Loading...
HomeMy WebLinkAboutNCG030272_MONITORING INFO_20190521STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. Iv C& DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE o �?� � �i 05 a � YYYYMMDD Semi-annual Stormwa_ter_Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 5/15/19 CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME Bally Refrigerated Boxes, Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results RECEIVED w%IZA Ci-:N f1;(AL FILES SAMPLE COLLECTION YEAR 2019 nWR SECTION 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' (mo/dd/yr) Za-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons 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 01 4/26/19 .25 0 7.3 0 0 0 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. 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 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle - Name (Print name) President Title (Print title) &�-_4�ttz W-&,, 4 s- / z -(! (Signature) D (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' 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 ti 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 ANYONE OUTFALL? YES [:]NON 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 Quality Attn: DWQ 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. 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) 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 5129/18 CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME Ballv Refrigerated Boxes. Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORYPrism Lab Cert. #i 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec f_ or ❑ Monthly' (month) RECEI �!E17&ARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA �o)$ ❑Zero -flaw [:]WaterSupply ❑SA ®Other CENTIKEkL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks =__> - - 100 mg/L or 50 mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 4/24/18 1.2 4.0 7.4 0 0 0 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. '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/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) President Title (Print title) (Signature) W/--I/-/P (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit tent. 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 lob results (or at end of monitoring period in the case of "No Discharge"_reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) G --YIL- _ Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 Date submitted 1115/18 CERTIFICATE OF COVERAGE NO. NCG03 0 2 7 2 FACILITY NAME Bally Refrigerated Boxes, Inc. COUNTY Crateret PERSON COLLECTING SAMPLES Tod Jennings LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June Q July -Dec or ❑ Monthlyl (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Watersupply ❑SA RECEIVED []Other JAN 2 5 2019 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES GWR 51~C710f'J ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L` 6.0 - 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 01 12/19/18 .12 0 6.3 0 0 0 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. I 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, Section B, Table 1 to identify 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: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 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 (TfO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) President 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?z Outfall No. pate Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4 Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B 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. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 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 Q IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original 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 o "No Discharge" re arts to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permittee Permit Date:11/1/2018-05/31/2021 ^/P/% Date . SWU-245, last revised 11/1/2018 Page 3 of 3 Semi-annual St_ormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 2/22117 CERTIFICATE OF COVERAGE No—NC-G0302-72 SAMPLE COLLECTION YEAR 2016 FACILITY NAME Bally Refrigerated Boxes, Inc.. SAMPLE PERIOD ® Jan -June ❑ July -Dec COUNTY Carteret or ❑ Monthly' __ fmonth) PERSON COLLECTING SAMPLES Ted Jennings DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Prism Lab Cert. # 402 ❑Zero -flow []Water Supply ❑SA Comments on sample collection or analysis: RECEIVED ®Other MAR 0 9 2917 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES Part A: Stormwater Benchmarks and Monitoring Results 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 Organics' 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 01 2(8/17 0.54 0 7.1 0 0 0.017 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. 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 Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) President Title (Print title) (Signature) 3 — (Date) Note: Results must be reported in numerical format. Do not report` bw Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?-' 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 SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mall an original and one copy of this DMR, including o!! "No Discharge" reports 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 3- 3— (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 1) lip Semi-annual Stormwater Discharge Monitorin Report 1; p • for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted DL15LID CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME Bally Refrigerated Boxes, Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: RECEIVE® MAY 2 3 2016 Part A: Stormwater Benchmarks and Monitoring Results CENTRAL FILES DWR SECTION SAMPLE COLLECTION YEAR 2016 & 9"o SAMPLE PERIOD ® Jan -June ❑ July -Dec ,4 or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout [:]PN;.�� ❑Zero -flow ❑Water Supply ❑SA ®Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?Z OutFall No. Date Sample Collected' (mo/dd/yr) 24rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non-Polar O&G/hour 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 01 4/28/16 0.23 BRL 7.2 0 0 0 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. 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. 4 See Generai Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit., For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) President Title (Print title) S I"7 6 (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 mit/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 I, Tier 2, or Tier 3 responses. See General Permit text Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No, Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks ===> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 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 DMA; including all "No Discharge" reports within 30 days of recei t of the lab results or at end qf 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) 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 11/20/15 CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME Bally Refrigerated Boxes, Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A. Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ® Juiy-Dec or ❑ Monthly' month DISCHARGING TO CLAS5 ❑ORW ❑HQW []Trout ❑PNA RECEIVE] ❑zero -flow []Water Supply []SA DEC 06 2016 ®Other CENTRAL 1=1 LfECUTJO SIGN ON PAGES 2 AND/OR 3 -� DWR SE ❑ No discharge this period?2 Outfall No. Date Sample Collected, (mo/dd/yr) 24-hour rainfall amount, Inches-' Total Suspended Solids pH, Standardrd units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons TotalToxic Organicnits 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 01 11/4/16 0.57 0 7.1 0 0 0 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. The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31), Permit Date; 11/l/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: r "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. i further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) President 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. Note: If you report a sample value In excess of the benchmark, you must Implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 -- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note. If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART -A AND PART B MONITORING RESULTS: .• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION 8. • 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 cowry of this DMR including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 4 —29—/z (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 11/10/15 CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME _ Bally Refrigerated Boxes, Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA �CIVEU ®Other NOV 2 4 Z015 U PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 D�/R �C7jLES ON .❑ No discharge this period ?2 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 Organicss 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 01 10/29/15 0.06 16 7.1 0 0 0 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. 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. ' 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-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." Michael Coyle Name (Print name) President 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 -- 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Hate: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR -PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS, SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. + TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of -this DMR including all "No Discharge" reports within 30 days of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 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) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RAIN EVENT DATA FACILITY: Bally Refrigerated Boxes, Inc. _ ADDRESS: 135 Little Nine Drive Morehead Citv. NC 28557 CONTACT PERSON: "Fed Jennings TELEPHONE: 252- 240-2829 STORM EVENT INFORMATION DATE YEAR MONTH DAY 15 10 29 }-FOURS MINUTES DURATION 0 24 PRECIP. AMOUNT (IN.) 0.06 RUNOFF VOL. (M/GAL.) 0.018 HOURS DAYS PRECEDING 2 EVENT 14 PRINCIPLE EXECUTIVE OFFICER OR AUTHORIZED AGENT PRINT SIGNATURE DATE Ted Jennings f r I o�� aP'RISM OLABORATORIE& tNG Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 NC Certification No. 402 SC Certification No. 99012 NC Drinking Water Cert No. 37735 VA Certification No. 460211 DoD ELAP: L-A-B Accredited Certificate No, 1_2307 1SOIIEC 17025: L-A-B Accredited Certificate No. L2307 Project: Bally Semi -Annual Stormwater Lab Submittal Date: 10/30/2015 Prism Work Order: 5100570 Case Narrative 11/10/2015 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. Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Cara C. Rusmisell For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. 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: 704/529-6364 - Toll Free Number: 1-8001529-6364- Fax: 7041525-0409 Page 1 pf 5 PRISM di.eoe.ror+�Ea s+c Full -Service Analytical a Sample Receipt Summary Environmental Solutions 11/10/2015 Prism Work Order: 5100570 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received Bally 5100570-01 Water 10/29/15 10/30/15 Samples were received in good condition at 3.1 degrees C unless otherwise noted. 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: 1-800/529-6354 - Fax: 7041525-0409 Page 2 of 5 c r \ aP R I S M Full -Service i Environmental Solutions P��ewwra+ies iHc Laboratory Report 11`110/2015 Leonhardt Environmental, P.C. Project: Bally Semi -Annual Client Sample ID: Bally Attn: Paul Spangenberg Stormwater Prism Sample ID: 5100570-01 Suite 101, 8392 Six Forks Road Prism Work Order: 5100570 Raleigh, NC 27615 Sample Matrix: Water Time Collected: 10/29/15 07:20 Time Submitted: 10/30/15 10:25 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Dateffime ID General Chemistry Parameters Oil & Grease (HEM) BRL mg/L 5.0 0.48 1 '16648 11/5115 9:55 ARC P5KO106 pH 7.1 HT pH Units 1 `SM4500-H B 10/30/15 11:39 ARC P5J0597 Total Suspended Solids 16 mg/L 2.6 0.80 1 SM 2540 D 11/4116 21:15 EGC P5K0080 Total Metals Copper BRL mg1L 0.010 0,0021 1 '200.7 1115i15 18:41 BGM P5K0065 Lead BRL mg/L 0.0050 0.00070 1 '200.7 11I5i15 18:41 BGM P5K0065 Zinc BRL mg/L 0.030 0.0073 1 *200.7 1115115 18:41 BGM P5K0065 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 3 of 5 N Full-Service Analytical & 0R I S M I Environmental Solutions �VrLAaaNATanIE%INC Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control An alyte Project: Bally Semi -Annual Stormwater Level 11 QC Report .11110/15 Prism Work Order: 5100570 Time Submitted: 10/30/2015 10:25:OOAM Reporting Spike Source %REC RPM Result Limit Units Level Result %REC Limits RPM Limit Notes Batch P5KOO65 - 200.7 Blank (P5K0065-BLK1) Prepared: 11/04/15 Analyzed: 11/05/15 Copper BRL 0.010 mg/L Lead BRL 0.0050 mg/L Zinc BRL 0.030 mglL LCS (P5K0065-BS1) Prepared: 11/04/15 Analyzed: 11/05115 Copper 0.254 0.010 mg1L 0.2500 102 85-115 Lead 0.259 0.0050 mgtL 0.2500 103 85-115 Zinc 0,267 0,030 mg1L 0,2500 107 85.115 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 4 of 5 a o� � Full•Service Analytical & � F R�i ISM Environmental Solutions �Y �iaoi�AttM11E5 ING Level II QC Report .11110115 Leonhardt Environmental, P.C. Project: Bally Semi -Annual Stormwater Prism Work Order: 5100570 Attn: Paul Spangenberg Time Submitted: 10/30/2015 10:25:OOAM Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Analyte Result Reporting Limit Units Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Batch P5J0597 - NO PREP LCS (PSJ0597-BSI) Prepared & Analyzed: 10/30115 pH Batch P5KO080 - NO PREP 6.88 pH Units 6.880 100 98.5-101.5 Blank (P51<0080-131-KI) Prepared & Analyzed: 11/04/15 Total Suspended Solids LCS (PSK0080-13SI) BRL 5.0 mg1L Prepared & Analyzed: 11/04115 Total Suspended Solids Batch P5KO108 - NO PREP 470 5.0 mg1L 477.0 99 90-110 Blank (P5K0108-BLK1) Prepared & Analyzed: 11/05/15 Oil & Grease (HEM) LCS (P5K0108-BSI) BRL 5.0 mg/1- Prepared & Analyzed: 11/05/15 Oil & Grease (HEM) 33.3 5.0 mg/L 40.00 83 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final Datefrime 5100570-01 P5K0065 50 mL 50 mL 1110405 7:50 Page 5 of 5 Semi-annual_ Stormwater.Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 5/4/15 CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME Bally Refrigerated Boxes, Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORY Prism Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' _ _ (month} DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA j p� ❑Zero -flow ❑Water Supply [:]SA �� I� Ri V ru ®Other JUN 02 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTRAL FILES DWR SECTION No discharge this period?' Outfall No. Date Sample Collected (mo/dd/yr) 24 hour rainfall amount, Inches' Total Suspended Solids PH, Standardrd units Copper Lead Zinc Non -Polar O&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 01 4/16/15 0.31 BRL 7.9 BRL BRL BRL BRL N/A ' 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 Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) President 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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: 1f you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table S, 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 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 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 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) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 �R ISM �77LABORATORIES, INC. Full -Service Analytical & Environmental Solutions Leonhardt Environmental, P.C. Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 NC Certification No. 402 SC Certification No. 39012 NC Drinking Water Cert No. 37735 VA Certification No. 460211 DoD ELAR: L-A-B Accredited Certificate No. L2307 ISOIIEC 17025: L-A-B Accredited Certificate No. L2307 Project: sally Semi -Annual Stormwater Lab Submittal Date: 04/17/2015 Prism Work Order: 5040323 Case Narrative 04/30/2015 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. Angela D. Overcash VP Laboratory Services Data Qualifiers Key Reference: Reviewed By Terri W. Cole For Angela D. Overcash Project Manager HT Sample received and analyzed outside of the hold time. 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 T This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Ina 449 Springbrook Read - P.O. Box 240543 - charlotte, NC 28224-0543 Phone: 7041529-6364 - To]] Free Number: 1-800152"364 - Fax: 7041525-0409 Page 1 Of 6 N It An'k13 I"fIEnvir nmee Analytical 8 V ! Environmental Solutions Y LABOfiATOFlIES ING Sample Receipt Summary 04/30/2015 Prism Work Order: 5040323 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received 001-004 5040323-01 Water 04/16/15 04/17/15 Samples were received at 11.7 degrees C. See case narrative for further information. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, tnc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704152M364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 2 of 6 r /A P R ISM I Full -Service Analytical 8 E nvironmenial Solutions 9 aaow raaiEa iNa Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Laboratory Report 0413012G15 Project: Bally Semi -Annual Client Sample ID: 001-004 Stormwater Prism Sample ID: 5040323-01 Prism Work Order: 5040323 Sample Matrix: Water Time Collected: 04/16/15 08:50 Time Submitted: 04/17/15 12:15 Parameter Result Units Report MDL DElution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease (HEM) BRL mglL 5.0 0.37 1 '1664B 4/27/15 9:30 MJO P5DC469 pH 7.9 HT pH Units 1 'SM4600-H B 4/23115 15:29 EGG PSD0366 Total Suspended Solids BRL mg1L 2.9 1.0 1 'SM 2540 D 4/22/15 10:15 EGC P5D033C Total Metals Copper BRL mg/L 0.010 0.0014 1 '200,7 4124115 19:14 BGM P5D0374 Lead BRL mg1L 0,0050 0.00056 1 '200.7 4/24115 19:14 BGM P5D0374 Zinc BRL mg/L 0.030 0.0024 1 '200,7 4/24115 19:14 BGM P5D0374 This report should not be reproduced, except in its entirety, witheut the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.D. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1.800152"364 - Fax: 7041525-0409 Page 3 pf 6 Y� Full-Sar ico Analytical E. JP R I S M Environmental Solutions ABORwTORIES ING Leonhardt Environmental, P.C. Attn: Paul Spangenberg Suite 101, 8392 Six Forks Road Raleigh, NC 27615 Total Metals - Quality Control Analyte Batch P5D0374 - 200.7 Project: Bally Semi -Annual Stormwater Level It QC Report 4130115 Prism Work Order: 5040323 Time Submitted: 4/17/2015 12:15:00PM Reporting Spike Source %REC RPD Result Limit Llnits Level Result %REC Limits RPO Limit Notes Blank (P500374-BLKi) Prepared & Analyzed: 04/24/15 Copper BRL 0.010 mg1L Lead BRL 0.0050 mg1L Zinc BRL 0.030 mg1L LCS (135130374-121SI) Prepared 8r Analyzed: 04/24/15 Copper 0.255 0.010 mg/L 0.2500 102 8.5-115 Lead 0.256 0.0050 mg/L 0.2500 102 85-115 Zinc 0.263 0.030 mg1L 0.2500 105 85-115 This report siould 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: 704/526-0409 Page 4 of 6 ' S M n FullService Analyt do & ' V' Environmental SoSubns �voonnroaies iH� Level If QC Report 4/30115 Leonhardt Environmental, P.C. Project: Bally Semi -Annual Stormwater Prism Work Order: 5040323 Attn: Paul Spangenberg Time Submitted: 4/17/2015 12:15:00PM Suite 101, 8392 Six Forks Road Raleigh, NC 27615 General Chemistry Parameters - Quality Control Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P5D0330 - NO PREP Blank (P5D0330-BLK1) Prepared & Analyzed: 04/22/15 Total Suspended Solids LCS (1135D0330-13SI) BRL 5.0 mg1L Prepared & Analyzed: 04/22/15 Total Suspended Solids Batch P51130366 - NO PREP 480 5.0 mg1L 468.0 104 90-110 LCS (P5D0366-BSI) Prepared & Analyzed: 04/23/15 pH LCS (P5D0366-SS2) 6,88 pH Units 6.880 100 98,5-101,5 Prepared & Analyzed: 04/23/15 pH Batch P5D0469 - NO PREP 6.92 pH Units 6.880 101 98.5-101.5 Blank (P5D0469-1BLK1) Prepared & Analyzed: 04/27/15 Cil & Grease (HEM) LCS (P5D0469-13S1) BRL 5.0 mg1L Prepared & Analyzed: 04/27/15 Oil & Grease (HEM) Matrix Spike (PSD0469-MS1) 32.3 SA mg1L Source: 5040323-01 40.00 81 78-114 Prepared & Analyzed: 04/27/15 Oil & Grease (HEM) 39.5 5.0 mg1L 40.00 0,700 97 78-114 Sample Extraction Data Prep Method: 200.7 Lab Number Batch Initial Final DatefTime 5040323-01 PbD0374 50 mL 50 mt_ 04I24115 8:20 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, INC 28224-0543 Phone: 7041529-6364 • Toll Free Number: 1.8001529-6364 - Fax: 704l525-0409 Page 5 of 6 Fml$-Service Analytical 10 CHAINit OF CUSTODY �I �, wa ,V, ._ .r�_.. avA...,— s • AROROORiFN INr 449 Springbrook Road • Charlotte, NC 28217 Phone 704f529.6364 Faux:: 7041525-0409 {-a� Client Company Name: L Ij Report To/Contact Name: j �N7PJC,.S Reporting Address: l� �.Ah� _ALA 4&RtT)4cAb Cj Nc PAGE OF QUOTE # To ENSURE PROPER BILLING: Project Name: d0!FXt_L_ k:�— I &I-OR14WAtc7 _ Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO) *Please ATTACH any project specific reporting (QC LEVEL 1 II III IV) provisions andfor CIC Requirements Invoice To; Address: Phone:�7zP-�,7�10J,,P)Fax (Yes) (NO); _ Purchase Order No./Billing Reference Email Address: L: EON1ruC�5 �1����C�� -' TO BE FILLED IN BY CLIENTISAMPLING PERSONNEL Requested Due Date ❑ 1 Day ❑ 2 Days U 3 Days C14 Days ❑ 5 Days Rushwork EDD Type; PDF_,�LExcel Other "Working Must Be Certification: NELAC DOD FL NC Days" J 6-9 Days 13 Standard 10 days ❑ ed Site PLAtisr SC OTHER N/A Location Name: Samples received after 14:00 will be processed next business day. Site Location Physical Address: I_35 /—/M ✓ J►1kJ5 Turnaround lime 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 TIME MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED PRISM CLIENT DATE COLLECTED (SOIL, PRESERVA. REMARKS LAB 'TYPE NO. SIZE SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIVES !D NO. HOURS SLUDGE) SEE BELOW 50 VVA i eR CSC / 4nti o I D Sb LIJAZtj� L P 06 05� µfA�cJe 1)0j j 1 �AcU t 67 0 w�'TC: Z-C-2 I I I I Sampler's Signature Sampled By (Print Name) Affiliation H fit- i Upon relinquishing, this CAIn of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be h submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been initialized. Relinquished By Slgnature) Received By: (SlgnaWrol Date. MihlorylHoum Additional Comments Site AfrlVai Time �,- Relinquish By: (Signature) If Received By: (SSgnalure) Date S(ie Departure Time ;{ i b Ft Field Tech Fee �r Relinquished By: (Signature) Received For Laboratorio y: Date --: :.•�� Mileage Method of Shipment: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT WITH STODY SEALS FOR TRANSPORTATION TO THE LABORATORY. COC Group No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST C09XNTIL RECEIVED AT THE LABORATORY, l� 1OFedEx 50 ❑ UPS ❑ Hand-dellvered Cl Prism Field Service U Other (J NPDES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER: O NC J SC ❑ NC ❑ SC ❑ NC El ❑ NC Q SC ❑ NC El SC El NC ❑ SG ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC Ct ❑ ❑ ❑ ❑ rl Cl rl n *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 Quality General Permit No. NCG030000 I CERTIFICATE OF COVERAGE NO. NCG030272 FACILITY NAME Bally Refrigerated Boxes, Inc. COUNTY Carteret PERSON COLLECTING SAMPLES Ted Jennings LABORATORY Prism + Lab Cert. # 402 Comments on sample collection or analysis: Date submitted 10/15/14 SAMPLE COLLECTION YEAR 2014 SAMPLE PER16D ❑ Jan -June ® July -Dec or ❑ Monthly( (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA low ❑WaterSuppiy ❑SA RECEIVED ED ®Other NOV 17 1014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION ❑ No discharge this period 72 Outfall No. I Date Sample Collected1 (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 Toxii Organlcss Benchmarks 100 mg/L or 5o mg/L° 6.0-9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01 10/15/14 1.73 0 6.4 0 0 0 0 N/A I 1 Monthly samoline (instead of semi-annuall must beein with the second consecutive benchmark exceedance for the same Darameter 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 retarded 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 I 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: E i "Based upon my inghuiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Michael Coyle Name (Print name) i President 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 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 rer 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?,' Outfali No .Date Sample' Coliectedl' (mo/dd/y'r).:a 244hour ralnfall ` amount, Inc6es3 . `Non Molar 0&G/TPH by EPA 1664 (SGT-itEM}; Totaf5uspended Solids- pH Benchmarks''.160 mg/L, or 5o mg/L*: 6.0 - 9A Stl, E I i i Footnotes from Part A also apply to this Part iB * See General Permit text, Table 5; identifying the especially sensitive receiving water classifications where the more protective benchmark applies. I E Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 1 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, rer 2, or Tier 3 responses, See General Permit text 1 FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER i 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 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 covy of this DMR inrludin aJl "No Dischar e" re arts within 30 da s o recei t o the lab results or at end o monitoringeriod in the case of "No_Dischat' e" 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) E f Permit Date: 11/1/2012-10/31/2017 1, /d (Date) SWU-245, last revised 10/25/2012 Page 3 of 3