Loading...
HomeMy WebLinkAboutNCG030227_MONITORING INFO_20190531STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. I Iv �099r-1 DOC TYPE I ❑HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ aDI cr YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 05/2312019 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Coming Optical Communications, LLC COUNTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY TestAmerica Laboratories, Inc. Lab Cert. # 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec RE;�`� pp�� Or a Monthly' April 2019 (month) ICEIVE DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA —MAY 31 2019 ❑Zero -flow ❑Water supply ❑SA ❑Other CENTRAL FILES ,­"J,R SI"CTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?2 -1 ' . •Outfall No..'• " Date. Sample -• - : Collected (mo/dd/yr) 24=hour rainfall _ amount, Inches" Total Suspended Solids pH, standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Hydrocarbons Total Toxic Organicss Benchmarks —_> _ - 100 mg/L or 50 mg/L° 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 04/05/2019 0.81 2.9 7.2 0.0023 <0.001 0.033 <3.6 NIA 2 04/05/2019 0.81 24 6.8 0.0046 0.002 0.059 <3.6 NIA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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 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 FXCEFDANCF 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 0 NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO ❑ REGIONAL OFFICE CONTACT NAME: Sherri Knight 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 monitorin in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client: Corning Optical Communications LLC Project/Site: Corning OpticalStormwater, Winston Salem Client Sample ID: OUTFALL 1 Date Collected: 04/05119 08:10 Date Received: 04/06119 09:15 Method: EPA 6020D - Metals (ICP/MS) - Total Recoverable Job ID: 180-88653-1 Lab Sample ID: 180-88653-1 Matrix: Water Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Copper 2.3 2 0 0.63 uglL 04/08119 11:53 04/13/19 1101 Lead 0.42 J 1.0 0.13 uglL 04108119 11:53 04113/1913:01 Zinc 33 5.0 3.2 uglL 0410811911:53 04113/1913:01 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed HEM ND 3.6 1.3 mg1L 04122/1912:09 0412211912:09 SGT-HEM ND 3.6 1.3 mg1L 04122/1912:09 0412211912:09 Total Suspended Solids 2.9 0.50 0.50 mglL 04109/19 09:29 Analyte Result Qualifier RL RL Unit D Prepared Analyzed pH 7.1 HF 0.1 0.1 SU 0411111912,59 Dil Fac >'s 1 a 1 Dil Fac 1 Client Sample ID: OUTFALL 2 Date Collected: 04/05/19 08:15 Date Received: 04/06/19 09:15 Lab Sample ID: 180-88653-2 Matrix: Water Method: EPA 6020E - Metals (ICPIMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 4.6 2.0 0.63 uglL 04108119 11 :53 0411311913:05 1 Lead 2.0 1.0 0.13 uglL 04108/1911:53 04/1311913:05 1 Zinc 59 5.0 3.2 uglL 04/0811911!53 0411311913:05 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac HEM ND 3.6 1.3 mglL 0412211912,09 0412211912:09 1 SGT-HEM ND 3.6 1.3 mglL 04/2211912:D9 0412211912:09 1 Total Suspended Solids 24 1.0 1.0 mg/L 04/09/19 09:29 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac pH 6.8 HF 0.1 0.1 SU 04111/1 112.59 1 Eurofins iestAmerica, Pittsburgh Page 9 of 17 4/23/2019 w 0 A fV W N CD .r, e TestAmerica Pittsburgh 301 Alpha Drive RIDC Park Pdtsburgh, PA 15238 Phone (4121963-7058 Fax 14121963.2468 Chain of Custody Record OJUL'14d-og TestAmerica r„F rE�or4 rw F. NYIdO+✓MFNTaI TP psnG Sarrp:ari� �c� Lab PtA tamer TraOxg No{a): WC No-, Client Information c' 0"5 Colussy. Jill L ��� 160-502M.10051.1 Cterq QXd2d Phone: 7 7/ ' �fJ�ii� E•us.t; Pape, Jamie Jaines (1T r ji9,tolussy@%%tamericainc com / j [- Page 1 of 1 Cow.v"' Coming Optical -new client in process Analysis Requested Job a; Aft"S Due Data ReWuMd: - - 't9 PreservMm Codes: 3180 Centre Park Blvd { A - HCL At • "awnCdy. 6 - NaOH N - Nbry TAT RaOesad idayal: Winston-Satam �, 4 . ", C-Zn AMMIj G-At11aO2 0-Ntnc Add P-Na2O'15 0-NO2SO3 F - YeOH R - N225703 G-AMd4w S.H2SO4 H - AaCwtic Aod T. TSP Dodeeshydraw I • Im U - Acetone SFiM, LP'E•NaNSO4 NC. 271074 RhWW 7 r (3 7 / I �j� (-?,& , %I4kW , Pay by Credd Cafd Emma,, WO a: JOi nOSJ�amiRQ,COm L J - of vvaw v - UCAA K- EDTA W -.pti 4.5 L - EDA Z - ovw (sPsarr) Dram: P[gect Nana: Stormwater, Winsion Salem, NC PrdPtl_ta.' 18019569 sac &Savo. Sam*ARilltx- Tnw Sample Ic-comp. 0--bAw, Sample Identification, sample Data Time rab eTrr>.—ar,r o . Spa - _ - .,,, _ _'.. . ' ' ' 3rs PJ �JiIT cry l 4q cS I ' P y _ U "`sue C �.m r Possible Hazard Identification Sample Disposal (A fee may be assessed lisarlrp)es are roglned loRW thm ! month)' M Nort-Hazard QFlamma6)e �skin'lmranf Anson B Unknown © Fladyk&al © Re film To C1reM © Disposal By Lab � An hive For Months Deliverable Requested: 1• II, M. lU, Mar (specify) Special Instructionsr4C Requirements', Empty Kit Relinquished by: Data, Time: Manwd of Sharnard Dab"T y Ramv@d by. Damn, Company RN by, Daren,ma: Company R.wwed or �L f 't J"—y T— wserT+rw: . Rer,nqurr+d er. D&WTrm C Twany Reo@,"4 , DaWT �( Compwry Custody Seats Intact' Custody Sea{ No.: Cbdar Tempentwe(611C mid Orw Raffwft e Yes A No ver: 011I N'M9 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 04/0512019 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Coming Optical Communications, LLC COUNTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines n ir— t-r.—1 E D LABORATORY TestArnerica Laboratories, Inc. Lab Cert. # 434 1 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results APR 15 2019 SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or *Monthly' March 2019 _(monk © DIS' E SCHAR GIINiG 10 CLASS ❑ORW ❑HQW [:]Trout ❑PNA f� ❑Zero -flow [:]WaterSupply ❑SA APR -ft 2019 ❑other ;t_-N 13IAL FILES CENTIRAL P1 et -EASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 [ANR SECTION tab^1R S-'7-Tl01%, No dischorge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =_=> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 03/01/2019 0.18 18 6.8 0.005 0.002 0.062 <3.6 NIA 2 03/01/2019 0.18 2.7 7.3 0.002 <0.001 0.048 <3.6 NIA ' 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. 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 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 AAND 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑■ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑■ NO ❑ REGIONAL OFFICE CONTACT NAME: Sham Knight Mail an original and one copy of this OMR, 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 Resources Attn: DWR 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." l (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client Corning Optical Communications LLC Project/Site: Corning OpticalStormwater, Winston Salem Client Sample ID: OUTFALL 1 Date Collected: 03/01119 08:15 Date Received: 03/02/19 10:00 Method: EPA 6020E - Metals (ICP/MS) - Total Recoverable Analyte Result Qualifier Copper 5.4 B Lead 1.5 Zinc 62 General Chemistry Analyte Result Qualifier HEM ND SGT-HEM ND Total Suspended Solids 18 Analyte Result Qualifier pH 6.7 HF TestAmerica Job ID: 180-87228-1 Lab Sample ID: 180-87228-1 Matrix: Water r--I RL MDL Unit D Prepared Analyzed Dil Fac 1 2.O 0.63 ug/L 03105/1911:50 0310811913:17 1 1.0 0.13 ug/L 03105/1911:50 0310811913:17 1 5.0 3.2 uglL 03105119 11:50 03108/1913:17 1 RL MDL Unit D Prepared Analyzed Dil Fac 3.6 1.3 mg/L 03/1311912:18 0311311912:18 1 3.6 1.3 mg/L 03113/191218 03/13/1912:18 1 0.50 0.50 mg/L 03/05/19 08:37 1 RL RL Unit D Prepared Analyzed ail Fac 0.1 0.1 Sit 03/1311914:39 1 Client Sample ID: OUTFALL 2 Lab Sample ID: 180-87228-2 Date Collected: 03/01/19 08:20 Matrix: Water Date Received: 03/02/19 10:00 Method: EPA 6020E - Metals (ICP/MS) - Total Recoverable ... Analyte Result Qualifier RL MDL Unit D Prepared Anatyzed Dil Fac Copper 2.3 B 2.0 0.63 ug/L 03/0511911:50 0310811913:21 1 Lead 0.49 J 1.0 0.13 ug/L 03/05/1911:50 0310811913:21 1 Zinc 48 5.0 3.2 ug/L 03105/1911750 0310811913:21 1 General Chemistry Anatyte SGT-HEM Total Suspended Solids Analyte PH Result Qualifier RL ND 3.6 ND 3.6 2.7 0.50 Result Qualifier RL 7.3 HF 0.1 MDL Unit D Prepared Anatyzed Dil Fac 1.3 mg/L 03/13/19 121 B 03/13/19 12:18 1 1.3 mg/L 0311311912:18 0311311912:18 1 0.50 mg/L 03/05/19 08:37 1 RL Unit D Prepared Analyzed Dil Fac 0.1 SU 03/13/1914:39 1 TestAmerica Pittsburgh Page 10 of 18 3/19/2019 Q CO u TTestAmerii Pittsburgh 301 Alpha Di RIDC Parh Chain of Custody Record Piltsburgh, PA 15238 Phone (4121963-7058 fax (4121 %3.2468 TestAmedca Sa-vv c-- maJ Laof1.I Came'iract,ir'+;>Yral CpCtfo Client Information -�Q,a -'e -;t' CVjssy, Jill L 1;311 i8U 44655 i0a58 ' -,1 Chi. CvneCt Pho F Mi i PaaC JamrC Jolncs 3 WIUs5yalestanlericainc com Page 1 Cl 1 Car,p�ny Jae It Cornrng Op!ical-now chenl in process Analysis Requested A¢rrttti pw Data R+qurasod . Pr�sarvat[an CVCan: 3180 Centre Park Blvd , A - 1 !J - r1oaane B-NaQH N-MV1a TAT Rii iii— ed tdaya): WInSlon-5alem /tom} / i C•ZnAce!a1c D-Ali D�iAtq P-r:'ii 5:9fa-Zn' NC,27107 L; ry Y E-Nji 0-Na25P3 IF- lift 1 R - rrr252D3 r. - Am[IAGr S R25Da . F� a 3L S 7/- Q4 Pay by Credit Card '`'q. � M 1 y'r H. AyGprb� 4i4 r - TSP Doaewhyerrte I -Ica U . Aoata+e J • Or water v- MCA* K VH rS [ -EOA L-aver caPaaryl Final Jolnasl@Corning com VJ(J a Prr>taCi Naar VrnLec: ■ Stornrwatet, Winslon Salem, NC 1g019569 I I r Otiw: Src 5S'jVJa _.J\ a. Sample Type fttatrix ;,..,..,.. Sample (Gcccr++P, Sam to Identification Safn to Date Time G-rab S.Fi.F--.:.- ,�. �i.�rffil2A'i, ___ __ " ;y - .�:;_!sk•,'T: �•_. _ :2� �• .,.1' }I�fiVu,k ��{� � _ t � -.y =�. +tT� '-, t , �i �'' h, �� `�'�, Q' % %If \ Sir• �•- r } H Possible Hazard Identification Sample Disposal ( A fee may be assessed if samples are retained longer tharr f month) =1 � C= O ED Non -Hazard Flammable SPn Irrrtart Po+son 8 Unknown Radmiipgi RPIum To Oi i Disposal By Lab Archive For Months Deliverab'e Requested I, II, III, IV, O!he1 (speGfy} Special InSUuctionslQC Requ�'amanta. Empty Kit Relinquished by. Date. Time t1afMG n' Shy , rr Rrnygye Aa'an.ma Gompeny Receme6 OaFe!T Corroanr 9� j Rew anew by. Aar.n ­e Comi Rai try. /'v G4 Let-, f C /t RM,nvu•u,.c tr, Dxo1Tm•e C9mpany Rem'ed by OaieyTime ny Custody Goals Intact: Cualody Seal No : Cooler Tempemtwoi °C i Olhm Remarks' A Yes .i Na ' 1'ct: I IS.i b Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted March 15, 2019 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Coming Cable Systems COUNTY Forsyth PERSON COLLECTING SAMPLES N/A Q E 1� � LABORATORY NIA Lab Cert. # Comments on sample collection or analysis: MAR 2 0 2019 �-tN) RAL PkES DtA�R SECTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Monthly' February 2019 (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow []WaterSupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> ❑0 No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, lnches3 Total Suspended Solids PH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks =__> _ 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 No Flow Outfall 2 No Flow 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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. 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 Note: If you report a sample value in excess of the benchmark, you must implement Tier I, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART 0 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER A 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 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 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 Resources Attn: DWR Central Files 1617 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 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 at there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," i of Permittee) Permit Date: 11/1/2012-10/31/2017 3.c�. — (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCGO30000 Date submitted March 15, 2019 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Systems COUNTY Forsvth PERSON COLLECTING SAMPLES NIA LABORATORY N/A Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑■ Monthly' February 2019 (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) ❑■ No dischorge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total 5uspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks ===> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 No Flow Outfall 2 No Flow ' 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 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 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 Resources Attn: DWR 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." (Sign ure of Permitt e) (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 Resources General Permit No. NCG030000 Date submitted 0212112019 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Corning Optical Communications, LLC COUNTY Forsvth PERSON COLLECTING SAMPLES Jamie Joines - - _ RECEIVEn. LABORATORY TestAmerica Laboratories, Inc. Lab Cert. # 434 Comments on sample collection or analysis: FEB 2 S Z019 GgNTRAL FILES OWR SECTION Part A., Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑■ Monthly' January 2019 (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply ❑SA ❑Other _ PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --) No discharge this period?' No. Bate Sample Collected (mo/dd/yr) 24-hour rainfall amamount,Outfall Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 01/14/2018 1.02 6.3 6.9 0.0036 <0.001 0.025 <3.9 N/A 2 01/14/2018 1.02 5.0 7.4 0.0032 <0,001 0.030 <3.9 N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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. 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 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 EXCEEDENCES 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 0 NO ❑ REGIONAL OFFICE CONTACT NAME: Sherri Knight Mail an original and one in the case of "No Discha this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 to: 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." z - ZI � /T [Date] Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client: Corning Optical Communications LLC Project/Site: Corning OpticalStormwater, Winston Salem TestAmerica Job ID: 180-86100-1 Client Sample ID: C7UTFALL 01 Lab Sample ID: 180-86100-1 Date Collected: 01/24119 08:45 Matrix: Water Date Received: 01/25/19 09.45 Method: EPA 60208 - Metals (ICPlMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Copper 3.6 2.0 1.3 ug1L 01/2911911:24 01/30/1917:41 Lead 0.92 J S 1.0 0.094 ug/L 01/2911911:24 01/30/19 17:41 Zinc 25 5,0 2A ug1L 01 /29119 11:24 01/3011917:41 General Chemistry Analyte Result Qualifier RL HEM ND 3.9 SGT-HEM ND 3.9 Total Suspended Solids 6.3 0.50 Analyte Result Qualifier RL PH 6.9 HF 0.1 Client Sample ID: OUTFALL 02 Date Collected: 01/24/19 08:50 Date Received: 01/25/19 09.45 MDL Unit D Prepared Analyzed IA mg/L � 02104/19 13:45 02/04/19 13:45 1.4 mg[L 02104119 13:45 0210411913:45 0.50 mg1L 01/26/19 09:15 RL Unit D Prepared Analyzed 0.1 SU 01129/1912:37 Oil Fac I Dil Fac Lab Sample ID: 180-86100-2 Matrix: Water Method: EPA 6020B - Metals (ICP/MS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 3.2 2.0 1.3 ug1L 01/2911911:24 01/3011917:45 1 Lead 0,75 J B 1.0 0.094 ug/L. 01/29/19 11:24 01/30/19 17:45 1 Zinc 30 5.0 2.4 ug/L 0112911911:24 01/3011917:45 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac HEM ND 3.9 1.4 mg1L 02104119 13:45 0210411913:45 1 SGT-HEM ND 3.9 1.4 mglL 02104/1913:45 0210411913:45 1 Total Suspended Solids 5.0 0.50 0.50 mg/L 01/26/19 09:15 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac PH 7.3 HF 0.1 0.1 SU y 01129119 12:37 1 TestAmerica Pittsburgh Page 10 of 18 2/5/2019 to CD A O OD U1 IN O CD TestAmerica Pittsburgh Tes��merica 301 Alptin Uiiv� Ril)r Pwlr Chain of Custody Record P,I 11,huryh, PA 152;38 Phone (4Q1 963-7658 Fit. i<Q'} 963-7.68 Client Information 5. L.1c PA Cofvssy, Jill L -"—,1.,,c, "q 180-4no•s•10051 1 Jamie Joines �3 7 - O�S� Iln cotuss7,�utestamerlcainc con, Pagu i n: ; Ctn tent JLR■ COrnv,Q C7;srcal never a++c=tt m process Analysis Requested AUCre;s Our Date kmueetre, { Preservation Codes: 3180 CullIlL park tit: $ 4 t1 • n��,N 11, ,Nor-, (,-if TA t RegimSMrl fd.y%t wln4t�nsa�e:n _ (: • 7n etu:nt.• (1 rsM.tU2 U-�i r rr nzw n.:.a.tls:"s Starr. /'p NC. 27107. fr^l�fT f �' r . t.eopr+04 C. r4oZ^�.,03 C - AnrSrd:sr 8 - n7SDs PRpns;/ --gam F q �//� F°f,1 R L />L/ P, Yr: Credit Cara o 2 q� As:aroc Aoo T TSn ua!,r an.vr tr I ICC Cl-Ar•::W- i(nsa YIOa ,}pITSC&JC[?C.Ul ning GO�t `o rz i ` J Di K'alCr V • ff,[AA �tp •z;! l:amn NeoreE a Stormwater, N avoon Salan). NC 18019555 r r Y y u Qlher 5R1 ^•:.O'!:a A Vi d ° i` .Q rq �; :t y WO C i Sample Type Ma1riF (w...r.., :rampla identification Sample Date T;me Ga ra6 m,s..._..a,l CL "t 5 aci: — Preservation �l ! ;G �•'�s� — - - •211LW U _fZwR1�_ - Possible Hazard Identification Sample Disposal (A fee may be assessed if samples ate retained longer than f nronth) LID Ng1T-Ha[:Irr+ ED r1anvilan:e ED:ikiv Irstrarll porsori A © Unkontm © Ratt:at is'at © Relum to Client © ()+sposal By Lab M Archive fcr Morrfhs Deliverauie Rtfqueslsd I, 11, III. IV, O:hei (soecsfy) Special In51rUCtrJn51OC Hequ,rCments'. Empty KA Relint46sheo oy Dale: Time: Jar eP cE Snllrr: tit ire. M. .. Dated F, [,omparly ReCtm'ee bi pi1N1T r Ca/m�Oa"+v R•»i. rr;� Gy. Oata'l irr. f.emC.u?': R_•cr:•ved 9Y' . [3arnR r� C,pmp' �„„ _ Reay 0.i:d:rr« r:o,nnarrr Rutcrvea by ()droll Gnupany Custody Seals Intact CustCdy $Cal t`In - f w:et Tcmnrratu•gs}'C w d pttr_* gc�rrarry , � Yes A No C'Ct' Ili n.7F^rl H. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 1210412018 CERTIFICATE OF COVERAGE No. NCG030227 FACILITY NAME Corning Optical Communications, LLC RECEIVED COUNTY Forsyth �g $ 2D19 PERSON COLLECTING SAMPLES Jamie Joines LABORATORY TestAmerica Laboratories, Inc. Lab Cert. t# 434 t .r--N T ►SAL FILES Comments on sample collection or analysis: 1: WR SECTION 1 Part A. Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Q Monthly,1 November 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 Outfall No. Date Sample Collectedl (mo/dd/yr) 24-hoar rainfall amount, Inches3 Total Suspended Solids' pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg10 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 11 /24/2018 0.53 8.2 8.3 0.0022 <0.001 0.030 <4.0 N/A 2 11/24/2018 0.53 4.0 8.1 0.0038 <0.001 0.040 <3.9 NIA ' 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 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 N 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES 0 NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES Q NO REGIONAL OFFICE CONTACT NAME: Sherri Knight Mail an original and one copy of this DMR, including all "No Dischar in the case of "No Discharge" reports) to. Division of Water Resources Attn: DWR Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: ciorts, within 30 do f the lob results (or at end of monitorin "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 awa�hat there are significant penalt es for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permit Date:11/1/2012-10/31/2017 l- - J (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client: Corning Optical Communications LLC Project/Site: Corning OpticalStormwater, Winston Salem Client Sample ID: OU TFALL 1 Date Collected: 11/24/18 07:00 Date Received: 11/27118 12:30 Method: EPA 6020B - Metals (ICP/MS) - Total Recoverable Analyte Result Qualifier RL MDL Unit Copper 2.2 2.0 1.3 ug/L Lead 0.81 J 1.0 0.094 ug/L Zinc 30 5.0 2A ug/L General Chemistry Analyte Result Qualifier HEM ND SGT-HEM NO Total Suspended Solids 8.2 Analyte Result Qualifier pH 6.1 TestAmerica Job ICI: 180-84300-1 Lab Sample ID: 180-84300-1 Matrix: Water I _+ D Prepared Analyzed Dil Fac I 11/29/18 11:39 11/30/18 09:52 1 -� 11/29/18 11:39 11/30/18 09:52 1 11/29/18 11:39 11/10/18 09:52 1 RL MDL Unit 1.4 mg/L D Prepared 1210311814:04 Analyzed 1210311814:04 Dil Fac 1 4.0 CO 1.4 mg/L 12/03/1814,04 12/0311814:04 1 0.50 0.50 mg/L 11/27/1814:53 1 RL RL Unit D Prepared Analyzed Oil Fac 0.1 0.1 SU 11/2811806:10 1 Client Sample ID: OUT FALL 2 Lab Sample ID: 180-84300-2 Date Collected: 11/24/18 07:10 Matrix: Water Date Received: 11/27/18 12:30 Method: EPA 6020B - Metals (ICPIMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 3.8 2.0 1.3 ug/L 11/29118 11:39 11130/18 09755 1 Lead 0.60 J 1.0 0.094 ug/L 11129118 11:39 11/30/18 09:55 1 Zinc 40 5.0 2.4 ug/L 11/29118 11:39 11130/18 09:55 1 General Chemistry Analyte Result Qualifier HEM NO SGT-HEM NO Total Suspended Solids 4.0 Analyte Result Qualifier pH 4 6.9 RL MDL Unit D Prepared Analyzed 3.9 1.4 mg/L 12103/1814:04 12103/1814:04 3.9 1.4 mg/L 1210311814:04 12103/1814:04 0.50 0.50 mglL 11127/1814:53 RL RL Unit D Prepared Analyzed 0.1 0.1 SU 1112811 008.10 Dil Fac 1 1 1 Dil Fac 1 TestAmerica Pittsburgh Page 9 of 17 12/11/2018 a 1 J !V zt N O 1 00 TestAmerice Pittsburgh 301 Alpha Drive RIOC Park Palsourgh, PA 15238 Phone (d 12) D63-7058 Fax (412) 903.2468 Chain of Custody Record TestAtmerica 11-f. tt-QCa W C•«rnOr:llr.:k 11 S!C.4 Samalar: Lao PN Caine+ Tratkng Ngsy.. COC Nw Client htformation Cotussy. Jill L r�'r.I ���fi ��TJ !�' 7 -7 180.47841-10051,1 wican=1 F%wo: E-Mafx Pge'. a Jamie Jeinea r! fo istJ.colttssy�lesiamericainc.com Page 1 of Z Company: jw /: Coming Optical -new Client in process Analysis Requested 040'ew Ow Dale Aagtrntea, PFC"rvation Codes: 3180 Centre Park Blvd i- ._(, It NaOH N - Now Gty, TAT R/qu/aW (days): VVin,Ibh-Salem �,'' ,_ C-Zn A"Wo O-AsNaO2 D - K" Ace P - Na20.15 Stara, tip: NC. 27107 1 E • NaMSO- O - N92SM F - AAmm R - H2SOA 7 r, - AUWt s • — A1Wie y� ,_ 7 pr:!SJ — , & [ D Pay by Credil Card a x w • i`- .-- '�, i�, } , it .� IrSP H - ASCaey[ Atq S • t5P Dadec>stlYtlrara I - kb t1 . Ate7ahe i - W Water V . UCAA K-Eb'YA w - ph a-5 L -EOA 2-asrl.r (W t,fy) €.•na, Y JbinezJQCOMing,Corn WO /; Ra: gaclNam Prgbda, Stnrrilwater, Winston Salem, NC 180195(59 g +� Saw SSOW/. 2 Sample Type Matrix l+w..+.. a...rr LL sample (C=CemP. 12h •s Sample Identiitcatlon Sample Date Time G= ab .s.r..r,..r a, SpSCW Instructlonslstete: - r f Z�f Ss► 19 - .3 1l r D ra % 11J 180.8430D Churn tN CuatDdy Possible Hazard fdendneeti)n Sample Visposaf (A fee may be assassed ifaarrVes are retained longer than f month) CD CDFrur.t* C73Skin L �Rad 1=1Refurn �Dkmsal NW448zard krsenl Pblsen A UnkrioN.> ice! To Ckenl By Lab Arcfn'ue For Alortfhs Oelivef able Requested'. 1. it. Ill, IV. Other (specify) Special Instructions= Requirements: Empty Kd Relinquished by: Date: Time: s UMO 0 snaawm' Ruinqu hac ar. w1un arty Ncce•+e3 SD�Tr34SW 9A n8krT . Cw+wan Rew4vanda Drov IV balear n' Company Ftme•.so b • �Cc.G�! Date?' - C1-11 orn n Kr j!T�r Re:n+quRrrea er, Oatetl k.+e: Carrlpanv Rscaiv P/I .ma: r 7 ,'j Cpnpany Custody Seals Intact: Custody Seal No.: CcWer Temperen+rlga! r and 011m Remarks: •' ,1 Yes .1 No \'cI: IK 0-1''t114 ��.� �Yamp ..7•. 0.��.- .�...'��-.r..w�tt'FCA�1 LO•^t /x T ox{ ....� . � � — ' _� Y1 �•� rr`•` "�� � T`-•R. .. +yT. N , � f'!f�-Fs'�+,'i-4. �� Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 02/01/2019 CERTIFICATE OF COVERAGE NO. NCG030227 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Corning optical Communications, LLC 6MPLI PERIOD ❑ Jan -June ❑ July -Dec COUNTY FOrsyfh— RECEIVE or ❑■ Monthlyl December 201s (month) PERSON COLLECTING SAMPLES Jamie Joines FEBDISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA TestAmerica Laboratories, Inc. 434 D 1 �+ ZQ�9 ❑Zero -flow ❑Water Supply ❑SA LABORATORY Lab Cert. # Comments on sample collection or analysis: CENTRAL FILES [:]Other DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?' Outfall No. Date Sample Collected) (mo/dd/yr) 24-hour rainfall amount, Inches" Total Suspended Solids pH, standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 12/14/2018 0.36 19 7.0 0.018 0.0033 0.068 <3.9 NIA 2 12/14/2018 0.36 57 7.4 0.017 0.0059 0.180 <3.9 NIA ' 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. 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 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 1N 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 F01 NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO ❑ REGIONAL OFFICE CONTACT NAME: Sherri Knight Mail an original and one copy of this DMR, including all "Ala 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 Resources Attn: DWR 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 penayres for submitting false information, including the possibility of fines and imprisonment for knowing violations." L-31- zn�9 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client: Corning Optical Communications LLC TestAmerica Job ID: 180-85008-1 ProjectlSite: Coming OpticalStormwater, Winston Salem f Client Sample ID: OUTFALL 01 Lab Sample ID: 180-85008-1 Date Collected: 12/14/18 14:32 Matrix: Water bate Received: 12/18/18 10:15 Method: EPA 6020B - Metals (ICP/MS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 18 2.0 1_3 ug1L 12/2111812:20 12/26/1809:51, 1 Lead 3.3 1.0 0.094 ug1L 12/21/18 12:20 12/26/18 09:51 1 Zinc 68 5.0 2.4 ug1L 12/21/18 12:20 12/26/18 09:51 1 General Chemistry Analyte Result Qualifier RL HEM 2.1 J 3.9 SOT -HEM 2.1 J 3.9 Total Suspended Solids 19 0.50 MDL Unit 1.4 mgll. 1.4 mg/L 0.50 mg1L D Prepared Analyzed Dil Fac 12/27118 16:09 12/27/18 17:30 1 12/27118 16:09 12/27/18 17:30 1211911808:46 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac pH 6.7 HF 0,1 0.1 SU 12119/1813:07 1 Client Sample ID: OUTFALL 02 Lab Sample ID: 180-85008-2 Date Collected: 12/14/18 14:46 Matrix: Water Date Received: 12/18/18 10:15 FMethod: EPA 6020E - Metals (ICP1MS) - Total Recoverable i Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 17 2.0 1.3 ug1L 12/21118 12:20 12/26/18 09:54 1 Lead 6.9 1.0 0.094 ug/L 12121/18 1210 12/26/18 09:54 1 zinc 180 5.0 2.4 ug/L 1212111812:20 12/26/18 09:54 1 General Chemistry Analyte Result Qualifier RL HEM ND 3.9 SGT-HEM ND 3.9 Total Suspended Solids 57 1.3 Analyte Result Qualifier RL pH 6.9 HF 0.1 MDL Unit D Prepared Analyzed Dil Fac 1.4 mg1L 12127/1816:09 1212711817:30 1 1.4 mg1L 1212711816:09 1212711817;30 1 1.3 mg1L 12119/18 08:46 1 RL Unit D Prepared Analyzed oil Fac 0.1 SU 121194181107 1 TestAmerica Pittsburgh Page 10 of 18 1/3/2019 00 TestAmerica Pittsburgh 301 Alpha Drive RIOG Park Pittsburgh, PA 15238 Prom 1412tg63-7CSS Fax14121963.246A Chain of Custody Record TestAmerica SunA�1 La5''h1 Ci'+a't Tr]:kr4Q tiPiF1 CAG NA Client Information ys�I,' r`H� Colussy, Jti1 L F�fQ�i E'M."- tfl0 d6384-14051,1 C, JCootie —e Page Jamie Jernes ( r -ill CSlussy@testamer4a4rlc cam _ft• '? Page 7 of t Cm:anrJob a Cm,rvng Opttcal-new dent m process tv Analysis Re uested A_=fts - Lire Data Raquaated: ;.r ,r Freserv�tiott Codas: 31d0 Centre Park B1tid y, r A - HCL M • HtxinC 6.Na0H N-HO,+t Oty TAT Ragotsted ldaysl: Wirston-$alum 17' C- ZnActta:c 0-ASN202 D • Mimic Ard P - Na2NS %W.2i,p NG 2T1Ui ax E- NaMSDa O-Tra25Pa anma FOR. i - rwtOH R - N4252.,3 3p ^ Pay by Credd Card G ? H • Flco dG Aaa T - TSP Ootlerahydnge 1+Cc U. Awe,.-4 [met 'l.'tl a. Z JohesJ@C,cfning Gem �$ 3 3. OI YJs:n V . HdCtJ1 K-EOTA Vl.pHA.g L-EDA Z•wrI.M itimstn pmf Na,-a Nogetta } Stamwater, Winston Salem, t\C IZO195W So s VV Ott — Simple IAatrixA. sample tC=cotap. Sample Identification Sample Data Time G= li gb _-f� ero—.A. rz. t-. Special InstructlonstNots: 70 -72 t9U 85DQ8 Cheln of Custody ti> I I I i I I Possible Hazard ldenelfleatlon Sample Disposal (A fee mayassessedW samples are retained longer then f month) ID ID © ED Non -Hazard Flammable Skin frrrlant Poison a Unknown Radtologmal Rehem Ta C+Mnf Disposal By Cab Atchive For Mrmfha DeWerable Requested 1. 11. III, IV, Other (9pecity) Speciat InstruchonslOC Requirements: Fmpty Kit Relinquished by Oat! TImC' tieNid o} $natmnt gat„q,iartts r dTa-.. ColvW1 ftt"wwtr: OJWTr. t L / ! e' l�riyrrri0i W / to f 'A E trr, Pircrtrca Cmo:rry ` P.t�.etd try it CarrAary . L I� t bi r Aairrgrc'wG 7i 3ilefTimi GC�WHi Rax•RDf OattIrrm COr*o:ny Custody Seals lntacl. Custody Seal No COW[•Tamtwa41arat C And rmi Ramaps a Yes 2 No Vlrak1A_Iti¢ ,¢ ;i: ... Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 12r0412018 CERTIFICATE OF COVERAGE No. NCG030227 FACILITY NAME Coming Optical Communications, LLC COUNTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY TestAmerica Laboratories, Inc. Lab Cert. tl 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results RE t SrA. , LE COLLECTION YEAR 2078 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec DEC 12 201 or X Monthly'October (month) D SCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA CENTRAL FILES ❑Zero -flow ❑Water Supply ❑SA DWR SECTION ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected i (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic _ Organicss Benchmarks ==> - - 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 10/26/2018 2.32 8.0 6.8 0.0022 <0.001 0.029 <3.9 N/A 2 10/26/2018 2.32 24 7.6 0,0046 0.0019 0.100 <3.9 N/A ' 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 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 Q■ NO D IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO REGIONAL OFFICE CONTACT NAME: Sherri Knight 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 Resources Attn: DWR 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." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 ( Z-r - N? (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client: Corning Optical Communications LLC TestAmerica Job ID: 180-83506-1 Project/Site: Corning OpticalStormwater. Winston Salem Client Sample ID: OUTFALL 1 Lab Sample ID: 180-83506-1 Date Collected: 10/26/18 08:46 Matrix: Water Date Received: 10/30/18 09:00 Method. EPA 6020E - Metals (ICPIMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit Copper 2.2 2.0 1.3 ug1L Lead 0.77 J 1.0 0.094 ug1L Zinc 29 5.0 2.4 ug1L General Chemistry D Prepared Analyzed 1311 Fac Y 10/31/18 12:15 11101/18 12:29 1 10/31/18 12:15 11101/18 12:29 1 10131/18 12:15 11/01/18 12:29 1 Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac ' SGT-HEM Total Suspended Solids Analyte pH ND ND 8.0 Result Qualifier 7.0 HF 3.9 1.4 mg1L _ 1111311811:41 11113I1811:41 1 1 `"- 3.9 1.4 mg1L 111131i811:41 11113/1811:41 1 0.50 0.50 mg1L 1013011814:14 1 RL RL Unit Q Prepared Analyzed Oil Fac 0.1 0.1 SU 11106118 09:49 1 TestAmerica Pittsburgh Page 9 of 17 11/14/2018 A N CD TestAmerica Pittsburgh /� 301 Alpha Drive RIDC Park Chain of Custody Record TestAmedca Pittsburgh. PA 15238 Phone (412) 963-7058 Fax (412) 483-2468 t u:+prR N c',v+aq•, 'r + •L 1. Client Information samp^r. J �A.rrIPS Lab Phi: Colussy. Jill L Csmer Tnsmrg Haul �X 7 13 g !%QT COC No- + 180.47680-10113,1 Client COMUM Jamie Joirres Phone 2 / (37 77/ �' ,� E-Ural; Jill.cahBsy6testamem-minexem ::J. Pepe; PeAb I of Campary. Caning Optical -new client in process Analysis Requested Job R'. MOMS: 3180 Centre Park Blvd Due Date Requesled: .�" -, V4 Z t i >; � ,rq .', `4 j: �� ,t; i:� Off. l ^ w \ ,� . I V ` `v� �` C` T _ : (. �, z, w Preservation Codes: A • HQ tar • HeauR BPIUM - N70H N - A%N3 C = Zn Aerate O - AsNaO: E - NaHSOC 0. N8:SO3 F - McOH R . Na2S203 G • Amc!00 S - HZSOA H • ASRNWC Ada 7 • T SP DOpeun Ate �' I • tee U - Acetone J • w wrier v- IACAA K-EOTA W -bM 4.5 J e! t •EDA Z•a(sAealyl Other: Cey. Wiri51On-Salem TAT ftvQLwated (deysj: State, La: NC. 27107 Phone: y �•7 •/ 7 / '� PO Y: Pay by. Credit Card Emakl: JoinesJ@Coming.com: vr0 r:. PrgedNW.re: Stpnllwaler. 1Ninston Salem, NC tK;. 1$t)1$569 See: SSOWM.• Sam la Identification. Sample Date Sample Time Sample Type (C=camp, ` rab) Matrtxl i a.,,.,,,.L Special InstructionsiNote: .. '- T rn. ...._ ..-.,...v -..e .., . .-. y- ,� Y-, C. 'S Pfe$erYailOn Code:,X. r- - 1lei 80_S3508 Chain Of Custody Possible Hazard IdentlAcaBon Non -Hazard © Flammable © Skin Irritant, C=1 Poison B =1 Unknown M Rad Teal Sample Disposal (A fee may be assessed If samples am retained longer Man I month) M Return To Client � Dismsal By Gab � Archive Aar Months Deliverable Requested: I. It, Ill. IV, Other (specify) Spe6al InstructionsiOC Requirements: Empty Kit Relinquished by: Dale: Time: Method W sh,pnerw' rre' Da7arT e: ry y� Company Received - OererTl C: Camoa11 qy; lhnerfine: Comdar+r 1 lG }a if qc, F? r Resrq fthed by 0"Jrime: Company Received try. Oa'%Mrm: Carnpany Custody Seals Intam Custody Seal No.: .S Yes ,t No Coder Tempermums) "C end Otter Rears, : CO Vet. ON 1Ni2Dj6 „,ae.,o,e,,,«,.,..»•.,-..ww.�s�a,.�.,.�.+�r:=.-ye»e+-,.:�_..s� ..�-�..�.-+..�. -`-- ---- -- ' -_.� .--.-,..�.....; .-..,• �' "'o`l� i .ems � I Client Sample Results Client: Corning Optical Communications LLC Project/Site: Coming OpticalStormwater, Winston Salem F, i TestAmerica Job ID: 180-83477-1 L 1, Client Sample ID: OUTFALL 02 Lab Sample ID: 180-83477-1 Date Collected: 10/26/18 08:35 Matrix: Water Date Received: 10/29/18 08:15 Method: EPA 6020B - Metals (ICPIMS) - Total Recoverable i Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac { Copper 4.6 2.0 1.3 uglL 10130118 12:15 10/31/18 22:44 1 Lead 1.9 1.0 0.094 uglL 10130118 12:15 10/31/18 22:44 1 Zinc 100 5.0 2.4 ug1L 10130118 12:15 10/31/18 22:44 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed DII Fac i E1 HEM ND 3.9 1.4 mglL 1111311811:41 11/13/18 11:41 1 c = s SGT-HEM ND 3.9 1.4 mglL 1111311811:41 11M3/1811:41 1 Total Suspended Solids 24 0.77 0.77 mglL 10/30118 14:14 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dii Fac pH 7.5 HF 0.1 0.1 5U 1013011810:54 1 TestAmerica Pittsburgh Page 9 of 17 11/14/2018 TestAmerica Pittsburgh 301 Alpha Dnve RIDC Park Chain of Custody Record Pittsburgh. PA 15238 Phone (412) 963-7058 Fax (412) 963-2468 TestAmenca '"r. LL � 7[a rl [.`� Wagr,>.r.,.'t .l.&1"• r Client Information 5ampa - • Wbpm. Colussy. Jill L Camp lreckrg 1"S1' FED�iY COC No 180.47406-10051,1 Chem CanlOcf: Jamie Joules Pr, ' T _ U E.M3 iill.coE isay&lestarnerLeAne.com Yage: Page 1 of t Comwy. Coming Optical Communications, LLC Analysis Requested lop ■: Adtlrmi; 3180 Centre Park Blvd Due (Isle Requested: i. i•;' I' '. qq Z $ o m 9 LL o ,p 1� .; .. : eZ. ,�. �v: in iE;t '$' 1 i ( 3 ` I lrt I Q ti ' _ -,� i Ii E,' z ` Preservation Codes: A . Nac ne !A - Neaa a • Zq Ai N. Npno C • Ln etx[e 0. AANati? 0 - tl.lnc Acid P • Na-'Oas F. - Na11SO4 0 - Na2Sp3 F-41eQk R-MaZzIM G - Amrfllpr u • i17" a M - ASrnrb L Acid T - rsP nMewhyd,asa 1 • Ira U • ArAlo" J - 31 wales V . UCAA K•EDTA ti:'.yr 4.5 t -eoA T•an^rlurc•rYl Gp': Winston-Salem TAT Rrryue><M Idayal: Slela; tqi- NC, 27107 PO 0 Pay by Credit Cana I; JoinesJQComing,com wo a; P,Opd Name, Stormwow. Winilon Salem, NC P"ea 9 18019569 _ Sae: SSOWe: Sarn;Ae Identi icatten Sam le date SamPle Time Sample Type (C=Camp. Go rab Matrix (wra.. e ,.rrae, a+a.w,a.Ar Special InstructionslNoto; 7. <�Prese*ion COdo:' S 1B0 g � chain 01 Possiblo Hazard ldontlflcatfon =1 Non -Hazard Ell Flammable 1=1 Skin h7itanf 0 Poison a 0 Unknown Rae'ILI Sample Disposal { A fee msy be assessed if samples are retalnad "or than f monih) © Return To Client =) Disposal By Lah Archive For Monfhs Deliverable Requcslad: I. II, III, IV, Other (speafy) Spatial Insiructions10C Requirements: Empty Kit Relinquished by: Dal Ti 1lMMad e1 slrc� Ri or; DukUTIM / Crwnoany Roc!nvcdb DjeWTl CofmPnnJ bY: D'alcf ,a , CamwnY by'. DSWTi 'ar Cot.+ RNmglierrpd pv: t)e!eR�nte, CanyanY Rotclvrd by. Camoany Custody Seals Intact: Custody Seal No,: A Yes ,7 No r l+��q.1` �� Jr and 0,nm kkv "' 7 I(- p (� G � bl! I(-L Vrr. 084W l'_01 h r�-sct"'!"t'��=-.:n•e�--'T,at-�-•r::-•er.•----.,r,.w•�,..,m<�•y,."t.._:-�.�Y*-.,,:,e,.•rx-r.s.ra-�._r-ac:�arra.rt-...w.wnpr,�...�N. � .rer......�-�.r , ...R--�..,.�o,r�• ink �..�. ..� �"'�ur' � �' I.,,A�, l.c....._.,gs�ra.'..--.� CORNING October 24, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 3180 Centre Park Boulev8rd f 336.771.8050 Witsion-Salem, NC 27107 USA www.coming.com RE: Stormwater Discharge Monitoring Report Certificate of Coverage No. NCG030227 Dear Sir/Madam: The Corning Cable Systems facility located at 3180 Centre Park Blvd., Winston Salem, NC currently operates under General Permit No. NCG030000, as evidenced by Certificate of Coverage No. NCG030227. Results from the facility's September 2018 stormwater sampling event are summarized in the attached DMR. During this sampling event, Corning conducted split samples that were analyzed at two different laboratories: TestAmerica and Prism Laboratories. The capper level in the sample from Outfall 2 was inconsistent between the two analyses, with Prism identifying elevated levels of copper (0.013 mg/L). Due to the discrepancy, Corning requested that Prism run analysis on a duplicate sample from outfall 2. The second run of this analysis indicated a much lower copper level (<0.005 mg/L), and laboratory personnel were unable to explain the difference between the two analyses. In addition, due to Prism's analytical procedures, the detection limit for zinc was increased above the benchmark listed in NC General Permit NCG030000. For these reasons, Corning believes that the Prism results are in question and the TestAmerica results are more representative for this sampling event. All of the test results from Prism Laboratories and TestAmerica have been included in the DMR for your review. If you have any questions, do not hesitate to contact me at (336) 771-8030. Stnc ely, Brian Witz WCP Plant Manager Coming Cable Systems, LLC Corning Restricted Corning Restricted Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted 1012412018 CERTIFICATE OF COVERAGE NO. N00030227 FACILITY NAME Coming Cable Systems, LLC COUNTY Forsvth PERSON COLLECTING SAMPLES Darren Swart LABORATORY TestAmerica Laboratories. Inc. Lab Cert. tt 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑■ Monthly' September (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flaw ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?2 OutfaU No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks -_-> _ - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 09/09/2018 2.27 7.8 7.5 0.0023 0.001 0.038 <3.7 2 09/09/2018 2.27 3.1 7.7 0.0021 <0.001 0.049 <3.7 ' 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 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 ❑ 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 (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Resources Attn: DWR 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." Z9 ate (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 Resources General Permit No. NCG030000 Date submitted 10124/2018 CERTIFICATE OF COVERAGE No. NCG030227 FACILITY NAME Corning Cable systems, LLC COUNTY Forsyth PERSON COLLECTING SAMPLES barren Swart LABORATORY Prism Laboratories, Inc. Lab Cert, It 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Monthly' September -L onth) 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 Outfali No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, Inches" Total Suspended Solids p H, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic OrganicsS Benchmarks =_-> - - 100 mg/L or 50 mg/L" 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 09/09/2018 2.27 8.2 7.5 <0,005 <0.001 <0.065 <0.005 2 09/09/2018 2.27 3.2 7.7 0.013 0.006 <0.065 <0.005 2 (re -run) 09/09/2018 2.27 NIA N/A <0.005 NIA N/A N/A 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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. ° 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 SWLi-245, last revised 10/25/2012 Page 1 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 I REQUIREMENTS_ SEE PERMIT PART 11 SECTION S. • 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 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 (or at end of monitoring period in the case of "No Discharge"' reports) to: Division of Water Resources Attn: DWR 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 awe that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." MM Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Client Sample Results Client: Michael Baker International, Inc. Project/Site: Stormwater, Winston Salem, NC TestAmerica Job ID: 180-81754-1 Client Sample ID: OUTFALL 01 Lab Sample ID: 180-81754-1 Date Collected: 09/09/18 03:23 Matrix: Water Date Received: 09/11/18 10:00 Method: EPA 60208 - Metals (ICP/MS) - Total Recoverable -) i Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Cam,, Copper 2.3 2.0 1.3 ug1L 09/1211812:17 09119/1815:23 1 Lead 1.0 1.0 0.094 ug1L 09112/181217 0911911815:23 1 Zinc 38 5.0 2.4 ug1L 09/12/1812:17 09119/1815:23 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac ;+ HEM ND 3.7 1.3 mg/L _ 09129118 14:37 09/29/18 16:25 1 4 __ SGT-HEM ND 3.7 1.3 m91L 09/2911814:37 09/2911816:25 1 Total Suspended Solids 7.8 0.50 0.50 mg1L 09/12/18 09:20 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Oil Fac pH 6.5 HF 0.1 0.1 SU _ 09/12/18 08:48 1 Client Sample ID: OUTFALL 02 Lab Sample ID: 180-81754-2 Date Collected: 09/09/13 03:47 Matrix: Water Date Received: 09/11118 10:00 Method: EPA 6020B - Metals (ICPlMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Oil Fac Copper 2.1 2.0 1.3 ug1L 0911211812:17 0911911815:26 1 Lead 0.35 J 1.0 0.094 uglL 09112/1612:17 09/1911815:26 1 Zinc 49 5.0 2.4 uglL 09112/1812:17 09/1911815:26 1 General Chemistry Analyte SGT-HEM Total Suspended Solids Analyte pH Result Qualifier RL MDL Unit D Prepared Analyzed Dti Fac NO 3.7 1.3 mg1L 09129M814:37 09/2911816:25 1 ND 3,7 1.3 mg1L 09/2911814:37 0912911816:25 1 3.1 0.50 0.50 mg1L 09/12118 09:20 1 Result Qualifier RL RL Unit O Prepared 7.0 HF 0.1 0.1 SU Analyzed Oil Fac 09112118 08:48 1 TestAmerica Pittsburgh Page 10 of 18 10/1/2018 o, TestAmerica Pittsburgh 681-Atlanta Testtie�iea 301 Mona Drive PIDC Park Chain of Custody Record P,n�Durgh, PA 15238 Phone 14;2) 9153-7058 Pa■ (412i 953-2453 SratSr 1 Lan FV Ca„ 4:rt'%).^lU s, NO Client Information 6C: v � av,) O, Coo-ussy, Jill L E� C ti 180-45270.9 60 1 :U(i Cm,ao s>fin+:e ��f1 rC� // � E�ldl rape, tr Rr,an S^r+s ! .� .�c t-C C' i-I1 co 1t15sy'=rtestamencainc =m. Page 1 of I Mernael Baker Internal,onal, It1C Analysis Requested -tlalCYt - p..a ❑a4 AM..11c0'. ��.� Presenralion Codes: Airgtde Business Park 100 Atrifide Dnve �'1.. 13 - 1,I40H N . Npr,e TAT Ragwsled 1d4y4l' 61 Township { 1� C -Tn Acaula G - ASN802 D • N•etC Attu V - NG20a5 E - NAM504 a tw2S173 PA. 15100 ti - F -ueopi A-Na2=3 Antii Prlarte CO C. 412.289-6013(Tel! Purchase 0(rier Requested o Z ``x k' G • S - H2SO4 li • Asaotnc Aca T • TSP Odoerohyb atc 1 • ice V - ii io 7-Mai wo of b52effesg mbakerintl com S T ' ig i n} r �r ,£ J - Dl wren v - MCAA v,-EDTA N- Ph!A-S L • ♦ OA Z - Omer !"Coy) FrOrfet.'t Name. Pr Ct r SIO(M lQr- W,nsron Salem, NC 18019111) ` CL E x Site S501nra $A - s n z E 0, �+ r e $ample Matrix Type (w,.w.e•>aw + m o i j Sample (C+Corem, _ Sample Identification I Sample Date Time Ga rah .r^ru...A^ u H ry 5 Special Instructionss.Note: -. . __- .. _ Prerervabor Code' p, 0 ✓r FA L L � � / �% � � 3�3 �; water }C x 7 5 A C UT F LL- G t�L water. X l • % '1 } water Water Water Water Water water iB0-81754 Gtlain of Cuxtvdy Water Possible Hazard ldentiRcation Samofe Disposal 1 A fee may be assessed if samples are repined longer than t month) = L-Z1Re17ha1 =Flammable �Sk,rl �Fmson =17erurn =Disposal Non -Hazard fmranl a UnAn3.vn ?Cal Td Client By Lab Archive for Months De'muraCle Requer.?M 1. 11. ill. IV. OV>-r (specify) Speaal InsInAncrlsrDC RefluiremeriW Empty Kit Reitnqutsned OV: Date. Time. Rfr7np as srr-pmerlr Re, Teatry/ '��s.a1_ Oaten a `� % I C R +7a�ll-,rn - CamGarri RgMq Gate , o9�v / � Cpnpeny GCJ'Yt rfar 'ea ,� - (h7!tlT� Gorr.Pm+y R ece,,,odtr r DSTefT,� Calvary Custody Seal5lnt8CtCustody seal Ntt • Coa►"r rrmprte• sS"C emtrher?emsr►s ; f �, 1 Yes ,N No VC1, OS 011,014, x�r.+�--�-a. _'. ir.,nav ,awc'a••. _�.. �.r -: ^. ---'-. w.w ^..�w�.. -_ ..- _ _. _-_._.-..r �sr .r'KAc�-.�...-........ � +rfrr� �+-n � - .--,`._. .-W ..__I�ri� v. rx • IMw.�.f"�.�.+•y+4e +.Claiwr �r �. � -r rf 1, w'wewcr-rrlr+ti^F�a,�+ Full- e"IGIIP ry8 Laboratory Report n r 7Lq EAvIrOnmental Sokfiona 7 %17!20jff Corning Cable Systems Project: Stormwater Client Sample ID: Outfall ##1 Attn: Jamie Joines Prism Sample ID: 8090133-01 3180 Centre Park Blvd. Prism Work Order: 8090133 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 09/09/18 03:23 Time Submitted: 09112/18 08:00 Parameter Result Units Report MDL Dilution Method Ana"is Analyst Batch Limit Factor DatelTime ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOG mg& 5.0 1.1 1 '1664B 9/13118 9;24 SLS P810223 PH 6.5 HT pH Units 1 'SM4500-H B 9112118 16:46 GOP PBID178 Total Suspended Solids 8.2 mg1L 2.6 0.40 1 'SM2640 D 9113118 14.64 COP P8I0202 Total Metals Copper BRL ug1L 5.0 0.22 1 '6020B 9/21118 17;24 JAB P610229 Lead BRL uglL 1.0 0.093 1 '6020B 9121118 17:24 JAB P810229 Zinc BRL ug1L 65 2.8 1 '6020B 9/21116 17:24 JAB P810229 This report should not be reproduced, except in its entirety, without the written consent of Priam Laboratories, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 7041629-0364 - Tall Free Number: 1.8001629-0364 - Fax: 7041525-0409 Page 3 of $ \ A Laboratory Report Lpz��R; � �l Y ! IFun-Service Anergl do 6Environmpntel Sorutions 9(}f17/2CI1B iaeon..on�ea..e Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Jamie Joines Prism Sample ID: 8090133-02 3180 Centre Park Blvd. Prism Work Order: 8090133 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 09/09/18 03:47 Time Submitted: 09/12/18 08:00 Parameter Result Units Report NIDL Dilution Method Analysis Analyst Batch Limit Factor Datefrime ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOG mglL 5.0 1.1 1 '1664B 9/18/18 9:40 SLS P810266 PR 6.3 HT pH Units 1 '5M4500-H B 9112118 16:46 CBP P81U178 Total Suspended Solids 3.2 m9111. 2.9 0.40 1 'SM2540 D 9l13118 14:64 CBP P810202 Total Metals Copper 13 uglL 6.0 0.22 1 '6020B 9121/18 17:52 JAB P810229 Lead 6.0 uglL 1.0 0.093 1 '6020B 9/21/18 17:52 JAB P810229 Zinc BRL ug/L 65 2.8 1 '6020B 9/21/18 17:52 JAB P810229 This report should not be reproduced, except in its entirety, without the written consent of Priam Laboratories, Inc. 449 5pringbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 7041629.6364 - Toll Free Number: 1.8001629-6364 - Fax: 7041525-0409 Page 4 of 8 Laboratory Report ����Iw is� AIEnviroFull-Smen al Sol do 8'v'EnvironmentelSolutiona 10f17f2Ci$ ��s � Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Jamie Joines Prism Sample ID: 8090133-02RE1 3180 Centre Park Slid. Prism Work Order: 8090133 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 09/09/18 03A7 Time Submitted: 09/12/18 08:00 Parameter Result Units Report MDL Dilution Method Analysis Ana"t Batch Limit Factor Daterrime ID Total Metals Copper BRL ug1L 5.0 0,22 t '60206 10115/18 21:48 JAB PBJ0184 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 -Toll Free Number: 1.8001629-6364 - Fax: 7041626-0409 Page 5 of 8 1 L) Full -Service Analytical & � S I Environmental Solutions UIBOMiORIES INC, 449 Springbrook Road • Charlotte, NC 28217 Phone 7041529-6364 • Fax: 7041525-M9 Client Company Name: "`P1 Report TolContact Name: r*'r rid r A Resorting dress: r►7 re- .9 707 CHAIN OF CUSTODY RECORD PAGE OF —1 QUOTE A TO ENSURE PROPER BILLING: Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) 'Please ATTACH any project specific reporting (QC LEVEL III 111 IV) provisions and/or QC Requirements invoice To: Address: Samples INTACT upon arrival? Received ON WET ICE? PROPER PRESERVATIVES indicated? Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? VOLATILES rec'd WIOUT HEADSPACE? PROPER CONTAINERS used? TEMP: Therm Observed: YES NO NIA a0 O r � — tT _ cU i = °C I. C o r r. "C Phone:(JA l—Yly>>Fax (Yes) (No): Purchase Order NoJBilling Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address: r lrt�f I i C6� Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days Certification: NELAC DOD FL NC EDD Type: PD ExcelOther dust Se "Working Days" ❑ 6-9 Days ❑ Standard tO days ❑ Pre Site Location Name: Yf -A prrooveWork Samples received after 14:00 will be processed next business day. SC OTHER NIA Site Location Physical Addre : kd& Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES— NO _ (SEE REVERSE FOR TERMS 8 CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES— NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SAMPLE CONTAINER PRESERVA- TIMES ANALYSIS REQUESTED REMARKS PRISM LAB "TYPE HOURS SLUDGE) SEE BELOW NO. SIZE / , ID NO. 0u7 7� o f 74 -7 oz I I I Sampler's Signature Sampled By (Print Name) Affiliation Upon relinquishing, this Chain of 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 been initialized. nq y gnahue ec6ved y: (Slgrwtumy Dare Additional Comments: -- 0 13 0 - M71 ti�s r. (Skin acm y: l gnatumy Date rpuisned y: natumy orRitim y Dale Field Tech Fee: 2', $ 1 ' Mileage: eN of Snipmen_ NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED Shli WITH CUSTODY SEALSAM VRAWSPORTATPNTO THE LABORATORY. c0c Group No. - SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED T THE LABORATO ^ LI Fed Etc O UPS 0 Hand -delivered 0 Prism FWdd SeMce O Other ��+ Nt'UtS: USI: GRUUNUWAItK: UR[NKING WAIlvK: SULIU WASTE: RC:RA: GERGLA LANDFILL OTHER: ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC 'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Resources General Permit No. NCG030000 Date submitted September 10, 2018 CERTIFICATE OF COVERAGE NO. NCG03__T _� v Q �7 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Coming Cable Systems SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY FOrsvfh- or X Monthly' August 2018 (month) PERSON COLLECTING SAMPLES NIA LABORATORY N/A Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results RE H V MUSCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA SEP 2 4 2018 []Zero -flow ❑Water Supply ❑SA ❑Other : �EP,4*kAL. FILES bW EGTf0N PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ■❑ No discharge this period?' Outfall No. Date Sample n Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics 5 Benchmarks ===> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall 1 No Flow Outfall 2 No Flow 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: 11/1/2012-30/31/2017 SWU-245, last revised 10/25/2012 Page 1 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 copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lob results (o► at end of monitoring period in the case of "No Discharge" reports) to: uivision of water Kesources Attn: DWR 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 tbat there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) k-rrr.iY D; te: 11/1/2012-10/31/2017 /3 [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 09103/2018 CERTIFICATE OF COVERAGE NO. NCG03 u 1 4 FACILITY NAME Corning Cable Systems—'•"•'�" COUNTY Forsyth PERSON COLLE5TING SA�IIIPLI S . Jamie join LABORATORY rism a ora o . Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec I or [Monthly' Ju Y (month), RECE tVZ&GING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA SE Z�l� ❑Zero -flow [:]Water Supply [:]SA ❑Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ❑ No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks - - 100 mg/L or 50 mg/1. 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 07/22/2018 0.11 3.1 mg/L 6.8 0.0079 < .002 0.096 <5.0 N/A 07/22/201 0.11 8.4 mg/L 7.0 0.0077 <0.002 0,Q87 < ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, 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 D( 11/1/2012-10/31/2017 f SWU-245, last revise' '125/2012 l Page 1 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 2, 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. a 2 IEXCEEDANCES 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 copyf this DMR. lncludln all "No Discharge" within 30 dates, o}'recelpt of the lob results or at endmonitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-163.7 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: " t 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 for3ubmitting false information, including the possibility of fines and imprisonment for knowing violations." gnature of Permittee) (Date) Permit 11/1/2012-10/31/2017 r SWU-245, last revised.10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monito_rin ..Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 09/03/2018 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Sys%ms — -""' COUNTY Forsyth PERSON COLLEFTING �A PLJamie Joines rl a oraF LABORATORY sm o Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Monthly; )v Y month DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow [:]WaterSupply []SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 � M No discharge this periodY Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum hydrocarbons Total Toxic brganicss Benchmarks =_=> - - 100 mg/L or 50 mg/0 6.0 - 9.0 0.007 mg/L 0.033 mg/L. 0.067 mg/L 15 mg/L 1 mg/L 1 07/22/2018 0.11 3.1 mg/L 6.8 0.0079 < . 02 0.096 <5.0 N/A 07/22/2018 0.11 8.4 mg/L 7.0 0.0077 <0.002 0.087 < 1 Monthly sampling (instead of semi-annuai) 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. 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 fount! 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 D 11/1/2012-10/31/2017 5WU-245, last revise' '/25/2012 Page 1 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 O'UTFALLTRIGGER 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 ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQREGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an ari final and one covXot this DMR Including all "No Discharge" reorts within 30 da s of receipt of the lab results or at end of monitoring eriod 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$ ajhhere are significant penaities for submitting false information, including the possibility of fines and imprisonment for [snowing violations." // (Signature of Permit 11/1/2012-10/31/2017 L- (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 09/07/2018 CERTIFICATE OF COVERAGE No. NCG03 0 2 2 7 FACILITY NAME Corning Cable Symms '—' — COUNTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY Test America Lab Cert. # 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or 9Monthly' MY _ (month), DISCHARGING TO CLASS ❑ORW ❑HC1W ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply [:)SA ❑Other _ PLEASE REMEMBER TO SIGN ON PAGES Z AND/OR 3 4 ❑ No discharge this period?2 Outfail No.Standard Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total TOXIC Organics s Benchmarks - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 07/22/2018 0.11 1.7 mg/L 6.8 0.005 0.007 0.072 <I.i N/A 07/22/2018 0.11 7.9 mg/L 7.0 0.005 0.009 0.068 < 1.4 Y 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 outfali, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit 1 11/1/2012-10/31/2017 SWU-245, last reviser'' '125/2012 Page 1 of 3 l Note: if you report a sample value in excess of the benchmark, you must implement Tier 3, 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 ❑ 1F YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR. intludina all "No olscharae"reports, within 30 days of recut of the lab results for at end of monitoringperiod in the case of "No Discharge" reportsl 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." 7� of 2F= 2-1 (Date) Permit Cr 11/1/2D12-10/31/2017 r SWU-24S, last revised tD/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 09/07/2018 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Sysrrff —s --"'- — COUNTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY Test America Lab Cert. # 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or RrMonthlyl July _(month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids PH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =-Ws - - 100 mg/L or 50 mg/0 6.0 - 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 07/22/2018 0.11 1.7 mg/L 6.8 0.005 N/A 07/22/201 0.11 7.9 mg/L 7.0 0.005 0.009 0.068 < . k Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the saine parameter at the same outfall. z For sampling periods with no discharge at any single outfail, 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 D( 11/1/2012-10/31/2017 5WU-245, cast revise" ,/25/2012 Page 1 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier I, 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 it 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 ATANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL, OFFICE CONTACT NAME: Mail an orfiginal and one copy of this DMR includln all "No Discharge" reorts within 30 days of receipt of the lab results Lor at end of monitoring eriod in the cased "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 thattt ere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 if CORTTT'A7G 3180 Centre Park Boulevard f 336.771.8050 Winston-Salem. NC 27107 USA www.r-oming.com September 7, 2018 Division of Water Quality Attn: D WQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Stormwater Discharge Monitoring Report Certificate of Coverage No. NCG030227 Dear Sir/Madam: The Coming Cable Systems facility located at 3180 Centre Park Blvd., Winston Salem, NC currently operates under General Permit No- NCG030000, as evidenced by Certificate of Coverage No. NCG030227. Results from the facility's July 2018 stormwater sampling event have been included in the attached DMR reports. If you have any questions, do not hesitate to contact me at (336) 771-8030. Sincer , Briar` WK WCP Plant Manager Corning Cable Systems, LLC Corning Restricted - Special Control Lab Chronicle Client: Michael Baker International, Inc. TestAmerica Job ID: 180-80122-1 Project/Site: Stormwater, Winston Salem, NC Client Sample ID: OUTFALL 01 Lab Sample ID: 180-80122-1 Date Collected: 07122/18 12:28 Matrix: Water Date Received: 07/25/18 09:00 Batch Batch Prep Type Type Method Run Total Recoverable Prep 3005A Total Recoverable Analysis EPA 6020E Instrument ID: M Total/NA Prep 1664E Total/NA Analysis 1664E Instrument ID: NOEQUIP Total/NA Analysis SM 2540D Instrument ID: NOEQUIP Total/NA Analysis SM 4500 H+ B Instrument IO: NOEQUIP Dil Initial Final Batch Prepared l Factor Amount Amount Number or Analyzed Analyst Lab 50 mL 50 mL 251787 07/26/18 13:37 KA TAL PIT 1 252524 07/31/18 22A9 WTR TAIL PIT 1003 mt 960 mL 533397 08/02/18 13:17 BAD TAL NSH 1 533454 08/021l$ 13:17 BAD TAL NSH 1 1000 mL 1000 mL 251757 07/26/18 12:07 RMA TAL PIT 1 251699 07/26/18 08:22 CRM TAL PIT Client Sample ID: OUTFALL 02 Lab Sample ID: 180-80122-2 Date Collected: 07/22/18 12:17 Matrix: Water Date Received: 07/25/18 09:00 Batch Batch Dil Initial Final Batch Prepared Prep Type Type Method Run Factor Amount Amount Number or Analyzed Analyst Lab Total Recoverable Prep 3005A 50 mL 50 mL 251787 07126/18 13:37 KA TAL PIT Total Recoverable Analysis EPA 6020B 1 252524 07/31/18 22:54 VVTR TAL PIT Instrument ID: M Total/NA Prep 1664E 995 mL 960 mL 533397 08102114 13:17 BAD TAL NSH Total/NA Analysis 1664B 1 533454 08/02/18 13:17 BAD TAL NSH Instrument ID: NOEQUIP TotaI1NA Analysis SM 2540D 1 1000 mL 1000 mL 251757 07/26/18 12:07 RMA TAL PIT Instrument ID: NOEQUIP Total/NA Analysis SM 4500 H+ B 1 251699 07/26118 08:22 CRM TAL PIT Instrument ID: NOEQUIP Laboratory References: TAL NSH = TestAmerica Nashville, 2960 Foster Creighton Drive. Nashville, TN 37204, TEL (615)726-0177 TAL PIT = TestAmerica Pittsburgh, 301 Alpha Drive, RIDC Park, Pittsburgh, PA 15238, TEL (412)963-7058 Page 8 of 21 TestAmerica Pittsburgh 8/3/2018 7 G UZZ ....:.--trtiglt:Park Chain of Custody Record��-Atlanta TestAtmerica Pglsbttrgh, PA 15238 - . . Phhne14121963-7,058 Fax t4121963.24fi8 - SamWer 2 Lao FM. 1 Carve: Tractelg Ho',s1 CDC Ne' Client Information 0 E -if Ql-1J Caussy. Jill t 180-45270-9660,1 CLentcostar: Prary [� E-Mad, ljfll Page Mr, Brian Staffes 7 L7r CofussyatestamencainC Com Page t of t Compsry' 1otr a' Michael Baker International. Inc Analysis Requested Address' Ow llala Requested: , ,- :," Preservation Codes: Airside Business Park 100 Airside Drive . F {t+? ;1'., A • rICL M • Nsaarie (3 • NaOH N - None CAY TAT Requested [days): Moon Township / ? C . Zn Acoteea 0 • AsNa02 O - Ndrr Acd P - r:22045 E-NaNSO4 0-Ne2503 PA,15105 y�'t '�'y r r . lAeOt1 R . Naz5zD3 G - AmdXer S - H2504 Phone. PO 0, 412-269-6013(Tel) Purchase Order Requested `w '! I N . ascarb:C Aid T - TSP DoMmahyorats I - Ice U • Acetone - Erne 'NO a : bs[efles@mbakerinll com s$, C j - 0I water V - MCAA IS • EDtR `N • pri 4.5 L • EDA Z - artier (speoty) prpect [dame: Prolea M, Stormwater, Winston Salem, NC 10019110 �; w ti Other: Sae. SSoNe. i : n Sample- MsU[1l E ti °� Type (•.......... W Co � a r Sample (C=comP, �,,,..,. C Sam le Identification Sample Date. Time G rab et•.e+...�-a. r w �° Special InslruclionslNote: ' . reservatio[i f.Cde, Q U-T Fri L L 01 22 J 1227 water t!T L�-.L l O Z J Z f water water water Water LL Iin ofL- —� Water Water water Water po;aibfe H—rd Identification T`'rl7' © ©Skin n Poison B 1= Unknown MRadiobgical Sample Disposal (A tee may be assessed it samples +re retained forger than 1 month) © Return To CNent =Disposal By Lab Archive For Months zb.,Hazard Flammable Irritant Deiwetab[e Requested: ), 11. Ill, N, Other (spectfy) Special Instnee onsrOC Requiremenis: Empiy Kit Relinquished by: Date. Time: Memo ai 5h,pmenl DaI'l C R Dann Compony Dar n '�1ksn Cmrpeny Racerved [}stet Cornpany 0 CY, Dal=ftarte: Cr7rr�pany Roce;vatl tr i3aIe/f C u,+ J [j "1 y a f ` Ji 0 ea!s Intact Custody Seal No,: Gook+ TemWraturelsl t end Remarks' 1 k No — Laboratory Report Full -service analytical a Environmental Sofutiona 0$103/2018 Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #1 Attn: Jamie Joines Prism Sample ID: 8070367-01 3180 Centre Park Blvd. Prism Work Order: 8070367 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 07/22/18 00:28 Time Submitted: 07/25118 08:40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatefTime ID General Chemistry Parameters Oil 8 Grease (SGT-HEM) BRLpr, mg1L $.0 1.1 1 '1664B 7/26118 9:33 SLS P8G0458 pH 5.7 HT pH Units 1 'SM4600-H B 7/26/18 16:30 CBP P8G0460 Total Suspended Solids 3.1 mg1L 3.1 0.40 1 'SM2640 O 7126/18 13:43 COP PSGO430 Total Metals Copper 7.9 ug1L 5.0 0,22 1 '6020B 811118 17:61 PJF P8130601 Lead BRL ug1L 2,0 0.093 1 '60208 811118 17.51 PJF P8G0501 Zinc 96 ug1L 10 2.8 1 '60208 811118 17:61 PJF P8G05o1 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: 704162M364 - Toll Free Number; 1-8001629-6364 - Fax: 7041525-0409 Page 3 of 7 �P R S M Fun -Service Malytics Environmental Solution LABORATORiE61MG Laboratory Report 0810312018 Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Jamie Joines Prism Sample ID: 8070367-02 3180 Centre Park Blvd. Prism Work Order: 8070367 Winston Salem, NC 271D7 Sample Matrix: Water Time Collected: 07/22/18 00:17 Time Submitted: 07/25/18 08:40 Parameter Result Units Report MDL Dilution Method Analysis Anatyst Batch Limit Factor Datemme ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOO mg/L 5.0 1.1 1 '1664B 7/26/18 9;33 SLS P8G0458 pia 6.6 HT pH Units 1 'SM460044 B 7125118 16:30 CBP PSG0460 Total Suspended Solids 8.4 mg/L 6.0 0.40 1 'SM2640 D 7126118 13:43 C8P PSGO430 Total Metals Copper 7.7 ugfL 6.0 0.22 1 15020B 811l18 18:18 PJF P8G0501 Lead BRL uglL 2.0 0.093 1 '6020B 811118 18:18 PJF P8G0501 Zinc 87 ug1L 10 2.8 1 '6020B 811118 18:10 PJF PSG0501 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.Q, Box 240543 -Charlotte, NC 28224-0543 Phone: 7041629-6364 - Toll Free Number; 1.8001529-6364 - Fax: 7041626-0409 Page 4 of 7 `-1 Service CAON OF CUSTODY RECORD I t n EAnalytical a Y H v I Environmental Solutions PnmE or QUOTE 0TO Etr8UAC PROPER 61LL1itG .,r�?-uooruTonrrx urc 444 Springbrook Road - Charlotte, NC 28217 Project Name: Phone 7W529$3641 - Fax: 1041525-0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) Client Company Name:' `Please ATTACH any project specific reporting (QC LEVEL 1 II 111 IV) provisions andlor QC Requirements Report To/Contact Name: C i Invoice To - Reporting Address: C' 41J1% rasa: Samples INTACT upon anlval7 Received ON WET ICE? PROPER PRESERVATIVES indicated? Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? VOLATILES reo a WIOU'T HEADSPACE? PROPER CONTAINERS used? _ TEMP: Therm ID: 1 &J _7 Observed: YES NO NIA n -- O -- n a _ CO _1L 11� .,.,. a;_I Corr. Z..>a °C Phone: "Selo - 1 "I (-`dO_ WBX (Yes) (No): "0 Purchase Order NaJBifiing Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNE Email Address: Requested Due Date ❑ 1 Day ❑ 2 Days Q 3 Days L14 Days ❑ 5 Days EDD T PDF�Excel Other Rush Work Must Be YPe� � "Wor#ng Gaye" ❑ 8.9 Days .+a Standard ip days ❑Pze-Approved Site Location Name: tJJi!r5Zt7>_1 CA475.&e Ib�T Samples received after 14:00 will be processed next business day. Site Location Physical Address: SIAL6 (� Turnaround time'is based on'biisin' days, excluding weekends and holidays. (SEE REVERSE FOR TERMS 6 C6N6mONS REGARDING SERVICES Certification: NELAC DDD FL NC SC -OTHER N/A . ,. :,.". Water Chlorinated:'YES NOI T RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES V1. NO_ CLIENT DESCRIPTEDN DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL. WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA- TIMES ANALYST QUESTED / - % f � �/ " . Ch j C.%� c A .. PRISM LABSAgtPLE [ONO. KYPE SEE BELOW NO_SIZE �Prl/ 142 t(�6 : z O 'KA! 1-7 { ! f T-1 l 'Sampler's Signature - Sampled By (Print Name) „ � JCAf J Affiliation P b a tt-,J h Upon relinquishing, this Chain of 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 been initialized. Y. ( um)■ , reftnAdditional Comments: sita Arrival Time: Dare Site Departure T,me: For Prutn Oare Field Tech Fee: n-7 ZS-r8 g=K0 Mileage: a pmenr NOTE. ALL SAMFLVFCOOLERS SHOOLD BE rAftb SHUT VMT1'14 CUSTODY S NS ATI To THE LABORATORY. coup No. SAMPLES ARE NGTACCEPTED AND VERIFIED AGAINST COC UNTIL RECEr 6 AT THE LABO h 0 0 Fed Ex 0 UPS 0 Hand -delivered Field Service 0 QI}5pI V� NPDES: UST: I NDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: ' )KNC❑ SC❑Q NC ❑ 5C NC ❑ SC U NC a SC 0 NC o SC O NC ❑ SC Ll NC ❑ 5C EI NC ❑ SC] ZINC ❑ SC ` 171 'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic: TL = Teflon -Lined Cap VOA = Vvlatils Organics Analysis (Zem Head Space) ORIGINAL CORNING August 3.2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Corning Cable Systems, LLC t 336.771.8080 3180 Centre Park Boulevard f 336,771.8050 Winston-Salem, NC 27107 USA www.coming.com RE: Stormwater Discharge Monitoring Report Certificate of Coverage No. NCG030227 Dear Sir/Madam: RECEIVED AUG 0 7 2018 CENTRAL FILES DWR SECTION The Coming Cable Systems facility located at 3180 Centre Park Blvd., Winston Salem, NC currently operates under General Permit No. NCG030000, as evidenced by Certificate of Coverage No. NCG030227_ Results from the facility's April 2018 semi-annual stormwater sampling event exceeded benchmark levels for zinc at Outfall 2 for the second consecutive time, Pursuant to Part 11, Section B of General Permit No. NCG030000. the facility has entered Tier Two level requirements. Based on the Tier One investigation, it appears that construction activities, new metal storm drain grates, and roofing material were contributors to the exccedances. According to Tier Two requirements, the facility has begun monthly monitoring at both outfalls and is respectfully submitting its first monthly discharge monitoring report (DMR). Samples from the June sampling event were sent to Prism Laboratories, Inc. and TestAmerica Laboratories. Inc., and both sets of analyses are included in this report. Sample results from Prism Laboratories, Inc. were received from the laboratory on July 12, 2018. Sample results from TestAmerica were received on July 13, 2018. Corning is thus timely submitting this for the June 2018 sampling event within 30 days of receiving these results, as required by Part III, Section E of the General Permit. If you have any questions, do not hesitate to contact me at (336) 771-8030. Sincerely, Coming Cable Systems Corning Restricted Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 08/03/2018 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Symms COLINTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY Test America Lab Cert. # 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or 9Monthlyi- June lmonthl DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 � ❑ No discharge this period?Z ,,Oult#all No: Date Sample Collected} (mo/dd/yr) 24-hour rainfall amount, inches Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =-=> - - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L IS mg/L 1 mg/L 1 06/25/2018 0.17 6.3 mg/L 7.3 0.003 <0.001 N/A 06/25/2018 0.17 6.5 mg/L 7.8 0.005 <0,001 0,045 < 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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 especiallysensitivereceiving 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 its 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 -t 11/1/2012-10/31/2017 SWU-245, last revise' '125/2012 Page 1 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 TMt SAME.PARAMETER ATTHE 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 ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an orkinal and one cony of this DMR. Including all "No Discharge" reuorts, within 30 days of recefAt 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 and imprisonment for knowing violations." Permit II/1/2012-10/31/2017 SWU-24S, last revised,t4/25/2012 t Page 3 of 3 if Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 08/0312018 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Syssems `"- — COUNTY Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY Test America Lab Cert. #i 434 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or gMonthlyl June _ _ Lmonth) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow [:]WaterSupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No.._ ', ! - I]ate Sample °. �. ,. i Collected � _ (mo/ddlyr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units= Capper . =:' • '. .Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks ==-> - - 100 mg/L or 50 mg/L` 6.0 - 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 06/25/2018 0.17 6.3 mg/L 7.3 0.003 <D.001 0.037< NIA 06/25/2018 0.17 6.5 mg/L 7.8 0.005 <0.001 0.045 < 1 Monthly sampling (instead of semi-annual) roust 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 11/1/2012-10/31/2017 5WU-245, last revise' '/25/2012 Page 1 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 original and one cony of this DMR. Including all "No Discharge" reports, within_ 30 days of receipt of the lab results for of 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." -2-q1 (Date) Permit 11/1/2012-10/31/2017 r= SWU-245, last revised 10/25/2012- 1 Page 3 of 3 ... Laboratory Report P�a x Full -Service Analytical & to I S M ! Envlranmental Solutions 071121201$ �i' V'uuw Am FA itw Corning Cable Systems Project: Stormwater Client Sample IQ: Outfall #1 Attn: Jamey Joines Prism Sample ID: 8060393-01 3180 Centre Park Blvd, Prism Work Order: 8060393 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 06/25/18 20:40 Time Submitted: 06/28/18 12:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatelTme ID General Chemistry Parameters Oil 6 Grease (SGT-HEM) SRLOG mg/L 5,0 1.1 1 16646 713118 12:06 SLS P8G0031 PH 5.9 HT pH Units 1 'SM4500-H B 6128113 16:03 CBP P8F0483 Total Suspended Solids 3.0 mg1L 2.6 0.40 1 'SIM2640 D 6129118 13:44 COP P8F0496 Total Metals Copper BRL ug1L 5.0 0,22 1 '60206 711011E 1:14 JAB P8GG034 Lead 2.2 ug1L 1.0 0.093 1 '60208 7110/18 1:14 JAB PBG0034 Zino 76 ug1L 10 2.6 1 '6020B 7110118 1:14 JAB PBG0034 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc, 449 5pringbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041629-6364 -Toll Free Number: 1-8001529-6364 - Fax: 7041625-0409 Page 3 of 7 LIER(S %� I FuniService nnaiytleal b I I V I Envlranmemel Solutipnq �l --63 -- Laboratory_ Report 07/12/2018 Corning Cable Systems Project: Stormwater Client Sample ID: Outfall 92 Attu: Jamey Joines Prism Sample ID: 8060393-02 3180 Centre Park Blvd. Prism Work Order: 8060393 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 06/25/18 20:50 Time Submitted: 06/28/18 12:00 Parameter Result Units Report MDL dilution Method Analysis Analyst Batch Limit Factor RateMme ID General Chemistry Parameters , Oil & Grease (SGT-HEM) BRLOG rng1L 5.0 1.1 1 "1664B 713118 12:06 SLS PBG0031 pH 6.9 HT pH Units 1 'SMi4600-H 8 6/28118 16:03 CBP P8F0483 Total Suspended Solidi 6.8 mg1L 3.2 0.40 1 'SM2640 D 6129118 13:44 CBP P8F0496 Total Metals Copper BRL ug1L 5.0 0.22 1 '6G20B 7110116 1:42 JAB PSGO034 Lead BRL u9IL 1.0 0.093 1 '60208 7110/16 1:42 JAB PBG0034 Zinc 64 ugn- 10 2.8 1 16020a 7110118 1:42 JAB POG0034 This report should not be reproduced, except in its entirety, without the written consent of Priam Laboralonee. Int. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643 Phone: 704/629-6364 - Toll Free Number: 1-8001629.6364 - Fax: 7041625-0409 Page 4 of 7 RR I ICI CHAIN ®F CUSTODY RECORD Full -Service Analytical & Environmental Solutions PAGE` of QUOTE p TO ENSURE PROPEp BILLINGS : : .Sv"ri�c `% Gr �r%]l,�- 449 5pnngbrook Road • Charlotte, NC 28217 Project Name Phone 7041529-6364 Fax: 7t14152S-W9 Short Hold Analysis: (Yes) (No) UST P oJect: (Yes) (NO) Provisions aadior QC Requirements Client Corrrpany t+lame: 1~!, il (� please ATTACH any project specific reporting (OC LEVEL 111 ill IV! Report To/Contact Name: -)A r-►t 36� { 5 inVO1C@ TO: Reporting Address: 5 ra i t4 Ic C"x-,+ci Address• Samples INTACT upon arrival? Received ON WET ICE? PROPER PRESERVATIVES indicated? Received WITHIN BOLDING TIMES? CUSTODY SEALS INTACT? - VOtATLLES reed WIOUT HEADSPACE? ;.PROPER CONTAINERS used? :,TEMP: Therm iDA-1T 7 Observed: YES NO N!A n a�a. a 'ClCarz.�, "C Phone:"-. -- t !t-bliftOes)(No): Email Address: EDD Type. PDF Excel —Other Site Location Narne: Purchase Order No./Billing Reference Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days 134 pays ❑ $ Days "WorkingDays" ❑ fr9 Days ❑ Standard 10 days ❑ Rush work Must Be y Samples received after 14:00 will be processed next business day�oved TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Certification: NELAC DoD FL NC SC OTHER N/A Site Location Physical Address: Turnaround time Is based on business days, excluding weekends and holidays. Water Chlorinated: YES— NO — (SEE REVERSE FOR TERMS 6 CONDMONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES ND CLIENT SAMPLE DESCRIPTION DATE COLLECTEO TIME COLLECTED MILITARY HOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER PRESEITVA- TIMES ANALYSIS REQUESTED f /! f / % REMARKS / '��Jf�r�. f�y s� / ,� PRISM LAB ID NO. -TYPE SEE BELDW l I NO. SSE a i; [Gl�c. 2S (( 2 a4t wl'>�r I iC . J7 r 3 b 5 tv I-ZO 5 a soh x n IY, -7. OL � I i I I i Sampler's Signature _ Sampled By (Print Name) Dk ur,6,j lAffillation CC ti? r-1 t ^ Upon relinquishing, this Chain of Custody Is your uthorization for Prism to proceed with the analyses as requested above. Any changes must be , subri ted In writing to the P 'sm Project Manager. There wr7l be charpqs for any c anges after analyses have been initialized. R t • z IS cal Y (nature(tiignatUMI Date Additional Comments: Sire Aniraf Tune: �v33 Site Departure Time: L na ra) ea . ar nsrt L eta? d1/(/ - L �p Field Tech Fee: j Z IL Mileaya: Chad d pmenr : ALL SAMPLE COOL.ERs SHOULD BE TAPED SH WITH Cu DYSEALS R 7RAN5POR7A710N TO7RUATORY. C .Group No SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED THE LABORATORY. ❑ Fed Ex O UPS D Hand -delivered U Prism Field Service a other NPDES: USTI GROUNDWATER: DRINKING WATER. SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: aNC❑SCI 13NC ❑SC C3NC ©SC I ❑NC ❑SC ONC CSC 3NC❑5C ©SC ©SCI LING ❑SC ONC 0NC *CONTAINER,,,TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIG NAL Client Sample Results Client: Michael Baker International, Inc. Project/Site. Stormwater, Winston Salem, NC TestAmerica Job ID: 180-79284-1 Client Sample ID: OUTFALL 01 Lab Sample ID: 180-79284-1 Date Collected: 06/25/18 08:40 Matrix: Water Date Received: 06127/18 09:35 Method: EPA 6020A - Metals (ICPIMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed oil Fac Copper 3.2 2.0 1.3 ug1L 0612811814:17 07/0711811:57 1 Lead 0.71 J 1.0 0.094 ug/L 06128/1814:17 0710711811:57 1 Zinc 37 5.0 2.4 uglL 06WIl814:17 0710711811:57 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac HEM ND 3.7 1.3 mg1L 0711211811:05 0711211811:05 1 SGT-ITEM ND 3.7 1.3 mg/L 0711211811:05 07112/1811:05 1 Total Suspended Solids 6.3 0.50 0.50 mg1L 06129/18 08:28 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dil Fac PH 6.7 HF 0.1 0.1 SU 06/29/18 08:35 1 Client Sample ID: OUTFALL 02 Lab Sample ID: 180-79284-2 Date Collected: 06/25/18 08:50 Matrix: Water Date Received: 06127/18 09:35 Method. EPA 6020A - Metals (ICPIMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 4.6 2.0 1.3 uglL 0612811814:17 07/0711812:00 1 Lead 0.67 J 1.0 0.094 uglL 06128/1814:17 07107/1812:00 1 Zinc 45 5.0 2.4 ug1L 06128/1814:17 0710711812:00 1 General Chemistry Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac HEM ND 4.0 1,4 mg1L 07112/1811:05 07112/1811:05 1 SGT-HEM ND 4.0 1.4 mgll- 0711211811:05 0711211811:05 1 Total Suspended Solids 6.5 0.50 0.50 rng1L 061Y9118 08:28 1 Analyte Result Qualifier RL RL Unit D Prepared Analyzed Dill Fac PH 7.4 HF 0.1 0.1 SU 06/29/18 08:35 1 Client Sample ID: DOCK DS Lab Sample ID: 180-79284-3 Date Collected: 06/25/18 09:05 Matrix: Water Date Received: 06/27118 09:35 Method: EPA 6020A - Metals (ICPIMS) - Total Recoverable Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Copper 6.3 20 1.3 ug1L _ A6/2811814:17 0710711812:03 1 Lead 0.27 J 1.0 0.094 ug1L 06/2811614:17 0710711812:03 1 Zinc 100 5.0 2.4 ug/L 0612811814:17 07/07/1812:03 1 Client Sample ID: CANOPY DS Lab Sample ID: 180-79284-4 Date Collected, 06I25118 09:00 Matrix: Water Date Received: 06/27/18 09:35 Method: EPA 6020A - Metals (ICPIMS) - Total Recoverable Anaiyte Result Qualifier RL MUL Unit D Prepared Analyzed Dil Fac Copper NO 2.0 1.3 ug1L 06/28/18 14:17 07/07/18 t 2:06 1 Lead 0.33 J 1.0 0.094 ug/L 0612811814:17 07/07/1812:06 1 Zinc 160 5.0 2.4 ug1L 06/2811814:17 07/07/1812:06 1 TestAmerica Pittsburgh -9 Page 11 of 20 7/12/2018 !�, - t '�`r .YwryY-w— - F 7�� .�'� ....�i.:'='.:.G�.a.C.»...�.�i^i.��"..i....�—"`H_Y..:.✓..... .a, _.. .-�.�.._ . TestAmerica Pittsburgh 'D 0) r6 0 N O 301 Mena Gnwe RIDC Park 68-AtUlllt�"Chain of Custody Record 1101stivigh, PA 15239 Phone 14121 963•705a Fax i412) 963-2a6a TestArrieric a k 64mntar•— JG Lab PM Caner Tfamnq rips# COC No. client Information 7 u, Colussy. Jill l E.Max 180-45270.9660.1 c"t_cn= PrarL- Page: l.Ar Brian Sletles f / (J I S fill coltissy(gfestamericainc corn Pape 1 of 1 co:r�nr Job e Michael Baker International, Inc, Analysis Requested Adyress' Due Dale Requested: t - k J' Preservatkm Codes: ArrsrCe Business Park 100 Aimide Drive r 3i a'.as ' ; A Hct N R . Naar-t N - rlora Crrr TAT Requested ldays): 14IODn Township C -Zn Acetate D - ASNOC2 p . !lane Am o - f:a2D45 State. Zn PA. 15108 jtw; E - NaHSO4 0 - Na2SD3 r.Meom R Ne252O3 p 'a PO a, 12-26MO13(Te4) Purchase Order Requesled i G - Amd W S - H2SO44 H . i'"Oru' Acid T - TSP Dodeudtrdiere t - let LT - Amtorm Emat1 Wo a bste(teSCrnbakennil, corn , ! e e, j - Dl Wetar v - MCAA K • +tiTA w . pM 4 5 P194a tJart>f: PtaloC! a. Storrmater, Wtrlslon Salem. NC 18019110 q :� w • w _ u' -� ° � L • EDA 2 - other ;WeegY1 OtMr: Sire. SSOWe; - � y � x s 4 it s i� .E ' y� sample Matrix ( � I � C sample (Cornea, o....rr.e 32 Sam le Identification Sample Date Tlf 1e O rab w-T MM r n N 5 is �,.T.. Itt- u z':Preservatidn Code: '" �.. 1 . 6 54 y 7 G Water A i� r= A t-L Z I a �So. G water R O �Z 25 90 Watei h'tiN� 1JS 2� $, 7W Water r Water V Water. water Water Water .y Po"ble Hazard identification Sample Disposal f A fee may be assessed N samples areretalned longer than f month) Non -Hazard =Ffammabfe Skin irrrlanr '�pnrson 8 Unknown Radiological �Refum To Chem EDorsposal By Lab �Arcnive For Months Deltverable Requeslem I, li, III, IV, Other (specify) Special tnstructionstOC Regtnremenis'. Empty Kit Reltnquahl d pate: 7if11e' MetnM W sn-Prnent EMU 1?t{rnWiS Palm C RCc! Cy, - peteir C 5111- rarmd by arrn,e Company Ruc&'.ft tFy Daxrlvu , Company RVMqusfled by Dxm'T47^ =anroanr Re;,6wa ov Da;alTime Co Qanv Cuslnay Seals Intact: Custody Seal No.. Cmier 7crr�or,nurrt,r "C ann C>>ner rls,a,*s t Yes ,% No 1'ct ,t.K q.i ,nM ical CORNING 31BO CenttretPark Boule anldcatlons f 336.771.8050 Winston-Salem, NO 27107 USA www.corning.com May 24, 2018 Division of Water Quality Attn: DWQ Central Files 1 IV I--_ 1617 Mail Service Center Raleigh, NC 27699-1617 fV1A (3 ��� RE: Stormwater Discharge Monitoring Report CENTRAL FILES Certificate of Coverage No. NCG030227 DIA R SECTION Dear Sir/Madam: Corning Cable Systems is respectfully submitting its semi-annual discharge monitoring report (DMR). According to Part 11, Section 2 of General Permit No. NCG030000, Corning is required to analyze its stormwater discharge semi-annually for each outfall. Parameters include pH, Total Suspended Solids, Oil & Grease, Copper, Lead, Zinc, and Total Rainfall. According to Part Ill, Section E of the general permit, Coming is required to submit its semiannual DMR no later than 30 days from the date the facility receives the sampling results from the laboratory. Please find attached the DMR for the sampling period January — June 2018. The sample was collected on April 23, 2018 and the total rainfall during the rain event was 2.16 inches. Sample results were received from the laboratory on May 11, 2018. Please note that the analytical results for the following parameters were slightly elevated: • Zinc: The benchmark is set at 0.067 mg/L. Outfall 2 had a zinc concentration of 0.120 mg/L. • Copper: The benchmark is set at 0.007 mg/L. Outfall I had a copper concentration of 0.008 mg/L. Outfall 2 had a copper concentration of 0.013 mg/L. Corning still believes that these anomalies exist due to newly constructed surfaces with new metal storm drain grates at our facility coupled with little rainfall during the last 6 months. It has been noted that the results for zinc have slightly decreased since the last sampling event (December 2017), If you have any questions, do not hesitate to contact me at (336) 771-8140. Sincerely, Ronica Edgerton EHS Manager Coming Cable Systems Corning Restricted Semi-annual Stormwater Discharize Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 05/24/2018 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Systems COUNTY . __F—QLWh PERSON COLLECTING SAMPLES Jamie Joines LABORATORY Prism Laboratories,Inc- Lab Cert. # 402 Comments on sample collection or analysis: Part A. Stor.mwater Benchmarks and Monitoring Results SAMPLE COLLECTIO YEAR 2018 SAMPLE PERIOD MJan-June ❑ July -Dec or ❑ Monthly' {month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA []zero -flow ❑Watersupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper � Lead zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic 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 1 04/23/2018 2.16 16 m /L 6.4 0.008 <0.001 0.055 <5.0 N/A 2 04/23/2018 2.16 33 m /L 7.7 0.013 0.002 0.120 <5.0 N/A 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. 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 I( 11/1/2012-10/31/2017 l SWIJ-245, last revise /25/2012 ` Page 1 of 3 Note: If you report o sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART 8 MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME CUTFALL TRIGGER TIER 2 REQUIREMENTS, SEE PERMIT PART li SECTION B. e TIER 3; HAS YOUR FACILi7Y HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE CUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one copy of this DMIt Including all "No Discharge" reports, within 30 days of recelpt of the lab results (or at end of monitorTncl ep riad in the case of "No-gischang- reportJs 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 quallfred 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 ga ering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and eomplete, am aware that there are ignifican/en les far submitting false Information, including the possibility of fines and imprisonment for knowing violations." s z (Signature of Permittee) (pate) Permit 11/1/2012-10/31/2017 rr SWU-245, last revised 10/25/2012 1" Page 3of3 if Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 05/24/2018 CERTIFICATE OF COVERAGE NO. NCG03 0 2 2 7 FACILITY NAME Corning Cable Systems COUNTY _ . Forsyth PERSON COLLECTING SAMPLES Jamie Joines LABORATORY Prism Laboratories,Inc- Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTIO YEAR 2018 SAMPLE PERIOD IJan-June ❑ July -Dec or ❑ Monthly' - (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]Watersupply []SA []Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/Olt 3 4 n No discharge this period?Z Outfall No. Date Sample p Collected"' , (moJdd/yr) 24-hour rainfall amount, 3 � Inches Total Suspended Solids pH, Standard units Copper Lead � Zinc Non -Polar Q&G/ Total Petroleum Hydrocarbons Total Toxic Organics; Benchmarks 100 mg/L or 50 mg/1. 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 04/23/2018 2.16 16 m /L 6A 0.008 <0.001 0.055 <5.0 N/A 2 04/23/2018 2.16 33 m /L 7.7 0.013 0.002 0.120 <5.0 N/A ' 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 ' 11/1/2012-10/31/2017 SWU-245, last revise' '/25/2012 Page 1 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 DR 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"resorts, within 30 days of recelpt of the lab results for 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 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 significan enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee (Date) Permit 11/1/2012-10/31/2017 / SWU-245, last revised,10/25/2012 ` Page, 3 of 3 if FWI-Sarvlce Analytical 6 M i Environm6ntal5olutione iwstwwravea me Coming Cable Systems Project: Stormwater Attn: Jamey Joins 3160 Centre Park Blvd. Winston Salem, NC 27107 Laboratory Report Prism Work Order. 8040559 05/11/2018 Field Data Laboratory ID Client ID Field Parameter Result 8040559-01 SW- I pH 6 A 804D559-02 SW-2 pH 7.7 This report should not be reproduced, except in its entirety, without the written consent of Pnsm Laboratories, Inc. 449 Springbrook Road • P.O. Box 240543 • Charlotte, NC 28224.OW Phone: 7D41629.6364 - Toll Free Number: 1-8001629-6364 - Fax: 704f52"409 Page 3 of 8 t.•\ Laboratory Report '!P- R ISM I F4vrcia lee Analytical S Enironmentef $OlulioSolutionsO5J1 1J201$ u wq.roR�es we Corning Cable Systems Project: Stormwater Client Sample ID: SW -1 Attn: Jamey Joins Prism Sample ID: 8040559-01 3180 Centre Park Blvd. Prism Work Order: 8040559 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 04/23/18 14:00 Time Submitted: 04/27/18 1&50 Parameter Result units Report MDL Dilution Method Analysis Anaiyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease (SOT -HEM) BRL OG mglL 5.0 1.1 1 1664E 519118 12:08 SLS P8E0191 Total Suspended Solids 16 mg1L 6.2 OAO 1 'SM2640 D 4130118 10:48 COP PAD0613 Total Metals Copper 7.9 ug1L 6.0 0,22 1 '6020B 611118 16:02 PJF PBE0004 Lead BRL ug1L 1.0 0.093 1 '6020B 51108 16:02 PJF P8E0004 Zinc 65 ug1L 10 2.8 1 '6020B 611119 16:02 PJF POE0004 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road . P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704l629-0364 - Toll Free Number: 14001519-0364 - Fax: 7041516-0409 Page 4 of 8 �1'EIi9tlEuroRrEAnalytical SIPR ISM Environmental Solutions Corning Cable Systems Attn: Jamey Joins 3180 Centre Park Blvd, Winston Salem, NC 27107 Laboratory Report 05/ 11 /2018 Project: Stormwater Cljent Sample ID: SW - 2 Prism Sample ID: 8040559-02 Prism Work Order: 8040559 Sample Matrix: Water Time Collected: 04/23/18 14:10 Time Submitted: 04/27/18 16:50 Parameter Result Units Report MDL Dilution Method Analysis Analyst Hatch Limit Factor Datefrime ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLpG mg1L 5.0 1.1 1 '1664B 5/10118 8:24 SLS PBE0245 Total Suspended Solids 33 mg/L 6.2 0.40 1 'SM2640 0 4130118 10:48 CBP PBD0613 Total Metals Copper 13 uglL 5.0 0.22 1 '6020B 511118 1610 PJF P8E0004 Lead 2.2 uglL 1.0 0.093 1 '6020B 5/1118 16:10 PJF P8E0004 Zinc 120 uglL 10 2.5 1 '6020B 611118 16:10 PJF PBE0004 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: 704/629-6364 - Toll Free Number: 1-8001529.6364 - Fax: 704l625-0409 Page 5 of 8 CHAIN OF CUSTODY RECORD Full -Service Analytical r Environmental Solutions ��EABarcatoRlES �lw� 449 Springbrook Road Charlotte, NC 2B217 Phone 704132"364 Fax: 7041325-04n Q Client Company Name: i'llr /val Report TGIContact Namo: W, + �y Reporting ddress 6"'1Apr h�2,vn PAGEL OF _/ QUOTE p TO ENSURE PROPER BILLING: Project Name:Ir' Short Hoid Analysis: (Yes) (No) UST Project: (Yes) (NO) *Please ATTACH any project specific reporting (QC LEVEL 1 11 III IV) provisions andlor QC Requirements Invoice To: Address: Samples INTACT upon arrival? Received ON WET rCE? PROPER PRESERVATIVES indicated? Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? VOLATILES rec a WIOUT HEADSPACE? PROPER CONTAINERS u•.,i-. Z TEMP: Them, I (/ Observed: Yt_ 5 O NlA C! Gorr-3—ZC co O 00 L Phone:Purchase Order NoMilling Reference Email Address: 1 CS' • > r eq Requested Due Date Q 1 Day ❑ 2 Days ❑ 3 Days 0 4 Days ❑ 5 Days EDD Type: PD Exce Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days j Pugh Work Must He Site Location Name:_. Samples received after 14;00 wits be processed next business day. TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Certification: NELAC DOD FL NC SC OTHER NIA Site Location Physical Address: 11Tumaround nme Is based on business days, excluding weekends and holidays_ (SEE REVERSE FOR TERMS A CONDITIONS REGARDING SERVICES Water Chlorinated: YES— NO RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES NO CLIFNT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER PRESEitVA- TIVES140 ANALYSIS REQUESTED % Vt � i` � REMARKS PRISM LAB ID}} NO. — •TYPE SEE BELOW NO. SIZE G I 02- I r. Sampler's Signatu Sampled By (Print Name) 0L✓V`L:e—I�:44 Affiliation _ Upon relinquishing is Chain Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be aimr submitted in writing to the Prism Project Manager. There will be c arges for any changes after analyses have been Initialized. e t �) R ay:lsgnak, I) !HUMAdditional Comments: Site Arrival Time: 11 7 y 1 X ; . E Site Departure Tir 1e Field Tech Fee: 1 Y ute Mlle�r;: emod 0 Ivpn 0- NOTE: ALL SAMP COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRA14PORTATZON TO THEORATORy. p o. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY. /r,.,, }�C,Tf'j.�t`J i, sq n JI 0 Fed Ex O UPS CI Hand -dowered risen I-teld Service ❑ mhcr NPDES: UST: G UNDWATER: I DRINKING WATER: SOLID WASTE: RCRA: I CERCLA LANDFILL I OTHER: ❑NC❑SC C1NC ❑SC ❑ � ❑ C SC ❑NC OSC ❑NC ❑SC ONC❑SC, ZINC LI ❑NC ❑SC ZINC ❑SC ID F1 f7 I r7 :D 71 1 r-1 1 M I rI 'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL CORNING January 19, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 Coming Optical Communications 1 336.771,8080 3180 Centre Park Bouievard f 336.771 M50 Winston-Salem, NC 27107 USA www.coming.com RE: Stormwater Discharge Monitoring Report General Permit No. NCG030000 Certificate of Coverage No. NCG030227 Dear Sir/Madam: RECEIVED JAN 25 2018 CENTRAL FILES DWR SECTION Corning Cable Systems respectfully submits its semi-annual discharge monitoring report (DMR), in accordance with (1) Part I1, Section 2 of General Permit No. NCG030000, which requires semi- annual analysis of stormwater discharge for each facility outfall for the following parameters: pH, Total Suspended Solids, Oil & Grease, Copper, Lead, Zinc, and Total Rainfall, and (2) Part III, Section E of the general permit, which requires submission of the semiannual DMR no later than 30 days from the date the facility receives the sampling results from the laboratory. We enclose the DMR for the sampling period July — December 2017. The sample was collected on December 5, 2017 and the total rainfall during the rain event was 0.3 inches. Sample results were received from the laboratory on December 21, 2017. Please note that the analytical results for the following analytes were slightly elevated: • Zinc: The benchmark for zinc is set at 0.067 mg/L. Outfall 1 had a zinc concentration of 0.077 mg/L, and Outfall 2 had a zinc concentration of 0.160 mg/L. • Copper: The copper concentration was also elevated for Outfall 2 at 0.012 mg/L versus the benchmark of 0.007 mg/L. • pH: The pH was 9.3 for Outfall 2 versus a benchmark of 6-9. Coming believes that these anomalies exist due to newly constructed surfaces at our facility coupled with little rainfall during the last 6 months. If you have any questions, please do not hesitate to contact me at (336) 771-8140, Sincerely, 6z?% .. N4� Ronica EdgertoAJ EHS Manager Corning Cable Systems Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qu lity eneral Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCGQ3 Q Z,�- FACILITY NAME r COUNTYy PERSON COLLECTING SAMPLA.-srrt LABORATORY/L�'/1'.. Lab Cert. #.2 Comments on sample collection or analysis: Part A: Storrnwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR /7 SAMPLE PERIOD ❑ Jan -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 Outfall No. Date Sample Collected' {ino/dd/yr) 24-hour rainfall amount, lnches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics5 Benchmarks =__> _ - 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L ' Monthly sampling (instead of semi-annual) must beginwith 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 I( 11/1/2012-10/31/2017 / 5WU-245, last revlse ' /25/2012 l Page 1of3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Fier 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 11 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 copy of this DMR,_ including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring beriod in thecase 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 atsystem designed to assure that qualified personnel properly gather and evaluate the information submitted.'Based on my inquiry of the person or persons:Who rnainage-.tlie system, or those persons directly responsible for gathering the information,;the informatioh submitted is, to the'best of my knowledge s'nd belief; true, aec'urate,.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 � 11/1/2012-10/31/2017 � ly (Date) 5WU-245, last revise('' -1/25/2012 Page 3of3 Semi-annual Stormwater Disch� arge Monitoring Report for North Carolina Division of Water Qu lity eneral Permit No. NCG030000 Date submitted P14Sr ao! CERTIFICATE OF COVERAGE NO. NCG93 '9 ; Z FACILITY NAME r COUNTY PERSON COLLECTING SAMPLES. cke,,l ,5 LABORATORY r-he, ram' ..<. Lab Cert. #^ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR aW r% SAMPLE PERIOD ❑ Jan -June my -Dec or ❑ Monthly' [month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑zero -flow []WaterSupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3 ❑ No discharge this period? Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Urganicss 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 rrlg/L 1 mg/L ! 2_ . Q Ae 1-. ,OD O l . S/ 5-9 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. '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 480.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit C� 11/1/2012-10/31/2017 SWU-245, last reviset, `125/2012 Page 1 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 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_copy of this DMR, including all "No Discharge" reports, within 30 daVs of receipt of the lab results for at end of monitoring period in. the. case of "No Discharge" reportsi 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 ... -. t. •- 1.. -.. L.. .. vicry• ,•t'•'•'j•�.... � assure that qualified personnel properly gather and evaluate the information submitted.'Based on my inquiry of the person or -persons who rn inage-t�ie'system, or those persons directly'responsible for gathering the information, the'irifor`mation sub'mifted is, to the'best'of my knIowiedge a'ntl"-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 11/1/2012-10/31/2017 SWU-245, last revise( ''I25/2012 Page 3 of 3 Ajc:- Laboratory Report IS M Full -Service Analylicaf& Environmental Solutions 1212012017 ueOn�rowlEi +r1c Corning Cable Systems Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Project: Stormwater Client Sample ID: Outfall ##1 Prism Sample ID: 7120127-01 Prism Work Order: 7120127 Sample Matrix: Water Time Collected: 12/05/17 20:30 Time Submitted: 12/06/17 15:50 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil a Grease (5GT-HEM) BRLpG mg/L 5.0 1.1 1 1664E 12/14/17 8:44 SLS P71-0242 pH 6.6 HT pH Units 1 'SM4500-H B 1216117 16:40 BMS P71-0120 Total Suspended Solids 9.8 mg1L 3.1 0.40 1 'SM2640 D 12/11117 13:16 SLS P71-0173 Total Metals Copper BRL ug1L 5.0 0.22 1 '6020B 12/14/17 17:30 EGG P71-0226 Lead 1.2 ug/L 1.0 0.093 1 '6020B 12114117 17:30 EGC P71-0226 Zinc 77 uglL 10 2.8 1 *60208 121/4/17 17:30 EGC P71-0226 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: 1-800/629-6364 - Fax: 704/526-0409 Page 4 o 88 '\' Laboratory Report r Pi a Full -Service Anaiytical & R I qM Environmanlal solutions 12/20/2017 Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Darren Swart Prism Sample ID: 7120127-02 3180 Centre Park Blvd. Prism Work Order: 7120127 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 12/05/17 20:32 Time Submitted: 12/06/17 15:50 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOO mg/L 5.0 1.1 1 '1664B 12114/17 9:14 SLS P7L0242 pH 9.3 HT pH Units 1 'SM4500•H B 12/6117 16:40 BMS P71-0120 Total Suspended Solids 59 mg/L 8.3 0.40 1 'SM2540 D 12/11/17 13:39 SLS P71-0173 Total Metals Copper 12 ug/L 5.0 0.22 1 '6020B 12/14/17 17:63 EGC P71-0226 Lead 4.8 ug/L 1.0 0.093 1 '60208 12/14/17 17:53 EGC P71-0226 Zinc 160 ug/L 10 2.8 1 '6020B 12/14/17 17:53 EGC P71-0226 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: 704/529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 5 of 8 CHAIN OF CUSTODY RECORD /PcM Full -Service Analytical M Environmental Solutions PAGE f OF ! QUOTE # TO ENSURE PROPER GILLING: Y LABORATOWES INC. I 449 Springbrook Road • Charlotte, INC 28217 Projecl Name: Phone 7041529-6364 • Fax: 7041525-0409 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) : h H "Please ATTACH any project specific reporting (QC LEVEL 111 Ili IV) ClientCompany Name: y provisions and/or QC Requirements Report TnlGontact Name: 'e `mac r vICS invoice To: Reporting A dress; : ��i1r�i! /'GF.✓ - sf/ Address: 42 7�r r Samples INTACT.upon arrival? Received ON WET ICE?' .PROPER PRESERVATIVES indicated? Received WITHIMHOLDING TIMES? CUSTODY SEALS INTACT? VOLATILES rac'd WIOUT HEADSPACE? PROPER CONTAINERS used? TEMP: Therm ID: Observed: YES NO WA' *C 1 Carr: �c Ph0ne:(-�Ub)7 & Fax (Yes) (No): Purchase Order No./Billing Reference _ EmailAddress: ran �J ��1/'�*��!JrCpA-7 Requested Due Date ❑ 1 Day ❑ 2 Days CI3 Days ❑ 4 Days U S Days EDD Type: PDF_Excel Other "Working Days" L16-9 Days ❑ Standard40(lays [:,Rushrork Must Be Approved Site Location Name: 1,0 i, .f 1417 ! r Samples received after 14:00 will be processed'next business day. Site Location Physical Address: 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 FILLED IN BY CLIENT/SAMPLING PERSONNEL Certification: NELAC DOD FL NC ✓ SC . ' OTHER N/A Water Chlorinated: YES— NOT Sample Iced Upon Collection: TIES ✓NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER t PRTIVES - =INES ,Y ANALYSIS REQUESTED REMARKS PRISM LAB to Na. *TYPE SEE BELOW NCI- SIZE o� 7 p, 20 �roi P i Sampler's Signature Sampled By (Print Name) ICZ4...ji / Affiliation ` di"� ak1-3 iv 7A�rrivalTime Upon relinquishing, this Chain of 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 been initialized. elingUshed By: (Signature Receivedy-f8ignature Date MflitaryfHoursAdditional Comments: Relinquished By: (SignaluTe) Received By: Signature) Date Field Tech fee: Relinquished By: {Signature} Received For Prism Laboratories By: Date Mileage: Melhod of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CUSTODY SEALS FOR TRANSp RTATION TO THE LABORATORY, SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNTIL RECEIVED AT THE LABORATORY, Q Fad Ex i] UPS ❑ Hand -delivered ❑Prism Field Service ❑ Other COC Group No. tVYL7t_J: Ub I: IiKUUNUWVAT tK: VKINKINU VVAI tK: I aULIU WAS l E: I KURA: L:EKGL.A LANUFILL UI F1EK: 2fNCCSC ❑NC ❑SC UNC ❑SC QNC ❑SC ❑NC ❑SC El NC❑SC ❑NC ❑SC El NC ❑SC ❑NC ❑SC ❑ ❑ _ __T ❑ a ❑ — ❑ 0 © ❑ —___ ng ical CORNING 31801CenirretPark Boulevard Communications t 336.771.8050 Winston-Salem, NC 27107 USA www.coming.Com July 12, 2017 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Stormwater Discharge Monitoring Report Certificate of Coverage No. NCG030227 Dear Sir/Madam: Corning Cable Systems is respectfully submitting its semi-annual discharge monitoring report (DMR). According to Part 11, Section 2 of General Permit No. NCG030000, Corning is required to analyze its stormwater discharge semi-annually for each outfall. Parameters include pH, Total Suspended Solids, Oil & Grease, Copper, Lead, Zinc, and Total Rainfall. According to Part III, Section E of the general permit, Corning is required to submit its semiannual DMR no later than 30 days from the date the facility receives the sampling results from the laboratory. Please find attached the DMR for the sampling period January — June 2017. The sample was collected on June 23, 2017 and the total rainfall during the rain event was 0.7 inches. Sample results were received from the laboratory on July 11, 2017. If you have any questions, do not hesitate to contact me at (336) 771-8055. Since, _41 /Jamie Joined EHS Technician Corning Cable Systems RECEIVED JUL 2 7 2017 CENTRAL FILES, SECTION Corning Restricted Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of WateLauality General Permit No. NCG030000 Date submitted 1 le l s2 i CERTIFICATE OF COVERAGE NO. NCG03 D . ;2-;- —�_/ FACILITY NAME COUNTY PERSON COLLECTING SAMPLES LABORATORY /�i-•' y7 �,',� ab Cert. 0 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION ,YEAR 070/7 SAMPLE PERIOD Z Jan -June ❑ July -Dec or ❑ monthly' DISCHARGING TOCLASS ❑ORW ❑HQW ❑Trout t�[]PNA -❑Zero-flow [:]WaterSupply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?Z Outfall No. Date Sample Collectted! � (mo/dd/yr) 24-lhour rainfall amount, Inches3 Total.Suspended Solids PH, Standard units Copper Lead Zinc Non -Polar ©&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks == => _ - 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L O, 7 a95- C o, ov l 0. o < a". O $ 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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 -1 11/1/2012-10/31/2017 / SWU-245, last revise • '�25/2012 Page 1 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 13 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 copy of this DMR, includina_a_ll "No Discharge" reports, within 30 days of receipt of the lob results for at end of f monitorina period in the. case of "No Discharge" reports) to: Division of Water Quality Attn: DWQCentraI 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 wlr o 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." (Signature of Permittee) (Date) Permit C[ 11/1/2012-10/31/2017 SWU-245, last revise" '/25/2012 Page 3 of 3 RAIN GAUGE RECORD COMPANY: Corning Cable Systems, Inc. ADDRESS: 3180 Centre Park Boulevard, Winston-Salem, NC 27107 MONTfi : -u h f SAM PLI NG DATE: 1--2--�522717- STORM EVENTTOTALRAINFALL(Inches): Q„7 START TIME : Q �: �y STOP TIME: [/ 7 'J TOTAL TIME (hrs): Vw J Q�,lr DATE TIME ((hhr:mm) RAINFALL (INCHES) MEASURED BY (initial) 1 rr�7 C/w� 2 p��vf 3 3 ' rQ/1191 4 .f D S 7 9 rz.3: D 123: 13 14 ° f D./'D 15 a�.t C./ 17 of D. D 7 s 19 //� 21 3 $- zz 3 S 23 Q Do 7 24 25 26 27 28 29 30 31 2- 11PR Full-SaMoe Analytical & y CIPIR I S M I Environmental Solutions ,eee�.+w mn . Coming Cable Systems Attn: Barren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Laboratory Report 07/11/2017 Project Stormwater Client Sample ID: Outfall #1 Prism Sample ID: 7060449-01 Prism Work Order: 7060449 Sample Matrix: Water Time Collected: 06123J17 07:46 Time Submitted: 06/23/17 17:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date>Tme ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOG mglL 5.0 1.1 1 '1664B 7r7117 15:39 TJY PIG0104 Total Suspended Solids 4.4 mg1L 2.6 0.40 1 'SM2540 D 6122117 14:67 SLS P7F0468 Total Metals Copper BRL uglL 5.0 0.41 1 '6020B 715117 14:30 EGC P7130008 Lead BRL uy/L 1.0 0.061 1 '6020B 715117 14:30 EGC P7G0008 Zinc 60 uglL 10 1.3 1 *60208 71G/17 14:30 EGC P7ta0008 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: 704162"364 -Toll Free Humber: 1-8001529-6364 - Fax: 704/526-0409 Page 3 of 7 iI Fun•S&rvlce Analytic4i 6 P I M I Environmental Solution& c.eow•�x..c Corning Cable Systems Attn: Darreri Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Laboratory Report 07/111201 7 Project: Stormwater Client Sample ID: Outfall #2 Prism Sample ID: 7060449-02 Prism Work Order: 7060449 Sample Matrix: Water Time Collected: 06/23/17 07:52 Time Submitted: 06/23/17 17:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DateMme ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLpG mg/L 5.0 1.1 1 '166413 7f7117 15:39 TJY P7G0104 Total Suspended Solids 6.2 mg/L 2.6 0.40 1 'SM2640 D 6129/17 14:67 SLS P?F0468 Total Metals Copper 6RL ug/L 5.0 0.41 1 '6020B 715117 14:66 EGC P7G0008 Lead 6RL ug/L 1.0 0.061 1 '6020B 7/5l17 14:56 EGC P700008 Zinc 41 ug1L 10 1.3 1 '60208 715117 14:66 EGC P7G0008 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook (toad - P.O. Box 240W - Charlotte, NC 28224-0S43 Phone: 7041529.6364 - Toll Free Number: 1.900152"364 - Fax: 7041626-0409 Page 4 of 7 CHAIN OF CUSTODY RECORD Jla Full -Service Analytical 8 io, ISM I Environmental Solutions PAGEOF L QUOTE 9 TO ENSURE PROPER BILLING: �. LASORATORIrS. INC. Project Name: 449 Springbrook Road • Charlotte, NC 28217 Phone 704I529.6364 Fax: 7044 25- /9s Short Hold Analysis: (Yes) (NO) UST Project: (Yes) (NO) Client Company Name: l'J + ✓/C a f�Short "Please ATTACH any project specific reporting (QC LEVEL 1 11 111 IV) p visions and/or QC Requirements Report To/Contact Name:�'[t _ nvoiceT0. . r Reporting Address: +f1� Address: w W W W Phon163lo 77si--e�d53` (N Fax (Yes) o): r Purchase Order NoJBllling Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address: lot SW_�t^n,c-rha�GU o Requested Due Date ❑ 1 Day O 2 Days ❑ 3 Days O 4 Days ❑ 5 y Days Certification: NELAC DOD FL NC EDD Type: PD Exce Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days O P sti Work Must Be A Site Location Name: - «LG Samples received after 14:00 will be processed next business day. SC OTHER NIA Site Location Physical Address: kf' LT Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO �IIU (SEE REVERSE FOR TERMS S CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, (NC. TO CLIENT) Sample Iced Upon Collection: YES NO TIME MATRIX SAMPLE CONTAINER AIJALYSIS REQ ESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- i[ 1 REMARKS LAB SAMPLE DESCRIPTION COLLECTED MILITARY HOURS WATER OR SLUDGE) 'TYPE NO. SIZE T1VES /1/. ID NO. SEE BELOW "fQ "' `tea /s �'rr� , • • Sampler's Signatu Sampled By (Print Name) Affiliation �i 7} Upon relinquishing is Ch of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes m t be submitted in writing to Vie PrismProject Manager. There will be charges for any changes after analyses have been initialized. Rali u' e $ S' nature ecery S nature ate Ito ours Additional Comments ai I'�+' -- "rfi'#' `I u+ m-; °^+ - _y Rel By: lure) Received By: (Signature) Date 6I `r III Sit9 DepaftUrO Tlmo f, ; v Relinquished By: (Sign ew ReceNe P ' Lahoraoor s p j /� J % J ��QO FIaId Tech flee I. ,a 3' %1lfT r��/{ r�r Mileagen.,sk rr;4x is Method M Shipment NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH STODY SEALS FO TAT N TO THE LABORATORY, COC Group No. - SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC NTIL RECEIVED AT E LABORATORY. ❑ Fed Ex 0 UPS 0 Hand-Wivered 0 Prism FiOd Service 0 Other. N ES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: IM HMO ®NC❑SC ❑NC ❑SC ❑NC ❑SC ❑NC ❑SC I ❑ONC OSIC ❑❑NC❑SC� ❑❑NC El SC ❑❑NC ❑SCI ❑❑NC ❑SC r L! ❑ fl GRIGINAL 'CONTAINER TYPE CODES: A = Ammer C = Clear G= Glass P = Plastic, TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted: November 3, 2016 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Corning — Winston Salem Cable Plant COUNTY Forsyth PERSON COLLECTING SAMPLES Thomas Cuzzens LABORATORY —Prism Labs Lab Cert. # 402 -Comments on sample collection or analysis: "all samples were received in acceptable condition and processed according to referenced methods" Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED ECEI V iE D []Zero -flow [_]Water Supply [:]SA C ®Other NOV 2 9 1016 CENTRAL FILES PIPLEAkWEMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i DWR SECTION r1L. t ❑ IVo discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks ===> - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall #1 09/27/16 .0056 7.6 .0014 .00 .063 0 Outfall #2 09/27/16 0 7.6 0 0 .044 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. U nattende6 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). Corning Restricted Permit Date: 11/1/2012-10/31/2017 SWU-24S, 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 Tf0 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 Tf0 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." Ken Inman Name (Print name) Plant Manager Title (Print title I t 2 ca C (S nature) (Date) f Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier x, 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 rng/L or 50 mg/L* 6.0 — 9.0 SU (Corning Restricted) Permit pate; 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 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 11 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 on final and one MK of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results Lor 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." hoq hr (Signature of Permittee) (Date) Corning Restricted Permit Date. 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 h06-0136.17 aP 11S M RATORIES INC. Corning Cable Systems Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Full -Service Analytical & Environmental Solutions NC Certification No. 402 NC Drinking Water Cart No. 37735 SC Certification No. 99012 Project: Stormwater Lab Submittal Date: 09/27/2016 Prism Work Order: 6090451 Case Narrative 10/07/2016 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 tail if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. RECII V E® NOV 2 9 2016 CENTRAL FILES ©WR SECTION Cara C. Rusmisell Reviewed By Cara C. Rusmisell Project Manager Project Manager Data Qualifiers Key Reference: 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 240543 - Charlotte, NC 28224-0543 Phone: 704152"364 - Toll Free Number: 1-8001529.6364 - Fax: 7041525-0409 Page 1 of 7 7 n . �� Full -Service Analytical 8 f-P R M I Environmental Solutions '7u�earovo 'EA isa Sample Receipt Summary 10i07/2016 Prism Work Order: 6090451 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Outfall #1 6090451-01 Water 09/27/16 09/27/16 Outfall #2 6090451-02 Water 09/27/16 09/27/16 Samples were received in good condition at 2.6 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbraok Road - P.O. Box 240543 . Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 2 of 7 A,` A9.01 P�Full-service Analytical a PRR I S M I Environmental' Solutions 'Ea, mc Corning Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Sample Matrix: Water Laboratory Report 1610712016 Client Sample ID: Outfall #1 Prism Sample ID: 6090451-01 Prism Work Order: 6090451 Time Collected: 09/27/16 07:45 Time Submitted: 09/27/16 14:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOc, mglL 5.0 1.1 1 '1664B 1015116 9:10 TJY PGJ0066 Total Suspended Solids BRL mg1L 2.6 0.80 1 "SM2540 D 9130116 10:00 BMS P610516 Total Metals Copper 14 Lead BRL Zinc 63 ug1L 5.0 0.44 1 *6020B 1014416 18:16 gmart P6J0033 ug1L 1.0 0.020 1 *6020B 1014/16 18:16 gmart P6J0033 ug1L 10 0.98 1 *60208 1014116 18:16 gmart P6J0033 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrooic Road - P.O. Sox 240643 - Charlotte, NC 28224-0543 Phone: 7041529.5364 • Toll Free Number: 1.8001529.6364 • Fax: 7041525.0409 Page 3 pf 7 °"\ Laboratory Report flP'R I S M I Full -Service Analytical & �j Environmental Solutions 7�.eona�owM . + 10/0712016 Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Darren Swart Prism Sample ID: 6090451-02 3180 Centre Park Blvd, Prism Work Order: 6090451 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 09/27/16 07:50 Time Submitted: 09/27/16 14:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date[Time ID General Chemistry Parameters Oil & Grease {SGT-HEM) BRLOG mglt 5.0 1.1 1 '1664B 10l5l16 9:43 TJY P6J0066 Total Suspended Solids 5.6 mg1L 2.6 0.80 1 "SM2540 D 9130116 10:00 BMS P610516 Total Metals Copper BRL ug1L 5.0 GA4 1 '602013 1014116 18:20 gmart P6J0033 Lead BRL ug1L 1.0 0.020 1 '602013 1014116 18:20 gmart PBJ0033 Zinc 44 ug1L 10 0.98 1 *602013 1014116 18:20 gmart P6J0033 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: 704/525-0409 Page 4 of 7 a� o Full -Service Analytical & P R IS M � Environmental Solutians Corning Cable Systems Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Total Metals - Quality Control Anatyte Project: Stormwater Level II QC Report 1017/16 Prism Work Order: 6090451 Time Submitted: 9/27/2016 2:20:OOPM Reporting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P6J0033 - 3006A Blank (P6J0033-BLK1) Prepared & Analyzed: 10/04/16 Copper BRL 5.0 ug/L Lead BRL 1.0 ug/L Zinc BRL 10 ug1L LCS (KA033-1351) Prepared & Analyzed: 10/04/16 Capper 100 5.0 ug1L 100.0 100 80-120 Lead 98,3 1.0 ug/L 100.0 98 80-120 Zinc 97.9 10 ug/L 100.0 98 80-120 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratones, Inc, 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041629-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7WS25-0409 Page 5 of 7 Full-Selee AneyPP'R1 S M IEnwronmantal Solutions ABORATORIES ING Corning Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 General Chemistry Parameters - Quality Control Level II QC Report 10r7r16 Prism Work Order: 6090451 Time Submitted: 9127I2016 2:20:OOPM Reporting Spike Source %REC RP[) Analyte Result Limit Units Level Result %REC Limits RPM Limit Notes Batch P610516 - NO PREP Blank (P610516-BLK1) Prepared & Analyzed: 09/30/16 Total Suspended Solids BRL 5.0 mgfL LCS (P610516-BSI) Prepared & Analyzed: 09/30/16 Total Suspended Solids 490 5.0 mg1L 477.0 103 90-110 Batch P6J0066 - NO PREP Blank (P6.i0066-BLK1) Prepared & Analyzed: 10/05/16 Oil g Grease (SGT-HEM) BRL 5.0 mg1L OG Sample Extraction Data Prep Method: 3006A Lab Number Batch Initial Final DatefTime 6090451-01 P6J0033 50 mL 50 mL 10/04116 8:45 6090451-02 P6J0033 50 mL 50 mL 10/04/16 8:45 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc, 449 Springbroak Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Tail Free Number: 1-800/529-6364 - Fax: 704152"409 Page 6 of 7 'I.. CHAIN OF CUSTODY RECORD ( ltRT Full -Service Analytical 8 f~ ! hR i 5 M I L _, jYES Nb , ' , ^'• Environmental Solutions PAGH_ of _ OYOT13 N TO ENSURE PROPER a1WNot s,�'t•<m� v 5� r.� rj a t v ., r x,NIA t +� 8atnptes fNTAC7 upon aritval?S f�eyy,r�, �'el a o �LAArxtArOAiF9.1NC. M^'Mx�`r;. .�+r•,r-�..+^a� `a �5'-'�C 'fie >� � •i _ Rco,.et„oa rvu w:_t rrca , w.i : tit nY � i "..'y5'� ...�. _. 4�Y1�'R.�_-� i� ii 449 Springbrook Road • Charlotte, NC 28217 Pro)ea Name phone 7041529-6364 Fax: 7041525-0409 Short Hold Analysis: (Yes) (No) UST Protect: (Yes) (ND) S "Please ATTACH any project specific reporting (QC LEVEL 111111 M f Client Company Name: �rovlslons and/or QC Requirements ;r Report To/Contact Name: Invoice To Reporting Address: _A )!JA 4EnrTQC �at- i-J I>D Address: Phone: 2Fax (Yes) (No): j purchase Order No./Billing Reference TT TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address: !Other 1"' Requested Due Date 131 Day ❑ 2 Days O 3 Days ❑ 4 Days 13 5 Days Certification: NELAC DDD` FL NC EDD Type: PDF Excel "WorkingD ❑ B-9 Days ❑ Standard 10 days ❑ Rush Work Must Be y ! Site Location Name: L � LQ Pre -Approved _ Samples received after 14:00 will be processed next business day. SC OTHER NIA Site Location Physical Address: r, L'L Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES ,,, NO� _{A} (SEE REVERSE FOR TERMS 3 CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES NO TIME MATRIX SAIMPLE CONTAINER ANALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA- v h Q REMARKS LAB SAMPLE DESCRIPTION COLLECTED MILITARY HOURS WATER OR SLUDGE) *TYPE NO. SIZE TIVES �tir V * ID NO. SEE BELOW N`S� L� tx O~ 7"� Lvt�>10 01 13210 1 /A Sampler's Signature -- a Sampled By (Print Name) G Z Afriliation n Upon relinquishing, this Chain of Cus y is your authorixation for Prism to proceed with the analyses as requested above. Any changes must submitted in writing to the Prism PrvJW Manager. There will be eharges for any changes eRar analyses have been initialized, / Re6 haiUle r. q ier a 9JF 1 7 Additional Comments: 5tte Amva� Time �`s 1' Re ritivished By,, (Slgnature) Reoftved By. f ipneture► Date Il 5itd Departure Time y Relinqul y: prwlure r srn Laberelodes By: i �,t� �1 / Reld Tech .r. —" L /� �011 li'illiiag9.1 �...;.r7_ SAMPLECOO., a rprneM: NOTE. ALJ. SAMPLE COOLERS SHOULD BE TAPED $ VT USTOOY SEALS FOR TRAN$PO TATION TO HE LABORA up No. tJ�fi' �y� 95-.L.r3 � • SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST UMnLRECEIVED ATTHE LABORATORY. �n C c Q Fed Ex O UPS O Handdeliverad © Prism Hold Service O Other, W � J NPDES: U3T: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: ' " ❑ NC 0 SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ZINC ❑ SC -TERMS 9 r 1 'CONTAINER TYPE CODES: A =Amber C =Clear G= Glass P =Plastic; TL =Teflon -Lined Cap VOA =Volatile Organics Analysis (Zero Head Space) t}f�IGINAI. Semi-annual Stormwater Discharge Monitoring ReodK for North Carolina Division of Water Quality General Permit No. NCG03000 Date submitted: April 27, 2016 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Corning - Winston Salem Cable Plant COUNTY Forsyth PERSON COLLECTING SAMPLES Thomas Cuzzens LABORATORY, -Prism Labs Lab Cert. # 402 Comments on sample collection or analysis. "all samples were received in acceptable condition and processed according to referenced methods" Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or 0 Monthly month R����"C ISCHARGINGrTO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVE ❑Zero -flow ❑Water Supply ❑SA OCT 0 6 20% ®Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION No discharge this period ?2 Outfall No. Date Sample , Collected (mo/dd/yr) 24-hour rainfall >amount Inches3� Total Suspended Solids pH, Standard units Copper -� Lead -- Zinc Non -Polar O&G% Total Petroleum -» - -- Hydrocarbons Total Toxic Orgasics- Benchmarks ==_> 08/03/16 - 100 mg/L or 50 mg/L 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L outfall #1 08/03/16 0 7.1 .0097 .0011 .049 0 outfall #2 08/03/16 0 7.4 0 0 .043 0 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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). Corning Restricted Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (70), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Ken Inman Name (Print name) Plant Manager _ Title (Print title) 113 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX 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 s 55 gal of new oil per month. ❑ No discharge this period?z Outfall Na. Date Sample Collected' (nso]dd/yr) 24-hour rainfall amount, a Inches Ikon -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 1S mg/L 100 mg/L or SO mg/L* 6.0 -- 9.0 SU Corning Restricted 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. 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 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 hest 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) (Date) Corning Restricted Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 z A ,D Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted: April 27, 2016 V, �Q SAMPLE COLLECTION YEAR 201S CERTIFICATE OF COVERAGE NO., NCG030227 pcc � rt. ,d� Q FACILITY NAME Corning — Winston Salem Cable Plant f�CC.'__ SAMPLE PERIOD ® Jan -June ❑ July -Dec COUNTY For MA`S 1 _� k; .: or Monthly- (month PERSON COLLECTING SAMPLES Thomas Cuzzens DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY_ Prism Labs Lab Cert. # 402 Comments on sample CEN `' ,AL FILES ❑Zero -flow ❑Water Supply ❑SA IWI SEJ�EIVED ®Other collection or analysis: "all samples were received in acceptable condition and processed according to referenced methods" MAY- 1-6 2016 = ;PLEASE-REMEMBERTOSIGN-ON-PAGES;2-AND/OR 3`4` Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES DWR SECTIQI`f ❑ No dischorge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids PH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> 04/07/16 - 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L '0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall #1 .54 0 7.2 0 0 .032 0 Outfall #2 .54 0 7.1 0 0 .033 0 ' 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. 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). Corning Restricted 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." Ken Inman Name (Print name) Plant Manger Title (Print title) 1`& Ll (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX 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? Outiall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches" Nan -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Sands pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L" 6.0 — 9.0 SU Corning Restricted 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. Nate: 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 It 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 ❑ --REGIONAI OFFICE CONTACT'NAME:— Mail an oriainal and one coov of this DMR, includina all "No Discharae"reports, within 30 days of receipt of the lab results tar at end of monitorina 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 Permittee) -�- /0 (Date) Corning Restricted 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: February 14. 2016 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Corning— Winston Salem Cable Plant COUNTY Forsyth PERSON COLLECTING SAMPLES Thomas Cuzzens LABORATORY —Prism Labs Lab Cert. # 402 Comments on sample collection or analysis: "all samples were received in acceptable condition and processed according to referenced methods" Part A: Stormwater Benchmarks and Monitoring Results . SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec 4 or ❑ Monthly' _ I'matftM' DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA RECEIVED ®Other MAR 0 7 2016 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES OWR SECTION ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Tota! Total Petroleum Hydrocarbons Toxic Organics Benchmarks ===> 12/17/15 - 100 mg/L or SO mg/L 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall #1 1.08 .0052 6.7 .012 .00088 .048 0 Outfall #2 1.08 .0031 6.8 .003 .0052 .11 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. ° See Genera! 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). Corning Restricted 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." Ken Inman Name (Print name) Plant Manager Title (Print titl (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, theymust be reR2rted 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 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. Q 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 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Corning Restricted 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. • 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 or at end of monitoring eriod 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." (Signature of Permittee) (Date) Corning Restricted Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 CORNING February 14, 2015 Division of Water Quality Attention: Central Files DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Corning Cable Systems t 336.771.8000 31BO Centre Park Boulevard f 336.771,8050 Winston-Salem, NC 27107 www.coming.com Subject: Stormwater Discharge Monitoring Report Corning Cable Systems LLC - Winston-Salem Cable Plant General Permit No. NCG030000 Certificate of Coverage No.: NCG030227 Dear Sir/Madam: RECEIVE® MAR 0 7 ,2016 CENTRAL FILES DWR SECTION Enclosed are the original and copy of the Stormwater Discharge Outfall (SDO) Monitoring Report for Corning Incorporated - Winston-Salem Cable Plant (WCP) located in Winston-Salem, Forsyth County, North Carolina. Stormwater samples were collected on December 12, 2015. Please note that these results represent the analytical sampling required under the renewed General Permit NO. NCG030000 term. This term began on November 1, 2012, and expires on October 31, 2017. Attached in addition to the Discharge Monitoring Report are the Laboratory Analytical Reports, Chain -of -Custody, Rain Gauge Record, Qualitative Monitoring Report for outfalls 001 and 002, and the Storm Event Rainfall/Runoff Calculation. If yqu have any questions or concerns, please feel free to contact me at (336) 771-8065, S Parren Swart Corning - Winston-Salem Cable Plant Safety and Environmental Supervisor Attachment Corning Restricted 11/16/2015 11/17/2015 11/18/2015 0.3303 11/19/2015 1.1001 11/20/2015 11/21/2015 11/22/2015 11/23/2015 11/24/2015 11/25/2015 11/26/2015 11/27/2015 11/28/2015 11/29/2015 0.3201 11/30/2015 0.6707 12/1/2015 0.4804 12/2/2015 0.3803 12/3/2015 12/4/2015 12/5/2015 12/6/2015 12/7/2015 0.0002 12/8/2015 12/9/2015 12/10/2015 12/11/2015 12/12/2015 12/13/2015 12/14/2015 0.0504 12/15/2015 12/16/2015 12/17/2015 1.08 r NC Certification No.402 n\ SC Cert�cation No. 99012 Case Narrative D 1M Full -Service Analytical & NC Drinking WaterCert No. 37735 11,00i - I S Environmental Solutions VA Certification No. 460211 01/14/2016 �%U RATORIES Inc DoD FLAP: L-A-B Accredited Certificate No, L2307 I5011EC 17025: L-A-B Accredited Certificate No, L2307 Corning Cable Systems Project: Stormwater Darren Swart 3180 Centre Park Blvd. Lab Submittal Date: 12/18/2015 Winston Salem, NC 27107 Prism Work Order: 5120358 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. G *W"-e-6 Cara C. Rusmisell Project Manager Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell Project Manager J Detected but below the Reporting Limit; therefore, result is an estimated concentration (CLP J-Flag). 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 Spring brook Road - P.D. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7WS25-0409 Page 1 Df 8 _ P'R I S M I Full -Service Analytical Environmental Solutions %ueaum MA we Sample Receipt Summary 01/14/2016 Prism Work Order: 5120358 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Outfall #1 5120358-01 Water 12/17/15 12/18/15 Outfall #2 5120358-02 Water 12/17/15 12/18/15 Samples were received in good condition at 2.3 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Sprengbrook Road - P.O. Box 240543 - Charlotte, NC 28224-OS43 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 2 of $ a L-b\ Full-Service Analytical& - I M I Environmental Salutlons %IMMAleal£1 IlIG Corning Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Laboratory Report Prism Work Order: 5120358 Field Data Laboratory ID Client ID Field Parameter Result 5120358-01 Outfall #1 pH 6.7 5120358-02 Outfall #2 pH 6.8 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratones, Inc. 449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001629-6364- Fax: 70NS26-0409 Page 3 of 8 ' Laboratory Report �ll R I S M I Full -Service AnalytlC81 & 01/14/20`16 Environmental Sclutiona Coming Cable Systems Project: Stormwater Client Sample ID: Outfali #1 Attn: Darren Swart Prism Sample ID: 512035"ll 3180 Centre Park Blvd- Prism Work Order: 5120358 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 12/17/15 07:50 Time Submitted: 12/18/15 15:15 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatelTime ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLOG mglL 5.0 0.59 1 '16648 12130115 15:24 ARC P51-0481 Total Suspended Solids 5.2 mg1L 2,6 0.80 1 'SM 2540 D 12f2211S 15:05 EGC P5L0350 Total Metals Copper 12 uglL 10 2.1 1 200.7 1113116 16:33 bgm P6A0109 Lead 0.88 d uWL 6.0 0.70 1 2003 1113146 16:33 bgm P6A0109 Zinc 48 OWL 30 7.3 1 200.7 1113116 16-33 bgm PGA0109 This repart 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: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704l625-0409 Page 4 of 8 L—J!P�RFR Laboratory Report I S M F�II-Service AnalytiCAl 8 Environmental solutions 01/14/2016 7u�eon�Tomea iwr. Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Darren Swart Prism Sample ID: 5120358-02 3180 Centre Park Blvd. Prism Work Order: 5120358 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 12/17/15 07:45 Time Submitted: 12/18/15 15:15 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Dateffime ID General Chemistry Parameters Oil & Grease (SGT-HEM) BRLpG mglL 5.0 0.59 1 '1664B 12/30/15 15:24 ARC PSL0481 Total Suspended Solids 3.1 mg1L 2.6 0.80 1 "SM 2640 D 12/22115 15:05 EGC PSL0360 Total Metals Copper 3.0 j ug1L 10 2.1 1 200.7 1113116 16:60 bgm P6A0109 Lead 5.2 ug1L 5.0 D.70 1 200.7 1113116 16:50 bgm P6A0109 Zinc 110 ug1L 30 7.3 1 200.7 1/13116 16:50 bgm P6A0109 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: 1-6001529-6354 - Fax: 7041525-0409 Page 5 of 8 L-jF ff-j nu11-Service Analytical 8 /� V � Environmental Solutions wosaronaA Inc Corning Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Parr Blvd. Winston Salem, NC 27107 Total Metals - Quality Control Level 11 QC Report 1114116 Prism Work Order: 5120358 Time Submitted: 12/18/2015 3:15:OQPM Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result Y REC Limits RPD Limit Notes Batch P6A0109 -200.7 Blank (P6A0109-BLK1) Prepared: 01/11/16 Analyzed: 01/13/16 Copper BRL 10 uglL Lead BRL 5.0 uglL Zinc BRL 30 ug(L LCS (P6A0109•8S1) Prepared: 01111116 Analyzed: 01/13116 Copper 253 10 ug1L 250.0 101 85-115 Lead 252 5.0 ug/L 250.0 101 85-115 Zinc 264 30 ug1L 250.0 105 85-115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc, 449 Spring brook Road - P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 704 S29-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 6 of 8 j �• Full -Service Analytical & JI[=1R I S M I Environmental Solutions 7��aoti. is 1« Corning Cable Systems Project: Stormwater Attm Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 General Chemistry Parameters - Quality Control Level II QC Report 1/14/16 Prism Work Order: 5120358 Time Submitted: 12/18/2015 3:15:00PM Reporting Spike Source %REC RPl7 Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P5L0360 - NO PREP Blank (PSL0360-BLK1) Prepared & Analyzed: 12/22/15 Total Suspended Solids BRL 5.0 mg/L LCS (P5L0360-BS1) Prepared & Analyzed: 12/22/15 Total Suspended Solids 460 5.0 mg/L 477,0 97 90-110 Batch PSL0481 - NO PREP Blank (P5L0481-BLK1) Prepared & Analyzed: 12/30/15 Oil & Grease (SGT-HEM) BRL 5.0 mg1L OG Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Datefrime 5120358-01 P6A0109 50 mL 50 mL 01/11/16 7:43 5120358-02 P6A0109 50 mL 50 mL 01/11/16 7:43 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: 7WS25-0409 Page 7 of 8 YISM FullsService Analytical;;A Environmental Solutions r� .w �LiL90nAmruES,lm 449 Springbroolt Road - Charlotte, NC 2821? Phone 7005294364 - Fax_ 7O4W5.0489 Client Company Name: Report TaICorltact Name Reporting Address 2107 ry CHAIN OF CUSTODY RECORD PGG!_�,_ -�_ OF _ QUOTE 0 TO ENSURE PROPER BLLLNGL Sarirpl©S INTACT Upon arrival? Project Name: �Raceived Old WET fCE� ` : / Short Hold Analysis: (Yes) [No) UST Project: (Yes) (NO) t?ROI?ER R. SERVATIVES ndlcalerl? *Please ATTACH an Specific re ' ` Y I�►l� Pe porting (QC LEVEL ! II 11! M �'Rsceivea wlrHlrrHoiDIN� TIMES? provisions and/or QC Requirements CUSTODY-SEALS.rNTACT? Invoice To: �q� VOLATLLES reed W16UT HEAbSPACE? Address: PROPER CONTAINERS used? - -- - TEMP:;;Therrn ID".T.Zrr�� ...Observed: 3 !D: -C 1 Corr "1; Phone: Fax (Yes) (No): 331P-'n1-%Qfl Purchase Order NoMilling Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address: lMirtw-sus lg} Q EDD Type: PDF Excel Other Site Location Name: Site Location Physical Address: a *m. llafniam . Um Requayled Due Date ❑ 1 Day ❑ 2 Days Q 3 Days ❑ 4 Days 0 5 Days V "Working Days" U 6-9 Days Q Standard 10 days ❑ RushPreWo* dust Be Samples received after 14:00 will be processed next business day, a Ltb1k 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/ Certification: NELAC DoC SC OTHER Water Chlorinated. YES_ NO_, Sample Iced Upon Collection: YES FL NC NIA NO CLIENT SAMPLE DESCRIPTION DATE. COLLECTED TIME COLLECTED MILITARY FLOURS MATRIX (SOIL, WATER OR SLUDGE) SAMPLE CONTAINER PRESEIVA- TIMES ALYSIS REQUESTED V V r REMARKS �C 1 t/� O PRISM LAB ID NO. 'TYPE SEE BELOW NO. SIZE 04 � _ �. ,/ ✓ v GISc,_E dot, 02 -� Sampler's Signature Sampled By (Print Name;7&6 j't' as Affiliation 1 Upon relinquishing, flits Chain of Cust is your authorization for Prism to proceed with the analyses as requested above. Any changes must submitted In wrWng to the Prism Project Afanager. There will as for any changes after analyses have been Initiallzed. Additional Comments: !,Arrival Time: Rellnqu By: ISIVnaN By: ktgm um Date CAI . 1 1 v i Site Departure Tuns: Mq natwai o ace Lebgrgtal =y: m 1 A add of 897pmenY. NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT W STODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Groiip No.' PTED AND VERIFIED AGAINST C NTIL RECEIVED AT THE LABORATORY. 1 /{���y I SAMPLES ARE NOXFieldService O Fed Ex ❑ UPS ❑ HwxW,dlvered ❑ Other l `� J O tI( 'f`a 1, Fiuld:Tech Fee: .... NPDES: UST, G DWATER: DRINKING WATER: SOLID WASTE: RCRA.' CERCLA LANDFILL OTHER: LINC❑SC ❑NC ❑5C ❑ C ❑SC I ❑NC ❑SC ( ❑NC ❑SC ❑NC❑SC ❑NC C]SC QNC QSC ❑NC 0SC *CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL A*A NCDENR Stormwater Discharge 4utfall (SD4) Qualitative Monitoring Report Forguidance on filling out this form, please visit: ittl2://12ortal.ncdenr.orE/web/Ir/npdes-stormwater/ Permit No.: (�/C/"/�/�/ /_/_/_/ or Certificate of Coverage No.: Facility Name: Corning Optical Communications County: Forsyth Phone No. 336-771-8082 Inspector: Thomas Cuzzens Date of Inspection: 12/12/2015 Time of Inspection: 07:50 Total Event Precipitation (inches): 1.08 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) X❑ 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 this report is accurate and complete to the best of my knowledge: Thomas Cuzzenslj�C (Signature of Permittee or Designe Corning Restricted Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 2 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Fiddlers Creek Describe the industrial activities that occur within the outfall drainage area: Truck Loading Dock Area 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear/Light 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: M 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the storm water discharge, where 1 is no solids and 5 is the surface covered with floating solids: M 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the storm water discharge, where 1 is no solids and 5 is extremely muddy: M 2 3 4 5 7. Is there any foam in the storm water discharge? Yes 8. Is there an oil sheen in the storm water discharge? Yes 4. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Storm water Pollution: List and describe None 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. Corning Restricted Page 2 of 2 SWU-242, Last modified 7/31/2013 ZWKWA NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http:/IVortal.ncdenr.org/web/]r/npdes-stormwater/ Permit No.: N/C/T/�/�/�/�/�/_/ or Certificate of Coverage No.: Facility Name: Corning Optical Communications County: Forsyth Phone No. 336-771-8082 Inspector: Thomas Cuzzens Date of Inspection: 12/12/2015 Time of Inspection: 07:50 Total Event Precipitation (inches): 1.08 Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) X❑ 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 this report is accurate and complete to the best of my knowledge: Thomas Cuzzens_" n,Vv— t (Signature of Permittee or Designe J Corning Restricted Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No.1 Structure (pipe, ditch, etc.) Pipe Receiving Stream: Fiddlers Creek Describe the industrial activities that occur within the outfall drainage area: Employee Parking 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear/Light 3, Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and S is very cloudy: M 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the storm water discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the storm water discharge, where 1 is no solids and 5 is extremely muddy: M 2 3 4 5 7. Is there any foam in the storm water discharge? Yes 8. Is there an oil sheen in the storm water discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Storm water Pollution: List and describe None 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. Corning Restricted Page 2 of 2 5WU-242, Last modified 7/31/2013 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted �11/06/201S CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME _Corning Winston Salem Cable Plant COUNTY Forsyth PERSON COLLECTING SAMPLES Darren Swart LABORATORY -Prism Lab Cert. # _402 Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthlyl - _Imonth) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow []WaterSupply []SA ®Other - - - PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -9-&= No discharge this period?' Outfall No. Date Sample Collected' .(mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks ===> - - 100 mg/L or 50 mg/L 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L , 001 9/25/15 .49 4.0 7.1 00 00 .051 00 002 9/2S/15 .49 8.7 7.1 .0056 .0013 .061 00 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), Corning Restricted Permit Date: 11/1/2012-10/31/2017 SWU-24S, 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" iwc rj N la." I H N- _tlo% M Art --I Name (Print name) { 6a,.j-f Title (Print title) (Signature) — (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. /Vote: 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 — 4.0 SU Corning Restricted 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, Fier 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 lI 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 copy of this DMR, including all "No Discharge" reports within 30 dabs 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) (Date) Corning Restricted: Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 ' 30 flay Totals 8/29-2/29/2015 8/29-9/29/2015 8/29/2015 0 8/30/2015 0 9/1/2015 0 9/2/2015 0 9/3/2015 0 9/4/2015 0 9/5/2015 0 9/6/2015 0 9/7/2015 0 9/8/2015 0 9/9/2015 0 9/10/2015 0 9/11/2015 0 9/12/2015 0 9/13/2015 0.19 9/14/2015 0 9/15/2015 0 9/16/2015 0 9/17/2015 0 9/18/2015 0 9/19/2015 0 9/20/2015 0 9/21/2015 0.07 9/22/2015 0.07 9/23/2015 0 9/24/2015 0.09 9/25/2015 0.12 9/26/2015 0.01 9/27/2015 0.11 9/28/2015 0.14 9/29/2015 0.49 NC Certification No.402 Case Narrative SC Certification No. 99012 �p iR Full-Service Analytical 8 NC Drinking Water Cert No. 37735 I S M Environmental Solutions VA Certification No. 460211 10/07/2015 r �!taeoaaTowES iN4 DaD EL.AP: L-A-B Accredited Certificate No. L2307 ISO/IEC 17025: L-A-B Accredited Certificate No. L2307 Corning Cable Systems Project: Stormwater Darren Swart 3180 Centre Park Blvd. Lab Submittal Date: 09/25/2015 Winston Salem, NC 27107 Prism Work Order: 5090479 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, [NC. G 4?� Cara C. Rusmisell Project Manager Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell Project Manager 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 240543 - charlotte, NC 28224-0543 Phone: 7041529-6364 . Toll Free Number: 1-8001529-6364 - Fax: 70V525-0409 Page 1 of 8 n 'PRISM 1 Environsermental alAnalyticalsolutions s EnvlrCenmental SoWtlpns Sample Receipt Summary 1 0/07/2015 Prism Work Order: 5090479 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Outfall #1 Outfall #2 5090479-01 5090479-02 Water Water 09/25/15 09/25/15 09/25/15 09/25/15 Samples were received in good condition at 1.0 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road - P.D. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800f529-6364 - Fax: 7DWS25-0409 Page 2 0f 8 AP R i7i�aoa�rpvservice Analytical& Enronmenlpl SplutlonsI S I I Corning Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Field Data Laboratory Report 10/07/2015 Prism Work Order: 5090479 Laboratory ID Client ID Field Parameter Result 5090479-01 Outfall #1 pH 7.1 5090479-02 Outfall #2 pH 7.1 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. "9 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 7041529-6364 - Toil Free Number: 1-800/529-6364 - Fax: 7041526-0409 Page 3 of 8 = Fuli-Service Analytical d Laboratory Report ciG` �I S M I Environmental Sorutlons 10/07/2015 f�1�'ueaw.iawea wc. Corning Cable Systems Project: Stormwater Client Sample ID: Otltfall #1 Attn: Darren Swart Prism Sample 1D: 5090479-01 3180 Centre Park Blvd. Prism Work Order: 5090479 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 09/25/15 05:45 Time Submitted: 09/25/15 1825 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date rime ID General Chemistry Parameters Oil a Grease (SGT-HEM) BRLOG mg1L 5,0 0.59 1 '1664B 1016115 13:00 ARC P5J0106 Total Suspended Solids 4.0 mg1L 2.5 0.80 1 'SM 2540 0 1011115 9:50 EGC P5J0o15 Total Metals Copper BRL ug1L 5,0 0.44 1 '6020A 1015115 17:38 BGM P5J0060 Lead BRL isg1L 1.0 0.020 1 '6020A 1015115 17:38 BGM P5J0060 Zinc 51 ug1L 10 0.98 1 '6020A 1015115 17:38 BGM PSJO060 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: 1-8001629-6364 - Fax: 7041625-0409 Page 4 0f 8 ( Laboratory Report I S M I Fullironmee al Sol ii8o 8 L.� Environmental Solutions 1610712015 u m we Corning Cable Systems Project: Stormwater Client Sample ID: Outfall 92 Attn: Darren Swart Prism Sample ID: 5090479-02 3180 Centre Park Blvd, Prism Work Order: 5090479 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 09/25/15 05:52 Time Submitted, 09/25/15 18:25 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease {SGT-HEM} BRLOG mg1L 5.0 0.59 1 '1664B 10/6/15 13:00 ARC P5J0106 Total Suspended Solids 8.7 mg1L 2.9 0.90 1 *SM 25Q D 1011119 9:50 EGC PSJ0015 Total Metals Copper 5.6 ug1L 5.0 0.44 1 '6020A 1015115 17:51 BGM PSJ0060 Lead 1.3 ug1L 1.6 0.020 1 '6020A 1015115 17:61 BGM P5J0060 Zinc 61 u91L 10 0.98 1 '6020A 1015115 17-61 BGM PSA060 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-OW Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704152"409 Page 5 of 8 Pt � Full -service MaryticaI & 'P I S M I Environmental Solutions 7�reaawTon�s.inc Corning Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Park Blvd, Winston Salem, NC 27107 Total Metals - Quality Control Level II QC Report 1 Of7115 Prism Work Order: 5090479 Time Submitted: 9/25/2015 6:25:OOPM Reporting Spike Source "/DREG RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch PSJ0060 - 3005A 8la n k (P5J0060-B LK1) Prepared & Analyzed: 10/05/15 Capper BRL 5.0 ug/L Lead BRL 1.0 ugIL Zinc SRL 10 ug/L LCS (P5J0060-13S1) Prepared & Analyzed: 10/05115 Copper 95.2 5.0 ugIL 100.0 95 80-120 Lead 95.7 1.0 ug/L 100.0 96 80-120 Zinc 94.8 10 ug/L 100.0 95 80-120 Matrix Spike (P5J0060-M51) Source: 509047"1 Prepared & Analyzed: 10/05/15 Copper 92.1 5.0 ug/L 100.0 2-42 90 75-125 Lead 90.6 1.0 ug/L 100-0 0.686 90 75-125 Zinc 139 10 ug/L 100-0 51.1 88 75-125 Matrix Spike Dup (P5J0060-MSD1) Source: 509047"1 Prepared & Analyzed: 10/05/16 Copper 95,0 5.0 ug/L 100.0 2.42 93 75-125 3 20 Lead 95.9 1.0 ug/L 100.0 0.686 95 75-125 6 20 Zinc 144 10 ug/L 100.0 51.1 93 75-125 3 20 Post Spike (P5J0060-PSI) Source: 509047"1 Prepared & Analyzed: 10/05115 Copper 91.1 ugIL 100.0 2-42 89 M120 Lead 90.7 ugIL 100.0 0.686 90 80-120 Zinc 138 uglL 100.0 51.1 87 BO-120 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 . Fax: 7041525-0409 Page 6 of 13 Ar P, Full -Service Analytloal d P I S M I Environmental Solutions f��ueon.,a,xa v+c Coming Cable Systems Project: Stormwater Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 General Chemistry Parameters - Quality Control Level II QC Report 1017115 Prism Work Order: 5090479 Time Submitted: 9/25/2015 6:25:OOPM Reporting Spike Source %REC RPa Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P5J0015 - NO PREP Blank (PU0015-BLK1) Prepared & Analyzed: 10/01/15 Total Suspended Solids BRL 5.0 mg/L LCS (P5J0015-BS1) Prepared & Analyzed: 10/01/15 Total Suspended Solids 460 5,0 mg1L 477.0 97 90-110 Batch MOM - NO PREP Blank (P5J0106-BLK1) Prepared & Analyzed: 10/06/15 Oil & Grease (SGT-HEM) BRL 5.0 mg/L OG Sample Extraction Data Prep Method: 3005A Lab Number Batch Initial Final Dateirnme 5090479-01 P5J0060 50 mL 50 mL 10/05/15 9:20 5090479-02 P5J0060 50 mL 50 mL 10/05/15 9;20 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: 704/629-6364 - Top Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 7 of 8 W, All ACCUDE-NR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http.1/nortal.ncdenr,org/we /lr/apdgs=slormwatea Permit No.: Facility Name: CoPbiyi4 - l�n.fr County: Inspector: )>ARLnn --�A?-4 Date of Inspection: Time of Inspection: d S , yS Avv. or Certificate of Coverage No.: Total Event Precipitation (inches): 6, V' Phone No. 3.31,-'/7/- SO bV 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 apuroval from the local DWO Regional Office. By thissignature, I certify,that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page I of 2 SWU-242, Last modified 7/31/2013 vr�. "r•^•r:r.:�rnsv�o�,•,�•,•,•;rn•"n�rrwrv,+vr:wr•.:.:v:::.-:::.�..�, •r+r: rr:.�rr:.�rr,rxnv,vr�•: rr:r: vr,v::,�,• r: rr,�: •rrn••rrr••rrr�• rr •. .7,a f!T' r7 , r., . r.. � r� � �7x5• .'1. .r..'r r2r ,r.x:,wfixrr;,•r;....:�r�. vr,�, 4�r� r� T CHAIN OF CUSTODY RECORD • Full -Service An 8 :,. :.•,•,; as P R I , ■ ! Environmental Solutions PAGIS OF QUOTE 0 TO ENSURE PROPER etLLINOt - i -. f /�� Sarrlpl�s INTACT upon arrival? Project Name fteolved QN:WEfiCE?r�:,:;' r;..•r ;�.::.:" 449 S Tin brook Road •Charlotte, NC 2$217 �' '' = 'r •Y<' -•.3. Phone 7041529�3Bd Fax: 704�525 wW9 Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) y°= PROPER.PRESERVA7IVS;Iridlrsled7:-. s.::: �Oruti �.46cE �VS7A15 "Please ATTACH any project speclflc reporting (QC LEVEL! If Ill IV) 4 Reielited.wITHI1�:HO1E?ING;TIME$?,,' ��: -= --? IL Client CompanyName provl&Ions and/or QC Requirements +s� xGU..Sif1DY:�SF.ALS'tNTACl'T:= ;� �= •;:: •. �,•- ���. '�� -.• Report To/Contact Name: _D� nr S wacT - 1fOLATiLE3 reed w1011T HEADSF?ACE? Invoice To: 5AkE Reporting Address: �80 1%NFTL6 P.tt w Bt-v� Address:' PkZOFR CLiN7,4iN£RSiised7 r Wl N STON - ,5ALiEM N G 2 7 l OT •T.EMP: Trierm ID' IICI' W t3bsorved: Z •'L °C 1 Corr':l P' ."C Phone:331P- p S Fax (Yes) (No): s34- 77 l -glop Purchase Order NoJB1111ng Reference TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Email Address: D co G• c a Requested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days l7 4 Days ❑ 5 Days Certification: NELAC Doff FL NC EDO Type: POF ✓ Excel Other "Working Days" ❑"Days ❑ Standard 10 days ❑ RL,,h WorkMdUst Be � u OTHER NIA CP Site Location Name: WSamples received after 14:00 will be processed next business day. Site Site Location Physical Address: $A ie- .ts Ai;pya Turnaround tlme'Is based on business days, excluding wookonds and holidays. Water Chlorinated: YES_ NO_ (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. To CLIENT) Sample Collection_ YES Iced Upon NO TIME MATRIX SAMPLE CONTAINER PRESERVA. ANALYSIS REQUESTED t1 PRISM CLIENT SAMPLE DESCMPTlON DATE COLLECTED COLLECTED UILiTARY (SOIL, WATER OR TIVES ? t� �rT 9 _ fj%t REMARKS AB •TYPE HOURS SLUDGE) SEE BELOW NO. SIB `v 9 (} IDN N� Our VAl�- f ; - - J- , 4-r WAr� P PIz cv I cF� .� ✓ .� ✓ ✓ (rtSE EPA Ml r}roA o 1 p AUL hrart P P¢ ov �p 6n ✓ i I �cJZ2eYiS COen3�n/G Sampler's 3lgnature C Sampled By (Print Name) i71nmq AffiNat£on Upon relinquishing, this Chain of Cus6dy is your authorization for Prism to proceed with the analyses as requested above. Any changes must be PRISM USE • NLY submitted In vrrtUng to the Prism Project Manager. There will be c rgos for any changes after analyses have been Initialized. Y'Race Cure)"' O6 8 Addlbona�l Comments: Site:Arry ., al T+ieo7i"f-lrii'le RebRodPed arSi re Date �J, •'.. ;- - SilerPegatiiii_. y. (SlPrtebeio orPrism ea By:w Date J�•T�A 1 / • / /• Field i'9GIt Feo: . . -" D�/,l5' ff 187�5 '� 1 ki �- �COC Mleage�` ' shipment: NO : ALL &AMP LE SHOULD B TAPED SHU7we SAMPLES ARk NOT CEPTED AND VERIFIED AGAINSL T4t1Y SE FOR TRANSPORTATION TO THE LABORA G p No. RECEI D ATTHE LABORATORY. O Fed Ex O UPS O Rand dei{vered dsm Field Sm" other Gil O IO WATER: DRINKING CLA LANDFILL NG O SC I ❑ NC Cl 5C I ❑C ❑ SCAR J ❑ NC ❑ SC O NC ❑SCE. Q NBC ❑ SC I ❑ NRC Q 5C CJ N SCl ❑❑ NC ❑ SC 1 ❑O 11 � jj "CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic-, TL = Teflon -Lined Cap VOA = Volable Organics Analysis (Zero Head Space) nn,nit,i Al �-7-A INC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: ht //,nortal.ncdenrorg/web/]Unndes-stormwater/ Permit No.: N/C//3/�/ D/Q/4/�/ or Certificate of Coverage No.: Facility Name: C 06Rh r4 -1tJ%,s/ah :isk►„ C40� O-Ah+ County: & Phone No. 336,-',"71- YO &C Inspector: _�) A �Ret1_ SSA R7 Date of Inspection: Time of Inspection: 4S:i9S Am, Total Event Precipitation (inches): J, '// Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) EfYes ❑ 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 j 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 E interval is representative for local storm events during the sampling period, and the permittee E obtains approval from the local DWQ Regional Office. 1 By this signature, I certify that this rel (Signature of Permittee or Designee) is accurate and complete to the best of my knowledge: Page 1 of 2 SWU-242, Last modified 7/31/2013 I. Outfall Description: Outfall No. I--)- Structure (pipe, ditch, etc.) ^ FIFE - Receiving Stream: le4ZS C-e Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (li ht, medium, dark) as descriptors: Le, 110-J 3. Odor: Describe any distinct odors that the discharge may have (i.e., 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: 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: !1 2 3 4 5 J G. 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 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe / K ,-, ne— 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 2of2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. Structure (pipe, ditch, etc.) Receiving Stream: Fd fl gs ew,��.,� Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge 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 (i.e., smells strongly of oil, weak chlorine odor, etc.): Nance _ 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: 9 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: (9 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: Listand describe lyol1e' 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 5WU-242. Last modified 7/31/2013 CORNING November 10, 2015 Division of Water Quality Attention: Central Files DENR 1617 Mail Service Center Raleigh, NC 27699-1617 ConnIng Cable Systems t 338.771,8000 3180 Centre Park Boulevard f 336 771.8050 Winston-SBiem, NC 27107 www.cnmang.com �>E1, ED NOV 13 2015 CENTRAL FILES DWR SECTION Subject: Stormwater Discharge Monitoring Report Corning Cable Systems LLC - Winston-Salem Cable Plant General Permit No. NCG030000 Certificate of Coverage No.: NCG030227 Dear Sir/Madam: Enclosed are the original and copy of the Stormwater Discharge Outfall (SDO) Monitoring Report for Corning Incorporated - Winston-Salem Cable Plant (WCP) located in Winston-Salem, Forsyth County, North Carolina. Stormwater samples were collected on September 25, 2015. Please note that these results represent the analytical sampling required under the renewed General Permit NO. NCG030000 term. This term began on November 1. 2012, and expires on October 31, 2017. Attached in addition to the Discharge Monitoring Report are the Laboratory Analytical Reports, Chain -of -Custody, Rain Gauge Record, Qualitative Monitoring Report for outfalls 001 and 002, and the Storm Event Rainfall/Runoff Calculation. If ou have any que tions or concerns, please feel free to contact me at (336) 771-8065. ncerely, arren Swart Corning - Winston-Salem Cable Plant Safety and Environmental Supervisor Attachment Corning Restricted Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 8/4/2014 CERTIFICATE OF COVERAGE NO. NCG030227 FACILITY NAME Corning Incorporated COUNTY Forsyth PERSON COLLECTING SAMPLES Darren Swart LABORATORY: Prism Lab Cert. # 402 Comments on sample collection or analysis: pH sample taken at the time of the grab sample showed pH at Outfall 1: 7.2 and Outfall 2: 7.8; Prism sample was different. Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month} DISCHARGING TO CLASS ❑ORW [:]HOW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RECEIVED ®Other_Class C SEP 2 2 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) CENTRAL FILES DWR SECTION ❑ No discharge this period?2 Outfall No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids p H, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks ===> - - 100 mg/1 or 50 mg/L 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L Outfall1 08/01/14 1.51 3.1 5.4 0.0057 BRL 0.1 BRL - Outfall2 08/01/14 1.51 4.4 6.1 BRL BRL .056 BRL - 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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." Darren Swart Name (Print name} Safety & Environmental Lervisor Title n t title) 4 (Signature) {Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format "<XX m L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. 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?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 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 EXCEEDANCES FOR THE SAM E 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 OMR, includinaaall„ "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 significarrkpenalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) -q/j 6,� s4_ (date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 /LPELa-191SM Full -Service al Sol kcal sEnvironmental SolUtiansF.BOPATOArES. INC. 449 Springbrook Road • Charlotte, NC 28217 Phone 704152 6364 • Fax: 7041525-04,0099 f Client Company Name: t)`' I.," C'Ab l L -11fa 7c n� Report To[Contact Name: Z-A 412 C_/} .340APf Reporting Address: �'%3 (-Lch PC JiA S iwI Sit k r„ ) I C .c- 7/(17 CHAIN OF CUSTODY RECORD PAGE_ OF _ QUOTE # TO ENSURE PROPER BILLING: Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) *Please ATTACH any project specific reporting (CC LEVEL 111 III IV) provisions and/or OC Requirements Invoice To: ;) ),1 Address: -- YES NO NIA Samples INTACT upon arrival? Received ON WET ICE? PROPER PRESERVATIVES indicated? Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? VOLATILES rec'd WIOUT HEADSPACE? PROPER CONTAINERS used? TEMP: Therm ID: Observed: °C / Corr: Phone-..J[d&''/7/- _Td &'S Fax (Yes) (No):-:�:��'/' T100 purchase Order No.Billing Reference Email Address. D Pto Jk,`W e4e SPA L dh . TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL . ✓ Requested Due Date Q 1 Day Q 2 Days ❑ 3 Days Q 4 Days ❑ 5 Days Certification: - NELAC DoD FL NC EDD Type: PDF Excel Other Site Location Name: 11,1 "Working Days" ❑ 6.9 Days ❑ Standard 10 days ❑ Rush re Wor gdust Be 5C OTHER N/A _ _ _ Samples received aher 14:00 will be processed next business day. Site Location Physical Address: A 5 A bo V t✓ Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES_ NO_ (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SAMPLE CONTAINER PRESERVA- TIVE3 ANALYSIS REQUESTED [/ �1 \.9 VIC Q / REMARKS (n PRISM LAB 'TYPE HOURS SLUDGE) NO. SIZE ID NO. SEE BELOW a� IdA ~�' �>z��;r'�td �� V, V,Use_ EPA mp-0. . d 1. 4 All .Z V 1 � WA% Liz P ✓ ✓ t/ (� U� rJ i +Ff - I i � Cop r;,,q , • , Sampler's Signature Sampled By (Print Name) Affiliation Upon relinquishing, this Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be PRISM USE ONLY submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. RelingU Shad By: (Signature) ReceivedD` rBy: (Signatur/8ff�✓f!A/ Date ii/liW.ry//7Hoours Addltl nal Comm1ent/s/: Site Arrival Time: Relinquished y: (Signature) ReeivOd y: (Signature) Data Lf{ ll l �1 Site Departure Time:Relinquished By: (Signature) L Received For Prism Laboratories By. Date Field Tech Fee: Mileage: Method of hipment: NOTE: ALL SAMPLE OOLERS SHOULD BE TAPE) SWUT WITH CUSTODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No. , SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY. CIFed Ex ❑ UPS ❑ Hand -delivered ,(.Prism Field Service ❑ Othpr 5C i KING WATER: MC SCj LANDFILL NC ❑ SC ❑ NC ❑ NC CONC ❑ SC ❑ ❑ SC ONC ❑ ❑ NC D SCI'a NC ❑ SC. �❑O I❑O❑ ; 'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic, TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) r ' �4L 1[LY Lr[JL �VR TERMS 8 CONDITIONS CUSTOMER COPY Term and Conditions The Terms & Conditions set forth below shall be deemed to be incorporated into the agreements and understandings by and between Prism Laboratories and the Client identified on the facing page hereof. The Terms and Conditions of this Agreement shall not be. modified without prior written consent of Prism Laboratories. Confidentiality: All work will be performed in strict confidence. Results are released only to the client or his designated agent. Prism must receive a written request from our client to release data to an independent third party. Confidentiality agreements will be gladly pro- vided and executed upon request. Payment Terms: We require a credit applicationfrom eacli customer. For our clients with credit approved 'by our company, payment terms are Net 10 Days upon receipt of the invoice. An interest charge of 1.5% per month applies to all overdue balances. Payment in ad- vance is required if.credit has not been established or it payment terms have not been met. We reserve the right to withhold laboratory results on accounts past 60 days overdue or if credit limit is exceeded. Failure to make payment in accordance with the Terms and Conditions set forth herein may result in refusal by Prism Labo- ratories in its sole discretion to perform any further services by Prism Laboratories on behalf of the Client. Warrants and Limits of Liability: Our warranty is limited to the accuracy of the analysis of samples as received. We assume no responsibility for the purposes for which the client uses the test results nor liability for any other warranties, express or implied, including warranties of the fitness for particular purpose or for merchantability made by the client. These terms and conditions shall supersede any conflicting terms and conditions stated on any purchase order or other order of work submitted.by the client. r indemnification and Hold Harmless: Client hereby agrees to indemnify and hold Prism Laboratories harmless from any and all'acts and/or omissiofis to act undertaken by Prism Laboratories in good faith pursu- ant to the Terms and Conditions of this Agreement., This indemnification and hold harmless provision shall apply to Prism Laboratories, its employees, officers and directors and shall'survive the terms of this Agreement. Prism Laboratories shall not be responsible for any misrepresentations by Client and/or any breach of these Tenns and Conditions by Client asset forth herein. Governing Law: This Agreement "shall be governed in accordance with the laws of the State of North Caro- lina. Fee Discounts: Fee discounts,apply to long-term con- tractual work, special projects and quotations, and large volume requests. Discounts do not apply to RUSH work. Hazardous Wastes: Prism Laboratories reserves the right to return any samples determined to be hazardous, acutely toxic, or radioactive. It will be the clients re- sponsibility to dispose of these samples in accordance with federal regulations. A sample disposal fee may be charged by Prism Laboratories, Inc. Billings: There is a minimum reporting fee of 558.00. All fees are billed directly to the client. if billing is to go to a third party, Prism requires a statement signed by the third party accepting responsibility of payment. - . Litigation Support: All costs associated with compli- ance to any subpoena for documents, for testimony in a court of law, or for any other purpose relating to work performed by Prism Laboratories, in connection of work performed for that client shall be paid by that client. These costs may include, but are not limited'to hourly charges for persons involved in responding to subpoenas, travel and accommodations, mileage, at- torney's preparation of testifier and advice of counsel in connection with response to subpoenas, and other expenses associated with such litigation. Retention of Samples: Excess samples not used in analysis will be retained at the laboratory after report of analysis according to the following schedule unless other arrangements can be trade. Potable water: Dis- carded immediately. All other Samples: 30 days. Retention of Reports: After results have been reported to the client, Prism will retain copies for a period of at least three years; after which such reports may be destroyed. Special Reports: All standard prices reflect Level 1 & 11 Quality Control Program Reports. Level III and above QC Reports, and additional copies of reports are available upon request at an additional charge. Rush Turnaround: Available with prior approval_fi-om. Prism. The following price premium multipliers will apply unless quoted otherwise in a Prism Analytical Quotation: Less than I Day = 3x / 1 Day - 2.25x / 2 day - L75x / 3 day - 1.5x / 4 day - 125x / 5 day -1.2x / 6-9 days - 1.15x. Rush TCLP Analyses are priced higher. Turnaround time is based on business days excluding weekends and holidays. Samples received after 2:00 pm will be considered received the next business day. _ Force Majeure: Neither party to this agreement will be liable to the other party for delays in performance of services nor for the direct or indirect cost(s) resulting from such delays, that may result from labor strikes., riots, war. extraordinary weather conditions, terrorism or any natural catastrophe or any other cause beyond the reasonable control of either party. NC Certification No.Case Narrative D I 1 Full -Service Analytical 8 / R I SM Environmental Solutions P SC Certification No. 990 99012 NC Drinking Water Cart No. 37735 VA Certification No. 460211d8120/2d14 r7,TOFJE%IMc DoD FLAP: L-A-S Accredited Certificate No. L2307 ISOIIEC 17025: L-A-B Accredited Certificate No. L2307 i Corning Cable Systems Project: Stormwater Darren Swart Project No.: Stormwater 3180 Centre Park Blvd. Lab Submittal Date: 08/05/2014 Winston Salem, NC 27107 Prism Work Order: 4080057 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. Cara C. Rusmisell Project Manager Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell Project Manager HT Sample received and analyzed outside of the hold time. 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.Q. Box 240543 - Charlotte, NC 23224-0643 Phone: 704/529-6364 - Toll Free Number: 1-800/529-0364 - Fax: 7041526-0409 Page 1 Of 7 Full-SeMceAnalytical3 Sample Receipt Summary UI V M Environmental Solutions 08120/2014 JR�PR uionATOWS I. Prism Work Order: 4080057 Client Sample ID Lab Sample ID Matrix Date Samplers Date Received Outfall #1 4080057-01 Water 08/01/14 08/05114 Outfall #2 4080057-02 Water 08/01/14 08/05/14 Samples were received in good condition at 3.0 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the wntlen consent of Prism Laboratones, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 7041529-6364 - Toll Free Number: 1-8001629-6364 - Fax: 704/625-0409 Page 2 of 7 Fun -Service Analytical d Environmental Solutions Coming Cable Systems Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 Laboratory Report 08/20/2014 Project: Stormwater Client Sample ID: Outfall #1 Prism Sample ID: 4080057-01 Project Nio.: Stormwater Prism Work Order: 4080057 Sample Matrix: Water Time Collected: 08/01/14 06:30 Time Submitted: 08/05/14 08:05 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Datelrime ID General Chemistry Parameters Oil & Grease (5GT-HEM) BRLOG mg/L 5,0 1.2 1 1664A 818114 11:45 JAB P41-10125 PH 6.4 HT pH Units 1 'SM4500-H B 815114 15:20 MES P4H0078 Total Suspended Solids 3.1 mg1L 2.6 1.0 1 'SM 2540 D $18114 10:10 JHB P4140127 Total Metals Copper 5.7 uq& 6.0 0.85 1 'fi020A 8/1a114 20:13 PJF P4H0094 Lead BRL uyR. 1.0 0.062 1 6020A 8l18114 20:13 PJF P4H0094 Zinc 100 ug11- 10 0A0 1 '6020A 8118114 20:13 PJF P4H0094 This report should not be reproduced, except in Its entirety, without the written consent of Prism Laboratones, Inc, 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704/529-6364 • Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 3 of 7 Furl -Service Analytical8 Laboratory Report PRISM Environmental Soutions 08/20/2014 Corning Cable Systems Project: Stormwater Client Sample ID: Outfall #2 Attn: Darren Swart Prism Sample ID: 4080057-02 3180 Centre Park Blvd. Project No.: Stormwater Prism Work Order: 4080057 Winston Salem, NC 27107 Sample Matrix: Water Time Collected: 08/01/14 06:30 Time Submitted: 08/05/14 08:05 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DatelTime ID General Chemistry Parameters Oil E Grease (SGT-HEM) BRLOG mg1L 5.0 1.2 1 '1664A 818114 12:23 JAB P4H0125 pH 6.1 HT pH units 1 'SM4500-H B 815114 15:20 MES P4H0078 Total Suspended Solids 4.4 mg1L 2.7 1.0 1 "SM 2640 D 818114 10:10 JHB P41-10127 Total Metals Copper BRL ug1L 5.0 0,85 1 '6020A 8/18114 20:24 PJF P41­10094 Lead BRL ug1L 1.0 0,062 1 '6020A 8l18114 20:24 PJF P41­10094 Zinc 56 ug1L 10 0.80 1 '6020A 8118114 20:24 PJF P4H0094 0 f This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Spring brook Road - P.O. Box 240W - Charlotte, NC 28224-0543 Phone: 7041529-6364 -To[] Free Number: 1-8001629-6364 - Fax: 7041525-0409 Page 4 of 7 Level II QC Report �P R I S M Full -Service Analytical S 8/20114 Environmental Solutions 'Ji �eonarawiEs iwc i Corning Cable Systems Project: Stormwater Prism Work Order: 4080057 Attn: Darren Swart Time Submitted: 8/5/2014 8:05:OOAM 3180 Centre Park Blvd. Project No: Stormwater Winston Salem, NC 27107 Total Metals - Quality Control I Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P4H0094 - 3005A Blank(P4H0094-BLK1) Prepared:08/06/14 Analyzed:08/18/14 Copper BRL , 5.0 ug/L Lead BRL 1.0 ug/L Zinc BRL; 10 ug/L LCS (P4H0094-BS1) Prepared: 08/06/14 Analyzed: 08/18/14 Copper 106 5.0 ug/L 100.0 106 80-120 Lead 98.7 ' 1.0 ug/L 100.0 99 80-120 Zinc 101 ' 10 ug1L 100.0 101 80-120 Matrix Spike (P4H0094-MS1) Source: 4080057-01 Prepared: 08/06/14 Analyzed: 08/18/14 Copper 109 5,0 ug/L 100.0 5.70 103 75-125 Lead 97.5 ' 1.0 ug/L 100.0 0.594 97 75-125 Zinc 195 10 ug/L 100.0 100 94 75-125 Matrix Spike Dup (P4H0094-IMSD1) Source: 4080067-01 Prepared: 08/06/14 Analyzed: 08/18/14 Copper 107 5.0 ug/L 100.0 5.70 101 75-125 2 20 Lead 98.0 1.0 ug/L 100.0 0.594 97 75-125 0.6 20 Zinc 196 10 ug1L 100.0 100 96 75-125 0.9 20 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: 7041529.6364 -Toll Free Number: 1-8001529.6364 - Fax: 7841525-0409 Page 5 of 7 \\ u � Full -Service Analytical & [—� I Environmental Solutions '7ueon�.ewE8 -+c Corning Cable Systems Attn: Darren Swart 3180 Centre Park Blvd. Winston Salem, NC 27107 General Chemistry Parameters - Quality Control Project: Stormwater Project No: Stormwater Level II QC Report 8120/14 Prism Work Order: 4080057 Time Submitted: 8/5/2014 8:05:OOAM Reporting Spike Source %REC RP0 Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P4H0D78 - NO PREP LCS (P41-10078-13S1) I Prepared & Analyzed: 08/05/14 pH 6.92 pH Units 6.880 101 99-101 t Duplicate (P41-10078-DUP1) Source: 4080057-02 Prepared & Analyzed: 08/05/14 pH 6.05 pH Units 6.08 0.5 10 Batch P4H0125 - NO PREP Blank {P4H0125-BLK1) Prepared & Analyzed: 08/08/14 Oil & Grease (SGT-HEM) BRL 5.0 mg/L OG Batch P4H0127 - NO PREP Blank (1341-10127-BLK1) Prepared & Analyzed: 08/08/14 Total Suspended Solids BRL 5.0 mg/L LCS (P41.10127-BS1) Prepared & Analyzed: 08/08/14 Total Suspended Solids 460 5.0 mg/L 468.0 99 90-110 Sample Extraction Data Prep Method: 3005A Lab Humber Batch Initial Final DatelTime 4080057-01 P41-10094 50 mL 50 mL 08106I44 8:45 4080057-02 P41-10094 50 mL 50 mL 08IG6114 8:45 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: 704162M364 - Toll Free Number: 1$00IS29-6364 - Fax: 7041526-0409 Page 6 of 7 V:. V FullCHAIN OF CUSTODY RECORD Service Analytical & Environmental Solutions FACE pp_ q(IpTE $Te ENSURE PROPER SILL1116: 'eA%fit 40nnATORIES, NO 449 Springbrook Road • Chartatte, NC 28217 Phone 70&529-8564 Fax'. 7041525.0409 Client Company Name: cAb le 51,14Lft Report TolContact Name: p �R Reportinp Address:. G YW XJild ' O S 1 All. Ile 2 if Project Name: Short Hold Analysis: (Yes) (No) UST Project: (Yes► (NO) *Please ATTACH any project specific reporting (QC LEVEL 11, 111 117 provisions andlo``r QC Requirements Invoice To: 's/tdl�M e- Addrass: fJ �i t + � �"�'�f i� JS�f i � a:- YES NOr�f WA'. t• 5ainples INTACT upon arrival7ryj yr '� 3 r - ' �- �.. O � RerelvBdUN'WETIGE?� "�'5 PROPEi� I�RESE"RVATILES In�uated 7 ry, �'*=' � x �' �� Uk {itatetredWITHINFK3C.DlNG'71MFS7 ij ?r f."-�.�-�'�� - tQ CUSTODY.SEAL3INTAC7� Vt�LATILES reed WfOU1 HEADSPACE? PROPER CONTAINERS und? Ant TEMP.:TFiermlD" `�/'.bhservad o[ Y °CJCan -04C Phone:336.171- fd &C Fax (Yes) (No)-,M6a77/- S?Od Purchase Order No./Billing Reference Email Address: " Requested Due Date Cl 1 Day ❑ 2 Days ❑ 3 Days ❑ a Days ❑ 5 Days EDD Type: PDF ✓Excel Other "Working Days" ❑ 6-9 Days ❑ Standard 10 days ❑ Pro -A Work Must Be Site Location Name: 141C Samples received after 14:00 will be processed next business day. Site Location Physical Address: AA A66ve, Turnaround time Is based on business days, excluding weekends and holidays. (SEE REVERSE FOR TERMS 5 CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Certification: NELAC f]oD FL NC Scved OTHER NIA Water Chlorinated: YES_ NO_ Sample Iced Upon Collection: YES NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL. WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA- TIVES A YSIS REQUESTED �/ REMARKS 1' /1 ,�� PRISM ID NO. -TYPE SEE BELOW _ � _ NO. SIZE A / i i ` �(�3D � .�}�R r'd�d I f ✓ / ✓ I 05 e_Pfi M,4AA �r o�, g�� � z �s I �� bl✓�o ' ,�I� � ►r ✓ 3/ i/ oa _ �k `i cP-ms i Sampler's Signature Sampled By (Print Name) t4ifiation d C\:`n Upon relinquishing, this Chain of Custody Is your aLAorization for Prism to proceed with the analyses as requasted above. Any changes must be submitted In writing to the Prism Project Manager. There will he chirges for any changes after analyses have been Initialized. o nqui , ay: o,nature a Reis u y, {Sign tore H R u ed By. Sig Race y: (signatu r Ilium Additlppal Comments y- (Si©nott") Date C.cl 7r Z�. 7, nr arts rise By: Date Site Arnva .Site Dcpart_uns TErrte - =- f Field Tech Fee Method ShlpmenL NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED 5HIIt wn CUST Y SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Gawp No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAIN$TCO UNTIL ECEIVEDATTHrLABORATORY. 1UFadEx L I UPS ❑ Hmd4elivered Pfm FINd SerAoe ❑ Other .Mileage NPDES: UST GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: � NC❑5C ❑NC ❑SC ❑NC ❑SC LING ❑SC LING ❑SC ❑NC❑SC El NC ❑SC ❑NC ❑SC ❑NC ❑SC C] U I ❑ ❑ ❑ ❑ 13 ❑ ❑ "CONTAINER TYPE CODES: A =Amber C = Clear G= Class P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL 7/1/2014 0 7/2/2014 0 7/3/2014 0 7/4/2014 0 7/5/2014 0 7/6/2014 0 7/7/2014 0 7/8/2014 0.13 7/9/2014 0.32 7/10/2014 0 7/11/2014 0.01 7/12/2014 0 7/13/2014 0 7/14/2014 0 7/15/2014 0.02 7/16/2014 0.05 7/17/2014 0 7/18/2014 0 7/19/2014 0.02 7/20/2014 0.03 7/21/2014 0.07 7/22/2014 0 7/23/2014 0 7/24/2014 0.07 7/25/2014 0 7/26/2014 0 7/27/2014 0.11 7/28/2014 0.06 7/29/2014 0 7/30/2014 0 7/31/2014 0 8/1/2014 1.51 Corning CORNING 3180Centre Park Boulevard f 336.771.8050 Winston-Salem, NC 27107 www.coming.com September 16, 2014 Division of Water Quality Attention: Central Files DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Stormwater Discharge Monitoring Report Coming Cable Systems LLC - Winston-Salem Cable Plant General Permit No. NCG030000 Certificate of Coverage No.: NCG030227 Dear Sir/Madam: Enclosed are the original and copy of the Stormwater Discharge Outfall (SDO) Monitoring Report for Coming Incorporated - Winston-Salem Cable Plant (WCP) located in Winston-Salem, Forsyth County, North Carolina. Stormwater samples were collected on August 1, 2014. The laboratory results were returned to WCP on August 20, 2014. Please note that these results represent the analytical sampling required under the renewed General Permit NO. NCG030000 term. This term began on November 1, 2012, and expires on October 31, 2017. Attached in addition to the Discharge Monitoring Report are the Laboratory Analytical Reports, Chain -of -Custody, Rain Gauge Record, Qualitative Monitoring Report for outfalls 001 and 002, and the Storm Event Rainfall/Runoff Calculation. If you have any qu stions or concerns, please feel free to contact me at (336) 771-8065. S' cc ly, Darren Swart Corning - Winston-Salem Cable Plant Safety and Environmental Supervisor Attachment