L 5.0 0.062 1 '624 2117115 21:26 VHL P5B0333 Chloroethane BRL ug1L 10 0.22 1 '624 2/17115 21:26 VHL P5130333 Chloroform BRL ug1L 5.0 0.076 1 '624 2/17115 21:26 VHL P5B0333 Chloromethane BRL ug/L 10 0.079 1 '624 2117115 21:26 VHL P5B0333 cis-1,3-Dichloropropylene BRL ug/L 5.0 0.079 1 '624 2117i15 21:26 VHL P5B0333 Dibromochioromethane BRL ug1L 5.0 0.081 1 '624 2/17115 21:26 VHL P5B0333 Etfiylbenzene BRL ug1L 5.0 0.061 1 '624 2/17115 21:26 VHL P5B0333 Methylene Chloride BRL ug/L 5.0 0.083 1 '624 2117/15 21:26 VHL P5B0333 Tetrachloroethylene BRL ug/L 5.0 0.096 1 '624 2117/15 21:26 VHL P5B0333 Toluene BRL ug1L 5.0 0.044 1 '624 2117/15 21:26 VHL P5B0333 trans-1,2-Dichloroethylene BRL ug1L 5.0 0.094 1 '624 2117115 21:26 VHL P5S0333 trans-1,3-Dichloropropyiene BRL ug1L 5.0 0.070 1 '624 2/17/15 21:26 VHL P5B0333 Trichloroethylene BRL ug/L 5.0 0.078 1 '624 2117/15 21:26 VHL P5B0333 Trichlorofluoromethane BRL ug/L 10 0.062 1 '624 2117115 21:26 VHL P5B0333 Vinyl chloride BRL ug/L 10 0.097 1 '624 2117115 21:26 VHL P5B0333 Surrogate Recovery Control Limits 4-Bromofluorobenzene 109 % 74-126 Dibromofluoromethane 107 % 75-127 Totuene-dB 103 % 74-122 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 24OS43 - Charlotte, NC 28224.0543 Phone: 7041529-6364 - Toll Free Number. 1-8001529-6364- Fax: 7041525-Mg Page S of 13 FuHLaboratory Report -Service AnakyticaE & f P R ISM I Environmental Solutions 02/2612015 Stabilus Project: Stormwater Client Sample ID: Outfall III Attn: Mike Ellington Prism Sample ID: 5020193-03 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02l10115 13:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil $ Grease (SGT-HEM) BRLOG mg/L 5.0 0.59 1 '1664B 2/25115 9:15 JAB P560478 pH 6.6 HT pH Units 1 'SM4500-H B 2/10115 15:30 EGC P5130200 Total Suspended Solids 13 mg/L 3.1 1.0 1 •SM 2640 D 2/16116 9:60 EGC P580303 Semivolatile Organic Compounds by GC/MS 1,24-Trichlorobenzene BRL ug/L 10 1.6 1 '625 2120115 0:58 KC P5150298 1,2-Dirhiorobenzene BRL ug/L 10 1.7 1 '625 2120/15 0:58 KC P5B0298 1,3-Dichlorobenzene BRL ug/L 10 1.7 1 `625 2120/15 0:58 KC P5BD298 II A-Dichiorobenzene BRL ug/L 10 1.7 1 '625 2120115 0:58 KC P5BO29B 1-Methyinaphthalene BRL ug/L 10 1.6 1 "625 2120/15 0:58 KC P5130298 2,4,6-Tdchlorophenal BRL ug/L 10 1.5 1 '625 2120115 0:58 KC P5BD298 2,4-Dichlorophenol BRL ug/L 10 1.6 1 `625 2120/15 0:58 KC P5BD298 2,4-Dimethylphenol BRL ug/L 10 1.6 1 '625 2/20/15 0:58 KC P5B0298 2,4-Dinitrophenol BRL ug/L 10 0.54 1 '625 2/20/15 0:58 KC P5BD298 2,4-Dindrotoluens BRL uglL 10 1.4 1 '625 2/20115 O:58 KC P5BD298 2,6-Dinitrotoluene BRL ug/L 10 1.4 1 '625 2/20I15 0:58 KC P5130298 2-Chloronaphthalene BRL ug/L 10 1.8 1 '625 2/20115 0;58 KC P5BD298 2-Chlorophenol BRL ug/L 10 1.4 1 '625 2120115 0:58 KC P5B0298 2-Methylnaphthalene BRL ug/L 10 1.7 1 •625 2/20115 0:58 KC P560298 2-Nitrophenol BRL ug/L 10 1.5 1 "625 2/20/15 0:58 KC P5BD298 3,T-Dichlorobenzidine BRL ug/L 10 1.5 1 "625 2/20115 0:50 KC P5B0298 314-Methylphenol BRL uglL 10 1.2 1 '625 2/20115 0:58 KC P5130298 4,6-Dinitro-2-methylphenol BRL ug/L 10 1.2 1 'fi25 2/20115 a58 KC P5130298 4-Bromophenyl phenyl ether BRL ug/L 10 1.3 1 `625 2/20115 0:58 KC PSB0298 4-Chloro-3-methylphenol BRL ug/L 10 1.6 1 •625 2/20/15 0:58 KC PSB0298 4-Chloroaniline BRL ug/L 10 1.6 1 '625 2120115 0:58 KC P5130298 4-Chlorophenyl phenyl ether BRL ug/L 10 1.2 1 '625 2120115 0:58 KC P5130298 4-Nitrophenol BRL ug1L 50 1.0 1 `625 2120/15 0:58 KC P5BD298 Acenaphthene BRL ug/L 10 1.7 1 `625 2120PI5 0:58 KC P5BD298 Acenaphthylene BRL ug/L 10 1.6 1 •625 2/20115 0:58 KC P5BD298 Anthracene BRL ug/L 10 1.6 1 '625 2/20115 0:58 KC PSB0298 Benzidine BRLA ug/L 100 2.9 1 •s25 2/20/15 0:58 KC P5BD298 Benzo(a)anthracene BRL ug/L 10 1.5 1 '625 2120115 0:58 KC P5BD298 Benzo(a)pyrene BRL ug/L 10 1.7 1 '625 2120115 0:58 KC P560298 Benzo(b)ftuoranthene BRL ug/L 10 1.8 1 '625 2120115 0:58 KC P5BD298 Benzo(g,h,)peryiene BRL ug/L 10 1.6. 1 '625 2120115 0:50 KC P560298 Benzo(k)ftuoranthene BRL ug/L 10 1.7 1 '625 2120/15 0:58 KC P5Bo298 Benzoic Acid BRLICv ug/L 100 1.0 1 '625 2120/15 0:58 KC P5B0298 Benzyl alcohol BRLA ug/L 10 1.2 1 •625 2120/15 0:58 KC P5B0298 bis(2-Chloroethaxy)methane BRL ug/L 10 1.3 1 •625 2120115 0:58 KC P5BD298 Bis(2-ChloroethAether BRL ug/L 10 1.7 1 '625 2120115 0:58 KC P5B0298 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041629-6364 - Toll Free Number. 1-8001629-6364 - Fax: 704/52540409 Page 9 of 13 ' Laboratory Report �PISM Environmental Solutions 02126/2015 �Cy4wewuroRms «+c Stabilus Project: Stormwater Client Sample ID: Outfall III Attn: Mike Ellington Prism Sample ID: 5020193-03 1201 Tulip Dr. Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02I09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date,Tme ID Bis(2-chloroisopropyl)ether BRL ug1L Bis(2-Ethylhexyl)phthalate BRL ug/L Butyl benzyl phthalate BRL ug1L Chrysene BRL ug/L Dibenzo(a,h)anthracene BRL ug1L Dibenzoturan BRL ug/L Diethyl phthalate BRL ug1L Dimethyl phthalate BRL ug1L Di-n-butyl phthalate BRL ug/L Di-n-octyl phthalate BRL ug/L Fluorantherte BRL ug/L Fluorene BRL ug/L Hexechlorobenzene BRL ug/L Hexachlorobutadiene BRL ug/L Hexachlorocyclopentadiene BRL ug/L Hexachloroethane BRL ug/L Indeno(1,2,3-cd)pyrene BRL ug/L Isophorone BRL ug1L Naphthalene BRL ug/L Nitrobenzene BRL ug/L N-Nitrosodimethylamine BRL ug/L N-Nitroso-d r-propylamine BRL ug/L N-Nitrosodiphenylamine BRL ug1L Pentachlorophenol BRL ug/L Phenanthrene BRL ug/L Phenol BRL ug1L Pyrene BRL ug/L 10 1.3 1 `fi25 2I20115 0:58 KC P5B0298 10 1.6 1 '625 2/20115 0:58 KC P5B0298 10 1.4 1 '625 2/20115 0:58 KC P5B0298 10 1.4 1 '625 2/20/15 0:58 KC 1`5150298 10 1.6 1 '625 2/20115 0:58 KC 1`5130298 10 1.6 1 '625 2/20/15 0:58 KC P5B0298 10 0.98 1 '625 2/20115 0:58 KC P5B0298 10 1.4 1 625 2/20/15 0:58 KC P5130298 10 1.6 1 '625 2/20115 0:58 KC P5B0298 10 1.8 1 '625 2/20/15 0:58 KC P5130298 10 14 1 *625 2/20/15 0:58 KC 1`5130298 10 1.5 1 625 2/20/15 0:58 KC 1`5130298 10 1.2 1 '625 2/20115 0:58 KC P5130298 10 2.0 1 '625 2/20115 0:58 KC P5130298 10 1.6 1 '625 2/20115 0:58 KC P5130298 10 2.0 1 *625 2120115 0:58 KC PSB0298 10 2.2 1 '625 2/20115 0:58 KC P5B0298 10 1.5 1 `625 2/20115 0:58 KC P5130298 10 1.6 1 '625 2/20115 0:58 KC P5130296 10 1.4 1 `625 2/20115 0:58 KC 135130298 10 0.96 1 `625 2/20115 0:58 KC PSB0298 10 1.2 1 '625 2120115 0:58 KC P5B0298 10 1.4 1 *625 2/20/15 0:5B KC P5B0298 10 1.5 1 *625 2120115 0:58 KC P5150298 10 1A 1 'fi25 2120115 0:50 KC 1`5130298 10 0.90 1 fi25 2120115 0:58 KC P5130298 10 1.5 1 '625 2120115 0:58 KC P5B0298 Surrogate Recovery Control Limits 2,4,6-Tribromcphenol 87 % 31-144 2-Fluorobiphenyl 80 % 48-118 2-Fluorophenal 44 % 22-84 Nitrobenzene-d5 82 % 43-123 Phenol-d5 31 % 10.63 Terphenyl-d14 102 % 49-151 Total Metals Copper BRL mg1L 0.010 0.0014 1 '200.7 2116115 23A8 BGM P5130258 Lead BRL mg1L 0.0050 0.00056 1 '200.7 2116115 23:48 BGM P5130258 Zinc 0.049 mg/L 0.030 0.0024 1 '200.7 2116116 23.48 BGM P5130258 Volatile Organic Compounds by GC1MS 1,1,1-Trichloroethane BRL ug/L 5,0 0.061 1 '624 2/17115 2L51 VHL P550333 1,1,2,2-Tetrachloroethane BRL ug/L 5.0 0.036 1 '624 2/17115 21:51 VHL P580333 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springb►ook Road - P.O. Box 240643 - Chaft ta, NC 28224-0643 Phone: 7041529-6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/525-0409 Page 10 of 1.3 /1 Laboratory Report ` Fai6Service Analytical � J ®I M EnvironmentaiSoEutions 02/2$12015 ar�iY naarufonies � Stabilus Project: Stormwater Client Sample ID: Outfall III Attn: Mike Ellington Prism Sample ID: 5020193-03 1201 Tulip Dr, Prism Work Order: 5020193 Gastonia, NC 28052 Sample Matrix: Water Time Collected: 02/09/15 13:00 Time Submitted: 02/10/15 13:30 Parameter Result knits Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID 1.1,2-Trichlaroethane BRL ug/L 5.0 0,066 1 '624 2117115 21:51 VHL P5190333 1,1-Dichloroethane BRL ug/L 5.0 D.083 1 'fi24 2117115 21:51 VHL P560333 1,1-Dichloroethylene BRL ug/L 5.0 0.083 1 'fi24 2/17115 21:51 VHL P5BD333 1,2-Dichlorobenzene BRL ug/L 5.0 0.076 1 '624 2I7115 21:51 VHL P5130333 1,2-Dichloroethane BRL ug/L 5.0 0.066 1 '624 2/17115 21:51 VHL P580333 1,2-Dichloropropane BRL ug/L 5.0 0.11 1 '624 2/17/15 21:51 VHL P5B0333 1,3-Dichlorobenzene BRL ug/L 5.0 0.054 1 "624 2117115 21:51 VHL P5130333 14-Dichlorobenzene BRL ug/L 5.0 D.050 1 '624 2/17115 21:51 VHL P5130333 2-Chloroethyl Vinyl Ether BRL ug1L 10 0.37 1 '624 2117115 21:51 VHL P560333 Acrolein BRL ug/L 100 D.20 1 "624 2/17115 21:51 VHL P5130333 Acrylonitrile BRL ug/L 100 D.20 1 624 2/17115 21,51 VHL P560333 Benzene BRL ug/L 5.0 0.048 1 '624 21t7115 21:51 VHL P5130333 Bromodichloromethane BRL ug/L 5.0 0.062 1 '624 2/17115 21:51 VHL P5130333 Bromoform BRL ug/L 5.0 0.040 1 'fi24 2117115 21:51 VHL P5130333 Bromomethane BRL ug/L 10 0.18 1 '624 2/17115 21,51 VHL P5130333 Carbon Tetrachloride BRL ug/L 5.0 0.11 1 624 2/17115 21:51 VHL P5B0333 Chlorobenzene BRL ug/L 5.0 0.062 1 '624 2/17115 21:51 VHL P5130333 Chtoroethane BRL ug/L 10 0.22 1 '624 2/17115 21:51 VHL P560333 Chloroform BRL ug/L 5.0 0.076 1 '624 2/17115 21:51 VHL P5B0333 Chtoromethane BRL ug/L to 0.079 1 '624 2/17115 21:51 VHL P5B0333 cis-1,3-Dichtoropropylene BRL ug/L 5.0 0.079 1 '624 2117115 21:51 VHL P5130333 Dibromochloromethane BRL ug/i< 5.0 0.081 1 '624 2117115 21:51 VHL P5130333 Ethylbenzene BRL ug/L 5.0 0.D61 1 '624 2117115 21:51 VHL P560333 Methylene Chloride BRL ug/L 5.0 0.0a3 1 '624 2117115 21:51 VHL P5B0333 Tetrachloroethylene BRL ug/L 5.D 0.098 1 '624 2117115 21 51 VHL P560333 Toluene BRL ug1L 5.0 0.044 1 '624 2117/15 21:51 VHL P5130333 trans-1,2-Dichloroethylene BRL ug/L 5.0 0.094 1 '624 2/17115 21:51 VHL P560333 trans-1,3-Dichtoropropylene BRL ug/L 5.0 0,070 1 '624 2117115 21:51 VHL P5B0333 Thchloroethylene BRL ug/L 5.0 0.078 1 '624 2/17115 21:51 VHL PSB0333 Trichlorofluoromethane BRL ug/L t0 0.062 1 '624 2117/15 21:51 VHL P560333 Vinyl chloride BRL ug/L 10 0.097 1 '624 2117115 21:51 VHL P560333 Surrogate Recovery Control Limits 4-Bromofluarobenzene 109 % 74-126 Dibromofluoromethane 105 % 75.127 Toluene-d8 104 % 74-122 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - charlotte, NC 28224-0643 Phone: 7041629-6364 - Toil Free Number. 1-800/529-6364 - Fax: 70415254)409 Page 11 of 13 Sample Extraction Data Prep Method: 626 Lab Number Batch Initial Final DatelTime 5020193-01 P5B0298 1000 mL 1 mL 02J16115 8:45 5020193-02 P5B0298 1000 mL 1 mL 02r16115 8:45 5020193-03 P5B0298 1000 mL 1 mL 02Ji6115 8:45 Prep Method: 200.7 Lab Number Batch Initial Final Datefrime 50201913-01 P5B0258 50 mL 50 mL 02/13115 8:15 5020193-02 P5130258 50 mL 50 mL 02J13115 8:15 5020193-03 P5B0258 50 mL 50 mL 02113/15 0:15 Prep Method: 624 Lab Number Batch Initial Final Datefrime 6020193-01 P5B0333 10 mL 10 mL 02117/15 10:15 5020193-02 P580333 10 mL 10 mL 02117/15 10:15 5020193-03 P5B0333 10 mL 10 mL 02117/15 10:15 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 7041529-6364 -Toll Free Number. 1-8001529-6364- Fax: 7041528-0409 Page 12 of 13 • Pl S M �Envir o men Analytical R CHAIN OF CUSTODY RECORD Environmental Solutions PAGE_ Of _ QUOTE 0 TO ENSURE PROPER BILLING: wdt"i�`d' 'Ffa 011A7ONES, ING, f (� J 449 Springbroaii Road •Charlotte, NC 28217 Project Name: ST4 C Phone 7041529-6364 • Fax: 7041525-0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) k i u �, u "Please ATTACH any project specific reporting (OC LEVEL 1 11 III IV) Client Company Name: S a provisions and/or OC Requirements Report To/Contact Name: I 1`' Invoice To: l Rep rting Address: i 3 11`1 Address: �Sra ti ► t� •C , a S LA13 USE ONLY YES Nd' NIA`; Samples MTACT upon arrival? �l 0 ; Received ON WET ICE? s _ 11., i•i PROPER PRESERVATIVES indicated? F Received WITHIN HOLDING TIMES? CUSTODY'SEALS INTACT?'.. cc d VOLATiLES rec d WIOUT HEADSPACE? >C PROPER CQNTAfNERS{ uJsrod`7 +y TEMP ,Therm ID,' it tV .„Ot75eNP.d �,.. C I ( Orr..G: �C Phone: to " 0 Fax (Yes) (No): Email Address: h of EDD Type: PDFExcel_Other Site Location Name: Site Location Physical Address: Purchase Order No./Billing Reference i t r�' Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days Work Mdust Be "working Days" ❑ 6-9 Days D Standard 10 days ❑ Pro -Approved Samples received after 14:00 will be processed next business day, Turnaround time is based on business days, excluding weekends and holidays, (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) TO BE FILLET] IN BY CLIENTISAMPLING PERSONNEL Certification: NELAC Doti FL NC SC OTHER NIA Water Chlorinated: YES_ NO_ Sample Iced Upon Collection: YES NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SLUDGE} SAMPLE CONTAINER PRESERVA- TIVES ANALYSIS R QUE D [,, '� [,— J REMARKS Y� � PRISM LAB to N0. *TYPE gEE BELQW N0. SIZE r }FLOURS I "00P I��' 1 f� I f / 01 qTA � !7 X I et-, Sampler's Signature Sampled By (Print Name) 4 I Affiliation tT Upon relinquishing, this Chain o Custody Is your authorization for Prism to proceed with the analyses as requested above. Any changes must be' submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have boon Initiallzed. eiin uts y: 1A lure ��+ 1 �J" C�t. Iya- ,..7 Re?IA wished By: (SII Iure) //Ls f R she y: (Sign b r: gnature " Additional Comments • i t V '� Receive By: Signatura) Data Received F Prism Labomt a By: ate 461 Site Arrival Time - �. Site Departure Field Tech Fae '. Mileage: Method of Shipment: NOTE: ALL SAMPLE COOLERI SHOULD BE TAPED SHUT WIT F ST DY SEALS FOR TRANSPORTATION TO THE LABORATORY. C Group No, SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C0464JNT[ ECEIVEDAT THE LABORATORY. &ZI Fed Ex f3 UPS ❑ Hand -delivered tkfim Fiald Servlce 13 Other ,) 1 it NPOES: UST: G OUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: ' QNCQSC ❑NC ❑SC I❑ C QSC ❑NC ❑SC NC ❑SC I ❑NC❑SC ❑NC ❑5C ❑NC ❑SC ❑NC Cl TERMS A CONDITIONS D. ❑ ❑ I ❑ ❑ ❑ ❑ ❑ El -CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) uUAIGINAI-. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Feb 14, 2016 CERTIFICATE OF COVERAGE No. NCG03 0492 FACILITY NAME STABILUS, INC.---- COUNTY GASTON PERSON COLLECTING SAMPLES LABORATORY PRISM Lab Cert. # 402 Comments on sample collection or analysis: Part A., Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑ Monthly'_ "I (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow [:]WaterSupply ❑SA ❑Other ECEIV5n JUL 13 LU'io CENTRAL FILES DWR CCrrr,. PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this per(od?2 Outfall No. Date Sample p Collected' (ma/dd/yr) 24-hour rainfall amount, Inches" Total Suspended Solids P H, Standard units - Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic 5 Organics Benchmarks 100 mg/L or 50 mg/L 6.0 -» 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L OUTFALL #1. Dec 17,2015 1,22 5.6 7.5 BLR BLR 0.12 BLR OUTFALL #2 Dec 17, 2015 1 , 22 B . 0 7.3 BLR - BLR 0.036 BLR OUTFALL 43 Der 17, 2015 1.22 11 7.2 0.019 BLR 0.085 BLR ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall, z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on-slte rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. A See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies, 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities in at incorporate a solvent management plan into the stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring maybe waived, The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), i certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) ENVIRONMENTAL & FACILITY ENGINEER Title (Print title) { nature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported In the format. "<XX mg,(L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L, Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier R, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this neriod?2 Outfal! No. Date Sample Collected' (mo/dd/yr) .. 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0— 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit !late: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier Z or Tier 3 responses. see General Permit text. FOR PART A AND PART B MONITORING RESULTS; • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES []NO[] REGIONAL OFFICE CONTACT NAME. Mail an orlainal and one cony of this OMR lncludina all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitorina period In the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Ralelgh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED, "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and bellef, true, accurate, and complete. I am aware that there are significant penalties fpr submitting false information, Including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 00, r,�- " (Date) lY Permit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 wry NCDOR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit_ httn://mortal.ncdenr.org/web jwq/ws/saapdessw#tab-4 Permit No.: N/C/G / Q/- p/�j-0/M or Certificate of Coverage No.: Facility Name: STABILUS , INC. _ County: GASTON Phone No. (704)R65-7444 _ Inspector: _ Michael Ellington Date of Inspection: nec 17, 2015 Time of Inspection: 10 : 00am Total Event Precipitation (inches): 1.22 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) © Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a representative storm event"or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee ! obtains approval from the local DWQ Regional Office. By this signature, I certify that thiyreport is accurate and complete to the best of my knowledge: of Permittee or Pagel of 2 SWU-Z42. last modified 10/25/2012 I,Z-/ '5'- 1. Outfall Description: Outfall No. # 1 Si Receiving Stream: Kaylor Describe the industrial activit North Side of buil ure (pipe, ditch, etc.) Pipe anch of Long Creek Is that occur within the outfall drainage area: ling drive way, roof drain, sludge conft-a-i-Him—e—nt apron 2. Color. Describe the collor of the discharge rgusing basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): D�LC 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: ]� Z 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I� 2 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: k 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No i a. Is there an oil sheen in the stonnwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious lndica#,ors of 5tormwrater Pollution: I List and describe i I Note: Low clarity, high solids; and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of Z SwU-242, Last modified 10/2512012 1. Outfall Description: Outfall No. #1 2 Striucture (pipe, ditch, etc.) Ditch along Southeast corner Receiving Stream: Kayl Describe the industrial act East side Parking or branch of Long Creek that occur within the outfall drainage area: _ ,roof drains,stormwater-basin 2. Color. Describe the cold r of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: e4—�ftrC 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc): ti10�� 4. Clarity: Choose the nuinber which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i� Z 3 4 5 S. Floating Solids: Choosic the number which best describes the amount of floating solids in the stormwater discharge, where l is no solids and 5 is the surface covered with floating solids: �© 2 3 4 5 5. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharrge, where 1 is no solids and 5 is extremely muddy: 3 4 5 7. Is there any foam in the stornlwater discharge? Yes i a. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious ludic#Drs of 5tormwater Pollution: I List and describe i I Note: Low clarity, high solids; and/or the presence of foam, oil sheen., or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, last modified 10/2512012 1. Outfall Description: i Outfall No. # 3 Structure (pipe, ditch, etc.)Ditch along 1-85 Southside property Receiving Stream: Kaylor oranch of Long Creek Describe the industrial activities that occur within the outfall drainage area: West side truck apron, south side storm basin,west si e roo rains 2. Color. Describe the co& of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: A� 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i� 2 3 4 5 5. Floating Solids: ChooW7 the number which best describes the amount: of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I� 2 3 4 5 i b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: I 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No i 8. Is there an oil sheen in the stonnwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 1 10. Other Obvious indicators of Stormwater Pollution: I List and describe i I Note: Low clarity, high solids; and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S"-242, Last modified 10/25/2012 STABILUS (STUS) Storm Water Semi -Annual Inspections Log USSE Up dated: Jan 2016 by: M. Ellington 1 USSE STABILUS - GASTONIA, NORTH CAROL,INA Log Sheet to Document Semi -Annual Inspections of the Facility DatetTime Person(s) Storm Water Systems Inspected. Weather Results/Comments Maintenance Maintenance of Inspection Conducting Conditions Required? Completed Inspection (Yes/No) (Date) May 14, 2012 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 26, 2012 M, Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Jun 7, 2013 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Nov. 26, 2013 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR May 15, 2014 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 21, 2014 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Feb 09,2015 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 17, 2015 Steve Parris ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Revision History Form Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE No. NCG03 0492 FACILITY NAME STABILUS, INC.---- COUNTY GASTON PERSON COLLECTING SAMPLES Steve Parris LABORATORY PRISM Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec RECEIVED or ❑ Monthly' (m _ onth) l CHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA JUL 15 2014 []Zero -flow [:]watersupply []SA CENTRAL FILES []Other DW01BOG PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i No discharge this period ?2 Outfall No. Date Sample Collected' (mo/dd/yd 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organlcss Benchmarks 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall # 1 11141101f or, 5z ma It (o. kL f,�RL 0. IL R Outfall # 2 db 3 G, 9 A(�. 3 1+3�L QQL. .t2 C. Alt- Outfall #3 6.012 0,077 G ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall, 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 identifying the especlally sensitive receiving water classifications where the more protective benchmark applies, 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained In the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 r Facilities tnat Incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement forTfO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit, For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (7O), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) ENVIRONMENTAL & FACILITY ENGINEER Title (Print title) J. Z ( t re) e) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must Le reported In the format. "<XX mall where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) .. 24-hour rainfall amount, inches' Non -polar O&G/TPH by EPA 1664 (SGi-HEM) Tnta1. Suspended Solids PH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part 8 * See Genera) Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART ii SECTION B, • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an orfahnol and one cgpy oL I b1s PM& lncludln all "No Discharge" reports. within 30 days of receipt of the lab results Lor at end of manitaring period In the car a of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED, "I certify, under penalty of taw, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that quallfied personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted Is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant p"altles for submitting false information, Including the possibility of fines and imprisonment for knowing violations." V � jDat Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 IN Semi-annual Stormwater Discharge, Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NoACG03 0492 FACILITY NAME STABILUS , INC . — — — `r`" COUNTY GASTON PERSON COLLECTING SAMPLES Steve Parris LABORATORY PRISM Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (monthl DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA � Zera-flow ❑Water Supply []SA RECE��ED Other JUL 15 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWQll30G ❑ No discharge this period?' Outfall No. Date Sample p Collected' (ma/dd/yr) 2a-hour rainfall amount, Inches3 Total Suspended Solids P H, Standard units - - Capper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks ===> e I "t - 100 mg/L or SO mg/1. 6.0 - 9.0 0.007 mg/L 0.033 mg/L 1 0.067 mg/L 15 mg/L 1 mg/L Outfall # 1 ,S'/ .yt, 29, rAA1A /aI G d,/& Z /3M. Outfall # 2 g' & V. 44" fv1'1 O. all t B A O.OWM G eA L Outfall #3 Sllvxlr t I?L Co• �' L_ 8R�- O. c£! A C7Z- 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling Is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained In the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469,12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date; 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities in at incorporate a solvent management plan into the Stormwater Poiiution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (70), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name (Print name) ENVIRONMENTAL & FACILITY ENGINEER Title (Print title) (Signature) ( te) Note; Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported In the format. "<XX me/V where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z, or Tier 3 responses, See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?' Outfall No. Date Sample Collected' (me/dd/yr) 24-hour rainfall amount, Inches Non -polar 0&G/T'PH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L• 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: A BENCHMARK EXC£EDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART it SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [-]NO[] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES [-]NO[] REGIONAL OFFICE CONTACT NAME: Mail an onainal and one copy of this DMR 1ncludina all "No Discharge" reports, within 30 days of_receipt of the lab results for at end of manitorina period 1n the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the Information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, Including the possibility of fines and imprisonment for knowing violations." 1.4 (Date) Permit Date: 11/1/2012-10J31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 , E IV D '•,, rENTRA. fkt$ NO R DW080%tormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling our this form, please visit: btW;Ilportal.ncdenr.orLIweb./wq./ws/`su./ni2ac5sW#tab-4 Permit No.: NJC/�j/-�/-9j-�J-2j2j or Certificate of Coverage No.. Facility Name: STABILUS, INC. County: Gaston Phone No. 04 865-7444 Inspector:.- Michael Ellington Date of Inspection: rZ !_- Pl?a/Y _ Time of Inspection: 4,.Oa&A Total Event Precipitation (inches): O. V6 Was this a "Representative Storm Event" or "measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). .--- ---.-..--... ..... ..... _-- Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable stoma event" however, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, !certify that tJiis report is accurate and complete to the best of my knowledge: (Signature of Permittee or Page 1 of 2 SWU-M, Last modified 10/25/2012 1. Outfall Description: Outfall No. # I S' Receiving Stream: Kaylor Describe the industrial activit North Side of buil ucture (pipe, ditch, etc.j Pipe Branch of Long Creek that occur within the outfall drainage area: ng drive way, roof drain, sludge containment apron 2. Color: Describe the coI6r of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors: Coto . _ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.]: _ /1h) h6cg _ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I( s) 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: i 1 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. is there evidence of erasion or deposition at the outfall? Yes Qo) 10. Other Obvious lndicatjors of Stormwater Pollution: f List and describe Note: Low clarity, high solids; and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 i 1. Outfall Description: i Outfall No. # 2 Striucture (pipe, ditch, etc.) Ditch along Southeast corner Receiving Stream: Kaylor oranch of Long Creek Describe the industrial activiti's that occur within the outfall drainage area: East side Parking Lot,roof drains,stormwater-basin 2. Color. Describe the collOr of the disch a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: ' 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i 1 � 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: .0 'J 2 3 4 5 I 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 5 7. is there any foam in the stormwater discharge? Yes No i 8. is there an oil sheen in the stornawater discharge? Yes No 9. is there evidence of erosion or deposition at the outfall? Yes N: 10. Other Obvious Indicatprs of Stormwater Pollution: I List and describe i i i Note. Low clarity, high solids; and/or the presence of foam, oil sheen., or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Las[ modified 10/25/2012 1. Outfall Description: Outfail No. # 3 Str4cture (pipe, ditch, etc.)Ditch along I - 85 Southside property Receiving Stream: Kaylor branch of Long Creek Describe the industrial activities that occur within the outfall drainage area: West side truck apron, south side storm basin,west side roo rains 2. Color. Describe the col%r of the dis h rge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct c ors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): AAD 4. Clarity: Choose the nuinber which best describes the clarity of the discharge, where 1 is clear and S is very cloudy: i0 Z 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 3 4 5 i 6. Suspended. Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge; where 1 is no solids and 5 is extremely muddy: i i� 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No i 8. Is there an oil sheen in the stormwater discharge? Yes ro 9. is there evidence of erosion or deposition at the outfaU? Yes No 1 10. Other Obvious lndicatjors of Stormwater Pollution: I List and describe i Note. Low clarity, high solids; and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SM-242, last modified 10/25/2012 =A-MMA NCbM Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit n r w Permit No.: ��/�/���� or Certificate of Coverage No.: Facility Name: STAB ILUS INC. County: GASTON Phone No. -204-) 865 - 7444 Inspector: IV Date of Inspection: Time of Inspection: Total Event Precipitation (inches).& Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) RECE /E Yes ❑ No ;; )L 5 2014 FILES. lease verify whether Qualitative Monitoring must be performed duri move storm event" or'measureable storm event" (requirements vary, depending on permitj. Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, I some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfail. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee I obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or, RECEIVE® JUL 15 2W Page 1 of 2 CENTRAL FILES DWQiBOG SWU-242, Last modified 10/25/2012 _3 � V ..� "� � a 4 .'r .. <. I ��a � ' ' � .. � � � � '� ' - ,� i _ i� i ' . � � ' - � � � � .. � . � ti e �a ' :v ,� 1 � � � , � t� _ �, � � � .. � t - _ '^ .. i _ - �s •�. - r � t .. � � I. - - _ , I, —" _^ "� __ � L � _ - � ,L L � ` i T - _ r� Gj 1. Outfall Description: Outfail No. # 1 S cture (pipe, ditch, etc.) Pipe Receiving Stream: KaylorPranch of Long Creek Describe the industrial activities that occur within the outfall drainage area: North side of building drive way, roof drain, sludge con ainmen apron 2. Color: Describe the cofbr of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors: f'll�c,ean 3. Odor: Describe any distinct weak chlorine odor, etc): that the discharge may have (Le., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 .5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: i 2 3 4 S 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: I 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes o 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes DNo 10. Other Obvious Indicatars of Stormwater Pollution: I List and describe i i i Note: Low clarity, high solids,1 and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. # 2 S Receiving Stream: Kaylor Describe the industrial activit East side Parking L+ ucture (pipe, ditch, etc.) Ditch along Southeast corner ranch of Long Creek that occur within the outfall drainage area: _ ,roof drains,stormwater-basin 2. Color: Describe the color of the (light, medium, dark) as descriptors: using basic colors (red, brown, blue, etc) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): W✓� ijF 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i 1 3 4 5 5. Floating Solids: Choosie the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: Y 2 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discha�ge, where 1 is no solids and 5 is extremely muddy: I i t Z 3 4 5 7. Is there any foam in the stormwater discharge? Yes %N0J 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes /No ) 10. Other Obvious indicators of 5tormwater Pollution: Gist and describe Note: Low clarity, high solids; and/or the presence of foam, on sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. # 3 S Receiving Stream: Kaylor Describe the industrial activit West side truck aprc ure (pipe, ditch, etc.)Ditch along I- 85 Southside property anch of Long Creek s that occur within the outfall drainage area: ., south side storm basin,west side roo rains 2. Color: Describe the color of the (light, medium, dark) as descripitors: 3. Odor: Describe any weak chlorine odor, etc.):. , using basic colors (red, brown, blue, etc.) and tint odors that the discharge may have (Le., smells strongly of oil, 4. Clarity; Choose the nuinber which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i� 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids. 1 1 © 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: i V 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No I 8. is there an oil sheen inthe stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious IndicatOrs of Stormwater Pollution: I List and describe i Note. Low clarity, high solids; and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, fast modified 10/25/2012 Semi-annual Stormwater Discharee Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted July 7, 2016 2016 CERTIFICATE OF COVERAGE NO. NCG03 0492 SAMPLE COLLECTION YEAR FACILITY NAME STABILUS , INC.---- SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY GASTON or ❑ Monthly' May lmonthl PERSON COLLECTING SAMPLES DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA LABORATORY PRISM Lab Cert. f# 402 ^ ❑Zero -flaw [_]WaterSupply []SA Comments on sample collection or analysis: RECEIVEDL,► NF— "�n []Other JUL JUL 13 � PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL Fiji: ES Part A: Stormwater Benchmarks and Mont i " 0\NR SECT110I`- N ❑ No discharge this period Outfall No. Date Sample Collected' (mo/dd/ r) 24-hour-rainf amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Pion-Polar C&G/alk Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks --=> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 nWL 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L OUTFALL #1 May 19,2016 0.40 5.8 6.6 0.022 0.0067 0.23 BLR OUTFALL #2 May 19,2016 0.40 4.7 6.8 0.021 BLR 0.059 1 BLR OUTFALL #3 May 19,2016 0.40 BLR 6.7 0.019 SLR 0.066 BLR ' Monthly sampling, (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall, 2For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 9 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/l/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities tnat Incorporate a solvent management plan into the 5tormwater POILut Ion Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the 5tormwater Pollution Prevention Plan." MICHAEL ELLINGTON Name tPrint name) ENVIRONMENTAL & FACILITY ENGINEER e (Print title) hqX l� ( nature) tD ) Note: Results must be reported in numerical format, Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, the must be reported In the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must Implement Tier 1, Tier Z or Tier 9 responses. See General permit text. Part S: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No, Date Sample Collected' (mo/dd/yr) .. 24-hour rainfall amount, Inches' Non -polar 0&G/TPH by EPA 1664 (5GT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2of3 Note: If you report a sample value In excess of the benchmark, you must implement Tier 1, Tier 2, or Tier responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS; • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART iI SECTION B, • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL7 YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coutr of this DMR. Including all "No Discharge"reggrts within 30 days of receipt of the tab results for at end of -Monitoring ,period In the case of "No Discharge" reports) ta: Division of Water Quality Attn: DWQ Central Files 1.617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: 1 certify,under � penalty of law, that this document and a!1 attachments were prepared under my direction or supervision In accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the Information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonmlent for knowing violations." !gn ure of Permlttee) (Da e) Permit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 A,7vA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit htW f 1portal.ncdenrs rgJw!gbf�4/wsfsu/i2dessw#tab-4 Permit No.: N C/ / 0/ 3/���� or Certificate of Coverage No.: �Q����4 /a FacilityName: STABILUS INC. _ County: GASTON Phone No. tom}_$ 65 - 744 4 Inspector: Michael Ellington Date of Inspection: May 19, 2016 Time of Inspection: 7 : oo am Total Event Precipitation (inches): 0.40 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) © Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a representative storm event"or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred- A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storin events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report isaccTate and complete to the best of my knowledge: (Signature of Perrhittee or Designee) Pagel of 2 SWU-242. Last modified 10/25/2012 3/lq /,ZP I (' 1. Outfall Description: Outfall No. # 1 S Receiving Stream: Kaylor Describe the industrial activit North Side of buil cture (pipe, ditch, etc.) Pipe ranch of Long Creek that occur within the outfall drainage area: ng drive way, roof drain, sludge containment, apron 2. Color: Describe the collar of the discharge using basic colors (red, brown, blue, etc.) and tint (ligbt, medium, dark) as descriltors: C&A�-Idpl 3. Odor: Describe any distinct odors that the weak chlorine odor, etc.): may have (Le., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen injthe stormwater discharge? Yes (- 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: I List and describe i I Dote: Low clarity, high solids; and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 sWU-242, East modified 10/25/2012 1. Outfall Description: Outfall No. #1 2 Si Receiving Stream: Kayl or Describe the industrial act East side Parking (pipe, ditch, etc.) Ditch along Southeast corner ch of Long Creek iifi s that occur within the outfall drains area - Lot a Lot,roof drains,stormwater stormwater as in 2. Color•. Describe the color of the discharge using basic colors (red, brown, blue, etc) and tint (light, medium, dark) as descriptors_ G,i42 _ -• 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i� 2 3 4 5 S. Floating Solids: Choos,e the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: I� 2 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 2 3 4 S 7. Is there any foam in the stormwater discharge? Yes�L�J - i 8. Is there an oil sheen in ithe stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicataors of Stormwater Pollution: I List and describe i i Note: Low clarity, high solids; and/or the presence of foam, on sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 sWU-242, Last modified 10/25/2012 1. Outfall Description: i outfall No. # 3 Structure(pipe,ditch, etc.)Ditch along I -SS Southside property Receiving Stream: Kaylor branch of Long Creek Describe the industrial activities that occur within the outfall drainage area: West side truck apron, south side storm basin,west side root rains 2. Color. Describe the coll6r of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: C,C %4 _ 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: ID 2 3 4 5 i & Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: i i� 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes i B. is there an oil sheen in the stormwater discharge? Yes (� 9. is there evidence of erosion or deposition at the outfall? Yes I 10. Other Obvious Indicators of Stormwater Pollution: I List and describe i I Note: Low clarity, high solids! and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 54VU-Z42, last modified 10/25/2012 STABILUS (STUS) Storm Water Semi -Annual Inspections Log USSE Up dated: July 2016 by: M. Ellington 1 USSE May 14, 2012 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 26. 2012 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,93 DISCHARGES CLEAR Jun 7, 2013 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Nov. 26, 2013 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR May 15, 2014 M. Ellington ALL OUTFALL LOCATIONIAREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Dec 21, 2014 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Feb 09.2015 M. Ellington ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE 91,#2,#3 DISCHARGES CLEAR Dec 17, 2015 Steve Parris ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR May 19, 2016 Steve Parris ALL OUTFALL LOCATION/AREAS Mod RAIN BASINS CLEAR NONE #1,#2,#3 DISCHARGES CLEAR Revision History Form