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HomeMy WebLinkAboutNCG030530_MONITORING INFO_20190228STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V 015 J DOC TYPE O HISTORICAL FILE JC MONITORING REPORTS DOC DATE ❑ aI)l q OZ ZD YYYYMMDD 4§7® MGM Brakes w Division of Indian Head Industries, Inc P.O. Box 70-Park Avenue -Murphy, NC 28906 Telephone (828) 837-2117 FAX (828) 837-7521 February 8, 2019 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, RECEIVED FEB 2 8 2019 CENTRAL FILES DWR SECTION Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the first half of calendar year 2019. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace Project Number 92414568). TSS, oils and grease was analyzed by Environmental Inc. The following attachments (2 copies of each) are included in this submittal: • Semi -Annual Stormwater Discharge Monitoring Report (Form # SWU-245) for Outfall #'s 4, 5, and 6. Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report (Form # SWU-242) for Outfall #'s 1, 2, 3, 4, 5, and 6. • Analytical results from Pace Analytical and Environmental Inc. • Chain of Custody/Analytical Request Document If you have any further questions, please contact me at (828) 837-2117 ext. 2520. Sincerely, Michael Carter Quality Manager / ORC Semi-annual Stormwater Difharge„Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted: February 8, 2019 CERTIFICATE OF COVERAGE NO. NCG03030530 FACILITY NAME MGM BRAKES COUNTY CHEROKEE PERSON COLLECTING SAMPLES: MICHAEL CARTER LABORATORY: ENVIRONMENTAL INC. Lab Cert. # 57 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' month DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow []watersupply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/,OR 14 ❑ 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/L4 6.0 — 9.0 0.007 mg/L 0.030 mg/L 0.067 mg/L 15 mg/L 1 mg/L 4 01/17/2019 0.35" 13.7 7.77 0.0116 <0.005 0.340 13.0 NA 5 01/17/2019 0.35" 12.7 8.15 <0.005 <0.005 0.134 <5.0 NA 6 01/17/2019 0.35" 15.1 8.01 0.0062 <0.005 0.105 <5.0 NA 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 (far 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 Pagel of 3 Facilities t. 'corporate a solvent management plan into the Stormwater Poi. ,n Prevention Plan may so certify, and the requirement for TTO n, coring 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 Carter Name (Print name) Quality Manager / ORC Title (Print title) 2&" �, (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 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 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > S5 gal of new oil per month. ❑ No discharge this period: Qutfall No. Date Sample Collected' {mo/dd/yr) 24-hour rainfall amount, s Inches Non -polar 0&G/TPH by EPA 1664 {5GT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If y sport a sample value in excess of the benchmark, you must imp, -nt 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 ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: REFERENCE THE INSPECTION BY DARLENE KUKEN TO EXTEND STORMWA TER PERMIT. OUR PERMIT WAS APPROVED FOR ZINCAND COPPER. 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 FORANY 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 3of3 i,; Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guielance on filling oul this form, please visit littps://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-storniwater-gps Permit No.: N/C/G/ 0 /3 /0 /O /0 / 0 / or Certificate of Coverage No.: N/C/G/O /3 / 0/ 5131. 01 Facility Name: MGM BRAKES County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: JANUARY 17, 2019 _ Time of Inspection: Total Event Precipitation (inches): 0.35" All permits require qualitative monitoring to be performed during a "measurable storm event." A "measurable storm event" is a storm event that results in an actual discharge from the permitted site out Fall. 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 DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 001 Structure (pipe, ditch, etc.): PIP Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Pale I of 2 SWU-242, Last modified 06101/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., sine]Is strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 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: I IV 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: l V 3 4 5 7. is there any foam in the stormwater discharge? O Yes QfNo. 8. Is there an oil sheen in the stormwater discharge? OYcs VfNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes VfNo. -I0. Other Obvious Indicators of Stormwater Pollution: List and describe NO OBVIOUS INDICATORS OF STORMWATER POLLUTION OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 06/01/2018 .Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out This form, please visit https://deq.nc.gov/about/divisioiis/energy-niineraI-land-resources/ npdcs-stormwater-t;ps Permit No.: NIC/G/ 0/3 /0 /0 /0 / 0 / or Certificate of Coverage No.: N/C/G10 /3 / 0/ 5/3 / 0/ Facility Name: MGM BRAKES County. CHEROKEE Phone No, 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: JANUARY 17, 2019 Time of Inspection: 11:00 AM Total Event Precipitation (inches)! 0.35" All permits require qualitative monitoring to be performed during a "measurable storm event." 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 DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description- Outfall No. 002 Structure (pipe, ditch, etc.): PIPE Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page l of 2 SWU-242, last modified 06101/2018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 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: I 4 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids ill the stormwater discharge, where I is no solids and 5 is extremely muddy: I �f 3 4 5 7. Is there any foam in the stormwater discharge? O Yes VNo. 8. Is there anbil sheen in the stormwater discharge? OYes QfNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes 1fNo. 10. Other Obvious indicators of Stormwater Pollution: List and describe NO OBVIOUS INDICATORS OF STORMWATER POLLUTION OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, bast inodificd 06/011201 S G Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance onfilling oul thisfi)rm, please visil littps://deq.nc.gov/about/divisions/energy-mineral-land-resources/ npdes-stortnwater-gps Permit No.: NICIG/ 0/ 3 /0 /0 /0 /0 / or Certificate of Coverage No.: NICIGIO /3 / 015/3 / 0/ Facility Name: MGM BRAKES County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: JANUARY 17, 2019 Time of Inspection: 11_:00 A_M_ Total Event Precipitation (inches): 0.35" All permits require qualitative monitoring to be performed during a "measurable storm event." 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 DEMLR Regional Oft ice. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) t. Outfall Description: Outfall No. 003 StrUettn'e (pipe, ditch, etc.): PIPE Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last modified 06101/2018 2. Color: Describe the color of the dischare using basic colors (red, brown, blue, etc.) and tint (light, inedium, dark) as descriptors: LIGHT BKOWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the nurnber which best describes the clarity of the discharge, where l is clear and 5 is very cloudy: 1 _2® 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 ?� 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I V 3 ,4 5 7. Is there any foam in the stormwater discharge? o Yes qfNo. 8. Is there an oil sheen in the stormwater discharge? oYes 4No. 9. Is there evidence of erosion or deposition at the outfall? O Yes VfNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe NO OBVIOUS INDICATORS OF STORMWATER POLLUTION OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01/2018 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report ror guidance on filling out this form, please visit https:Hdcq.iic.gov/about/divisions/energy-mineral-land-resources/ npdes-storniwater-gps Permit No.: NICIG/ 0/.3 /0 /0 /0 / Ol or Certificate of Coverage No.: NIC/G/0 /3 / 0/ 5/3 / 01 Facility Name: MGM BRAKES County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: JANUARY 17, 2019 Time of Inspection: 11:00 AM Total Event Precipitation (inches): 0.35" All permits require qualitative monitoring; to be performed during a "measurable storm event." 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 DEMLR Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 004 Receiving Stream: Structure (pipe, ditch, etc.): PIPE Describe the industrial activities that occur within the outfall drainage area: Page 1 of 2 SWU-242, Last roodilied 06/0112018 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: I 2® 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 VV 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 V 3 4 5 7. Is there any foam in the stormwater discharge? O Yes qFNo. 8. Is there an oil sheen in the stormwater discharge? OYes VfNo. 9. Is there evidence of erosion or deposition at the outfall? o Yes VNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe NO OBVIOUS INDICATORS OF STORMWATER POLLUTION OBSERVED 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 S W U-242, last modified 06101/2018 Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report h-or guidance onfilling out this form, please visit https://deq.nc.gov/about/divisionslenergy-ininera1-land-resources/ npdes-storinwater-gps Permit No.: NIC/G / 0 / 3 /0 /0 /0 / 01 or Certificate of Coverage No.: NICIG10 /3 / 0 / 5/3 /01 Facility Name: MGM BRAKES County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: JANUARY 17 2019 Time of Inspection: Total Event Precipitation (inches): 0,35" All permits require qualitative monitoring; to be performed during a "measurable storm event." 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 DEMLR Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) L Qutf Illl Description: Otltfall No. 005 Receiving Stream: Structure (pipe, ditch, etc.): PIPE Describe the industrial activities that occur within the outfall drainage area: Page l of 2 SWU-242, Last modified 06/01/2019 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 20 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: 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: 1 V 3 4 5 7. Is there any foam in the stormwater discharge? O Yes No. 8. Is there an oil sheen in the stormwater discharge? OYes ofNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes QfNo. 10. Other Obvious Indicators of Stormwater Pollution: List and describe NO OBVIOUS INDICATORS OF STORMWATER POLLUTION OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 06/01/201 S Environmental Quality Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For giddance on,Jillingout lhisform, please visit littps://deq.iic.gov/about/divisions/energy-mineral-land-resources/ npdes -storniwater-bps Permit No.: N/C/G / 0 / 3 /0 /0 /0 / 0 / or Certificate of Coverage No.: NICIGI O /3 / 0 / 5 / 3 / 0/ Facility Name: MGM BRAKES County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: JANUARY 17, 2019 Time of Inspection: Total Event Precipitation (inches): 0.35" All permits require qualitative monitoring to be performed during a "measurable storm event." 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 DEM1 R Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1. Outfall Description: Outfall No. 006 Receiving Stream: Structure (pipe, ditch, etc.): PIPE Describe the industrial activities that occur within the outfall drainage area: Page I of 2 SWU-242, Last modified 06/0112019 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, -etc.) and tint (light, medium, dark) as descriptors: AIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 z 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I V1f 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 V 3 4 5 7. Is there any foam in the stormwater discharge? o Yes VNo. 8. Is there an oil sheen in the stormwater discharge? OYes �$fNo. 9. Is there evidence of erosion or deposition at the outfall? O Yes .FNo. 10. Other Obvious Indicators of Stormwater Pollution: list and describe NO OBVIOUS INDICATORS OF STORMWATER POLLUTION OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 06/01l2M r-71 Chain Custody Environmental, Inc. of Requested Analysis Preservative L Faci€ity MC,,;-, WD'i - L =Ult Client Phone, f Address, •� r�ven4P Fa x% �3 7�; + z !�Emaii /VC �,c pfa VO Log Number Date Time Sample Location G/C Clz °C pH coin � Q ~ z 7- z i s Io r•l•, o✓+ r, r, .s �Y �{ 5,, jt ✓ J1 L U Temperature: Fecal,Sample: CIz <0r2 Y % N Ammonia Sample: CIz <0.2 Y / N pH <2 Y / N ANmoulahetl B�: r Pd:1•: J G Tim+e; �a Rll�nr:uif ht9 Ev: Pate: iNM: Rel�nqui5fiad 8Y' De',e . m. P.eur.etl B ' Pau. Sime' Regeivttl 8Y: ➢ale. lint: RtceiYetl Bv: I Dme: Tynt: i 17,11 i3�o r � r SAMPLER NAMC AND SIGNATURE Comments: DW ID# 37754 W W ID# 57 DW ID# 37797 PRINT Name of SAMPLER: 2675 Skyland Drive 240D Swannanoa River Road Sylva, NC 28779 Asheville, NC 28805 slo,�'ATUR� ofSA(`1PLEk: Indicated Samples Forwarded to: O a� r� _o a ru in �/ ENVIRONMENTAL/� P.O. Box 954 Cuilowhee, NC 28723 2675 Skyland Drive Sylva, NC 28779 Phone (828) 586-5588 (800) 213-4035 FAX (828) 586-0800 E-mail environmentalincAaol.com Certificate of Analysis Client Naive: MGM Brakes Collection Date: 1/17/2019 Address: 229 Park Avenue Date Received: 1/17/2019 Murphy, NC 28906 RESULTS Samnle Identification: MGM Brakes - Storm Water 94 (urab) Parameters Result M:DL Units Date Analyzed Method Foot - notes Solids, Total Sus ended 13.7 5.0 mg/L 1/21/2019 SM 2540 D-1997 Oil and Grease 13.0 5.0 mg/L 1/22/2019 SM 5520 B-2001 Arsenic <0.0100 0.0100 mg/L 1/22/2019 EPA 200.7 Cadmium <0.0010 0.0010 mg/L 1/22/2019 EPA 200.7 Chromium <0.0050 0.0050 mg/L 1/212/2019 EPA 200.7 Copper 0.0 116 0.0050 mg/L 1/22/2019 EPA 200.7 Lead <0.0050 0.0050 rng/L. 1/22/2019 EPA 200.7 Molybdenum <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Nickel <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Selenium <0.0100 0.0100 mg/L 1/22/2019 EPA 200.7 Silver <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Zinc 0.340 0.0.100 mg/L 1/22/2019 EPA 200.7 Mercury <0.00020 0.00020 mg/L 1 /23/2019 EPA 245.1 Analysis perlonned at Pace Analytical - Asheville, NC. An copy "l" na, i,.aboratory Supervisor ai7/1 y Date Report prepared: 2/7/2019 3:08 PM page 1 ENVIRONMENTAL C8 Client Name: MGM Brakes Address: 229 ]lark Avenue Murphy, NC 28906 P.Q. Box 954 Cullowhee, NC 28723 2675 Skyland Drive Sylva, NC 28779 Phone t828? 586-5588(800) 213-4035 FAX (828) 586-0800 E-mail environmentalinc(@,aol.com Certificate of Analysis Collection Date: 1/17/2019 Date Received: 1/1712019 RESULTS Samnle Identification.- MGM Brakes - Storm Water #5 (arab) Parameters Result MDL Units Date- Analyzed Method Foot - notes Solids, Total Suspended 12.7 5.0 mg/L 1 /21 /2019 SM 2540 D-1997 Oil and Grease <5.0 5.0 mg/L 1/22/2019 SM 5520 B-2001 Arsenic <0.0100 0.0100 mg/L 1/22/2019 EPA 200.7 Cadmium <0.0010 0.0010 mg/L 1/22/2019 EPA 200.7 Chromium 0.0156 0.0050 mg/L 1/22/2019 EPA 200.7 Copper <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Lead <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Molybdenum <0.0050 0.0050 mg/L 1/2 2/2019 EPA 200.7 Nickel <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 � Selenium <0.0100 0.0100 mg/L 1/22/2019 'EPA 200.7 Silver <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Zinc 0.134 0.0100 mg/L 1/22/2019 EPA 200.7 Mercury J< 0.00020 mg/L 1 1/23/2019 -EPA 245.1 * Analysis performed at Pace Analytical - Asheville, NC. Anthony Tirona, Laboratory S pervisor Date Report prepared. 2/8/2019 9:29 AM page 1 ENVIRONMENTAL -Inc., w.w.w..�......,....... P.O. Box 954 Cullowhee, NC 28723 2675 Skyiand Drive Sylva, NC 28779 Phone (828) 586-5588 (800) 213-4035 FAX (828) 586-0800 E-mail environmentalinc@aol.com Certificate of .Analysis Client Name: MGM Brakes Collection Date: 1/17/2019 Address: 229 Park Avenue Date Received: 1/17/2019 Murphy, NC 28906 RESULTS Sample Identifieation: MGM Brakes- Storm Water 46 furrab) Parameters Result MDL Units Date Analyzed Method Foot - notes Solids, "Total Suspended 15.1 5.0 m L 1 /21 /2019 SM 2540 D-1997 Oil and Crease <5.0 5.0 mg/L 1/22/2019 SM 5520 B-2001 Arsenic <0.0100 0.0100 mg/L 1/22/2019 EPA 200.7 CadMiLlin <0.0010 0.0010 mg/L 1/22/2019 EPA 200.7 Chromium <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 � Copper 0.0062 0.0050 mg/L 1/22/2019 EPA 200.7 Lead <0.0050 0.0050 mg/L 1 /22/2019 EPA 200.7 Molybdenum <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Nickel <0.0050 0.0050 mg/L 1/22/2019 EPA 200.7 Selenium <0.0100 0.0100 mg/L 1/22/2019 EPA 200.7 Silver <0.0050 0.0050 rng/L 1/22/2019 EPA 200.7 Zinc 0.105 0.0100 mg/L 1/22/2019 EPA 200.7 Mercury <0.00020 0.00020 mg/L 1/23/2019 EPA 245.1 * Analysis performed at Pace Analytical - Asheville, NC. ko C 4t ca, t✓ Anthony Vona, Laboratory Supervisor ;!-7-ley Date Report prepared: 2/7/2019 3:08 PM page I aceAnalyica!e w,vx pxrdeAs pOm ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Ashev28e, NC 28804 (828)254-7176 Project: MGM Brakes Pace Project No,: 92414558 Sample: Storm Outtall 114 Lab ID: 62414508001 Collected: 01/17/19 11:00 Rocelved: 01/18/19 11:07 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 20D.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Arsenic ND ugfL 10-0 1 01/19/19 05:05 01/22119 01:26 7440.38-2 Cadmium ND ug/L 1.0 1 01/19119 05:05 01/22119 01:26 744043-9 Chromium NO ug/L 5.0 1 01/19/19 05:05 01/22/19 01:26 744047-3 Copper 11.6 ug/L 5.0 1 01119J19 05:05 01122/19 01:26 7440-50-8 Lead NO ugfL 5.0 1 01119/19 05:05 01/22119 01:26 7439-92-1 Molybdenum NO ug/L 5.0 1 01119/19 05-05 01122/19 01:26 7439.98.7 Nickel NO ugfL 5.0 1 01/19119 05:05 01122J19 01:26 7440-02.0 Selenium NO ugfL 10.0 1 01/19/19 05:05 01IM19 01:26 778249-2 Silver NO ugfL 5.0 1 01/19119 05:05 01122J1901:26 7440.224 lane 340 ug/L 10.0 1 01119f 19 05:05 01/22/19 01,26 7440-6&6 245,1 Mercury Analytical Method: EPA 245,1 Rev 3.0 1994 Preparation Method: EPA 245.1 Rev 3.0 1994 Mercury NO ug/L 0.20 1 01122/19 00:22 01/23/19 W 10 7439.97-6 Sample: Storm Outfall #5 Lab ID: 92414568002 Collected: 01117119 11:00 Received: 0111&19 11:07 Matrix: Water Paramelers Results Units Report Linlil OF Prepared Analyzed CAS No. Qual MET ICP 200.7 Arsenic Cadmium Chromium Copper Lead MDlyhdrnum Nickel Selenium Sliver Zinc 245A Mercury Mercury Analykal Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 NO u91L 10-0 1 01/19119 05:05 0W2119 01:29 7440-38-2 NO ug1L 1.0 1 01/19119 05:05 01/22/19 01:29 7440-43-9 15.6 ugrL 5.0 1 01/19119 05'05 01122J19 01:29 7440-47-3 NO ugfL 5.0 1 01/19/19 05:05 01/22/19 01:29 7440.50-8 NO ug1L 5.0 1 01/19/19 0&05 01122/19 01:29 7439-92-1 NO ugfL 5.0 1 01/19/19 05705 01122J19 01:29 7439.98-7 NO ugfL 5.0 1 01/19119 05:05 01122/19 01:29 7440-02-0 NO ugfL 10.0 1 01/19/1905:05 01122J190119 778249-2 NO ugfL 5.0 1 01119/19 05:05 01/22/19 01:29 7440-22-4 134 ugfL 10.0 1 01119/19 05:05 01/22/19 01:29 7440-66-6 Analytical Method: EPA 245.1 Rev 3.0 t994 Preparation Method: EPA 245.1 Rev 3.0 1994 NO ugfL 0.20 1 01/2209 00:22 0112309 10:17 7439.97-6 Sample: Storm Outtall #6 Lab ID: 92414568003 Collected: 01117/19 11.00 Received: 01/1&19 11.07 Matrix: Water Parameters Resulls Units Report Limit DF Prepared Analyzed CAS No. Qua] 20D.7 MET ICP Analytical Method: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 2003 Rev 4.4 1994 Arsenic ND ugli. 10,0 1 01/19/19 05:05 01/22/19 01:32 7440-38-2 Cadmium NO ugfL 1.0 1 01/19/19 05:05 01/22/19 01:32 7440-43.9 Chromium ND ugrL 5.0 1 01/19/19 05:05 01122J19 01:32 744D-47-3 Cnppur 6.2 ug/L 5.0 1 01/19/19 05:05 01122/19 01:32 7440-50-8 Lead NO ugfL 5.0 1 01/19/19 05:05 01/22119 01:32 7439-92-1 Molybdenum ND ugfL 5.0 1 01/19119 05:05 01122/19 01:32 7439.98-7 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date. 01/2312D 19 03:05 PM wahoul the %mien consent of Pace Analytical Swwcas, LLC- Page 4 of 13 y � rr��ppQd��7rr��ff �/++r a a L� A alyt LG' 1 Www,p;4t akvs Caw ANALYTICAL RESULTS Pace Analytical Services. LLC 2225 Riverside Dr_ Ashev'lie, NC 28804 (828)254.7176 Project: MGM Brakes Pace Project No.; 92414568 Sample: Storm Outfall #5 Lab ID: 92414568003 Collected: 01/17/19 11:00 Received: 01119/19 11:07 Matrix: Water Parameters Results Units Report Limit DF prepared An3iy2ed CAS No. Qua] 200.7 MET ICp Anatytical Method; EPA 200.7 Rev 4.4 1994 preparation Method: EPA 200.7 Rev 4.4 1994 Nickel ND ug1L 5.0 1 01/19119 05:05 01/22/19 01:32 7440.02-0 Selenium ND ug1L 10.0 1 01/19119 05:05 01/22119 01:32 778249-2 Silver ND ug1L 5.0 1 01/19119 05,05 01/22/19 01:32 7440-224 Zinc 105 uglL 10.0 1 01119M9 05:05 01/22/19 01:32 7440-66-6 245.1 Mercury Analytical Method; EPA 245.1 Rev 3.0 1994 Preparatian Method: EPA 245A Rev 3.0 1994 Mercury NO ug/L 0.20 1 01/22/19 00:22 01/23119 10:20 7439-97-6 Date: 01123r'2019 03:05 PM REPORT OF LABORATORY ANALYSIS This repon shall not be reproCucea, except in (tell, without the vmtten consent of Pace Analytical Sumces, LLC. Page 5 0113 Semi-annual Stormwater Discharge Monitoring_ Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted: August 22, 2018 CERTIFICATE OF COVERAGE NO. NCG03030530 SAMPLE COLLECTION YEAR 2018 FACILITY NAME _M_G_M_BRAKES SAMPLE PERIOD ❑ Jan -June ® July -Dec COUNTY CHEROKEE — or ❑ Monthly' (month) PERSON COLLECTING SAMPLES: MICHAEL CARTER ` DISCHARGING TO CLASS ❑ORW ❑HOW []Trout❑PNA LABORATORY: ENVIRONMENTAL INC. Lab Cert. # 57 RECE EN ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: AUG 2 9 Z018 ❑Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 � DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results 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 Organics' Benchmarks =_=> - - 100 mg/L or 50 mg/O 6.0 — 9.0 0.007 mg/L 0.030 mg/L 0.067 mg/L 15 mg/L 1 mg/L 4 07/31/2018 0.25" 12.1 7.55 0.0133 <0.005 0.2940 5.8 NA 5 07/31/2018 0.25" <5.0 7.73 <0.005 <0.005 0.0716 <5.0 NA 6 07/31/2018 0.25" <5.0 7.48 0.0531 <0.005 0.1410 <5.0 NA ' 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. 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 C 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 Carter Name (Print name) O—uality Manager ORC Title (Print title) vsJ;zah, . (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 1, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3 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 CPage 2 of 3 a 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. 0 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: REFERENCE THE INSPECTION BY DARLENE KUKEN TO EXTEND STORMWA TER PERMIT. OUR PERMIT WAS APPROVED FOR ZINCAND COPPER. 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 27644-1617 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 11,1: ] e 0 81,2Ae (Signature of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 CC Page 3 of 3 L MCDER Stormwater Discharge Outfall [SDO] Qualitative Monitoring Report Forguidance on filling out this form, please visit: http liportal.ncdeni-.oi-g/web/Ii-/nodes-stormwater/ Permit No.: or Certificate of Coverage No.: Facility Name: MICHAEL CARTER County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER_ Date of Inspection: 07131/2018 Time of Inspection: 11:00 AM_ Total Event Precipitation (inches): 0.2 INCHES Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [r 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, IIccertify that this report is accurate and complete to the best of my knowledge: vue�'j (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 1 Structure (pipe, ditch, etc.) PIPE Receiving Stream: 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: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O 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: 1O 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: V 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe : NO INDICATORS OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 MCD Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: Mtn://nortal.nalenr.ore/web/Ir/nudes-storiuwater/ Permit No.: N/C/G/0/3/0/0/0/0/ or Certificate of Coverage No.: N/C/G/0/3/0 /5/3/0/ Facility Name: MICHAEL CARTER County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER_ Date of Inspection: 07/31/2018 Time of Inspection. 11:00 AM _ Total Event Precipitation (inches): 0.2 INCHES Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 0 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 I 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: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 2 Structure (pipe, ditch, etc.) PIPE Receiving Stream: 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: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO 0 R OBSERMED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 V 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: lO 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: O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes S. Is there an oil sheen in the storr"iwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious indicators of Stormwater Pollution: List and describe: NO INDICATORS OBSERVED G G Yes G Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 7/31/2013 �L NU�C�� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. http_//portal.nc enr.org./web/ir/npdes-stormwater/ Permit No.: or Certificate of Coverage No.: Facility Name: MICHAEL CARTER County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER_ Date of Inspection: 07/3112018 Time of Inspection: 11:00 AM Total Event Precipitation (inches): 0.2 INCHES Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 0 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: ffl'X �' - (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 3 Structure (pipe, ditch, etc.) PIPE Receiving Stream: 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: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: I O 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: O 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: .J O 2 3 4 S 7. Is there any foam in the stormwater discharge? Yes G 8. Is there an oil sheen in the stormwater discharge? Yes G 9. Is there evidence of erosion or deposition at the outfall? Yes G 10. Other Obvious Indicators of Stormwater Pollution: List and describe: NO INDICATORS OBSERVED 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. J Page 2 of 2 SWU-242, Last modified 7/31/2013 NCO MR ( Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: - e Permit No.: N/�/C�/0/3/�/0/0/0/ or Certificate of Coverage No.: Facility Name: MICHAEL CARTER County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER_ Date of Inspection: 07/31/2018 Time of Inspection: 11:00 AM_ Total Event Precipitation (inches): 0.2 INCHES Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [O 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: (Signature of Permittee or Designee) Page 1 of 2 SM-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 4 Structure (pipe, ditch, etc.) PIPE Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 1 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ MEDIUM -LIGHT BROW_ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2® 3 4 5 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: O 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: 1O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes G 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes G 10. Other Obvious Indicators of stormwater Pollution: List and describe. NO INDICATORS OBSERVED 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. J Page 2 of 2 SWU-242, last modified 7/31/2013 MCD Stormwater Discharge Outfall (SDO) Qualitative Monitoring Deport Forguidance on filling out this form, please visit: i l : '- Permit No.: N/C/G/0//0/0/0/0/ or Certificate of Coverage No.: Facility Name: MICHAEL CARTER County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: 7 31 201 Time of Inspection: 11:00 AM Total Event Precipitation (inches): 0.2 INCHES Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Q Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureabre 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, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. 5 Structure (pipe, ditch, etc.) PIPE Receiving Stream: 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: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O 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: O 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 S is extremely muddy: O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes G 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe: NO INDICATORS OBSERVED 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. 1 J Pagc 2 of 2 SWU-Z42, bast modified 7/31/2013 AR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. - Permit No.: N/C/G/0/3/0/0/0/0/ or Certificate of Coverage No.: Facility Name: MICHAEL CARTER County: CHEROKEE Phone No. 828-837-2117 Inspector: MICHAEL CARTER Date of Inspection: 07/31/2018 Time of Inspection: 11:00 AM Total Event Precipitation (inches): 0.2 INCHES Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 0 Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureuble 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 01 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 outfali. 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 signpature, I certify that this report is accurate and complete to the best of my knowledge: IN�a�.% (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 I. Outfall Description: Outfall No. 6 Structure (pipe, ditch, etc.) PIPE Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: _ 1 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: LIGHT BROWN 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO ODOR OBSERVED 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1� 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: O 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes G 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe: NO INDICATORS OBSERVED Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-24.2, Last modified 7/31/2013 e• ceAnaf caf kw+tpeGahDzmro ANALYTICAL RESULTS Project: MGMISMM3.- Storttaxater Pace, Proem: No:: 92394013 Pace Analytical Services, LLC 2225 Rtversida Dr. Aahevilte, NC 28804 (828)254.7176 Sampler MGM I Brake& Stormwater Ub-lD: 923940130011 Collected: 07/31/1811:00 Received: 08/0111811:44 Matrix Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 200,TMET tCP' Analytical Method: EPA 200.7 Rev 4.4 1994 Preparatian McVtad: EPA 200.7 Rev 4.4 1994 Arsenic NO ug/L 10.0 1 08M2/18 00:45 08103/18 00:47 7440-38-2 Cadmiumt NO ugR 1,0 1 06J02118 00.46 08103118 00:47 74AO-43-9 Chromium, NO ug/L 5.0 1 08f07118 00:45 08103/18 00:47 744047-3 Copper- 13.1 ugR 5.0 1 OB10J18 00:45 08M3118 00,47 7440-50-8 Lead NO ugR 5.0 1 08102/18 00.45 08103118 00:47 7439.92.1 Molybdenum NO ug1L 5.0 1 08102J18 00:45 0=3116 00:47 7439-ea-7 Nickel; 6.3 ug/L 5.0 1 08MV18 WAS 08JO3118 00:47 7440-02-0 Selenium, NO- ug/L 10.0 1 OW02118 00.45 08J0311a 00.47 778249-2 Silver. NO ug1L 5.0 1 08102J48 00:45 08/03/18 00.47 7440-22-4 Zinc. 294'. ugR 10.4 1 08/02118 00:45 08103/18 00:47 7440-66-6 245.1161orcury Analytical. Method: EPA 245.1 Rev 3.0 1994 Preparation Method: EPA 245.1 Rev 3.0 1994 Mercury NO ug/L 0,20 1 OW211819.45 08/0311817:28 7439.97.6 Sample. MGM19rake3:Starmwater• LLabdO: 92394013002 Collected., 0713111811.00 Received: 0810111811:44 Matrix: Water #51 Parameters Results. Units Report Limit OF Prepared Analyzed CAS No, Qual 200.7 MET, lCP1 Anatytical' Method: EPA 200.7 Rev 4A 1934 Preparation Method: EPA 200.7 Rev 4.4 1994 Arsenic NO ug/L 10.0 1 08102118 00:45 0&03118 00:50 7440-38-2 Cadmium. NO ugR 1.0 1 08MV18 00:45 08M3118 00:50 7440-43-9 Chromium NO ug/L 5.0 1 08/02/18 00.45 08103118 00:50 7440-47-3 Copper NO ug1L 5.0 1 081021i8 00:45 08103/18 00:50 7440-50-8 Leao NO, ug1L 5.0 1 08/02J18 00:45 08J03118 00:50 7439-92-1 Motybdenumi NO ug/L 5.0 1 08/02/18 00:45 08103118 00:50 7439.98-7 Nickel, NO, ugR 5.0 1 08102118 00:45 0=3118 00.50 7440-02-0 Selenium NO ugA- 10.0 1 08/02/18 00:45 08MW8 00:50 7782-49-2 Silver NO uq& 5.0 1 08/02118 00:45 OS/03/18 00:50 7440-22-4 Zinc. 711.6 u9A. 104 1 08102J18 00:45 OW3118 00:50 7440.66-6 245:11 Mercury Analytical I Method: EPA 245.1 Rev 3.0 1994 Preparation Method: EPA 245.1 Rev 3.01994 Mercury NO ug/L 0.20 1 08102/1819:45 08/03/1817:31 7439.97-6 Sample:: MGMiBfake&Stormwater Lab lO:. 92394013003 Collected: 07/31/18 11:00 Received: OW01118 11:44 Matrbc Water 96, Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 20O.7'MET ICP' Analytical Methoc: EPA 200.7 Rev 4.4 1994 Preparation Method: EPA 200.7 Rev 4.4 1994 Arsenic NO ugR 10.0 1 03/02/18 00:45 08M3/18 00:53 7440-38-2 Cadmium ND ugR 1.0 1 08/02J18 00:45 08103/1S 00:53 7440-43-9 Chromium NO, ug/L 5.0 1 08/02J18 00:45 08103/18 00:53 7440-47-3 Copper 511' ug/L 510 1 08102J18 00:45 OW03J18 00:53 7440-50-8 REPORT OF LABORATORY ANALYSIS This report Shaft not be reproduced, except in full. Oate; 081061:0%04:42 PM1 wsthout the wnacn conaert of PaCe Analytical Sevxen, LLC, Page 4 of 13 f� 0� ee Analyticat WwwpacalaDs.com+ ANALYTICAL RESULTS Project: MGM1 Brakes - Stomwmter Pace Project.No:: 92394011 Pace Analytical Services, LLC 2225 Riverside Dr, Ashmilla, NC 28804 (828)254-7176 Sample- MGMiStattes,Stormwater Lab lO: 92394013003 Collected: 07131/18 11:00 Received: 08/01/18 11:44 Matrix: Water #fig Parameters Resuhs Units Repon Limit OF Prepared Analyzed CAS No. Qual 2QQ:7'MET 11CP1 Anaiytical'Mothoo: EPA200,7 Rev 4A 1994 Preparation Method: EPA200.7 Rev4.4 1994 Lead, NO ug1L 5.0 1 08102/18 00:45 08/03/18 00:53 7439.92-1 Molyodenumi NO ug/L 5,0 1 08/02/18 00:45 08103/18 00:53 7439-98-7 Niekol'' NO. ug/L 5.0 1 08/02/18 00.45 08103/18 00,53 7440-02-0 Selenium NO ug/L 10.0 1 08MV18 00:45 0&=18 00:53 7782-49-2 Silver NO ug/L 5.0 1 08/02118 00:46 08/03/18 00:53 7440-22-4 Zinc 1411 ug/L 10.0 1 0S/02/18 00,45 08M3118 00:53 7440-66-6 245.1, Mercury, Ana"cal. McGhod: EPA 245.1 Rev 3.0 1094 Preparation Method., EPA 245.1 Rev 3.01094 Mercury, NO ug/L 0.20 1 08/0211819.45 08/03/1817:33 7439-97-5 REPORT OF LABORATORY ANALYSIS Thu report shall not be repMduceC, c=apt in hill. Dale:09 W2018;04:42 PM vvithout the wMan consent ct Pace Analytical Serocas, L.C. Page 5 of 13 m ENVIRONMENTAL Client.Name:: MGM Brakes, Address:: 229) Park Avenue: Murphy,.,, NC' 38.906. R.O.. Box 954 Cullowhee, NC 28723 2675, Skyland Drive Sylva, NC 28779 Phone (828) 586-5588 (800) 213-4035 FAX (828) 586-0800 Email' environmental LDeAaol.com Certificate of Analysis Collection Date: 7/31/2018 Date Received: 7/31/2018 RESULTS Sample I entifcation:: MGM Brakes — Storm Water 44 (urah) Parameters, Result MDL Units Date Analyzed Method Foot - notes Solid's;, Totals Sus - end'ed 112'.11 51.0 m 8/6/2018 SM 2540 D-1997 Oils and! Grease. 5.& 5.a mg/L 8/2/2018 SM 5520 B-2001 Arsenic <0,.0)100 0,.0100 mg/L 8/3/2018 EPA 200.7 CadmiLIMI <0.001O0 0.0010. mg/L 8/3/2018 EPA 200.7 ,.Chromium <0).00501 0.0050; mg/L. 8/3/2018 EPA 200.7 Copper 0.OJI33 0.0050 mg/L 8/3/2018 EPA 200.7 Leads. <0.0050 0:0050 mg/L 8/3/2018 EPA 200.7 Moly6d'enum <010050; O.005G mg/L 8/3/2018 EPA 200.7 Nickell: O'.0053, 01,0050 mg/L 8/3/2018 EPA 200.7 Sel'eni'm <0.011100i 0.0110a mg/L 8/3/2018 EPA 200.7 Siil'ver <a.0050, 01.0050 mg/L 8/3/2018 EPA 200.7 Zinc a.294: 0.04100 mg/L 8/3/2018 EPA 200.7 Mercury <a.00020 0.00020 mg/L 8/3/2018 EPA 245.1 *'Analysis; pertormed'.W.. Face Analytical, — Asheville, NC. MAony Ti' ona; Laboratory Supervisor Date Report prepared': 81114/20,118 4:22 PM page 1 r^ ENWHONME lRTAL r MCI f P'.O. Box 954 Cultowhee, NC 28723 2675 Skylandl Drive Sylva, NC 28779 Phone. (828) 586-5588 (800) 213-4035 FAX- (828)� 586-0800 E-mail environmentalincCaaol.com Certi�fii cafe of Analysis Client -Name: MGM, Brakes, Collection Date: 7131 /2018 Address: 229,Park: Avenue Date Received: 7/3112018 10urphy,. NC 28906. RESULTS Samnl'e I&ntifieadon: MGM, Brakes -- Storm Water #5 (crab) Parameters: Result, MDL Units Date Anal zed Method Foot - notes Solid's,. Total' Suspendedl <5.01 5,.0 mg/L 8/6/2018 SM 2540 D-1997 Oil€ an&Grease; i <5.0 5.0 mg/L 8/2/2018 SM 5520 B-2001 Arsenic <0 V000 0'.01100! mg/L 8/3/2018 EPA 200.7 Cad'miurnk <O' OT0, 01.00,10' mg/L 8/3/2018 EPA 200.7 ,Ch.rom.ium. <01.0050i 0'.0050^ mg/L 8/3/2018 EPA 200.7 Copper <Of 005& O'.O501 mg/L 8/)/20 t8 EPA 200.7 Lead' <U050, 0,.0050 mg/L 8/3/2018 EPA 200.7 Molyb&num, <010050i 0.0050� mg/L 8/3/2018 EPA 200.7 Nickel! <010050, G-0050 mg/L 8/3/201.8 EPA 200.7 li Sel'en.ium, <04I!00! 0'.0.100. mg/L 8/3/2018 EPA 200.7 SillVer <U05& 0-.0050, mg/L 8/3/2018 EPA 200.7 Zinc. 01.017116! 0'.01001 mg/L 8/3/2018 EPA 200.7 Mercury ; <0'.000201 0'.000201 mg/L 8/3/2018 EPA 245.1 Analysis: Performed' at. Pace. Anatytical` — Asheville, NC. ony Ti `ona;. Laboratory Supervisor_ Date Report. prepared: 8/14/20,1'& 4:22 PM page 1 ,t •E�"Vew!wpa��gg N M ENTAL {i it r -.■r \ f1..w.M iw�ur ffe Client -Name: MGM{ Brakes Addtess: 229' Park Avenue Murphy,, NC 28906 P'.O. Box 954 Cull'owhee, NC 28723 2:675 Skyland Drive Sylva, NC 28779 Phone (828) 586-5588 (800) 213-4035 FAX (828) 586-0800 E-mait environmentalinc@,aol.com Certilficate of Analysis Collection Date: 7/31/2018 Date Received: 7/31/2018 RESULTS Samnle: Id'entifiention: MGM, Brakes- Storm, Water 46 (Lrab) Parametem Result NIDL Units Date Analyzed Method Foot- notes Solid's,, TotaP Suspended <5i.0l 5.0, mg/L 8/6/2018 SM 2540 D-1997 OiT and Grease <5.01 5.0' mg/L 8/2/2018 SM 5520 B-2001 Arsenic <O.011,00 0.0,100i mg/L 8/3/2018 EPA 200.7 C�ad'miurn, <0j.0011101 .0.00-10 mg/L 8/3/2018 EPA 200.7 Chrorni:um� <Q 00501 0.0050 mg/L, 8/3/2018 EPA 200.7 Copper: 0, 05.3�t 0.0050. mg/L 8/3/2018 EPA 200.7 Lead" <0} 0050 0.0050i mg/L 8/3/2018 EPA 200.7 Mol'ybd'enum, <Oi 00501 0.0050� mg/L 8/3/2018 EPA 200.7 Nickell <0,.00501 0,.005& mg/L 8/3/2018 EPA 200.7 Sel'enium, <U11,,0& 0.0,100 mg/L 8/3/2018 EPA 200.7 SiT.ver <&0050 0.0050 mg/L 8/3/2018 EPA 200.7 Zinc 0,..11441 0.&11:00 mg/L 8/3/2018 EPA 200.7 M°ercur , <0.00020. 0�00020� mg/L 8/3/2018 EPA 245.1 * Analysis, performed! at Pace Analytical — Aslievil le, NC. ntl�ny Ti ona; Laboratory Supervisor 5-11gl f S Date Report prepared`. 8/114'/20T& 4:22 PM.' page 1 1 E-Chain of Custody \Environmental, Inc. Requested Analysis Preservative Facility gl6 A e S � Client Phone ro N Address Fax UU a� l�'44+iphu N� eT,�l��o Entail l+ylCc�r CLm _ O Qp MSS p ro E -o • _ O i� O J �p Ln Log Number Date Time Sample Location G/C CIz °C pH m LL a 4Q'2 z T- z = = z +UugM X 07 31.1 I i.uU AM 773 X X -- X X 07.31-1 I AAl oL, G X1 %.y� � X Temperature: 3 Fecal Sample: CIZ <0.2 Y / N Ammonia Sample: C12 <0.2 Y / N pH <2 Y / N Anpwyn.r Bv: %�'IrC.�� d: I �.� �t cr D.w U7 ;�•r �, Tim.: t]I',u��'" ! ri:3F18' 1�So By: Oau; T.—: Ref tlVVE ay Gel.' T�mrl Rrcew.0 By; . Doer Time; Pa.rvre By; Dae Timer S41PL€R. NANNY AND SIGNATURE Comments: DW ID# 37754 WW ID# 57 DW ID# 37797 PRINT Nonieo('SAMPLER: %� �h 51-,pr,nv,/ai't 2675 Skyland Drive 240D Swannanoa River Road Sylva, NC 28779 Asheville, NC 28805 SIGNATURE ol'WIPI.EK; KO�� SCE lVi p I Q %.- . _ Indicated Samples Forwarded to: 3 C Semi-annual Stormwater Discharge Monitorin Report for -North -Carolina -Division -of -Water -Quality -General -Permit -No.-NCG030000_ Date submitted /v CERTIFICATE OF COVERAGE No. NCG03 0 3 Q FACILITY NAME 14 641 6eAA!k9 COUNTY C G. PERSON COLLECTING SAMPLES LABORATORY iyro &L__=MG Lab Cert. # ; rr% Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR dOI SAMPLE PERIOD ❑ Jan -June F] 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. ,.. gateSamp[e 1 Collected (mo/dd/yr)' 24-hourrainfallpH�R amount, s3 IncheY. Total Suspended Solids -Standard units Copper •:: Lead J .:, 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 is mg/L 1 mg/L 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. 1 further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." -. °V Name (Print e) Title (Print title) Olt) (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 resorted 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 Tier1, Tier 2, or Tier 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 0&G/TPH by -"EPA 1664{5GT-HEM) Total Suspended5oiidsx*i,t 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 C � 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 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: r 4e-(P ror�ce [ekw- in the case of "No Discharqe" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 " r7 /`F -I4 -Cr'am brLur-R, W"ek f�9C 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 passibility of fines and imprisonment for knowing violations." re of 10_19-17 (Date) foe V ct,�P.� �P�"1'�-�. �.`' ��e+�- (.r�ltxo 1M-A�- S��e j +�5�2�,v"• g w Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 IIT onitoring Report for North Carolina Division of Water Quality General Permit No NCG030000 Date submitted f{— /9 /7 CERTIFICATE OF COVERAGE NO. NCG03 0 -6: 3 O FACILITY NAME Al&/V ,Fjie4&C ' COUNTY PERSON COLLECTING SAMPLES LABORATORYAlr La Cert. # - y0 Comments on sample col ection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 4917 SAMPLE PERIOD Jan -June ❑ July -Dec or Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA E []Zero -flow ❑Water Supply ❑SA ❑other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 I No.dischorge this period?' a t o F = w w 1 z s� . 3; '-_, : k -. • �x Non -Polar 0&G/ Date Sample 24=ho�rrainfall : Total Toxic Outfall No Total Suspended Solids Copper Lead Zinc Total Petroleum % .Collected) amount ,. w StandaHt! units+ - rbons Or anicss (mo/dd/yr) 4 Inches . 4 Benchmarks =__> _ - 100 mg/L or50 mg/0 - 6.0 = 9.0 0.007emg/L : 0.033 mg/L' 0.067 mg/L 15 mg/L 1 mg/L -3 Af 79 & 1114.9 .4/ ,4,; sC .38/ Z .00r -3 J7 -3-)7 % M t . oos3 3ff �.00 I Iki 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.;fr:om-'an"'on-site rain gauge:: Unattended'sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only _for ;those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes: For,purposes of this permit -the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition asfound 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 DatP-' 1/1/2012-10/31/2017 SWU-245, last revised 1n/25/2012 Page 1 of 3 Note: if youreport port 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 PERM IT PART 11 SEL I 1UN 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 EXCEEDENC>_S 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 odainal and one copv of this OMR, includina all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitorinq 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." 4<.V� L4 Z�jz� (Signature f P ittee) (Date) Permit Datr ' 1/1/2012-10/31/2017 SWU-245, last revised 1nf25/2012 Page 3 of 3 r-, Forg 2 =� MCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report ince on filling out this form, please visit: htLI2:1112ortal,ncdmr,org/web/wq/ws/su/npdessw#tab-4 Permit o.: or Certificate of Coverage No.: Lv Facility'Jame: _X bA!Z B.eAd 6S County: C G,6akee, Phone No. g:Z?- 1217 7W17 Inspect r: >r Date of nspection: 4- 3 - / 7 Time o Inspection: .' /S Total E4nt Precipitation (inches): Was thi a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See in1brmation below.) NJ Ye ❑ No Please rr rify whether Qualitative Monitoring must be performed during a "representative storm event" "measureable storm event" (requirements vary; depending on the permit). Qualit ive monitoring requirements vary. Most permits require qualitative monitoring to be perforn ied during a "representative storm event" or during a "measureable storm event." However, some rmits do not have this requirement. Please refer to these definitions, if applicable. A "rep esentative storm event" is a storm event that measures greater than 0.1 inches of rainfall and th is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0A inc ies has occurred. A single storm event may contain up to 10 consecutive hours of no precip tation. A "me curable storm event' is a storm event that results in an actual discharge from the permi ed site outfall. The previous measurable storm event must have been at least 72 hours prior. he 72-hour storm interval does not apply if the permittee is able to document that a shorter intery 1 1 is representative for local storm events during the sampling period, and the permittee obtain approval from the local DWQ Regional Office. By thi4lsigpature, I certify that this report is accurate and complete to the best of my knowledge: (Si ittee or Desinee) Last modified 10/25/2012 Pagel of 2 NCDENR Stormwater Discharge Outfall-(SDO) Qualitative Monitoring Report For guidance on filling out thisform, please visit: httR/ rtal.n dear.Qrg/web/wg.lws/su/n/su/npdessw#tab-4 Permit No.: N/C/ G/j2-/ Facility Name: M County: Inspector: Date of Inspection: Time of inspection: T A Total Event Precipitation (inches): • or Certificate of,Coverage No.: Phone No. 9ig-$37- Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) CK 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, Isome 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, 1 certify that this report is accurate and complete to the best of my knowledge: (Signaturof PermittelVor Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 37 1. II-- Outfail Description: ,� Outfall No. Structure (pi e, ditch, etc.) ii�� Receiving Stream: 55e ,J Describe the industrial activities that occur within the outfall drainage area: rw Lof 2. Color: Describe the color of the di (light, medium, dark) as descriptors: ng basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil; weak chlorine odor, etc.): NO , VaJor 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 69 3 4 5 i S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 © 3 4 5 i 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 3 4 5 7. is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes A° 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. `J Page 2 of 2 SWU-242, Last modified 10/25/2012 WDENR Stormwater Dischargp::0utfall,(SDO] Qualitative Monitoring- Report For guidance on filling out this farm, please visit., hup: portal.n d gnr.or web jwq/ws/su n dessw#tab-4 Permit No.: 3/D /a /o l2e/ or Certificate of Coverage No.: Facility Dame: M6M 10i County: Inspector: Date of Inspection: R-11 Time of Inspection: 1114 Total Even t,Precipitation (inches): + " 7S _ Phone No. 92T4,97• QUI 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 E permitted site outfall. The previous measurable storm event must have'beeii at least 72 hours 1 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 1 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: (SignaturMf Perini or Designee) Page 1 of 2 5WU-242, Last modified 10/25/2012 5 1. k "+ Outfall Description: N• _ie •ti � �^ ; Outfall No. Structure [pi e,'ditcli"'etc:)` Receiving Stream: ;'r]�uJtLS5fo ' : ��►/QX ; F' ' __ Describe the industrial activities that occur within the outfall drainage.area: ��►^1G► �.g Grp rA 2. Color: Describe the color of the dis harge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ o bi-bt ham,_ _•__, �_ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, , weak chlorine odor, etc.): /fib ,D'Jar F 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 Q' 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 . •; ,& 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: 1 3 4 5 , 7. Is there any foam in the stormwater discharge?, Yes 8. Is there an oil sheen in the stormwater,discharge?... Yes 1� 9. Is there evidence of erosion or deposition at the outfall? Yes d9 10. Other Obvious Indicators ofStormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 wrrrrrurl► �, NC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http_//portal.ncdenr.org/web/wq/`ws/su/ni2dessw#tab-4 Permit No.: or Certificate of Coverage No.: Facility Name: M&M grAKPRS County: a-e— Phone No. 9,2$- g3 7-all? Inspector: Ke �o Date of Inspection: q-11- Time of Inspection: r Total Event Precipitation (inches): +15 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 0 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 0A 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 cej�ify that this report is accurate and complete to the best of my knowledge: (Signature oUermittee or`besignee) Page 1 of 2 5WU-242, Last modified 10/25/2012 1. Outfall Description: OutLll No. Structure (pipe, ditch, etc.) Receiving Stream: Y+i p_ 1.ri A 55e— G 1C.i Ve r � Describe the industrial activities that occur within the outfall drainage area: PRrg►q�_ df-- 2. Color: Describe the color of the discharge using basic colors(red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: D `r y 3. Odor: Describe any distinct odors 'tyt the discharge may have (i.e., smells strongly of oil; weak chlorine odor, etc.): A 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: S. Floating Solids: Choose the number which best describes the amount of floating solids in I the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: fi 1 �L 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: 1 2 & 4 5 7. is there any foam in the stormwater discharge? Yes to 8. Is there an oil sheen in the stormwater discharge? Yes 60 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 NC®ENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit. - Permit No.: or Certificate -of Coverage No.: Facility Name: _Aj County: CA fmroj Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): Phone No. 42 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) M 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." Howev r, 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 rain and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater ti 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 sh interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this sigpature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of P64:liittee or Pagel of 2 SWU-242, Last modified 10/25/2012 1°114 — 1. Outfall Description: Out all No. � Structure (pipe ditch, etc.) e'ae Rec 2iving Stream: 1 ,S�e e i 61d'r Des _ zribe the industrial activities that occur within the outfall drainage area: P�i'r'fL:na Le ]F e- 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (lig it, medium, dark) as descriptors: McDi uM 43 r•a l 3. Odor: Describe any disti ct odors that the discharge may have (i.e., smells strongly of ail; we k chlorine odor, etc.): , e ado 1^ 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is cle r and 5 is very cloudy: 1 2 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in thE stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 ® 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- 1 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes dV B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 1 . Other Obvious Indicators of stormwater Pollution: Li t and describe I Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition m 3y be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S U-242, Last modified 10/25/2012 7,63 lg, :HCDEHR Stormwater Discharge Outfall,(SDO) . Qualitative Monitoring Report Forguidance on filling out this form, please visit. - Permit No.: NIC/U Facility Name: County Inspector: P Date of Inspection: Time of Inspection: Total Event Precipitation (inches): or Certificate of Coverage No.: N/L/C�/O/$/o/5 /A/ Phone No. Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Z1 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." Howev( 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 rain and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater tl 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 sho 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: (Signature of PO-mittee or DeAgnee) Pagel of 2 SWU-242, Last modified 10/25/2012 Ph _ 7( 1. Outfall Outfall Description: No. Structure( e, ditch, etc.) i X,V" Receiving Stream: _W'uQ�,B De cribe the industrial activities that occur within the outfall drainage area: 0 5,a _ 2. Color: Describe the color of the discharge u ing basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: it _ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil; we ik chlorine odor, etc.): J JJ2 6dj2r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is cle ir and 5 is very cloudy- 0 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 da 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: 1 dD 3 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes (19 1 . Other Obvious Indicators of Stormwater Pollution: List and describe N te: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition m iy be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 4-242, Last modified 10/25/2012 HCDENR Stormwater Discharge Outtall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: Permit No.: N1Q611Q1.;1,Q/41.f110 Facility Name: /D&M OppAtZ5 County: Inspector: Date of Inspection. J l7 Time of Inspection: 1) : 1 S~a, or Certificate of -Coverage No.: Total Event Precipitation (inches): . V' Phone No. Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) JK Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements varyi 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." Howevi 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 rainfal and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater thar 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 sh interval is representative for local storm events during the sampling period, and the permittee obtains annroval from the local DWO Reeional Office. By this sigpature, I certVy that this report is accurate and complete to the best of my knowledge: (Signature o)f Pe�rkttee or Usignee) Page 1 of 2 SWU-242, bast modified 10/25/2012 1. Ou Outfall Description: �Q Fall No. Structure (pip , ditch, etc.) ._ _1 pe,— + Re ., eA eiving Stream: ; JnSSeG De cribe the industrial activities that occur within the outfall drainage area: 2. (li Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint t, medium, dark) as descriptors: i� c>ioe Gy,ia�.�_ 3. Odor: Describe any distin t odors that the discharge may have (i.e., smells strongly of oil; we k chlorine odor, etc.): � 6h 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is cle ar and 5 is very cloudy: 1 2 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in th stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 P 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended so ids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 & 4 5 7. Is there any foam in the stormwater discharge? ,Yes 09 B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfaIl? Yes 1 . Other. Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S U-242, Last modified 10/25/2012 ` MGM Brakes ` Division of Indian Head Industries, Inc P.Q. Box 70-Park Avenue -Murphy, NC 28906 Telephone 7041837-2117 FAX 7041837-7521 November 4, 2016 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 RECEIVED NOV 16 ZU1G CENTRAL FILES DWR SECTION Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the second half of calendar year 2016. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace192317707001, 92317707002-92317707003). The following attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of Custody/Analytical Request Document (2 copies) If you have any further questions, please contact me at (828) 837-2117 ext. 2350. Sincerely, Kenny Sawyer ISSO� Compliance Managerl(ORC) fc F CHAIWOF-CU,e--'�)DY I Analytical Request Document. The Chain -of -Custody is a LEA, L DOCUMENT. All relevant fields must be completed accurately. %.. 75ce Analytical • www,paeHah=,eom Section A Section B Section C Page: ' of / — Required Client Information: Required Project Information: invoice Information: ryS Company: G Report To: Attention: 3 eC5 E'�l E1, n �Ja r s e,r O$ 6 V 5 Address: Copy PR,IC vG. h 4,J( `7'J Te: company Name: REGULATORY. AGENCY . _;Qg0 Address: C;-"NPDES r GROUND WATER f— DRINKING WATER f LISTr RCRA jOTHER Em it To: '' �+ Purchase @ Order No.: Pace Quote -tCr+ P. M&t gj:Q t:'5t' Reference: — P G Fa Project 29 ''�37 7sa N r+'.f Pace Preiect Site Location - 1(� M 5 4�+ G r Manager: STA TE: J► �(� L. � Requested Due DatorrAT: Project Number: Pars Profile #: Requested Analysis Filtered (Y1N) Section D Matrix Codes m z Required Client Information MATRIX 1 CODE- o COLLECTED Preservatives y Drinking Water DW m 0 zO Water. WT Waste Water WW 3322 n U on co E coMPosii e Product p m ARi START ENOIGRAe J Z SONS01A SL m C7 p y } SAMPLE ID Oil wP " ¢ z wipe (A-Z, 0-9! ; Air AR0 w Lu Q Sample tDs MUST BE UNIQUE Tissue TS O a w Other OT O = -, -1 z L) of a,In-O _ Q � C o } 7 a a O' OZ H N DATE TIME DATE TIME N O Z) 3 0- Z L O a y Pace Project No-! Lab I.D. 1 6m w G OA-J 1L'i lo-,17-k 1,2 qi � 2 f� r r �r -J V A y s t r �I #605 G 2' 3G 3 1C a 5 - 6 7 ,B 9 10 ' 11 12 ADDITIONAL COMMENTS RELINQUISHED BY AFFILIATION DATE TIME ACCEPTED BY t AFFILIATION DATE TIME SAMPLE CONDITIONS - lv.� T r�•9� art,, S� >�e Ire SAMPLER NAME AND SIGNATURE u o PRINT Name SAMPLER: of EDATE of SAMPLER: 77 1 'F m ~ e� a L) -aSIGNATURE U) (MMIDDIYYI: �� rn •Important Note: By signing this form you are occepting Pace's NET 30 day payment terms and agreeing to tale charges or 1.5 % per month for any invoices at pae within 30 dens. F-ALL.-0-020rev.07, 15-May-2007 Instructions for completing Chain of Custody (COC) 1. Section A and B: Complete all Client information at top of sheet: cdmpany name, addre;ss_ phone, fax, con tact! (thc-&rsun to contact if there are iquotions, and ivho will receive the final report), e-mail address (if available), 110#, Project Name and/or Project-Nurnbcr as -you would -like to see it . aplwar iin the report. 2. Section C: Invoice Information: • Billing intormiation is Included in this section. This information should include the; name and address of the pui-soti receiving the invoice. — 3. Quote Reference should be completed ifa: quotation was provided by Pace Analytical. The Project Manager, and Profile No. will be completed by Pace Analytical Services. - _ _- - F 4. Site Location: A sc;paratc COC must be filled out for each day of saltlple collection. Record the two letter postal code for the US state in which the samples were collected. i 5. RejZulatory Ap_ency: List the program.that is guiding tic; work to ensure proper regulations are followed. 6. Section D: Complete a Saunple Description in the "SAMPLE ID' section as yOIE would like it to appear on [lie laboratory report, The following inforniation should also lie included: the sample matrix, sample type (G(grab) or C (composite). When collecting a composite, the start time and end time should be docunient6d in tliv respective boxes. `l7ic collection time fora grab (G) sample should be entered in the boxes marked 'Composite l end/Grtb'),1Sample temp at collection (if required by :Mate), the total number of containers, and preservative used. 7. Mark ifthe sa.mplc; was lilturcd in the field by marking Y or N ire- T iltercd' row.by the.Analvsis ruqucstcd. Y , Z. S. Requested Analysis: List the required -tnal),giS and Iitcthods on the lilies provided and 1ilalci a chuck in the column for the; samples 1`46iring the analysis. Additional commentsshould be rc:fcreiiCcd in the bottonn left Band curlier or irlcludc'attaclzmcnts f6r extendcid lists of parameters, r u 9. The sampler should print their name in 'thc space provided and sign their name followed by the date of Ilia :sampling event at the bottom of tltc COC in the spaces dcsignatc:d'for `SAMPI. FR NANIF AND SIGNAI'UItE'.: ; 10, When relinquishing custody of the samples to a representative of the laboratory or other organization, tltdicatc the Item Numbcrs of those samples - being trans1`errcd; sign rc;linquished by, date and time; and include t'ouFaffiliatioit. — * 1 m portant ,Note: Standard Turnaround Time is 2 Weeks/10 business days. Results will be delivered by end of business on the date due unless elder anangemcnts have been made with your project manager. ti Special Project Requirements such as Low Level Detection Limits or level of QC reported must be included oil tlic chain of custody in the Additional Comments section. Document Name: Document Revised: Sept. 21, 2016 Sample Condition Upon Receipt(SCUR) Page 1 of 2 �.aceAnalytical" Document No.: issuing Authority: F-CAR-CS-033-Rev.01 Pace Quality Office Laboratory receiving samples: Asheville Eden[] Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑ Client Name: WO# : 923177Q7 Project q: �I1 I I I I I I4I Courier: ❑Fed Ex ❑UPS ❑U5P5Client ❑ Commercial ❑Pace ❑Other: 92317707 Custody Seal Present? ❑Xes ❑No Seals Intact? Yes ❑No Date/Initials Person Examining Contents: Packing Material: _��bble Wrap ❑Bubble Bags ❑None ❑Other: Thermometer: Gun ID:� Type of Ice; "" ❑Blue ❑None amples on ice, cooling process has begun Correction Factor: Cooler Temp Corrected ('C): '� , ' Biological Tissue Frozen? Oyes ❑No'_9N/A Temp should be above free ing to VC USDA Regulated Soil ( N/A, water sample) Did samples originate in a quarantine zone within the United States: CA, NY, or SC(check maps)? oid samples originate from a foreign source (internationaliy, MvpY FINn includine Hawaii and Puerto Rico)? nYes ❑No Comments/Discrepancy: Chain of Custody Present? � []NO ❑NIA 1. samples Arrived within Hold Time? Yes ❑No ❑N/A 2. Short Hold Time Analysis (<72 he.)? ❑Yes ❑N/A I,,.,��a Rush Turn Around Time Requested? ❑Yes ErNo ❑N/A 4. Sufficient Volume? Yes []No ❑N/A 5. Correct Containers Used? -Pace Containers Used? ETYes es ❑Na ❑No ❑N/A ❑N/A 6. Containers Intact? Yes ❑No ❑N/A 7. Samples Field filtered? []Yes ❑No N/A S. Note if sediment is visible in the dissolved container Sample Labels Match COC? -Includes Date/Time/ID/Analysis IdYes Matrix: fiu� [-]No ❑N/A 9. Headspace in VOA Vials (>5-6mm)? []Yes []No 1291A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes Dyes [Duo ❑No EN/A EJd1A 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Date/Time: Comments/Sample Discrepancy: Field Data Required? ❑Yes [:]No Project Manager SCURF Review: 4rDate: f O/-Z / Project Manager SRF Review: �� Date: p Nate: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp, incorrect containers) Page 13 of 15 9800 Kincey Ave., Suite 100 acmnafyticai Huntersville, NC 28078 wwwpacelabs.com (704)875-9092 SAMPLE ACKNOWLEDGMENT Samples Submitted By: MGM Brakes Pace Project Manager: Chris Derouen Client Project ID: MGM Stormwater 10127 Phone (704)875-9092 christopher.derouen@pacelabs.com Client PO#: Pace Analytical Project ID: 92317707 Samples Received: October 28, 2016 09:17 AM Estimated Completion: November 11, 2016 CC: Kenny Sawyer,Mr. Tom Fasig Pace Analytical Date/Time Customer Sample ID Lab 10 Matrix Collected Method MGM OUTFALL 1 4 92317707001 Water 10/27/16 12:45 200.7 1CP Metals Arsenic, Cadmium, Chromium, Copper, Lead; Molybdenum, Nickel, Silver, Zinc, Selenium 25401)'I'otal Suspended Solids HEM, Oil and Grease MG OU1'FALL # 5 92317707002 Water 10/27/16 12745 200.7 ICP Metals Arsenic. Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel. Silver, Line, Selenium 2540D Towl Suspended Solids HI-M, Oil and Grease MGM OU'1FALL fi 6 92317707003 Water 10/27/16 12'45 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper. 1, cad. Molybdenum, Nickel, Silver, Zinc. Selenium 2540D'rowl Suspended Solids 111-M, Oil and Grease Please contact your project manager if you recognize any discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. 1n12ar2o16 oa:n6 PM Page 1 of 1 f l Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No.1 NCG030000 Date submitted 77r7yArJh�c°r- CERTIFICATE OF COVERAGE NO. NCG03 D' -3 . SAMPLE COLLECTION YEAR FACILITY NAME /G�? i2i 1't5 t " 'SAMPLE PERIOD ❑ Jan -June July -Dec COUNTY Ctiero fie. or ❑ Monthly' month PERSON COLLECTING SAMPLES n - DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY &er- A, a#/ S�,rr Lab Cert. # ❑Zero -flow_ []Water Supply ❑SA Comments on sample collection or analysis: _]Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 Part A: Stormwater Benchmarks and, Monitoring Results - I❑ No discharge this period?z ' Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-ho6r 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 nig/L 0.067 mg/L 15 mg/L 1 mg/L s "r 4 , S . ®�� < ,ear2qe < 5- 7,/ S� M 's Z L eases A, 3 � i 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. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this -permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as�found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in.40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 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 clify, 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. Name (Print �� na e) . ]SD" C�Drnn��a.nc��• Iv,C�.Yt�9Pi✓' . 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 oilper month. - - n No discharae this Deriod?2 OutfaN No. T Date Sample Collected1 (mo/dd/yr) 24-h6ur 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 i * 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'^/25/2012 �j I Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: c4ce, Mail an on inal and one co of this DMR including all "No Dischar e" reports, within 30 days o recei t of the lab results for at end of monitoring eriod in the case o "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in.accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." _ j i - S/— 16 (Signs re of ermi ee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Pat McCrory Governor A �A . NCDENR North Carolina Department of Environment and Natural Resources July 14, 2014 John E. Skvaria, III Secretary _ at MGM Brakes, Division of Indian.Head:lndustries,' Inc. ATTN' .Mr:.Tom Fasig; Engineering Manager /� f POD B69-J- * t , Park.Avenue rt. Murphy, North Carolina 28906 SUBJECT *'.:NPDES Stormwat6rlpb mlt Request far Regulatory"'=Relief , r' - t MGM Brakes, Division,of fndian Head;lndustries,ilnc::,`•, r_ General Permit No: NCG030000; CDC No- NCG030530 Cherokee County >> Dear -Mr. Fasig: On June 24, 2014 we received.;yourCsdbmlttal.of additional information in response -to our December=2013 irfspectio'n' and: letter{,requesting additional actions acid testing.. Your submittal-indicated=that•MGM.Btakes hbs,.implemented additional actions_ such as more frequent parking lot Sweeping; and covered storage`of.ali metal products. Monthly - monitoring has beeh'triggered Ijy;two consecutive exceedances of,the zinc and.copper benchmarks imStorm Drain Outfall'Nos.' q4, 05, and 06 of your.faclllty.••Plepse,keep in mind that benchmark exceedances "are:NOT Iimit violations or violations of ,permit conditions, Iiowever, you -are obligated to follow the.tiered response actions outlined in your permit. MGM Brakes has•been following the tiered response actions and therefore - is -in -compliance -with -the -permit. — -- ----- — — - - As part of tiered response, MGM Brakes has initiated housekeeping actions that appear to have addressed process, exposures; however, the zinc and copper benchmarks continue to be exceeded. In addition;' MGM Brakes has identified likely non -process sources of zinc including galvanized building material, and testing has corifirmed zinc contributions from these areas. There are potential process sources of zinc, but these operations are located indoors or under cover with limited exposure to stormwater. Based on the aforementioned items, we are granting regulatory relief in the form of a collapsed Tier 2 — Tier 3` response. Upon receipt of this letter, MGM Brakes may resume the permit specified semi-annual analytical monitoring for the remainder of the current permit term. Your current permit is set to expire on October 31, 2017. This decision only applies to the zinc and copper benchmarks. A benchmark exceedance Division of Energy, Mineral, and Land Resources — Land Quality Section Asheville Regional Ofce, 2090 US Highway 70, Swannanoa, North Ca-rolina, 28778-8211 Telephone 828-296-4500 Fax 828-299-7043 Inc 11' Mr. Tom Fasig : July 14, 2014 Page 2 of 2 of any other parameter listed in your permit will trigger tiered response actions_ as described in the general permit. You must notify this office in writing, within five business days, if you become aware of any significant source of zinc or copper at your facility that has the potential to -be exposed to stormwater, The relief granted ,in this letter is contingent upon.. the current, industrial practices at MGM Brakes.. •If industrial practices;c tinge and zinc �and-copper do become significant stormwater exposure "risks ffidn'this-office`: reserves the right to`' withdraw this decision and reinstate 'the, permit specified, tiered response or other actions that may he warrahted by the new set of circumstances. Please retain and append this letter, to your. Stormwate.r Pollution • Prevention Plan i -- - - . -t... •ti -_ - -. (SPPP) or:permif. 'If you have_any questions or comments concerning this letter,`�please-- contact Jeff Wait or me a t(828)`-296°4500; -,IV t, Sincerely, r[. 'Laura:Herbert,. PE. 'Regional Engineer. ,. ec' Bethany Georgoulias,':RCQ r.. C� r aceAnalXical www.paoelabs.coM November 03, 2016 Kenny Sawyer MGM Brakes PO Box 70 229 Park Ave Murphy, NC 28906 RE: Project: MGM Stormwater 10/27 Pace Project No.: 92317707 Dear Kenny Sawyer: Pace Analytical Services, LLC 2225 Riverside Or. Asheville, NC 28804 (828)254-7176 Enclosed are the analytical results for sample(s) received by the laboratory on October 28, 2016. The results relate only to the samples included in this report. Results reported h erein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures cc: Mr. Tom Fasig, MGM Brakes REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 1 of 15 Pace Analytical Services, LLC c IOC,nalytiCa�` 2225 Riverside Dr. Asheville, NC 28804 WWW..Pacelabs.wrrr (828)254-7176 CERTIFICATIONS Project: MGM Stormwater 10127 Pace Project No.: 92317707 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Nuntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #: 37706 Florida)NELAP Certification #: E87627 North Carolina Field Services Certification #; 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 VirginiafVELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NC030 VirginiatVELAP Certification #: 460222 North Carolina Drinking Water Certification #: 37712 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 2 of 15 aceAnaljftal www.pacdRuoam Project: MGM Stormwater 10127 Pace Project No.: 92317707 Lab ID Sample ID 92317707001 MGM OUTFALL # 4 92317707002 MGM OUTFALL # 5 92317707003 MGM OUTFALL # 6 Pace Analytical Services, LLC 2225 Riverside Or, Asheville, NC 28804 (828)254-7176 SAMPLE ANALYTE COUNT Method Analysts Anatytes Reported Laboratory EPA 1664B JMS 1 PASI-C EPA 200.7 SER, SH1 10 PASI-A SM 2540D MJS1 1 PASI-A EPA 1664B JMS 1 PASI-C EPA 200.7 SER, SH1 10 PASI-A SM 2540D MJ51 1 PASI-A EPA 1664E JMS i PASI-C EPA 200.7 SER, SH1 10 PASI-A SM 2540D MJS1 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 15 aceAnalj6dal ANALYTICAL RESULTS Pace Analytical SorviceS, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: MGM Stormwater 10127 Pace Project No.: 92317707 Sample: MGM OUTFALL # 4 Lab ID: 92317707001 Collected: 10/27/16 12:45 Received: 10/28/16 09:17 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Kenny 1 10/27/16 12:45 Swayer Collected Date 10127/16 1 10/27/16 12:45 Collected Time 12:45 1 10/27/16 12:45 Field pH 6.56 Std. Units 0.10 1 10/27/16 12:45 Field Temperature 18.6 deg C 0.50 1 10127/16 12:45 HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1 11/03116 10:30 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug/L 10.0 1 11101/1618:00 11/0211619:50 7440-38-2 Cadmium ND ug/L 1.0 1 11101/1618:00 11102/1619:50 7440-43-9 Chromium ND ug/L 5.0 1 11101/1618:00 11/02/1619:50 7440-47-3 Copper 12.0 ug/L 5.0 1 11101/1618:00 11/0211619:50 7440-50-8 Lead ND ug/L 5.0 1 11/01/16 18:00 11/02/16 19:50 7439-92-1 Molybdenum ND ug/L 5.0 1 11/0111618:00 11103/1614:12 7439-98-7 Nickel ND ug1L 5.0 1 11/01/1618:00 1110211619:50 7440.02-0 Selenium ND ug1L 10.0 1 11101/1618:00 11/0211619:50 7782-49-2 Silver NO ug1L 5.0 1 1110111618:00 1110211619:50 7440-22-4 Zinc 290 ug1L 10.0 1 11/01/1618:00 11102/1619:50 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 33.7 mg/L 4.2 1 10/31/16 14:17 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2016 05:05 PM without the written consent of Pace Analytical services, LLC. Page 4 of 15 ace Analytical www.pacekbsrnm ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: MGM Stormwater 10/27 Pace Project No.: 92317707 Sample: MGM OUTFALL # 5 Lab ID: 92317707002 Collected: 10127116 12:45 Received: 10/28/16 09:17 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Kenny 1 10/27/16 12:45 Sawyer Collected Date 1 D127116 1 10/27/16 12:45 Collected Time 12:45 1 10/27/16 12:45 Field pH 6.29 Std. Units 0.10 1 10/27/16 12:45 Field Temperature 18.9 deg C 0.50 , 1 10/27/16 12:45 HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 11/03116 10:30 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug/L 10.0 1 11/01/1618:00 1110211619:53 7440-38-2 Cadmium ND ug/L 1.0 1 11101/1618:00 1110211619:53 7440-43-9 Chromium ND ug/L 5.0 1 11/01/1618:00 11/02/1619:53 7440-47-3 Copper 5.4 ug/L 5.0 1 11/0111618:00 1110211619:53 7440-50-8 Lead ND ug/L 5.0 1 11/01/1618:00 11102/1619:53 7439-92-1 Molybdenum ND ug/L 5.0 1 11/0111618:00 1110311614:15 7439-98-7 Nickel ND ug/L 5.0 1 1110111618:00 1110211619:53 7440-02-0 Selenium ND ug1L 10.0 1 11/01/1618:00 1110211619:53 778249-2 Silver ND ug/L 5.0 1 11/01/1618:00 1110211619:53 7440-22-4 Zinc 189 ug/L 10.0 1 11/01/1618:00 1110211619:53 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 24.8 mg/L 3.1 1 10/31/16 14:18 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2016 05:05 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 15 aceAnalytical www.paceta8s.cem ANALYTICAL RESULTS Pace Analytical Servlces, LLC 2225 Riverside or. Asheville, NC 28804 (828)254-7176 Project: MGM Stormwater 10127 Pace Project No.: 92317707 Sample: MGM OUTFALL # 6 Lab ID: 92317707003 Collected: 10/27116 12A5 Received: 10/28/16 09:17 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual Field Data Analytical Method: Collected By Kenny 1 10/27/16 12:45 Sawyer Collected Date 10/27/16 1 10/27/16 12:45 Collected Time 12:46 1 10/27/16 12:45 Field pH 6.63 Std. Units 0,10 1 10/27/16 12:45 Field Temperature 18.9 deg C 0,50 1 10/27/16 12:45 HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 11/03/16 10:30 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug1L 10.0 1 11/0111618:00 11/0211619:57 7440-38-2 Cadmium ND ug1L 1.0 1 11101/1618:00 11/0211619:57 7440-43-9 Chromium 6.8 uglL 5.0 1 11/0111618:00 11102/1619:57 7440-47-3 Copper 13.0 ugA- 5.0 1 1110111618:00 11/02/1619:57 7440-50-8 Lead 5.4 "' ug1L 5.0 1 11/0111618:00 11102/16 19:57 7439-92-1 Molybdenum ND uglL 5.0 1 11/01/1618:00 11/03/1614:18 7439-98-7 Nickel ND ug1L 5.0 1 11/01/1618:00 1110211619:57 7440-02-0 Selenium ND ug1L 10.0 1 11/01/1618:00 11102/1619:57 7782-49-2 Silver ND ug/L 5.0 1 11/01/1618:00 11/02/1619:57 7440-22-4 Zinc 366 ug1L 10.0 1 11/0111618:00 11/0211619:57 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 67.0 mglL 4.2 1 10/31/16 14:18 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 11/03/2016 05:05 PM without the written consent of Pace Analytical Services, LLG. Page 6 of 15 aceAnalytical wwwpacubbs cunt QUALITY CONTROL DATA Project: MGM Stormwater 10127 Pace Project No.: 92317707 QC Batch: 335529 Analysis Method: EPA 1664B QC Batch Method: EPA 16648 Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92317707001, 92317707002, 92317707003 METHOD BLANK: 1860036 Matrix: Water Associated Lab Samples: 92317707001, 92317707002, 92317707003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 11/03/16 10:30 Paco Analytical Services, LLC 2225 Riverside or. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 1860037 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease m911- 40 38.0 95 78-114 MATRIX SPIKE SAMPLE: 1860038 35273559002 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 5.5 40 43.1 94 78-114 Results presented on this page are In the units Indicated by the "units" colunn except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/0312016 05:05 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 15 aceAnalytical wwwpacetrbs c om QUALITY CONTROL DATA Project: MGM Stormwater 10127 Pace Project No.: 92317707 QC Batch: 335152 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92317707001, 92317707002, 92317707003 METHOD BLANK: 1857905 Matrix: Water Associated Lab Samples: 92317707001, 92317707002, 92317707003 Blank Reporting Parameter Units Result Limit Analyzed Arsenic ug1L ND 10.0 1110211618:05 Cadmium ug1L ND 1.0 11/02/1618:05 Chromium ug1L ND 5.0 11102/1618:05 Copper ug1L ND 5.0 1110211618:05 Lead ug1L ND 5.0 1110211618:05 Molybdenum ug1L ND 5.0 1110311614:06 Nickel ug1L ND 5.0 1110211618:05 Selenium ug1L ND 10.0 11102/1618:05 Silver ug1L ND 5.0 11/02/1618:05 Zinc ug1L ND 10.0 11/02/16 48:05 Qualifiers LABORATORY CONTROL SAMPLE: Parameter 1857906 Units Spike Conc. LCS Result LCS % Rec % Rec Limits Arsenic uglL 500 464 93 85-115 Cadmium ug1L 600 488 98 85-115 Chromium ug1L 500 487 97 85-115 Copper ug1L 500 495 99 85-115 Lead ug1L 500 479 96 85-115 Molybdenum ug1L 500 542 108 85-115 Nickel ug1L 500 472 94 85-115 Selenium ug1L 500 480 96 85-115 Silver ug1L 250 248 99 85-115 Zinc ug1L 500 496 99 85-115 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Qualifiers MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1857907 1857908 MS MSD 92317334001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Arsenic ug1L ND 500 500 486 497 96 98 70-130 2 Cadmium ug1L ND 500 500 461 472 92 94 70-130 2 Chromium ug1L ND 500 500 466 474 93 95 70-130 2 Copper ug1L ND 500 500 495 508 98 101 70-130 3 Lead ug1L N❑ 500 500 454 464 91 93 70-130 2 Molybdenum ug1L 0.011 500 500 503 522 98 102 70-130 4 mg/L Nickel uglL 0.014 500 500 458 468 89 91 70-130 2 mg/L Selenium ug1L ND 500 500 486 500 97 99 70-130 3 Results preceded an this page are In the units Indicated by he "Units" column except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 14/03/2016 05:05 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 15 aceAnalytical e www.paae kbs cam QUALITY CONTROL DATA Pace Analytical Services, LLC 2225 Riverside Dr, Asheville, NC 28604 (828)254-7176 Project: MGM Stormwater 10127 Pace Project No.: 92317707 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1857907 1857908 MS MSD 92317334001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Silver ug1L ND 250 250 244 249 97 99 70-130 2 Zinc ug1L 0.028 500 500 514 528 97 100 70-130 3 mg1L MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1857909 MS 92317795001 Spike Parameter Units Result Conc. MSD Spike Conc. 1857910 MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual Arsenic ug1L ND 500 500 475 454 95 91 70-130 5 Cadmium ug1L ND 500 500 467 441 93 86 70-130 6 Chromium ug1L ND 500 500 473 446 95 89 70-130 6 Copper ug1L 8.8 500 500 508 494 100 97 70-130 3 Lead ug1L 5.3 500 500 470 452 93 89 70-130 4 Molybdenum ug1L ND 500 500 504 481 101 96 70-130 5 Nickel ug1L ND 500 500 456 434 91 87 70-130 5 Selenium ug1L ND 500 500 499 479 99 95 70-130 4 Silver ug1L ND 250 250 246 233 98 93 70-130 5 Zinc ug/L 156 500 500 642 615 97 92 70-130 4 Results presented on this page are In the units Indicated by he'Units" colurm except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 11/03/2016 05:05 PM without the wrinen consent of Pace Analytical Services, LLC. Page 9 of 15 to aceAnalytical www.pace4ftoom QUALITY CONTROL DATA Project: MGM Stormwater 10127 Pace Project No.: 92317707 Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QC Batch: 335111 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92317707001, 92317707002, 92317707003 METHOD BLANK: 1857665 Matrix: Water Associated Lab Samples: 92317707001, 92317707002, 92317707003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 10/31/16 14:15 LABORATORY CONTROL SAMPLE: 1857666 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 268 107 90-110 SAMPLE DUPLICATE: 1857667 92317814001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 287 240 18 D6 SAMPLE DUPLICATE: 1857668 92317769001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L ND ND Results presorted on this page are In the units Indicated by the "units" column except where an alternate unit Is presented to the fight of the resuit REPORT OF LABORATORY ANALYSIS This report shall not he reproduced, except in full, Date: 11/03/2016 05:05 PM without the written consent of Pace Ana tyticaI Services, LLC. Page 10 of 15 0 aceAnalytical www.pacera6scom QUALIFIERS Project MGM Stormwater 10l27 Pace Project No.: 92317707 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result far each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis ofAcrolein and Acrylonitrile by EPA Method 8260. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A PaceAnalyticalServices- Asheville PAST-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 . The precision between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2016 05:05 PM without the written consent of Pace Analytical Services, LLC. Page 11 of 15 aceAnalylical www.peoelabicvm QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: MGM Stormwater 10127 Pace Project No.: 92317707 Pace Analytical Services, LLC 2225 Riverside Dr, Asheville, NC 28804 (828)254-7176 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92317707001 MGM OUTFALL # 4 92317707002 MGM OUTFALL # 5 92317707003 MGM OUTFALL # 6 92317707001 MGM OUTFALL # 4 EPA 1664E 335529 92317707002 MGM OUTFALL # 5 EPA 1664B 335529 92317707003 MGM OUTFALL # 6 EPA 1664B 335529 92317707001 MGM OUTFALL # 4 EPA 2003 335152 EPA 200.7 335326 92317707002 MGM OUTFALL # 5 EPA200.7 335152 EPA 200.7 335326 92317707003 MGM OUTFALL # 6 EPA 200.7 335152 EPA 200.7 335326 92317707001 MGM OUTFALL # 4 SM 2540D 335111 92317707002 MGM OUTFALL # 5 SM 2540D 335111 92317707003 MGM OUTFALL # 6 SM 2540D 335111 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 11/03/2016 05:05 PM without the wr€tten consent of Pace Analytical Services, LLC, Page 12 of 15 A 0 Cn 3 O a 9 m S 0 > C. v � Y � n 3 2 M mr et o t0 Y � a O a Ln CD C 3 CD Y v CL a � L1C 2 'a Y o a � C c a a a 1° ro 2 Y C m 4 a N W o o m a+ u+ a w N ~ Remit /�r zzz�) BP4U-125 mL Plastic Unpreserved (N/A) (CI-) BP3U-250 mL Plastic Unpreserved (NIA) BP2U-500 mL Plastic Unpreserved (N/A) BP1U-1 liter Plastic Unpreserved (NIA) /� BP3S-250mL Plastic H2SO4 (pH a 2) (CI-) / ` BP3N-250 mL plastic HNO3 (pH < 2) / / / / BP3Z-250 mLPlasticZN Acetate & NaOH (>9) BP3C-250 mL Plastic NaOH (pH > 12) (CI-) WGFU-Wide-mouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved (N/AJ (Cl-) AG1H-2 literAmber HCI (pH < 2) AG31.1-250 mL Amber Unpreserved (N/A) (CI-) AGiS-1 liter Amber H2SO4 (pH < 2) AG3S-250 mL Amber H2SO4 (pH < 2) AG3A(DG3A)-250 mL Amber NH4CI (N/A)(C!-} DG9H-40 mL VOA HO (N/A) VG9T-40 mL VOA Na2S203 (N/A) - VG91.1-40 mL VOA Unp (N/A) DG9P•40 mL VOA H3PO4 (N/A) VOAK (b vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (N/A) SP5T-125 mL Sterile Plastic (N/A - lab) SP2T-250 mL Sterile Plastic (N/A -- lab) zz- z z / / 7 z SP3A-250 mL Plastic (NH2)2504 (9.3-9.7) Cubitainer VSGU-20 mL Scintillation vials (N/A) GN r r r Ot PaceAnalyiical- CHAIN-OF-CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. . Page: I of / Section A Section B Section C rho i�•^1 d 7 Required Client Information: Required Pro;'ect Information: Invoice Information: Comp " 'A G e Report TO: e"� n s�� C t Allenlion: II y![� 2 O 8 L' v Addms : Capy To: Company Name: REGU TORY AGENCY r 70 Address: I NPDES r` GROUNDWATER i DRINKING WATER Ah-@ I UST RCRA- Purchase Order No.: Paco Quoin /V1 QA $ lxereranoar P�o Project Na PMo PIVjW Site Location STA TV: -- �• - Requested Due DaterTAT: Projoci Number: Paw PmG,o n: Requested Analysis Filtered (YIN) Section D Matrix Codes — .-r z RCsaei iai«m.,� wTRix r cone o COLLECTED Preservatives i Drinking water Ow g O(1 o water wr ww COMPOSITE Eawastewater , U z Poduce P SaiUSalid St. START Lq y SAMPLE ID al OL m z �; r N w a) Wipe wP tA•Z, 0-9 1; j Air AR p w a Z n to a Sample IDs MUST BE UNIQUE Tissue TS O o- m La U Other OT I-)Z OIA F. o X w m N -� �`�I� f G — T2 w DATE TIME DATE TIME N 2t 7 x? Y Z O a y PBCC Project No -I Lab I.D. 3 1 [ X 21 it Ji A -- 31 t .t 41 5 C, 4 5 6 7 B 9 10 12 ADDITIONAL COMMENTS REUNOUISNED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFI TION DA TIME SAMPLE CONDMONS 21 Ak 3 '1✓e,,. G SAMPLER NAME AND SIGNATURE ORIGINAL vz Sz PRINT Name of SAMPLER: Br a ' 5- � n v z m E m u m} N E} N SIGNATURE of SAMPLER: DA71: Signed fD ��7 I MMIt]DIYYis / to hnpartwk Note: 0y smug the loom you are aeccpleg Paca's NET 30 day payment Imen Mnd agreeag to late charges of 1.5%per month for rrny nva AL paid within 3019ys. F-ALL-0-020rev.07, 15-May-2007 C . �, fib+�_• •*� NCDENR Stormwater Discharge Outfall (SDO) . r Qualitative Monitoring Report For guidance on filling our this form, please visit: http:.//portal.ncdenr.org/web/w(i/ws/su/npdessw#tab-4 Permit No.: or CertiFcate of Coverage No.: Facility Name: 16W i6RA*E5 _ County: e- Phone No. 8:?19. Inspector: ev Date of Inspection: 7-'7-/L _ Time of Inspection: IZ -, .14 P /,. Total Event Precipitation (inches): , ZS Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No ,41 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 rio 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 Relzional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signaturetf Permittee ci(Designee) SWU-242, last modified 10/25/2012 Page'1 of 2 1. Outfall Description: Outfall No. Structure ipe, ditch, etc.) Receiving Stream: 9--AVle- Describe the industrial activities that occur within the outfall drainage area:PArICi 'q _ Z_ 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, -medium, dark) as descriptors: Lr f [fir 3. Odor: Describe any distinct odors that the discharge may have,(i.e., smells strongly of oil, weak chlorine odor, etc.): __ tfo ►, 4. Clarity: Choose the number which best describes the'clarity of the discharge, where 1 is clear and 5 is very cloudy: . 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and S is the surface covered with floating solids: 1 a . 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: 1 Q 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 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 I F NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report - For guidance on filling out this form, please visit: h t ): portal.ncdenr,org/web/%vcl/w,/sLi/npdcsavv#tab-4 Permit No.: ]v/C or Certificate of Coverage No.: N Facility Name: G M County: e.r ee- Phone No. gig girl all?. Inspector: Date of Inspection: 210- Time of Inspection: 1 Z A U e Total Event Precipitation (inches):. ► Z-5.,. Was this a "Representative Storni 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'requirernents 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 lip to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature] certify that this report is accurate and complete to the best of my knowledge: . 1 .0 (Signature df Permittee f Designee) n Page 1 of 2 5WU-242, Last modified 10/25/2012 Pk = L • z`� 1. Outfall Description: Q Outfall No. Structure (pipe, ditch, etc.) ! �. Receiving Stream: CC Describe the industrial activities that occur within the outfall drainage area: 174�i•'6Lam` 2. Color: Describe the color of the discharge usg basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: )Ar 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): W r,_, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is 0. clear and 5 is very cloudy: 1. 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: f� 3 ... 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended , solids in the stormwater discharge, where l is no solids and 5 is extremely muddy:. 1 © 3 4.. 5 7. Is there any foam in the stormwater discharge? Yes ® ; B. 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 ofStormwater Pollution: List and describe 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. (C. Page 2 of 2 SWU-242, Last modified 10/25/2012 C. A NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http//po►•tal.ncdenr.ore/web/wq/ws/su/npdessw#tab-4 Permit No.: N/C/6/Qf 3/ 0/o /!Q,/ o/ or Certificate of Coverage No.: Facility Name: 146M e40465 County: ]l- Phone No. gal- 93 -a 1t17 Inspector: sn nN -1�4K-) ✓ Date of Inspection: 1brL7-1G Time of Inspection: l 2, ; 30 c� Total Event Precipitation (inches): , 7S-" Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) LPJ 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 j 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 rio I precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measufable 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 Reizional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (SignaturggPermittJor Designee) SWU-242, Last modified 10/25/2012 Pagel of 2 1. Outfall Description: outfall No. _. � Structure ( ipe, ditch, etc.) ! 1� _ _ Receiving Stream: i�;p�S� -Zme r De Tribe the industrial activities that occur within the outfall drainage area: P19 r,K�ria J 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light,:medium, dark) as descriptors: 2 ; Vnt 3. Odor: Describe any distinct odor that the discharge may have. (i.e., smells strongly of oil, weak chlorine odor, etc.): A16 - _D��►- __ ___ 4. Clarity: Choose the number which best describes_ the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2.' 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 P 3 4 . 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 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 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 "Based on 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 leak, spill -or dumping of. concentrated toxic organics into the stormwater or onto 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 all the provisions of the Solvent Management Plan included in the Stormwater Pollution Prevention Plan." (Sigt - Witte i (Date) 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 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: 1I 1 r f EE )) I Gr L Tr�dt Q r� c wed Ot 4,t N.ar �l /'� �lY�" Z, ,v l,A IV i-,b �c� Mail on original and one copy of this DMR,_ including oil "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case 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 bermihee) [Date] Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 `J1 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Perm_ it No I,NCG030000 Date submitted' 22yern6er- CERTIFICATE'OF COVERAGE NO. NCG03 4 .5- 3- o FACILITY NAME COUNTY CGIP,,-o ee - t PERSON COLLECTING SAMPLES r� - LABORATORYP AI : Akv, . ' Lab Cert: W� - ' µ Comments on sample collection or analysis:- •- Part A: Stormwater Benchmarks and Monitoring Results ' SAMPLE COLLECTION .YEAR G4/Co - 'SAMPLE PERIOD- ❑ Jan -June 91u'ly-Dec .., . or Monthlyl .. , . (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 n No dischorae this oeriod?2 Outfall No. Date Sample Collected 1 (mo/dd/yr)- 24-hour rainfall .amount, Inches'- E tizy , ; , Total Suspend ed'Solids .'s +., _ ;. pH, Standard units 'w t. :.,• " fi Copper ,yx " Lead x 1 E `,?'k .' . _ Zinc- Non -Polar O&G/ : Total Petroleum.. Hydrocarbons fTotal:Toxic Organics s Benchmarks =__> _ - 100 mg/L or 50 mg/L 6.0'- 9.0 0.o07,:mg/L ; 0:033`r6g/l.. 0.067 mg/L 15 mg/L, :1 mg/L .17 7'� S� N *U / � Z ••L ADS � < 1 Monthly sampling (instead of;semi-annual) must'begin with the second'corisecutiGe benchmark exceedance for.the same parameter at the same outfall. 3 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 dafa from an 'on-site:rain gauge. ;U,nattended,sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for -those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes.- For`purposes'of-this'-permit the definition of•Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition asifound 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)... y Permit Date: 11/112012-10/31/2017 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: 4 "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit m nitoring 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 ln'the Stormwater-Pollution Prevention Plan.".. Name (Print pa e) S0 CDC �C1.nG� ly 1Csl Ft0-!? Title (Print title) (Signature) _ _ ... (Dame) T. 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. + s 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:-onlyfor facilities averaging > 55 gal of new oill month. O.No discharge this period?z Outfall 'No. " Date Sample's Collected" (mo/dd/yr) .,. 24-hour rainfall amount;, Inches3 ; s Non polar O&G/TPH�by EPA •1664 (SGT-'HEM).. •Total Suspe 4ded;Solids t ,..� pH Benchmarks -- > .. - -� i ;15 mg%L 100 mg/L'or;50img/L* • w _, • 6:0'— 9.0 SU Footnotes from Part A also apply to this Part B I • .. - . See General Permit text, Table 5, identifying the especially sensitive receiving -water classifications where the more protective benchmark applies. y . Permit Date:,11/1/z012-10/31/2017 SWU-245, last revised 10/25/2012 + � Page 2 of 3 � )� 44 e acMnalytical www pacebbs cum SAMPLE ACKNOWLEDGMENT Samples Submitted By: MGM Brakes Client Project ID: MGM Stormwater 10127 Client PO#: CC: Kenny Sawyer, Mr. Tom Fasig 9800 KinceyAve., Suite 100 Huntersville, NC 28078 (704)875-9092 Pace Project Manager: Chris Derouen Phone(704)875-9092 christopher.derouen@ pacela bs. com Pace Analytical Project ID: 92317707 Samples Received: October 28, 2016 09:17 AM Estimated Completion: November 11, 2016 Customer Sample ID Pace Analytical Lab ID Matrix Datefrime Collected Method MGM OUTFACE # 4 92317707001 Water 10127/16 12:45 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D'rotal Suspended Solids HEM, Oil and Grease MGM OUTFALL # 5 92317707002 Water 10/27/16 12:45 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease MGM OUTFALL # 6 92317707003 Water 10/27/16 12A5 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum. Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease Please contact your project manager if you recognize any discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. iD128l201fi 04:06 PM Page 1 of 1 NCDENR Stormwater Discharge Outfall (SDO) . Qualitative Monitoring Report For guidance on filling out this form, please visit: http://12ortal.ncdenr.org/web/wq/ws/su/ni2dcssw#tab-4 Permit No.: N/C/(a/Q or Certificate bf Coverage No.: N/C/G/ O/3/a/�/3/ o/ Facility Name: i 6I 4 Azgk�t5 County: a Phone No. 619, 837-a./17 Inspector:_K�wvji Date of Inspection: `" / Time of Inspection: )z ' IG /, Total Event Precipitation (inches): , Z5 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) [ Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary; depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DW(; al Office. By this signature, 1 c9rtify that this report is accurate and complete to the best of my knowledge: (SignatureAf Permittee df(Designee) Page 1 of 2 SWU-242, Last modified 10/25/2012 P'k - L' 15-6 �eMjo -. 1 g. (v` 1. Outfall Description: Outfall No. Structure ipe, ditch, etc.) Receiving Stream: a.i4xy-5SeG ✓e ✓ Describe the industrial activities that occur within the outfall drainage area: _ _R9re)-,Q. t2i 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, 1 weak chlorine odor, etc.): (o Qdar 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 a 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. 42 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: 1 CT 3 4 5 7. Is there any foam in the stormwater discharge? Yes Va B. Is there an oil sheen in the stormwater discharge? Yes +Q 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. M Page 2 of 2 SWU-242, last modified 10/25/2012 Ck NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://}portal.ncd-Qu,org/web/wq/WS/su/npdessw#tab-4 Permit No.: or Certificate of Coverage No.: Facility Name: County: e—r Ge e-- Phone No. Inspector: Date of Inspection: Time of Inspection: I Z ." .3 D P Total Event Precipitation (inches): , Z' �+ Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) N 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-h0ur 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 aonroval from the local DWO Reizional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature off Permittee,cf Designee) SWU-242, Last modiFed 10/25/2012 Page 1 of 2 1. Outfall Description: Outfall No. _�� Structure (pipe, ditch, etc.)' Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Atre6oq Go` r 2. Color: Describe the color of the discharge us' g basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _ l , �+ ra,a 3. Odor: Describe any distinct odors that the discharge may have,(i.e., smells strongly of oil, weak chlorine odor, etc.): A& W42+1- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 C 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 ® 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: 1 © 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 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Swu-242, Last modified 10/25/2012 4 NCDENR Stormwater Discharge 4utfall (SD4) Qualitative Monitoring Report .a. For guidance on filling out this form, please visit. htti2://1)ortal.ncdenr.org/web/wq/ws/sulnpdcssw#tab-4 Permit No.: N/C/G/Q/ 3/ v/o /cam/o/ or Certificate of Coverage No.: N/C&/Q/3 /Q/ Facility Name: M61AK6 County: r,hn�"tc--' _ Phone No. -9A- 937-0, /07 Inspector: K61ri n�j -5� Date of Inspection: '_lbrL?-_ll. Time of Inspection: 1 Z. ; 3O a - Total Event Precipitation (inches): , ;-? Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 14 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 l! 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: (Signaturef Pe-rmitts-or Designee) SWU-242, Last modified 10/25/2012 Page 1 of 2 1. Outfall Description: Outfall No. _��� Structure ( ipe, ditch, etc.] i Receiving Stream: f, Des7iberthe industrial activities that occur within the outfall drainage area: Rn r47na Z.,f 2. Color: Describe the color of the discharge using (light, medium, dark) as descriptors: _ t d ; Vr i is colors (red, brown, blue, etc.) and tint �I ,ak 3. Odor: Describe any distinct odor that the discharge may have. (i.e., smells strongly of oil, weak chlorine odor, etc.): p D1 r 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 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 09 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: 1 2 A�? 4 5 7. Is there any foam in the stormwater discharge? Yes ]� 8. Is there an oil sheen in the stormwater discharge? Yes CAP 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 .�. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No ,NCG030000 Date°submitted A6 CERTIFICATE°OF COVERAGE NO. NC_ G03 O 6—,3 b SAMPLE COLLECTION YEAR .. _ SAMPLE'PERiOD'. Jah'-June Jul Dec FACILITY NAME /VJG/� _ � Q(�, K�5 � ' . ❑ � 1 ,C� Y- COUNTY Cii�,ro ee- ; or ❑ Monthly (month) PERSON COLLECTING SAMPLES - rl . DISCHARGING TO CLASS ❑ORW_ ❑HQW [:]Trout ❑PNA LABORATORY'P c Lab Cert.- #,• 144 []Zero -flow. .❑Watersupply []SA Comments on sample collection or analysis: -_❑Other TJPLEASE:REMEMBER TO SIGN ON.PAGES 2 AND/OR 3 x^ Part A: Stormwater Benchmarks and`.Moihh6ring Results j - ,.n No,discharge.this period?z r !Date!Sample'' ry ..,` °24 hodr.ralnfall�,.,, "a�:. .o s.:ai ,r x 1, ;•�� � a s H $� fr43r's . Non4Palar O&G/; Total Toxic Outfall No. r' 1 : Total Suspended:Solids gig_ , y Copper..•; Lead `Zmc Total Petroleum': - .• : ,Collected artiount, r. , :Standard units° r R h Hy droca�hons =Organlcs5 » � c1 .!�•. {mo/dd/.yr};-:=,� nches._ w k�L i'F £i='. '"Zes ;•isr JI ;a -it i'Ra•'f i='"1 Hi. ,::-t_-:. V,tS+ iC ;w =h. �: ¢ .�.T. :G.. :rt itt;.�;ss -9: 1 Benchmarks =W-> _ - 100.mg/L or.50 mg/L• `. <6.0 =-9.0 `­; 4.407;mg4i i 10:433'mg/L" 0.067;mg/L„ . 15 mg/L. , 1.mg/L 3.7 L., eeL!�- .. ;. L I 1 Monthly sampling (instead of semi-annual) must'begin,with'the'second'cbns&cutive benchmark exceed ance,fdkhe 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'fr'omn:an ori=site.rain.gau&.,� 7nattended<sites maybe eligifale for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially,sensifive receiving water,classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only -for those,facilities which perform metaLfinishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes.- ro 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 asifound 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 far cathode ray tube manufacture use the definition:found in,,40 CFR 469.31).. ; Permit Date: 1 1/1/2012-10/31/2017 i SWU-245, last revised 10/25/2012 Page 1 of 3 f ®k al MGM Brakes ®0A Division of Indian Head Industries, Inc P-O. Box 70-Park Avenue -Murphy, NC 28906 Telephone 704/837-2117 FAX 704/837-7521 April] 17, 2017 Cenlral Files Divi ion of Water Quality 161 Mail Service Center Rai igh, NC 27699-1617 Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, Enc osed, you will find duplicate signed copies of our Analytical Monitoring Lab Res ilts and Qualitative Monitoring Results for the first half of calendar year 201 . Also attached are the analytical analysis results of our stormwater disc arge at permit described collection/discharge points (Pace192335580001, _... 923 5580002 and 92335580003). The llowing attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of Custody/Analytical Request Document (2 copies) If y have any further questions, please contact me at (828) 837-2117 ext. 235_ . Sincerely, Ke IS( W Sawyer )mplianc Managerl�(ORC) yJ U AN' 0 PA NCDENR _ Stormwater`Discharge.Uutfall (SDU) W �"Qualitative Monitoring Report For guidance on filling out this form, please visit: hUp: //porta1.ncdenr org/w h4wq/Sys/,au/nodessw#tab-4 Permit No.: N or Certificate -of Coverage No.: N/�/G/_/3/ Facility Name: (Y1G{'fl �UP.KES County. C4E9QKF=& Phone No. _���� 857 -41 i 7 Inspector: - - � S O. — — ^ _ Date of Inspection: Z �;.: , :. �- ;�:• .`:. rc�l.Ei VE Time of Inspection: �'� �.ltl. _ -- _ IE N n Total Event Precipitation (inches): f , _ CENTRAL FILES DWR SECTION Was this a "Representative Storm Event" or "Measu.reable 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). tom...-• ;:;,._•-�'' = .• 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 s 0.1 inches has occurred. A gi_n_gle storm event may contain up to 10 cdnsecutive hours of do'. 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 afleast 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 Reizional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: ----, r, (Signatu rmiee or Designee) Page 1 of 2 {�fl (o.S7 G ; 1. Outfall Description: Outfall No. Structure (pi e, ditch, etc.] Receiving Stream: Describe the industrial activities that occur within the outfall drainage area--,ERMK16 ur 2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: MEWIUM Y =,_• 3. Odor: Describe any distin t odors that the discharge may have [i.e`,tsmelis 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: 1. 2 0 - 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: 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: 1 2 4, 5 ; 7 F• 7._ is there any foam in the stormwater discharge? Yes.,(io r S. Is there an oil sheen in the stormwater discharge? ! Yes o . 9. Is there evidence of erosion or deposition at the outfall? lo. Other Obvious Indicators of Stormwater'Pollution— List and describe Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 NCDENR Stormwater'Discharge Qutfall, (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http:/Iportal.ncdenr.org/web/wq/ws/su/npdessw#tab-4 Permit No.: N or Cer'Cificafe o f.Coverage No.: N/c/C�/// FacilityName: (1 GCO -2>RAI4ES County: C44GfQKf---E Phone No. 8Z-.42>- 837 -2r 17 Inspector:-7-6m--�861 � Date of Inspection: Time of Inspection: 3_ r�Z?7. rn Total Event Precipitation (inches): 1-6 - Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) �] Yes- '0- 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 monitoririg'regdirem6nts 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 rio precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the 1 permitted siteoutfail`The previous measurable sstorm event must have Been atleast 72-hours i 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 p'ermittee f 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: . (Signatu r e or Designee) Page 1 of 2 (,80 1. Outfall Description: Outfall No. am: _ Structure ipe, ditch, etc.)RF& Receiving Stre Describe the industrial activities that occur within the outfall drainage area:`F .tM- Ei LOT 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 Qistinct odors that the discharge may have,[i.e 'srrmells 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: = 1• 3 4 5 ., 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: CC 1 OZ • 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: . , C", 1 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-lndicators,of Stormwater Pollution:' List and describe 0 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 i ,zY ..NCDENR �l Stormwater Discharge; Outfall.(SD4), `4 E'Qualitative Monitoring Report Forguidance on filling out this form, please visit. httl2://12ortal,ncdenr.org/web/wg/ws/su/ni2dessw#tab-4 Permit No.: N/C/2/0 /�/4.%O:/o/D/� or;Certificate.bf Coverage No.: N FacilityName: County: CAtGPIO EE Phone No. BZJ5 - S3-1 -2117 Inspector: • - S Date of Inspection: 5j1Zj1lo Time of Inspection: • 3 - Total Event Precipitation (inches): i 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 monitoringrequirernents vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a."measureable storm event." However, I some permits do not have this requirement Please refer to these definitions, if applicable. t A "representative storm ev.erit" 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 previousoumeasurable storm even must have been of 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: (Signatu rmi tee or Designee) Pagel of 2 FH G T-rnF 1. Outfall Description: Outfall No. Structure ipe, ditch, etc.)��_���1T Receiving Stream; 3 DTncrib the ustrial 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:- Mi5DtUM tB&W!� 3. Odor: Describe any d' tinct Todors that the discharge may have f i.e','--smells strongly of oil., weak chlorine odor, etc.): ��LJA1 J✓�.T/� ram. = i.€: . 4. Clarity: Choose the number which best describes the clarity of the discharge, where-1 is f clear and 5 is very cloudy: -.: 1. r, 2 ,.Q 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: 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: 1i 1 02 .-. 3 4.... 5 o f 7.- Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge?. _Yes ©o 9. Is there evidence of erosion or deposition at the outfall? Yes N�o 10. Other Obvious'lndicators-of Stormwater'Pollution: Dist and describe 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. C C Page 2 of 2 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 ' Date submitted _2 ✓,,C CERTIFICATE OF COVERAGE NO. NCG03 O 15- 3 Q SAMPLE COLLECTION YEAR FACILITY NAME G/1'Z P_A KG S Y ��� 'SAMPLE PERIOD Jan -June '❑July -Dec COUNTY �,,e—oK et__ or Monthly' — - — -_ (month) PERSON COLLECTING SAMPLES DISCHARGING TO CLASS- ❑ORW - ❑HQW ❑Trout ❑PNA LABORATORY ar.L - e_Lab Cert. # 1 %o NeD ❑Zero -flow ❑Water Supply ❑SA Comments on sample call ction or analysis: .1 - RE []Other Part A: Stormwater Benchmarks and Moniti ring Results '0110 EASE REMEMBER TO SIGN ON,PAGES 2 AND/OR 3 4 �IL CENTRAL N DWR SECTION ❑ No discharge this period?' Sample Date Sam p 24-hour rainfall pH, Non -Polar 0&G/ Total Toxic Outfall No. Collected) amount, Total Suspended. Solids Standard units Copper Lead Zinc Total Petroleum Organicss (mo/dd/yr) lnches3 .. . • . Hydrocarbons 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 /& 6. k'l ,911 InfIt- .4 ,2811 (� 1 ' S rZ lv O. %Z 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. a See General Permit, Table 3 identifying the especially sensitive (eceiving 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 raytubes.- 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 Iequirement 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 Sto�rmwater Pollution Prevention Plan." Name (Print name) Title (Print title) (signature) (Date) TI Note: Results must be,reported in numerical format., Do not report Below Detection Limit, BDL, <PQL,.Non-detect,;ND, or other"similar non -numerical i . 1, /! � J i in "... y 3 format. When results are Below the applicable limits, the must be re orted imthe- 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 Wnitoririg Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z - Outfall No. Date Sample'' 1 Collected l (mo/dd/yr) : 24-hour rainfall amount, Inches3- ._ .., , �11 Non -polar O&G/TPH by EPA 1664 (SGT-HEM] Total Suspended Solids f pH Benchmarks ==_> - I - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU s.. , - Footnotes from Part A also apply to this Part B * see General Petmit text, Table 5, identifying the especially sensitive receiving water classifications -where the more protective benchmark applies. r 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 implQnt Tier 1, Tier 2, or Tier 3 responses. See General Permit text. .y FOR PART A AND,; ART 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 ❑ R�EJG-IrONAL OFFICE CONTACT NAME: I n L ef+w a4aA-1,, ' �4 ee, 711 i�rA r f�A � b e�f P E , 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 "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 Permit Date:11/1/2012-10/31/2017 0(,2f o3 &, (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 7 4 ' } f a * ,y,i �•i' �s 4 D � i,^ Semi-annual. Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted l ZDt1E-5 CERTIFICATE OF COVERAGE NO. NCG03 O 5 3 Q FACILITY NAMEIL COUNTY _ f6E=jioKEF PERSON COLLECTING SAMPLES =O(n LABORATORYM-kh. r Secs La Cert. # 4-0 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Z0115 SAMPLE PERIOD ❑ Jan -June K 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 n No discharge this oeriod:2 Outfall Nd. 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 Organicss 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 cz 16116 16 1+, l_ 6.1 - 02%r9iL <. .149 MAIL < S IL r {O < 5 .O t 4 A5 -',' . . 0-78 L. C < J. L. 5.4o, C•oo5 <, .074 L. < 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. ° 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). _)�_ UATeg STQD 14EM-` 5ROftl 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 implementi-rig.the'all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." —rom Name (Print name) � i�G ► t�,E�� tSC:, li�n]f�C�EIZ Title (Print title) COGYRi.% ng 1*� Zoe S (Signature) (pate) Note: Results must be'reported in numerical format. Do not report Below D`etectionUmit, BDL, <PQL, Non -detect, Nl7,.or other similar non -numerical format. When results are below the applicable limits, they must be reported in, the format. "<XX me/L" , where XX:is the numerical value of.'the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging >,55 gal of new oil per month. ❑ No discharge this.period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, s 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 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 [❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Ogi(o�o15 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 R MGM Brakes DDivision of Indian Head Industries, Inc P.O. Box 70-Park Avenue -Murphy, NC 28906 Telephone 704/837-2117 FAX 704/837-7521 September 16, 2015 SEP 2 4 Z015 Central Files CENTRAL FILES DWR SECTION Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the second half of calendar year 2014. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace/92262600, 92262600001-92262600003). The following attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of Custody/Analytical Request Document (2 copies) If you have any further questions, please contact me at (828) 837-2117 ext. 247. Sincerely, 6(% ` Tom F Engineering Manager/ORC , 2. aceAnalyticaI' ' ,r,w.wnlsEs.eam Section A Required C}Ient Inrorrhatidn; CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B Section C Required Project Infarmati= Invoice Information: Page: j o, y Report To: E� Attantfen; r,) JO �O L f Copy To. Company Name: REGULATORY AGENCY Address: NPDES r GROUND WATER i— DRINKING WATER E i F UST r RCRA i OTHER PurchaseOrder No.: Pacachelo Mao QJ2SJ= Rcro+ence: Para Prnjad ManaPro Site Location STATE: Requested Duo DatarTA7: Project Number: Pace Profile a: Requested Analysis Filtered (Y/N) Section D Matrix Codes g a y z RagWrae Client Wormanon MATRIX I CODE 8 � COLLECTED Preservatives r 06i king water OW 0 Water WT Waste Watet WW ., U c s5lTE SrTe ENrprGnAe Z Product P SoiVS,Wid SL SAMPLE ID 0Ipe L x rry O a w JA-Z, 0.91.) Air AR (u a z v m i— Sample IDs MUST BE UNIOUE Tissue TS U W Z Z y U Other OT ° y '�Ix as w O g y 0 O -S r= DATE TIME DATE TIME N >= 2 Z Z O .a► X Pace Project No l Lab I.D. Cy r r: d 3 ! r lcola 3 oo3 3 i 5 B 7 B 9 76 11 12 4-4 LL± ADDITIONAL COMMENTS REUNOWSNEDBYIAFFILIATION DATE TIME ACCEPTED BYIAFFILIATION DATE TIME SAMPLE CONDITIONS 613m Z, —MME_ G SAMPLER NAME AND SIGNATURE , y r� (: i PRINT Name of SAMPLER: IGiN ,_ '�' c E $� V 2 C1 5 GATE Signed SIGNATURE of SAMPLER:non 1� rJ w n m E a IMMlDDlYYJ: i+IJ N y Variant Nato: By spriog um roan you are acceparg Paco's NET 30 dayppyrieni (arms and agreeing to into enargas or 1.5%ear nw %n for" invdc-- days. F-ALL-0-020rev,07, , 5-May-2007 Document Name: Sample Condition Upon Document Revised: May 15, 2015 aceAnaVical Receipt SCUR Pa e 1 of 2* Document No.: Issuing Authorities: Y .vv.•u..p.Carabd.d—) F-ASV-CS-003-rev.14 Pace Asheville Quality Office Client Name: ie Page 2 of 2 is for Internal Use Only Courier (Circle): Fed Ex UPS USPS g�no�,Seals Commercial Pace Other Custody Seal on CooterlBox Present: [� yes intact: F] yes no Packing Material: EjB 61e 3A1 ubble Bags one Other Thermometer Used: �1 59 Type of Ice: Wet Blue None amples on ice, cooling process has begun IR Gun 94 SN.140298365 Other. Tema Correction Factor: Add 1 Subtract . r) C Corrected Cooler Temp.:. _ 1.0 C Temp should be above freezing to VC Biological Tissue is Frozen: Yes No wA Comments; Dato and initl of arson examining contents: Chain of Custody Present: as JQNO LIM 1. Chain of Custody Filled Out: Des ON. ❑wA 2. Chain of Custody Relinquished: GK.. ON. ❑NIA 3. Sampler Name & Signature on COC: IN.. JON. ©wA 4. Samples Arrived within Hold Time: es ONo NIA 5. Short Hold Time Analysis (472hr): Dyes No wA 6. Rush Turn Around Time Requested; ❑Yes o OwA 7. Sufficient Volume: es NO ❑NIA 8. Correct Containers Used: -Pace Containers Used: No AZONO DIVA ❑wA 9. Containers Intact: Yes No ❑N 10. Filtered volume received for Dissolved tests ❑ Xt, ❑No NIA 11. Sample Labels match COC: -Includes dateltime/lD/Anal sis Matrix: 6yes ONO 0NIA 12, All containers needing preservation have been checked. All containers needing preservation are found to be In compliance with EPA recommendation. exceptions: VOA, coliform, TO , O&G, W1 RO(water) Yes ONo LXYes ONO ❑NIA ❑NIA 13. Samples checked for dec orination: es ©No DWA 14. Headspace in VOA Vials >6mm): Dyes ❑r!o A .15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # (if purchased ❑Yes ON* Dyes ONO NIA 16. Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: Date/Time: Comments/ Resolution: SCURF Review: / — Date: -. . SRF Review: Date. ��r rS Note: Whenever there is a discrepancy affecting Nort Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, incorrect preservative, out of temp, incorrect containers) wuu:saaszsoo iiiu�oiviiiimsuoii ace Analytical " www.pacerabs.cam SAMPLE ACKNOWLEDGMENT 9800 Kinoey Ave., Suite 100 Huntersville, NC 28078 (704)875-9092 Samples Submitted By: MGM Brakes Pace Project Manager. Chris Derouen Client Project ID: Stomiwater 8110 Phone (704)875-9092 christopher.derouen@pacelabs.com Client RO#: Pace Analytical Project ID: 92262600 Samples Received: August 11, 2015 08:43 AM Estimated Completion: August 25, 2015 CC: Mr. Tom Fasig Pace Analytical DatefTime Customer Sample ID Lab ID Matrix Collected Method Outfall #4 92262600001 Water 08/10/15 13:50 200.71CP Metals Arsenic, Cadmium, Chromium, Copper, head, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease Outfall #5 92262600002 Water 08/10/15 13:50 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease Outfall #6 92262600003 Water 08/10/15 13:50 200.71CP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 254013'rotal Suspended Solids HEM, Oil and Grease Please contact your project manager if you recognize any discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. Page 1 of 1 A�� NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory John E. Skvarla, Ill Governor Secretary July 14, 2014 MGM Brakes, Division of Indian Head Industries, Inc. ATTN- Mr. Tom Fasig, Engineering Manager PO Box 70 Park Avenue Murphy, North Carolina 28906 SUBJECT-,. . NPDES Stormwater Permit: Request for�Regulatory Relief MGM Brakes, Division of Indian Head Industries, Inc. General Permit No: NCG030000; COC No: NCG030530 Cherokee County Dear Mr. Fasig: On June 24, 2014 we received your submittal of additional information in response to our December 2013 inspection and letter requesting additional actions and testing. Your submittal indicated that MGM Brakes has implemented additional actions such as more frequent parking lot sweeping, and covered storage of all metal products. Monthly monitoring has been triggered by two consecutive exceedances of the zinc and copper benchmarks in Storm Drain Outfall Nos. 04, 05, and 06 at .your facility. Please keep in mind that benchmark exceedances are NOT limit violations or violations of permit conditions; however, you are obligated to follow the tiered response actions outlined in your permit. MGM Brakes has been following the tiered response actions and therefore is in compliance with the permit. As part of tiered response, MGM Brakes has initiated housekeeping actions that appear to have addressed process exposures-, however, the zinc and copper benchmarks continue to be exceeded. In addition, MGM Brakes has identified likely non process sources of zinc including galvanized building material, and testing has confirmed zinc contributions from these areas. There are potential process sources of zinc, but these operations are located indoors or under cover with limited exposure to stormwater. Based on the aforementioned items, we are granting regulatory relief in the form of a collapsed Tier 2 — Tier 3' response. Upon receipt of this letter, MGM Brakes may resume the permit specified semi-annual analytical monitoring for the remainder of the current permit term. Your current permit is set to expire on October 31, 2017. This decision only applies to the zinc and copper benchmarks. A benchmark exceedance Division of Energy, Mineral, and Land Resources — Land Quality Section Asheville Regional Office, 2090 US Highway 70, Swannanoa, North Carolina, 28778-8211 Telephone 828-296-4500 Fax 828-299-7043 ogle 4..+.-..ii........r .....4., ..� ...., 1,.,n 1.ArN-�r, rl_r,� relit" 'Mr%rt kC,• rr%1 i rvi Mr. Tom Fasig July 14, 2014 Page 2 of 2 of any other parameter listed in your permit will trigger tiered response actions as described in the general -permit. You must notify this office in writing, within five business days, if you become aware of any significant source of zinc or copper at your facility that has the potential to be exposed to stormwater. The relief granted in this letter is contingent upon the current industrial practices at MGM Brakes. If industrial practices change and zinc and copper do become significant stormwater exposure risks then this office reserves the right to withdraw this decision and reinstate the permit specified tiered response or other actions that may be warranted by the new set of circumstances. Please retain and append this letter to your Stormwater Pollution Prevention Plan (SPPP) or permit. if you have any questions or comments concerning this letter, please contact Jeff Wait or me at (828) 296-4500. Sincerely, -Laura Herbert,_PE Regional Engineer ec: Bethany Georgoulias, RCO i- ceAnalyfical 1AWW.AacelmJ =n August 20, 2015 Mr. Tom Fasig MGM Brakes PO Box 70 Murphy, NC 28906 RE: Project: Stormwater 8110 Pace Project No.: 92262600 Pace Analytical Services. Inc. 2225 Riverside Dr. Asheville, NC 28&M (828)254-7178 Dear Mr. Fasig: Enclosed are the analytical results for sample(s) received by the laboratory on August 11, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS Thm report .shall rVI be reproduced, except in M, without the written consent of Pace Analytical Services, Inc.. Page 1 of 13 7aceAnalyticalo www.raacqbbscom Pace Anatocai Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (628)2547176 CERTIFICATIONS Project: Stormwater 8/10 Pace Project No.: 92262600 Charlotte Certification IDs 9800 iGncey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certificafion #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginiaAtELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification lDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fun, without the written consent of Pace Analytical Services, lnc.. Page 2 of 13 aceARalytical wwwpeca�bs.oam SAMPLE ANALYTE COUNT Project_ Slormwater 8110 Paoe Project No.: 92262600 Pace Anatydcal Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92262600001 Outfall 94 EPA 1664E JMS 1 PASi-C EPA 200.7 JDA 10 PASI-A SM 2540D SAM 1 PASI-A 92262600002 Outfall 95 EPA 1664E JMS 1 PASI-C EPA 200.7 JDA 10 PASI-A SM 2540D SAM 1 PASI-A 92262600003 Outfall #6 EPA 1664E JMS 1 PASI-C EPA 200.7 JDA 10 PASI-A SM 2540D SAM 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 13 Pace Analytical Services, Inc. d� f ® 2225 Riverside Dr. �ce `mica+ Asheville, NC 28804 1 www.pacelabs.caom (828)254-7176 ANALYTICAL RESULTS Project: Stommater 8110 Pace Project No.: 92262600 Sample: Outfall #4 Lab ID: 92262600001 Collected: 08110/15 13:50 Received: 08111/15 08:43 Matrix: Water Parameters Results Units Report limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg/L 5.0 1 08/19/15 09:02 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug1L 10.0 1 08/12115 17:45 08/15/15 00:37 7440-38-2 Cadmium ND ug/L 1.0 1 081121i5 17:45 08/15/15 00:37 7440-43-9 Chromium ND ug/L 5.0 1 08/12/15 17:45 08/15/15 00:37 7440-47-3 Copper 6.4 ug/L 5.0 1 08/121/15 17:45 08/15/15 00:37 7440-50-8 Lead NO uglL 5.0 1 08/12/15 17:45 (18115115 00:37 7439-92-1 Molybdenum NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00:37 7439-98-7 Nickel NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00:37 7440-02-0 Selenium NO ug/L 10.0 1 08/12/15 17:45 08/15/15 00:37 7782-49-2 Silver NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00:37 7440-22-4 Zinc 149 ug/L 10.0 1 08/12/15 17:45 08/15/15 00:37 7440-66-0 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 14.4 mg/L 6.0 1 08/13/15 11:13 Sample: Outfall #5 Parameters Lab ID: 92262600002 Collected: 08/10/15 13:50 Results Units Report Limit OF Received: 08/11/15 08:43 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 08/19/15 09:03 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug1L 10.0 1 08/12/15 17:45 08115/15 00:40 7440-38-2 Cadmium NO ug/L 1.0 1 08/12/15 17:45 08/15/15 00:40 7440-43-9 Chromium NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00:40 7440-47-3 Copper ND ug/L 5.0 1 08/12/15 17:45 08/15/15 00:40 7440-50-8 Lead ND ug/L 5.0 1 08/12/15 17:45 08/15/15 00:40 7439-92-1 Molybdenum NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00.40 7439-98-7 Nickel NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00:40 7440-02-0 Selenium ND ug/L 10.0 1 08/12/15 17:45 08/15/15 00:40 7782.49-2 Silver ND ug/L 5.0 1 0811211617:45 0&15115 00:40 7440-22-4 Zinc 78.3 ug/L 10.0 1 08/12/15 17:45 08/15115 00:40 7440-66-6 25400 Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids ND mg/L 5.0 1 08/13M5 11:14 Date. 08/20/2015 09:01 AM REPORT OF LABORATORY ANALYSIS Thia report shall not be reproduced, except in foil, without the written consent of Pace Analytical Services, Inc._ Page 4 of 13 aceAnalytical' w+vw.peaelebs.00m ANALYTICAL RESULTS Project: Stormwater 8110 Pace Project No.: 92262600 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Sample: Outfall #6 Lab ID: 92262600003 Collected: 08/10115 13:50 Received: 08/11/15 08:43 Matrix: Water Parameters Results units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg1L 5.0 1 08/19/15 09:03 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug/L 10.0 1 08/12/15 17:45 08/15/15 00.43 7440-38-2 Cadmium ND uglL 1.0 1 08/12/15 17:45 08115/15 00:43 7440-43-9 Chromium ND ug1L 5.0 1 08/12/15 17:45 08/15/15 00:43 7440-47-3 Copper ND ug1L 5.0 1 08/12/15 17.45 08/15/15 00:43 7440-50-8 Lead ND ug1L 5.0 1 08112M5 17:45 08/15/15 00:43 7439-92-1 MotyWenum NO uglL 5.0 1 08/12/15 17:45 08/15/15 00:43 7439-98-7 Nickel NO ug/L 5.0 1 08112M5 17.45 08/15115 00A3 7440-02-0 Selenium ND ug/L 10.0 1 08/12/15 17:45 08/15/15 00:43 7782-49-2 Silver NO ug/L 5.0 1 08/12/15 17:45 08/15/15 00:43 7440-22-4 Zinc 72.1 ug/L 10.0 1 08/12/15 17:45 08/15/15 00:43 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 5.1 mg/L 2.5 1 08/13115 11:14 Date: 08/2012015 09:01 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in tub, without the written consent of Pace Analytical Services, Inc - Page 5 of 13 aceAnalytical vrsnvpacehbs.cco QUALITY CONTROL DATA Project: Stormwater 8110 Pace Project No.: 92262600 QC Batch: GCSV/22311 Analysis Method: EPA 1664B QC Batch Method: EPA 16646 Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92262600001, 92262600002, 92262600003 METHOD BLANK: 1536673 Matrix: Water Associated Lab Samples: 92262600001, 92262600002, 92262600003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg[L NO 5.0 08/19/15 09:01 Pace Ana"cal Semites, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 1536679 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mglL 40 35.1 88 78-114 MATRIX SPIKE SAMPLE: 1536680 92262828001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L 5.1 40 39.6 86 78-114 Results preeernad on tarts page are in the units indicated by the'UrdW column except where an alternate unit to presented to the right or the result REPORT OF LABORATORY ANALYSIS This teport shall not be reproduced, except in Tull, Date: 08/20/20115 09:01 AM without the written consent nt Pace Anaryticai Services, Inc.. Page 6 of 13 aceAnalytical' LVWW.DaCa!2&&c0rn QUALITY CONTROL DATA Project: Stormwater 8/10 Pace Project No.: 92262600 QC Batch: MPRP119233 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92262600001, 92262600002, 92262600003 METHOD BLANK: 1531748 Matrix: Water Associated Lab Samples: 92262600001, 92262600002, 92262600003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Arsenic ug/L NO 10.0 08/14/15 23:57 Cadmium ug/L NO 1.0 08/14/15 23:57 Chromium ug/L NO 5.0 08/14/15 23:57 Copper ug/L NO 5.0 08/14/15 23:57 Lead ug/L NO 5.0 08/14/15 23:57 Molybdenum ug/L ND 5.0 08/14/15 23:57 Nickel ug1L NO 5.0 08/14/15 23:57 Selenium ug/L ND 10.0 08/14/15 23:57 Silver ug/L NO 5.0 08/14/16 23:57 Zinc ug/L NO 10.0 08/14/15 23:57 LABORATORY CONTROL SAMPLE: 1531749 Pate Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Parameter Units Spike Conc. LCS Result LCS % Rec % Rec Limits Qualifiers Arsenic ug/L 500 464 93 85-115 Cadmium ug/L 500 467 93 85-115 Chromium ug/L 500 478 96 85-115 Copper ug/L 500 481 96 85-115 Lead ug/L 500 473 95 85-115 Molybdenum ug/L 500 494 97 85-115 Nickel ug/L 500 463 93 85-115 Selenium ug/L 500 456 91 85-115 Silver ug/L 250 233 93 85-115 Zinc u91L 500 451 90 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1531750 MS 92262510001 Spike Parameter Units Result Conc, MSD Spike Conc. 1531751 MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual Arsenic ug1L NO 500 500 458 462 91 92 70-130 1 Cadmium ug/L NO 500 500 458 462 92 92 70-130 1 Chromium ug/L NO 500 500 470 478 94 96 70-130 2 Copper ugIL 0.014 500 500 485 491 94 95 70-130 1 mg/L Lead ug/L NO 500 500 456 461 91 92 70-130 1 Molybdenum ug/L ND 500 500 477 484 95 97 70-130 2 Nickel ug/L ND 500 500 450 455 90 91 70-130 1 Selenium ug/L ND 500 500 446 453 89 91 70-130 1 Results presented on this page are In the untta indicated by the 91nKa" column except where an ahmnate unit Is presented to the right of the moulL REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08120/2015 09:01 AM wiMW the written consent of Paoe Analytical Services, Inc. Page 7 at 13 C8Analyfical. wwwpaek2O3.carn QUALITY CONTROL DATA Project: Stormwater 8110 Pace Project No.: 92262600 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 288D4 (a28)254-7176 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1531750 1531751 MS MSD 92262510001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Silver ug/L ND 250 250 230 233 92 93 70-130 1 Zinc ug/L 11.8 500 500 454 458 88 89 70-130 1 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 1531752 MS 92262647005 Spike Parameter Units Result Conc. MSD Spike Conc. 1531753 MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual Arsenic ug/L ND 500 500 456 465 91 93 70-130 2 Cadmium ug/L ND 500 500 461 466 92 93 70-130 1 Chromium ug/L ND 500 500 472 477 94 95 70-130 1 Copper uglL ND 500 500 477 484 95 96 70-130 1 Lead ug/L ND 500 500 463 468 92 93 70-130 1 Molybdenum ug/L ND 500 500 481 489 96 98 70-130 2 Nickel ug/L ND 500 500 456 460 91 92 70-130 1 Selenium ug/L ND 500 500 454 458 91 92 70-130 1 Silver ug/L ND 250 250 230 232 92 93 70-130 1 Zinc ug1L ND 500 500 453 458 89 90 70-130 1 Resurto presented on thts Page era to the un$s Wkatad by the'Urtlts' column except where an aitemate unit is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shad not be reproduced, except in full, Date: 08120f2015 09:01 AM without the written consent of Pecs Ana"cal Serves, Inc. Page 8 of 13 aceAnaVical oaa.,p bs.com QUALITY CONTROL DATA Project: Stormwater 8110 Pace Project No.: 92262600 QC Batch: WET139456 Analysis Method: SM 2540D OC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92262600001, 92262600002, 92262600003 Pace Anatyticat Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 METHOD BLANK: 1532733 Matrix: Water Associated Lab Samples: 92262600001, 92262600002, 92262600003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mgtL ND 2.5 0811311511:09 LABORATORY CONTROL SAMPLE: 1532734 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec. Limits Qualifiers Total Suspended Solids mg/L 250 244 98 90-110 SAMPLE DUPLICATE: 1532735 92263113001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 244 260 6 D6 SAMPLE DUPLICATE: 1532736 92262600001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg[L 14.4 14.8 3 Results presented an tuts page are In the units Indloated by the'UnIta' colunm except where an alternate unit Is presented to the r1gtd of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in tun, Date: 08/2012015 09:01 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical www.pacabbscom QUALIFIERS Project: Stormwater 8110 Pace Project No.: 92262600 DEFINITIONS OF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit_ MDL -Adjusted Method Detection Limit. POL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, Inc. 2225 Riverside Dr, Ashevifle, NC 288N (a28)254.7176 S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroelhylvinyl ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrotein and Acylonitrile by EPA Method 8250. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analyticat is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TN -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fult, Date: 08/20/2015 09:01 AM without the when consent of PaceAnaocaf $micas, Inc.. Page 10 of 13 aceAnalytical rvwwpt+ce�abs.aam QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Stormwater 8110 Pace Project No.: 92262600 Lab ID Sample ID QC Batch Method 92262600001 Outfall #4 EPA 1664B 92262600002 Outfall 95 EPA 1664E 92262600003 Outfall #6 EPA 1664B 92262600001 Outfall 94 EPA 200.7 92262600002 Outfall #5 EPA 200.7 92262600003 Outfall 96 EPA 200.7 92262600001 Outfall #4 SM 2540D 92262600002 Outfall #5 SM 2540D 92262600003 Outfall #6 SM 2540D Date: 08/20t2015 09:01 AM Pace Analytical Services, Ina 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QC Batch Analytical Method GCSV122311 GCSV/22311 GCSV/22311 MPRP/19233 EPA 200.7 MPRP/19233 EPA 200.7 MPRP/19233 EPA 200.7 VVET139456 VVET/39456 WET/39456 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch ICP/17299 ICP117299 ICP/17299 Page 11 of 13 gel CHAIN -OF -CUSTODY f Analytical Request Document r The Chainof-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. 0 f aceAnaljftal' " wwr.Dacnsos.com Page: of 1 d Section A Section B Section C Roqulred Client Information: Required Project information: Invoice Information: Roport Altenton: C To: q^, ii VV Copy To: Company Name: REGULATORY AGENCY fn Address:NPDES 1 GROUNDWATER j-" DRINKING WATER ;- UST r- RCRA 1 OTHER Purchase Ordcr No.: pwa Ouow !Kaifiln Rau coca: .. '� p P am ISMft Pace Prelect Site Location STATE. - Requested Duo DstWITAT: Project Numb Br• Pecs Pratte n: Requested Analysis Filtered (YIN) Section D illaWx Codes Reau,rodCwtWormswo r coot_ 8 COLLECTED PI69BrvRtrvBs y r Drinking Water OW S u Water WT WastoWater WW �t U s�nE ieN"�p,a�� w _ Product P s6tisolid SL SAMPLE ID w1oo c? v y w �+► 5 WP {A-Z, 0•0 l ; } Air AR a 0- Z Ti; Sample IDs MUST SE UNIQUE suo TS 0 w a w Z U is Other � c0� .'► V r Z a V N n o p � ''IL t3 a �a o� (000 ^ C?Ca I w 0 DATE TIME DnTE TIME i z z z O w Pace Project No.! Lab I.D. 1 Cy r r: in 3 l OD 2 1 f 3 o o 3 It i 6 7 a 9 70 ti 12 ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS bily, 6 3cL fry--_ �'y 1-U �! y .. I c SAMPLER NAME AND SIGNATURE 02JIS- IN15 L. 3Z PRINT Name of SAMPLER., --rier � m ,iyt � � SIGNATURE of SAMPLER: : DATE Signed �MQ �h �+�% Iv 5Ito {M7dlDDlYY}: Cn — — , .Vwv �� «, yw + Q uc rrw y tact s rK au aay p rymeru ems ant aproenp ro taro tnaryyea ai ,.5% Dot mensn tar any im p c�D days F-ALL-Q•020rev,07. 15-May-2007 Document Name: Sample Condition Upon Document Revised: May 15, 2015 at;eAnaVical r Receipt SCUR Page 1 of 2' Document No.: Issuing Authorities: `�" F ASV-CS-003-rev.14 Pace Asheville Quality Office Client Name: _ +N&- !r / 6fft as * Page 2 of.2 is for Internal Use Only Courier (Circle): Fed Ex UPS USPS Cl�no;:)Seals Commercial Pace Other Custody Seal on Cooler/Box Present: ❑ yes intact: ❑ yes ❑ no Packing Material 8u 6le-Wp ubbie Bags one Other Thermometer Used: 4 2 99 Type of lee: Wet Blue None amples an Ice, tooting process has begun IR Gun #4 SN:140290365 Other. TemD Correction Factor: Add ! Subtract 7)� , r) C Corrected Cooler Temp,:___ _ _ J . 0 C Biological Tissue Is Frozen: Yes No WA Date and Initlau of erson examining contents: Temp should be above freezing to VC Comments: Chain of Custody Present: as 2No ❑N/A 1. Chain of Custod Filled Out: ❑ es ON. ❑N/A 2. Chain of Custody Relinquished: CK. ❑No ❑wA 3. Sampler Name & Signature on COC: e3 No ❑wA 4. Samples Arrived within Hold Time: es ONo wA S. Short Hold Time Anal sis <72hr : Dyes No wA 6. Rush Turn Around Time Requested: ❑Yes o ❑N!A 7. Sufficient Volume: 24. No OwA $. Correct Containers Used: No ON/A 9. -Pace Containers Used: No ❑wA Containers Intact: Yes w ❑ 10. Filtered volume received for Dissolved tests ❑ ON. NIA 11. Sample Labels match COG: 6yes Ono ❑wA 12. -Includes date/time/]D/AnaE sis Matrix: All containers needing preservation have been checked. Yes ❑No ❑NZA 13. All containers needing preservation are found to be In C4 ONO ❑wA compliance with EPA recorn dation, llpiri , %%\\I— exception$: VOA, conform, TO , O&G, Wi RO (water) t cores o Samples checked for dec onnation: es Ono ❑wA 14. Headspace in VOA Vials >6mm): ❑Yes ONO QPK 15. Trip Blank Present: Dyes ONO Z 16. Trip Blank Custody Seals Present OYes ONO Pace Trip Blank Lot # if purchased): Client Notification/ Resolution: Person Contacted: Comments/ Resolution: SCURF Review: Datenime: SRF Review:' U _ �Dato: IY r� .151 Note: Whenever there is a discrepancy affecting NortlYCarolina compliance samples, a copy of this form vrill be sent to the North Carolina DEHNR Certification Ofres ( he out of hold, incorrect preservative, out of temp, incorrect containers) Field Data Required? Y 1 N aaosa: gzzszsoo 91962I00 IIIIINIIiN811 Page 13 of 13 NCDENR Stormwater Discharge Outfall (SDO), ,, Qualitative Monitoring Report � 1• Forguidance on filling out this forin, please visit. htL�I)ortai.ticden.i,.org/kvel)/%[cl/%vs/sti/nl)t]CSS%vt.tLqb-4 Permit No.: N/-C/G/0 /3/O/O /O/D/ or Certificate of Coverage No.: N/C/C7/�/5/3/�/ Facility Name., fy & 5 County: E Phone No. F�ZE5- 37-4 d 7 -- Inspector:—Voffl fflatsl Date of Inspection: Time of Inspections: Total Event Precipitation (inches): - & - Was this a "Representative Storni Event" or "Measureable Storm Event" as defined by the permit7 (See information below.) tK 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 nionitoring'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 72-11our storm interval does not apply if the permittee is able to document that a shorter j interval is representative for local storm events during the sampling period, and the permittee I obtains annroval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signatu rmi tee or Designee) Page 1 of 2 SWU-2,12, Last modified 10/25/2012 TH - -G�-/`3 1. Outfall Description: EV E, OUtfall No. � Structur�j (pipe, ditch, etc.) (� Receiving Stream: _ _1_11 Itti Describe the industrial activities that occur within the outfall drainage area:PP.1�47 2. Color: Describe the color of the 1ischarg icing basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _(�T 3. Odor; Describe any distinct o weak chlorine odor, etc.): - K\Q� that the discharge may have (i.e., smells strongly of oil, T 4. Clari.ty: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 02 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 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: 1 02 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes Na 9. Is there evidence of erosion or deposition at the outfall? Yes QD 10, Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Ci SNVU-242, Last modified 10/25/2012 r- 9 NCDENR Stormwater Discharge Dutfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: litL4L.jjlxortal.neclenr.or-L web/wqjGrs/sulnncle�� Permit No.: or Certificate of Coverage No.: N/C/G/ Facility Name: C(IG S County: %�_ 4 E9jgr--E w Phone No. Inspector: fftctsICK Date of Inspection: Vlof 2oi 5 Time of Inspection: J_32,m Total Event Precipitation (inches): Was this a "Representative Storm Event" or "hleasureable Storm Event" as defined by the permit? (See information below.) X Yes ❑ No Please verify whether Qualitative Aonitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requieements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a."measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours I prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter 3 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: ___) CM (SignatuEf CP ee or Designee) Page 1 of 2 5WU-2.42, Last modified 10/25/2012 f" = S o1 I-�tP= z7. I I.. Outfall Description: dutfall No. Structure [p� e, ditch, etc.)i}? Receiving (- Stream: —il 11�}F Describe the industrial activities that occur within the outfall drainage area: ' LOT 2. Color: Describe the color of the discharge sing basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any weak chlorine odor, etc.): tinct odors that the discharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the number v hich best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: U 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: O1 2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 (C Sw41-242, last modified 10/25/2012 NCDENR Siormwater Discharge Ou.tfall (SDO) , Qualitative Monitoring Report For guidance on filling out this form, please visit: l�ttl�portal.ncclenr.oreltiveb �>>c tiv su n �tless�� #tall- l Permit No.: or Certificate'of Coverage No.: Facility Name: MGM `aRay-as County: C&R-OKF—& Phone No. BZ25 - P 37-2I 17 Inspector: 5 S Date of Inspection: 6110615 Time of Inspection: I :503;2-M Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) N Yes El No Please verify whether Qualitative Aonitoring must be performed during a "representative storm event" or "measureable storm event" Crequirements 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 hest of my knowledge: (Signatu rmu tee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 �" z 5.4-0 1. Outfall Description: Outfall No. & Structure (pi�je, ditch, etc.] Receiving_ Stream: A, Lo fC�� �. Describe the industrial activities that occur within the outfall drainage area: PAKK-Id 2. Color: Describe the color of the discharge sing basic colors (reel, brown, blue, etc.) and tint me dium, edium, dark) as descriptors: 02 3. Odor: Describe any di tinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):t��r=����'[� '11 4. Clarity. Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Ol 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 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: 1 �2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SM-242, Last modified 10/25/2012 Semi-annual Stormwater Dischar a Monitorinjg Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted fY 14-i 2or5 _ TIFICATE OF COVERAGE No. NCG03 0 1- p ILITY NAME MGM 7Df?Ag-FS INTY _C��PDK�E ._... SON COLLECTING SAMPLES T FP SLc ORATORYRJQE t A_'71C& SLab Cert. # 410 iments on sample collection or analysis: rt A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 201 �7 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly'_ (month) DISCHARGING TO CLASS ❑ORW - ❑HQW ❑Trout ❑PNA VD []Zero -flow. ❑Water Supply ❑SA RECEI[Other MAY 18 2015 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 CENTRAL FILES DWR SECTION No discharge this period?2 )utfall No. Sample, Date Sam P Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids . H, P Standard units Copper � Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic Organics .hmarks =_-> - - 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 4 04 , 0 1 , 5 Z90 rn /L 7,90 . d2 % .U1ZB fn L . 853 L 4 5 IL . 04 10 I 31 L 7.1Q < . " • i 23 /L 5 /L. . 3 6. 0306-T2 L <,005 L p, 133 < t_ )nthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 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. e General Permit, Table 3 identifying the especially sensitive. receiving water classifications where the more protective benchmark applies. tal Toxic Organics sampling is applicable only for those facilities'which perform metal finishing operations, manufacture semiconductors, manufacture .tronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA jent 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 sufacture 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 manufacture use the definition found in-40 CFR 469.31). nit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 C=M= lities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring r 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 nit. 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." __Coln.sr� Name (Print name) -_ Title (Print title) 05��4 r (Signature) (Date) Results must be reported in numerical format. Do nbt'report Below Detection Limit,.BDL, <PQL; Non-detec1t,,ND,;or'othe'Fsimilar non-n'u`rnerical tat. When results are below the applicable limits, they must be reported in the format, "<XX mk/L" : where &is,the numerical,value of the detection :,..reporting limit, etc. in-mg/L. L •- 1, .. . e: 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. t B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No'dischorce this nPrind?2 Outfali No. Date Sample collected' (mo/dd/yr). 24-hour rainfall amount, Inches Non -polar 0&G/TPH,by, EPA 1664,(SG7-HEM) ., Total.5uspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.-0 — 9.0 5U tnotes from Part A also apply to this Part B' General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. iit Date: il/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 �'`•� Page 2 of 3 '~''A e: If you reptvt a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 FXCFEDANCFS IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART I I 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 ❑ IONAL OFFICE CONTACT NAME: iI an original and one copy of this DM , including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period 'te case of_ "No _Discharge" reports) -to: ;ion of Water Quality is DWQ Central Files 7 Mail Service Center igh, North Carolina 27699-1617 I MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: !rtify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to tre that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or :e persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." nature oE-:>114 (Date) mit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 .t �, Y � � 1 i � �� �'i A�A .;to NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory John E. Skvarla, III Governor Secretary July 14, 2014 MGM Brakes, Division of Indian Head Industries, Inc. ATTN: Mr. Tom Fasig, Engineering Manager PO Box 70 Park Avenue Murphy, North Carolina 28906 SUBJECT: NPDES Stormwater Permit: Request for Regulatory Relief MGM Brakes, Division of Indian Head Industries, Inc. General Permit No: NCG030000; COC No: NCG030530 Cherokee County Dear Mr. Fasig: On June 24, 2014 we received your submittal of additional information in response to our December 2013 inspection and letter requesting additional ac#ions and testing. Your submittal indicated that MGM Brakes has implemented additional actions such as more frequent parking lot sweeping, and covered storage of all metal products. Monthly monitoring has been triggered by two consecutive exceedances of the zinc and copper benchmarks in Storm Drain Outfall Nos. 04, 05, and 06 at your facility. Please keep in mind that benchmark exceedances are NOT limit violations or violations of permit conditions; however, you are obligated to follow the tiered response actions outlined in your permit. MGM Brakes has been following the tiered response actions and therefore is in compliance with the permit. As part of tiered response, MGM Brakes has initiated housekeeping actions that appear to have addressed process exposures; however, the zinc and copper benchmarks continue to be exceeded. In addition, MGM Brakes has identified likely non process sources of zinc including galvanized building material, and testing has confirmed zinc contributions from these areas. There are potential process sources of zinc, but these operations are located indoors or under cover with limited exposure to stormwater. Based on the aforementioned items, we are granting regulatory relief in the form of a collapsed Tier 2 — Tier 3' response. Upon receipt of this letter, MGM Brakes may resume the permit specified semi-annual analytical monitoring for the remainder of the current permit term. Your current permit is set to expire on October 31, 2017. This decision only applies to the zinc and copper benchmarks. A benchmark exceedance Division of Energy, Mineral, and Land Resources — Land Quality Section Asheville Regional Office, 2090 US Highway 70, Swannanoa, North Carolina, 28778-6211 Telephone 828-296-4500 Fax 828-299-7043 One khin-llnn +c0 nrrienr nrn1%A,e Kflrllnnr{_m inliiu Nnrih(-':�rnli Ti t� Mr. Tom Fasig July 14, 2014 Page 2 of 2 of any other parameter listed in your permit will trigger tiered response actions as described in the general permit. You must notify this office in writing, within five business days, if you become aware of any significant source of zinc or copper at your facility that has the potential to be exposed to stormwater. The relief granted in this letter is contingent upon the current industrial practices at MGM Brakes. If industrial practices change and zinc and copper do become significant stormwater exposure risks then this office reserves the right to withdraw this decision and reinstate the permit specified tiered response or other actions that may be warranted by the new set of circumstances. Please retain and append this letter to your Stormwater Pollution Prevention Plan (SPPP) or permit. If you have any questions or comments concerning this letter, please contact Jeff Wait or me at (828) 296-4500. Sincerely, Laura Herbert, PE Regional Engineer ec: Bethany Georgoulias, RCO c c off' CHAIN -OF -CUSTODY If Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. ace Analytical - r Page: , of Section A Section 8 Section C j f'� '� 023 �VCC Required Client Inlormalion; Required Project information: . Invoice Ofomlation: Co pan Report Ta:���� Attention: �y :� fx V.0�70 Copy To: Company Name. REGv TORY AGENCY I f0 Address: iv, NPDES i GROUNDWATER r DRINKING WATER j UST i RCRA 70. Purchase Order No.: Pam Quoin ,sigOTHER +� ReSerenuc P - F w�w f ( (ri Pro'ect Nam Paco Project Site Location S7'A7E: �— Requested Due OatclrAT: Protect Number. Paco Pro4ie #: _ Requested Analysis Filtered (YIN) Section D Matrix Codes c r = Roquired CH0ntinfom,ation mATT1x.r CQDr; e { COLLECTED Preservatives i Drinking Water OW g 0 U Oz Water WT aste water WW W ,z Composrre srutr CDMposrrE EN=RAB Z PrvoUCl P Soivsolid SL } 0 p ..► SAMPLE ID wpe °p a W m (A-Z,0-91,-) Air AR p 0. Z F^ C Sample IDs MUST BE UNIQUE Tissue TS Q C7 a w z i' y OttherR� OT'\ �/IV+VriWrt+� �W x ti OU N e T a Q 2-O Z U m i �I N DATE TIME DATE TIME y mix Z Z M O a Pace Project No./ Lab I.D. 19 iop +0 +S 2 3htaw C9 a s s 7 a 9 10 11 12 ADDITIONAL COMMENTS REUNQUIS14ED BY f AFFILIATION DATE TIME ACCEPTED BY I AFFiUATtON DATE TIME SAMPLE CONDITIONS Ln 6.54- -1 q. SAMPLER NAME AND SIGNATURE ORIGINAL 'a a > zi o z m � PRINT Name of SAMPLER: � ,�+ � E u 2 � g � SIGNATURE of SAMPLER: 0{MMmt]N�tl i tt U y07 ID 'Importonl Note; By Signing this term you am aocepting Pace's NET 30 eay payment lerms and agreeing to tale charges of 1.5% pot month for any inwioes net wish'Jat days. F-ALL-0-020YEV.07, 15-May-2007 Document Name: Sample Condition Upon Document Revised: June 10, 2014 aceAnalytical" Receipt (SCUR) Pa e 1 of 2 Document No.: Issuing Authorities: F-ASV-CS-003-rev.14 Pace Asheville Quality Office Client Name: LI Courier (Circle): Fed Ex UPS USPS Ciie Commercial Pace Other Custody Seal on Cooler/Box Present:0 yes ,n-.o�Seals intact: yes no Packing Material: ❑ Bubble Wrap ❑ TherrmoetQCQSed' IR Gun#3 -� fi�?_5953 Bubble Bags L None Type Of ice: R, Other et Blue None ampler on Ice, cooling process has begun I un #4 S#4 SH:f40290365 Other: emT n Correctloii Factor: Add 1 Subtract !i . C7 C v Corrected Cooler Temp.: C Biological Tissue is Frozen: Yes No NIA Date and Initials of person examining contents: Temp should be above freezing to 6°C Comments: Chain of Custody Present: ❑ es ONO ❑NIA 1. Chain of Custody Filled Out: es ON. ❑NIA 2. Chain of Custody Relinquished: 13 es ONO ❑NIA 3. Sampler Name & Signature on COC: ":,.ONO ❑NIA 4. Samples Arrived within Hold Time: es ON- ❑NIA 5. Short Hold Time Analysis (<72hr : Dyes I2No ❑NIA 6. Rush Turn Around Time Requested: ❑Yes o ❑NrA 7. Sufficient Volume: a ❑No ❑NIA 8. Correct Containers Used: - ONO ❑NIA 9. -Pace Containers Used: VYTPIbN. ❑NIA Containers Intact. Yes ONO EINIA 10, Filtered volume received for Dissolved tests ❑Yo No N1A 11. Sample Labels match COC: Yes ONO ❑NIA 12• -Includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked. os ❑No ©NIA 13. All containers needing preservation are found to be in E ONO ❑NIA compliance with EPA recommendation. exceptions: VOA,coliform, T 08G, i-DRO (water) Yes. ON Samples checked for dec'hft 1nnation: • Yes ONO ❑NI 14. Meads ace in VOA Vials >6mm): Dyes ONO (N/A 15. Trip Blank Present: Oyes ONO llA 16. Trip Blank Custody Seals Present ❑Yes ❑No 1�4 Pace Trip Blank Lot # (if urchased)- Client Notification/ Resolution: Person Contacted: Comments/ Resolution: Date/Time: SCURF Review: Date: I g SRF Review: U Date: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, incorrect preservative, out of temp, incorrect containers) Field Data Required? Y / N lJ0#`92244974 II011� Ills 11111111111 a 9800 KinceyAve_, Suite 100 /{,, /'1! fa1Xfca1 Huntersville, NC 28078 wwwPemiabacom (704)875-9092 SAMPLE ACKNOWLEDGMENT Samples Submitted By: MGM Brakes Pace Project Manager: Chris Derouen Client Project ID: MGM Brakes SW 4110 Phone (704)875-9092 chdstopher,derouen@pacelabs.com Client Po#: Pace Analytical Project ID: 92244974 Samples Received: April 10, 2015 01:31 PM Estimated Completion: April 24, 2015 CC: Mr. Tom Fasig Pace Analytical Date/Time Customer Sample ID Lab ID Matrix Collected Method MGM BRAKES SW # 4 92244974001 Water 04/I0115 08:20 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D'ibtat Suspended Solids HEM, Oil and Grease MGM BRAKES SW 4 5 92244974002 Water 04/10/15 08:20 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D "total Suspended Solids IIEM, Oil and Grease MGM BRAKIiS SW # 6 92244974003 Water 04/10/15 08:20 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lewd, Molybdenum, Nickel, Silver, Zinc, Selenium 2540I1'rotal Suspended Solids HEM, Oil and Grease Please contact your project manager if you recognize arty discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. Page 1 of 1 r aceAnalytical wwwPWdabs.com April 20, 2015 Mr. Tom Fasig MGM Brakes PO Box 70 Murphy, NC 28906 RE: Project: MGM Brakes SW 4/10 Pace Project No.: 92244974 Pace Anatytical Services, Inc. 2225 Riverside Or, Asheville, NC 28804 (828)254-7176 Dear Mr. Fasig: Enclosed are the analytical results for sample(s) received by the laboratory on April 10, 2015. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. - Sincerely, Chris Derouen Christopher.derouen@pacelabs.com Project Manager Endosures PCCiI�f a REPORT OF LABORATORY ANALYSIS f This report shall not be reproduced, except in fun, �4B without the written consent of Pace Anaiytical Services, Inc - Page 1 of 13 aceAnalytical s "wpaoelabs.c= CERTIFICATIONS Project: MGM Brakes SW 4110 Pace Project No.: 92244974 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, INC 28078 Ftodda/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification M 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 North Carolina Wastewater Certification #: 40 FloridafNELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification M M-NCO30 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report sha8 not he reproduced, except in full, without the written consent of Pace Analytical Services, Inc,. Page 2 of 13 aceAnalytical www.oacebbsx= SAMPLE ANALYTE COUNT Project: MGM Brakes SW 4110 Pace Project No.: 92244974 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Lab 1D Sample ID Method Analysts Anatytes Reported Laboratory 92244974001 MGM BRAKES SW # 4 EPA 1664E CLW 1 PASI-C EPA 200.7 JMW 10 PASI-A SM 2540D WRC 1 PASi-A 92244974002 MGM BRAKES SW # 5 EPA 1664E CLW 1 PASI-C EPA200.7 JMW 10 PASI-A SM 2540D WRC 1 PASI-A 92244974003 MGM BRAKES SW # 6 EPA 1664B CLW 1 PASf-C EPA200.7 JMW 10 PASI-A SM 2540D WRC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shaft not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 13 ace Analytical wwwwcelabs.can ANALYTICAL RESULTS Pace Analocal Services, Inc. 2225 Riverside Dr, Ashevitle, NC 288D4 (828)254-7176 Project: MGM Brakes SW 4110 Pace Project No.: 92244974 Sample. MGM BRAKES SW # 4 Lab ID: 92244974001 Collected: 04110115 08:20 Received: 04/10115 13:31 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual Field Data Collected By Collected Date Collected Time Field pH Field Temperature HEM, Oil and Grease Oil and Grease 200.7 MET 1CP Arsenic Cadmium Chromium Copper Lead Molybdenum Nickel Selenium Silver Zinc 2640D Total Suspended Solids Total Suspended Solids Analytical Method: Tom Fasig 1 04/12/15 22:55 4/10115 1 04/12/15 22:55 08:20 1 04112/15 22:55 7.90 Std. Units 0.10 1 04/12/15 22:55 19.6 deg C 0.50 1 04/12/15 22:55 Analytical Method: EPA 16648 NO mg/L 5.0 1 04/17/15 07:25 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 ND ug/L 10.0 1 04116/1514:55 0411711518:10 7440-38-2 NO ug/L 1.0 1 04/16/1514:55 0411711518:10 7440-43-9 18.4 ug/L 5.0 1 0411611514:55 04/1711518:10 7440-47-3 28.8 ug/L 5.0 1 04116/1514:55 0411711518:10 7440-50-8 12.8 ug/L 5.0 1 04/1611514:55 04117/1518:10 7439-92-1 NO ug/L 5.0 1 0411611514:55 0411711518:10 7439-98-7 9.4 ug/L 5.0 1 04/1611514.55 04/1711518:10 7440-02-0 NO ug/L 10.0 1 04/1611514:55 0411711518:10 7782-49-2 NO ug/L 5.0 1 04116/1514:55 0411711518:10 7440-22-4 853 ug/L 10.0 1 0411611514:55 0411711518:10 7440f6-6 Analytical Method: SM 2540D 290 mg/L 25.0 1 04/14/15 20:29 Sample: MGM BRAKES SW # 5 Lab ID: 92244974002 Collected: 04110/15 08:20 Received: 04110/15 13:31 Matrix: Water Parameters Results Units Reporl Limit OF Prepared Analyzed CAS No. Qual Field Data Collected By Collected Date Collected Time Field pH Field Temperature HEM, Oil and Grease Oil and Grease 200.7 MET ICP Arsenic Cadmium Chromium Copper Lead Molybdenum Date: 04/20/2015 04:34 PM Analytical Method: Tom Fasig 1 04/12/15 22:56 4110115 1 04112/ 15 22:56 08:20 1 04/12/15 22:56 7.19 Std. Units 0.10 1 04/12/15 22:56 19.3 deg C 0.50 1 04112M5 22:56 Analytical Method: EPA 1664E NO mg1L 5.0 1 04117115 07:25 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 NO ug/L 10.0 1 04116/1514:55 D411711518:13 7440-38-2 NO ug1L 1.0 1 04/1611514:55 0411711518:13 7440-43-9 NO ug1L 5.0 1 04/16/1514:55 04/1711518:13 7440-47-3 NO uglL 5.0 1 04/16/1514:55 0411711518:13 7440-50-8 NO u91L 5.0 1 04/1611514:55 0411711518:13 7439-92-1 NO ug/L 5.0 1 04/1611514:55 0411711518:13 7439-98-7 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 o(13 acmnalXical. Hww.pacelahs.aan Pace Ana"cai Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)2547176 ANALYTICAL RESULTS Project: MGM Brakes SW 4110 Pace Project No.: 92244974 Sample: MGM BRAKES SW # 5 Lab ID: 92244974002 Collected: 04/10/15 08:20 Received: 04/10/15 13:31 Matrix. Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Nickel NO ug1L 5.0 1 04116/1514:55 04/17/1518:13 7440-02-0 Selenium NO ug1L 10.0 1 04/1611514:55 041171151813 778249-2 Silver ND uglL 5.0 1 0411611514:55 04/17/1518:13 7440-22-4 Zinc 123 ug1L 10.0 1 0411611514:56 0411711518:13 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 31.0 mglL 5.0 1 04/14/15 20:29 Sample: MGM BRAKES SW # 6 ^ Lab ID: 92244974003 Collected: 04/10/15 08:20 Received: 04/10/15 13:31 Matrix: Water Parameters Field Data Collected By Collected Date Collected Time Field pH Field Temperature HEM, Oil and Grease Oil and Grease 200.7 MET ICP Arsenic Cadmium Chromium Copper Lead Molybdenum Nickel Selenium Silver Zinc 25400 Total Suspended Solids Total Suspended Solids Date: 04/20/2015 04:34 PM Results Units Report Limit OF Prepared Analyzed CAS No. Qual Analytical Method: Tom Fasig 1 04/12/15 22:58 4110115 1 04/12/15 22:58 08.20 1 04/12/15 22:58 6.54 Std. Units 0.10 1 04/12/15 22:58 19.4 deg C 0.50 1 04/12/15 22:58 Analytical Method: EPA 1664E ND mglL 5.0 1 04/17/15 07:30 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 ND ug1L 10.0 1 04/1611514:55 041171151816 7440-38-2 ND uglL 1.0 1 04116/1514755 0411711518:16 7440-43-9 ND ug1L 5.0 1 0411611514:55 0411711518.16 7440-47-3 7.2 uglL 5.0 1 0411611514:55 0411711518:16 7440-50-8 ND ug/l_ 5A 1 04/1611514:55 0411711518:16 7439-92-1 ND ug1L 5.0 1 04116/1514:55 04/1711518:16 7439-98-7 5.9 ug1L 5.0 1 04116/1514:55 04/17/1518:16 7440-02-0 ND ug1L 10.0 1 04116/1514:55 04/1711518:16 7782-49-2 ND ug1L 5.0 1 04116/1514:55 04117/1518:16 7440-22-4 133 ugR. 10.0 1 04116/1514,55 04/1711518:16 7440-66-6 Analytical Method: SM 2540D 70.0 mg/L 8.3 1 04/14/15 2029 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in frill, without the written consent of Pace Analytical Services, Inc.. Page 5 of 13 aceAnalytical 'Wm aacBlabs.cm QUALITY CONTROL DATA Project: MGM Brakes SW 4110 Pace Project No.: 92244974 QC Batch: GCSV120979 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92244974001, 92244974002, 92244974003 METHOD BLANK: 1437D42 Matrix: Water Associated Lab Samples: 92244974001, 92244974002, 92244974003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mglL NO 5.0 04/17/15 07:08 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (B28)254-7176 LABORATORY CONTROL SAMPLE: 1437043 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 38.6 96 78-114 MATRIX SPIKE SAMPLE: 1437044 92245464001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 34.7 86 78-114 Results preser4ad on this page are In the units Indicated by the "Units' column except where an alternate unIt Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/20/2015 04:34 PM without the written consent of Pace Analytical Services, Inc- Page 6 of 13 ac6 Analytical wwxPacelabs. com QUALITY CONTROL DATA Project: MGM Brakes SW 4110 Pace Project No.: 92244974 QC Batch: MPRP118289 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92244974001, 92244974002, 92244974003 METHOD BLANK: 1436374 Matrix: Water Associated Lab Samples: 92244974001, 92244974002, 92244974003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Arsenic ug1L NO 10.0 0411711517:49 Cadmium uglL NO 1.0 04/1711517:49 Chromium ug/L NO 5.0 04/1711517:49 Copper ug1L ND 5.0 04117/1517.49 Lead ug/L NO 5.0 04/1711517:49 Molybdenum ug[L NO 5.0 0411711517:49 Nickel uglL NO 5.0 04/17/1517:49 Selenium uglL NO 10.0 04/1711517A9 Silver uglL ND 5.0 0411711517:49 Zinc uglL ND 10,0 04/1711517:49 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: Parameter 1436375 Units Spike Conc. LCS Result LCS % Rec % Rec Limits Qualifiers Arsenic uglL 500 474 95 85-115 Cadmium uglL 500 481 96 85-115 Chromium uglL 500 475 95 85-115 Capper uglL 500 482 96 85-115 Lead ugll- 500 480 96 85-115 Molybdenum uglL 500 488 98 85-115 Nickel uglL 500 475 95 85-115 Selenium uglL 500 475 95 85-115 Silver uglL 250 239 96 85-115 Zinc uglL 500 476 95 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1436376 MS 92245140002 Spike Parameter Units Result Conc. MSD Spike Conc. 1436377 MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual Arsenic uglL ND 500 500 476 481 95 96 70-130 1 Cadmium uglL NO 500 500 480 483 96 97 70-130 1 Chromium ug1L ND 500 500 468 478 93 95 70-130 2 Capper uglL 24.0 500 500 511 520 97 99 70-130 2 Lead uglL ND 500 500 468 474 94 95 70-130 1 Molybdenum uglL ND 500 50D 468 494 97 98 70-130 1 Nickel ug/L ND 500 500 466 471 93 94 70-130 1 Selenium uglL ND 500 500 474 479 94 95 70-130 1 Silver uglL ND 250 250 234 239 94 95 70-130 2 Results presented on this page are M the units Indicated by the "Units' calumn except where an attrmate unft Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/202015 04:34 PM without the written consent of Pace Analyticai Services. Inc - Page 7 of 13 aceAnalytical w m..pacelabs.wm QUALITY CONTROL DATA Project: MGM Brakes SW 4110 Pace Project No.: 92244974 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 MATRIX SPIKE 8 MATRIX SPIKE DUPLICATE: 1436376 1436377 MS MSD 92245140002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Zinc ug1L 316 500 500 765 787 90 94 70-130 3 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1436378 1436379 MS MSD 92245262002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Conc. Result Result % Rec % Rec Limits RPD Qual Arsenic ug1L ND 500 500 478 470 96 94 70-130 2 Cadmium ug1L ND 500 500 484 476 97 95 70-130 2 Chromium ug/L ND 500 500 480 470 96 94 70-130 2 Copper ug1L 0,0062 500 500 497 489 98 97 70-130 1 mg/L Lead ug1L ND 500 500 484 479 97 96 70-130 1 Molybdenum ug/L ND 500 500 493 489 99 98 70-130 1 Nickel ug/L ND 500 500 476 470 95 94 70-130 1 Selenium ug1L ND 500 500 480 473 96 94 70-130 1 Silver ug1L ND 250 250 242 237 97 95 70-130 2 Zinc ug1L 0.080 500 500 557 550 95 94 70-130 1 mg1L Results presented on this page are In the units Indicated by the "!]nits' column except where an alternate unit Is presented to the right or the result, REPORT OF LABORATORY ANALYSIS This report shall not be reproduoed, except in full, Date: 04/20/2015 04:34 PM without the written consent of Pace Analytical Services, Inc.. Page 8 a113 aceAnalytica! www Pacerab&=m QUALITY CONTROL DATA Project: MGM Brakes SW 4110 Pace Project No.: 92244974 QC Batch: Wl_TI36826 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92244974001, 92244974002, 92244974003 METHOD BLANK: 1434488 Matrix: Water Associated Lab Samples: 92244974001, 92244974002, 92244974003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 0411411520:27 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE- 1434489 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 236 94 90-110 SAMPLE DUPLICATE: 1434490 92245011001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mglL 39500 uglL 37.5 5 SAMPLE DUPLICATE: 1434491 92245037001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 8.8 10.2 15 D6 Results presented on this page are in the unka Indicated by the 'Units' column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, exoept in full, Date: 04/20/2015 04,34 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 Pace Analytical Services, Inc. acmnalylflcal a 2225 Riverside Asheville, NC 28804O4 wwwaacefab&MM (828)254-7176 QUALIFIERS Project: MGM Brakes SW 4110 Pace Project No.: 92244974 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Ctean-Up U - Indicates the compound was analyzed for, but not detected. Acid preservation may not be appropriate for 2 Chloroethylvinyt ether, Styrene, and Vinyl chloride. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile by EPA Method 8260. N-Nitros"phenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be repraduced, except in full, Date: 04/20/2015 04:34 PM without the written consent of Pace Ana"cal Services, Inc.. Page 10 of 13 aceAnaVical" wnwpacelabscom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: MGM Brakes SW 4/10 Pace Project No.: 92244974 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Lab ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch 92244974001 MGM BRAKES SW # 4 FLD/ 92244974002 MGM BRAKES SW # 5 FLD/ 92244974003 MGM BRAKES SW # 6 FLD/ 92244974001 MGM BRAKES SW # 4 EPA 1664B GCSV/20979 92244974002 MGM BRAKES SW # 5 EPA 1664B GCSV/20979 92244974003 MGM BRAKES SW # 6 EPA 1664B GCSV/20979 92244974001 MGM BRAKES SW # 4 EPA 200.7 MPRP118289 EPA 200.7 ICP/16421 92244974002 MGM BRAKES SW # 5 EPA 200.7 MPRP/18289 EPA 200.7 ICP116421 92244974003 MGM BRAKES SW # 6 EPA 200.7 MPRP/18289 EPA 200.7 ICP116421 92244974001 MGM BRAKES SW # 4 SM 2540D WET136826 92244974002 MGM BRAKES SW # 5 SM 2540D WET136826 92244974003 MGM BRAKES SW # 6 SM 2540D WET136826 REPORT OF LABORATORY ANALYSIS This report shall riot be reproduced, except in full, Date: 04=12015 04:34 PM wRtmut the written consent of Pace Analytical Services, Inc.. Page 11 of 13 /r-7 ..FaceAnalytical" www,paulabs.com SOCUon A Required Cliert Information: CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant rields must be completed accurately. Section B Section C Required Project Warrnatien: Invoice Information; Section D Matrix Codes RoqulrooChont trdomaton Drinking Water DW c Q O COLLECTED T Water WT $ 6P P%%0C Water WW ,� rTE CTART Ptocu SC STP65fTi< gC7 NOIGRAD w Soil7SoW SL p SAMPLE ID oil OLVIP " a UJ (A-Z.0-91 e) Kr ARt UJ Sample IOs MUST BE UNIQUE Tissue TS O Other OT U r � LU z0 -11 { .r}'r�� 1•�rIY SO) 1/-f ¢ ~ i In DATE TIME OATS TI3AE C y Q � Page: of I U ram=' REGL1 TORY AGENCY I NPDES i GROUND WATER i DRINKING WATER ` UST i RCRA OTHER Site Location STATE. Requested Analysis Filtered (YIN) z Preservatives > M r 4 N r v Z y m C `^ U 0 T mr a'��4s{�;7tir �o x z tr Pace Project No./ Lab I.D. I ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS 19 l 6.54 T m !R• SAMPLER NAME AND SIGNATURE C R1ti.NAL PRINT Nama of SAMPLER: SIGNATURE of SAMPLER: 1.mrY1. -Imperil I NG:o; By signing Ci & farm you am accegWg PaCe'o NET 30 clay ooymara tonne and agrsaing to Into chwgos or 1,5% per month for any invoico3 C r DATE Signed (MMlDDIYY): ID I s y y days. F-ALL-0-020rev.1[17, 15-May-2007 Document Name: Sample Condition Upon Document Revised: June 10, 2014 aceAnalytical� Recei t SCUR) Page 1 of 2 Document No.: Issuing Authorities: F-ASV-CS-003-revA4 Pace Asheville Quality Office Client Name: Courier (Circle): Fed Ex UPS USPS Clie Commercial Pace Other Custody Seal on CoolerlBox Present: 0 yes Q rnno�Seals intact: 0 yes � no Packing Material: Bubble Wrap Bubble Bags t None , Other Thermoniq-WC. Lased• IR GunO3-130265963 Type of Ice: et Blue None oxelples on Ice, cooling process has begun i un #4 SN:14029036� Other: e7 mo Correction`'Factor: Add 1 Subtract /i.C) C Corrected Cooler Temp.: -3 CY Biological Tissue Is Frozen: Yes No NIA Date and Initials of person examining contents: Temp should be above freezing to VCComments: Chain of Custody Present: ❑ es [IN. ❑NIA 1. Chain of Custody Filled Out: 0, es ONo ❑NIA 2. Chain of Custody Relinquished: D ea ❑No ❑NIA 3. Sampler Name & Signature on COC: es, ON. ❑mA 4. Samples Arrived within Hold Time: es ONo ❑NIA 5. Short Hold Time Analysis (<72hr): Dyes ®Na ElN1A 6. Rush Turn Around Time Requested: ❑Yes o ❑NIA 7. Sufficient Volume: e3.1 0No ©NIA 8. Correct Containers Used: On. ❑NIA 9. -Pace Containers Used: VYT�bt,;. ❑tvA Containers Intact: Yes CINo EINIA 10. Filtered volume received for Dissolved tests ❑Ye bNo NIA 11. Sample Labels match COC: Yes ONo DNIA 12, -includes date/lime/ID/Analysis Matrix: Alt containers needing preservation have been checked. D4., CINo C INIA 13. All containers needing preservation are found to be in 124. ❑No ❑NIA compliance with EPA recommendation. exceptions: VOA, cdirorm, T O&G, -SRO (water) Yea= ONo Samples checked for decNCnenation: . Yes ONo DN1A 14. Headspace in VOA Vials (>6mm): Oyes ONO N1A 15. Trip Blank Present: Dyes ONo 16. Trip Blank Custody Seals Present Oyes ❑No 94A Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Field Data Required? Y f N Person Contacted: Date/Time: Comments/ Resolution: SCURF Review: SRF Review:l_ ll Data: Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, incorrect preservative, out of temp, incorrect containers) WOk:9224497492244974, l IIIIIBfllllllllllllllf J Page 13 of 13 NCDENR Stormwater Discharge Outfall (SDO) a Qualitative Monitoring Report Forguidance on filling out ibis form, please visit: web we vst5u nudes w##tab-4 Permit No.: Facility Name: 012>110 ~UP,f}KES_ County: Inspector: Ict51(2a Date of Inspection: 4/16 )?-0 _ Time of Inspection: S' 2D a Total Event Precipitation (inches): • 3 or Certificate of Coverage No.: N/C/CL/ Phone No.�� Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes [] No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signa or Designee) Pagel of 2 SwU-242, Last modified 10/25/2012 iD _ 7. IfO G 1. Outfail Description: Outfali No. -..____ _ Structure ;pipe, ditch, etc.) T M Receiving Stream: _01-0as K1� T Describe the industrial activities that occur within the outfall drainage area: T RA I b��� 2. Color: Describe the color of the discharge using basic �olors (red, brown, blue, etc.) 11u{ tint (light, medium, Clark) as descriptors: olexl 3. Odor: Describe any tdisti ctct o�dorrS that the discharge may have (i.e.', shells 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: 1 2 3 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids 1 2 4 51 C�QLL� b. Suspended Solids: Choose the number which hest describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: TO 1 2 O 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. is there evidence of erosion or deposition at the olltfall? Yes 0 10. Other Obvious Indicators of 5torinivater Pollution: List and describe A&4&( T0uzk� Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5:`JL4-242, last modified 10/25/2012 Sample Details f Page 1 of 2 AivlAcal 4F "Icome, Tom Fasig. Home Container Orders Home > Results > Project 92244974 > Sample 1431993 --Project Information Client Project: MGM Brakes SW 4/10 Pace Project Nbr: 92244974 Sample: MGM BRAKES 5W # 4 t Lab Id: 92244974001 rlcalrvu� ❑ Analysis ❑ 200.7 MET 1CP [j HEM, Oil and Grease ❑ 2540D Total Suspended Solids -Result List i� Method Desc EPA 200.7 EPA 1664E SM 25400 'Query by Method! Give us your feedback here Change Password Lo out Results Enos Data Notifications Resources Help Project Status: Complete Matrix: Water Collected Date: 04/10/2015 Received Date: 04/10/2015 Status Complete Complete Complete ❑ Show Hits Only 17 items found, displaying all items. 1 i RL=Report Limit, MDL=Method_ Detection Limit, DF=Dilution Factor, Bas=Basis_, Qual=Qualifiers Method Desc Parameters Results Units RL MDL DE Analyzed Date Bas Collected By Tom 1 04/12/2015 NA € Fasig 22:55 Feld Temperature 19.6 deg C 0.50 0.501 04/12/2015 NA 22:55 Collected Time 08:20 1 04/12/2015 NA 22:55 Field pH 7.90 Std. 0.10 0.101 04/12/2015 NA Units 22:55 Collected Date 4/10/15 1 04/12/2015 NA 22:55 EPA 1664B Oil and Grease ND mg/L 5.0 1.1 1 04/17/2015 NA 07:25 EPA 200.7 Selenium ND ug/L 10.0 5.0 1 04/17/2015 NA 18:10 EPA 200.7 Copper 28.8 ug/L 5.0 2.5 1 04/17/2015 NA i 18:10 EPA 200.7 Silver ND ug/L 5.0 2.5 1 04/17/2015 NA 18:10 EPA 200.7 Chromium 18.4 ug/L 5.0 2.5 1 04/17/2015 NA 18:10 EPA 200.7 Lead 12.8 ug/L 5.0 2.5 1 04/17/2015 NA 18:10 j EPA 200.7 Cadmium ND ug/L 1.0 0.501 04/17/2015 NA 18:10 i EPA 200.7 Arsenic ND ug/L 10.0 5.0 1 04/17/2015 NA 18:10 EPA 200.7 Molybdenum ND ug/L 5.0 2.5 1 04/17/2015 NA 18:10 l EPA 200.7 Zinc 853 ug/L 10.0 2.5 1 04/17/2015 NA i 18:10 EPA 200.7 Nickel 9.4 ug/L 5.0 2.5 1 04/17/2015 NA 18:10 SM 2540D Totat Suspended Solids 290 mg/L 25.0 25.01 04/14/2015 NA 20:29 17 items found, displaying all items. Qual https://paceport.pacelabs.com/ClientPortal/sampleDetai ls.do?proicctlD=92244974&syste... 5/ 13/2015 Sample Details Page 2 of 2 1 Terms of Service Copyright ® 201S Pace Analytical Services, Inc. https:llpaceport.pacelahs.comIClientPortallsampleDetails.do?proj ectID=92244974&syste... 5/14/2015 'Al I NCDENR Storniwater Discharge Outfall (SDO) qualitative Monitoring Report F'orguidance on filling out this form, please visit: litti).Uijortal.ncdenr.ni-gl%vehjvi Lws/su jnDC1essw#tali-4 Permit No.: N/C/G/Q /3/D/O/0/O/ or CertiAcate of Coverage No.: Facility Name: County: Cq-EaR'7KE�E Phone No. SZE5-65 -417 Inspector: f S Date of Inspection: 5 ' Time of Inspection: �3'.2DeL- Total Event Precipitation (inches): • 3 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 storni 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. Tile 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 anoroval from the local DWO Rep-ional Office. By this Signature, I certify that this report is accurate and complete to the best of my knowledge: (Signatu rnii tee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: � Outfall No. —5- `{� Structure (�• e ditch, etc.) Receiving Stream: � K, Describe the industrial activities that occur within the outfall drainage area: _ 2. Color: Describe the color of the discharge u (light, medium, dark) as descriptors: `{ 3. Odor: Describe any weak chlorine odor, etc.): I basic Folors (red, brown, blue, etc.) and tint tine odors that the discharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the nuniber which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the storrnwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 11 , 2 3 4 5 (c b. Suspended Solids: Choose the number which best describes the amount of suspended solids in the storrnwater discharge, where 1 is no solids and 5 is extremely muddy: (t 2 3 4 5 7. Is there any foam in the storrnwater discharge? Yes No, 8. Is there an oil sheen in the stormwater discharge? • Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10, Other Obvious Indicators of Stormwater Pollution: List and describe �]�( 1 or6 Note: Low clarity, high solids, and/or the presence of Foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 cf 2 5IVU-242, Last modified 10/25/2012 Sample Details Page 1 of 2 AM/ Welcome, Tom Fasig. Give us your feedback here Change Pasaword Logiou Home Container Orders ResultS EDDs Data Notifications Resources Help ' Home > Results > PrnjeQ92244974 > Sample 1431995 1--Project Information - - Client Project: MGM Brakes SW 4/10 Project Status: Complete Pace Project Nbr: 92244974 Matrix: Water Sample: MGM BRAKES SW # 5 Collected Date: 04/10/2015 Lab Id: 92244974002 Received Date: 04/10/2015 ❑ Analysis ❑ 200.7 MET ICP ❑ HEM, Oil and Grease ❑ 2540D Total Suspended Solids Method Desc EPA 200.7 EPA 1664E SM 2540D �Query by Method Status Complete Complete Complete ❑ Show Hits Only RC.7Y �1 L��L 17 items found, displaying all items. 1 RL=Report Limit, MDL=Me#hod Detection Limit, DF=Dilution Factor, Sas=Basis, Qual=Qualifiers Method Desc Parameters Results Units RL MDL OF Analyzed Date Bas Feld pH 7.19 Std, 0.10 0.101 04/12/2015 NA Units 22:56 Collected Time 08:20 1 04/12/2015 NA 22:56 Feld Temperature 19.3 deg C 0.50 0.501 04/12/2015 NA 22:56 Collected Date 4/10/15 1 04/12/2015 NA 22:56 Collected By Tom 1 04/12/2015 NA Fasig 22:56 EPA 1664B Oil and Grease ND mg/L 5.0 1.1 1 04/17/2015 NA i 07:25 EPA 200.7 Cadmium ND ug/L 1.0 0.501 04/17/2015 NA 18:13 1 EPA 200.7 Copper ND ug/L 5.0 2.5 1 04/17/2015 NA 18:13 EPA 200.7 Chromium NO ug/L 5.0 2.5 1 04/17/2015 NA 18:13 EPA 200.7 1 Nickel ND ug/L 5.0 2.5 1 04/17/2015 NA j 18:13 EPA 200.7 Selenium ND ug/L 10.0 5.0 1 04/17/2015 NA ' I 18:13 I EPA 200.7 Silver ND ug/L 5.0 2.5 1 04/17/2015 NA i 18:13 y EPA 200.7 Molybdenum NO ug/L 5.0 2.5 1 04/17/2015 NA 3 1B:13 y EPA 200.7 Arsenic ND ug/L 10.0 5.0 1 04/17/2015 NA 18:13 EPA 200.7 Zinc 123 ug/L 10.0 2.5 1 04/17/2015 NA t 18:13 EPA 200.7 Lead NO ug/L 5.0 2.5 1 04/17/2015 NA 18:13 SM 2540D Total Suspended Solids 31.0 mg/L 5.0 5.0 1 04/14/2015 NA 20:29 17 items found, displaying all items. Qual I I I i' I https:llpaceport.pacelabs.com/CI ientPortal/samp]eDetaits.do?projectlD=92244974&syste... 5/ 13/2015 Sample Details Page 2 of 2 I� 1 Terms of Service Copyright © 2015 Pace Analytical Services, Inc. https:llpaceport.pacelabs.con/ClientPortallsampleDetails.do?proj ectID=92244974&syste... 5/ 14/2015 r VL IFA f NCDENR Stormwater Discharge Outfall (SDO) . -Qualitative Monitoring Report Forguidance,onfrllinrgoutthisform, please visit: 11tt �artal.ncdenr,n ,�tivel�/�v wsfsu/npd ss__w talj 4 Permit No.: N/C/G/0 /a/0 /O /O/D/ or Certificate of Coverage No.: N/C/C,/ o/3/ 0/ /3/O/ Facility Name: it GFn &f?AKEs County: CAIEROKEE _ Phone No. tI3Z - 63-1 `Zf 17 Inspector:-S Date of Inspection:.4'l1- eoJ �'rt r Time of Inspection: :20 cam Total Event Precipitation (inches): • 3 Was this a "Representative Storm Event" or "Nicasureable Storm Event" as defined by the permit? (See information below.) Z Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event"or "measureablestorm event" (requirements vary, depending on the permit). Qualitative nlonitoring requirements vary. Most permits require qualitative monitoring to be pet -formed during a "representative storm event" or during a "nleasureable 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 E E 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no I precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the I 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 f interval is representative for local storm events during the'sampling period,.and the permittee obtains approval from the focal DWQ Regional Office. By this signature, l certify that this report is accurate and complete to the best of my knowledge: (Signafui rmt tee or Designee) Pagel of 2 SwU-242, Last [codified 10/25/2012 JD rt = T� t JV _. 1. Outfall Description: Outfall No. & Structure ipe, ditch, etc.) _ I76 U �1T�+ Receiving 5trea1ll: 4t 1 Describe the industrial activities that occur within the outfall drainage area:-ftl �� 2. Color: Describe the color of the (light, medium, dark) as descriptors: 3. Odor: Describe any d'stinc weak chlorine odor, etc.): Q] e usipg basic colors (red, brown, blue, etc.) and tint rsstthat the discharge may have (i.e., smelis strongly of oil, i 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 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: ` 22 3 _ 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where l is no solids and 5 is extremely muddy: �t 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes Q B. Is there an oil sheen in the stormwater discharge? Yes . kDo 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of.. Stto''r tmwater Pollution: List and describe _tC M'i Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SwU-242, East modified 10/25/2012 Sample Details r Page 1 of 2 Give us your feedback here e%��rJil Blida sly Welcome, TomFasig. Change Password Loaout V Jf 4f FLZ y Li(I(� Home Container orders Results EDDs Data Notifications Resources Help Hme > Resul > Proiect 92244974 > Sample 1431996 Project Information Client Project: MGM Brakes SW 4/10 Project Status: Complete a, Pace Project Nbr: 92244974 Matrix: Water I Sample: MGM BRAKES SW # 6 Collected Date: 04/10/2015 Lab Id: 92244974003 Received Date: 04/10/2015 rICLINWUM ❑ Analysis Method Desc ❑ 200.7 MET ICP EPA 200.7 ❑ HEM, Oil and Grease EPA 1664E ❑ 2540D Total Suspended Solids SM 2540D !Query by Methc Status Complete Complete Complete ❑ Show Hits Only -Result List 17 items found, displaying all items. 1 RL=Report Limit, MDL=Method Detection Limit, DF=Dilution Factor, Bas=Basis, Qual=Qualifiers Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Collected Time 08:20 1 04/12/2015 NA 22:58 Feld Temperature 19.4 deg C 0.50 0.501 04/12/2015 NA 22:58 Collected By Tom 1 04/12/2015 NA Fasig 22:58 Collected Date 4/10/15 1 04/12/2015 NA 22:58 Feld pH 6.54 Std. 0.10 0.101 04/12/2015 NA Units 22:58 EPA 1664B Oil and Grease ND mg/L 5.0 1.1 1 04/17/2015 NA 07:30 EPA 200.7 Selenium ND ug/L 10.0 5.0 1 04/17/2015 NA 18:16 EPA 200.7 Arsenic ND ug/L 10.0 5.0 1 04/17/2015 NA 18:16 EPA 200.7 Nickel 5.9 ug/L 5.0 2.5 1 04/17/2015 NA 18:16 EPA 200.7 Chromium ND ug/L 5.0 2.5 1 04/17/2015 NA 18:16 EPA 200.7 Lead ND ug/L 5.0 2.5 1 04/17/2015 NA 18:16 EPA 200.7 Copper 7.2 ug/L 5.0 2.5 1 04/17/2015 NA 18:16 + EPA 200.7 Silver ND ug/L 5.0 2.5 1 04/17/2015 NA 18.16 EPA 200.7 Zinc 133 ug/L 10.0 2.5 1 04/17/2015 NA 18:16 EPA 200.7 Cadmium NO ug/L 1.0 0.501 04/17/2015 NA 18.16 i EPA 200.7 Molybdenum ND ug/L 5.0 2.5 1 D4/17/2015 NA 18.16 SM 2540D Total Suspended Solids 70.0 mg/L 8.3 8.3 1 04/14/2015 NA 20:29 17 items found, displaying all items. Qual https://paceport.pacelabs.com/ClientPorta)/sampleDetails.do?prof ectID=92244974&syste... 5/ 13/2015 Sample Details Page 2 of 2 Terms of Service Copyright © 2015 Pace Analytical Services, Inc. https:llpaceport.pacelabs.com/ClientPortallsampleDetail s.do?projectlD=92244974&syste... 5/ 14/2015 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted &�p, zor4 CERTIFICATE OF COVERAGE NO. NCG030 5 3 D FACILITY NAME rnGfn_JPfWrc_-5 COUNTY C+ C:=KO PERSON COLLECTING SAMPLES TOM % SIG LABORATORYtkEP&SW_ GnC, .'jqGSLab Cert. # 4-0 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 201+ SAMPLE PERIOD ❑ Jan -June M July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other IFC 29 2014 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 CENTI; 4 F pWR SEcrroN F-1 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/L -- 4.0 0./00077 mg/L 0..0}/3�j3.�mg/L 0.0y/y677 mg/L 15 mg/L 1 mg/L. 1 05 14- ♦ 1 4.0 (n /�6./0 ✓,6& 1 IC0 L <.oc L • 1LJt 1L. L 5,0 rn /L rj [ 05 i4 t Z,7 ,rt1 L. 4.4b3 4.005 L ,C�o5 I_ - 106 L < 5.0 /L_ (o r O 14 , i 4.6 m / r_ 5. I Ca t - <.Cb5m L- , 0826 rn L < 5 o rn fit_ ' 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). � 9ftIr� C_X x � �qh7 _ 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." Name (Print name) ^ Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Lirnit, BDL, <PQL, Non-detect,,N_D, or other similar non -numerical format: When results are below the applicable limits, the must be reported in the format "<XX m L" where XX is the num' erical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3 Inches Non -polar O&G/TPH by _ EPA 1664 (SGT.HEMj Total Suspended Solids - pH - %-' Benchmarks =__> - - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 4.0 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/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 t� Page 2 of 3 '`�"`�y 1 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: FEF •. t_ err ,+4 c -D ,� �a 7/i+11+ fi�oin 1--Aum Marl an oriainal and one copy of this OMR, includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina aeriod in the case of "No Discharae" reoortsl 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." (Sig (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Palle 3 of 3 A'F"A" NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory John E. Skvarla, III Governor Secretary July 14, 2014 MGM Brakes, Division of Indian Head Industries, Inc. ATTN: Mr. Tom Fasig, Engineering Manager PO Box 70 Park Avenue Murphy, North Carolina 28906 SUBJECT: NPDES Stormwater Permit: Request for Regulatory Relief MGM Brakes, Division of Indian Head Industries, Inc. General Permit No: NCG030000, COC No: NCG030530 Cherokee County Dear Mr. Fasig: On June 24, 2014 we received your submittal of additional information in response to our December 2013 inspection and letter requesting additional actions and testing. Your submittal indicated that MGM Brakes has implemented additional actions such as more frequent parking lot sweeping, and covered storage of all metal products. Monthly monitoring has been triggered by two consecutive exceedances of the zinc and copper benchmarks in Storm Drain Outfall Nos. 04, 05, and 06 at your facility. Please keep in mind that benchmark exceedances are NOT limit violations or violations of permit conditions, however, you are obligated to follow the tiered response actions outlined in your permit. MGM Brakes has been following the tiered response actions and therefore is in compliance with the permit. As part of tiered response, MGM Brakes has initiated housekeeping actions that appear to have addressed process exposures; however, the zinc and copper benchmarks continue to be exceeded. In addition, MGM Brakes has identified likely non process sources of zinc including galvanized building material, and testing has confirmed zinc contributions from these areas. There are potential process sources of zinc, but these operations are located indoors or under cover with limited exposure to stormwater. Based on the aforementioned items, we are granting regulatory relief in the form of a collapsed Tier 2 — Tier 3' response. Upon receipt of this letter, MGM Brakes may resume the permit specified semi-annual analytical monitoring for the remainder of the current permit term. Your current permit is set to expire on October 31, 2017. This decision only applies to the zinc and copper benchmarks. A benchmark exceedance Division of Energy, Mineral, and Land Resources — Land Quality Section Asheville Regional Office, 2090 US Highway 70, Swannanoa, North Carolina, 28778-8211 Telephone 828-296-4500 Fax 828-299-7043 Onc !i http:/http://portal.ncdenr.or�lweb/Irllandqualityquality NorthCarolina an Pr inl Onnnrti,nity / Affirmative Action Emolover Natural& Mr. Tom Fasig July 14, 2014 Page 2 of 2 of any other parameter listed in your permit will trigger tiered response actions as described in the general permit. You must notify this office in writing, within five business days, if you become aware of any significant source of zinc or copper at your facility that has the potential to be exposed to stormwater. The relief granted in this letter is contingent upon the current industrial practices at MGM Brakes. If industrial practices change and zinc and copper do become significant stormwater exposure risks then this office reserves the right to withdraw this decision and reinstate the permit specified tiered response or other actions that may be warranted by the new set of circumstances. Please retain and append this letter to your Stormwater Pollution Prevention Plan (SPPP) or permit. If you have any questions or comments concerning this letter, please contact Jeff Wait or me at (828) 296-4500. Sincerely, Laura Her PE Regional Engineer ec: Bethany Georgoulias, RCO c C acmnalytical www.pacelaDs.am SAMPLE ACKNOWLEDGMENT Samples Submitted By: MGM Brakes Pace Project Manager: Client Project ID: MGM BRAKES/STORMWATER 12/5 Client PO#: Pace Analytical Project ID: Samples Received: Estimated Completion: CC: Mr. Tom Fasig 9800 Kinoey Ave., Suite 100 Huntersville, NC 28078 (704)875-9092 Chris Derouen Phone (704)875-9092 Christopher.derouen@pacelabs.com 92228390 December 5, 2014 11:36 AM December 19, 2014 Pace Analytical Datefrime Customer Sample ID Lab ID Matrix Collected Method MGM BRAKES/STORMWATER #4 92228390001 Water 12/05/14 08:00 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease MGM BRAKES/STORMWXFER #5 92228390002 Water 12/05/14 08:00 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease MGM BRAKES/STORMWATER #6 92228390003 Water 12/05/14 08:00 200.7 ICP Metals Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM. Oil and Grease Please contact your project manager if you recognize any discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. Page 1 of 1 2aneAnaWical` wwwpaoelafmcom December 12, 2014 Mr. Tom Fasig MGM Brakes PO Box 70 Murphy, NC 28906 RE: Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 Paco Analytical Services, Inc. 2225 Riverside Dr, Asheville, NC 28804 (828)254-7176 Dear Mr. Fasig: Enclosed are the analytical results for sample(s) received by the laboratory on December 05, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Chris Derouen christopher.derouen@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 13 ace Analytical www.peaelabs.com Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 26804 t828j254-7176 Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Hu nte rsville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Asheville Certiflcation IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Florida/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiafVELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 13 acmnalytical Kww.psralahs.mm SAMPLE ANALYTE COUNT Project: MGM BRAKESISTORMWATER 12/5 Pace Project No.: 92228390 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Lab ID Sample !O Method Analysts Anafytes Reported Laboratory 92228390001 MGM B RAKESISTO RMWATER #4 EPA 1664B CLW 1 PASI-C EPA200.7 JMW 10 PASI-A SM 2540D WRC 1 PASI-A 92228390002 MGM B RAK ESISTO RMWATER #5 EPA 1664B CLW 1 PASI-C EPA200.7 JMW 10 PASI-A SM 2540D WRC 1 PASI-A 92228390003 MGM B RAKESISTO RMWATER #6 EPA 1664B CLW 1 PASI-C EPA 200.7 JMW 10 PASI-A SM 2540D WRC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 13 i aceAnalytical www.paceleba.com Project: MGM BRAKES/STORMWATER 1215 Pace Project No.: 92228390 Sample: MGM BRAKESISTORMWATER #4 Parameters HEM, Oil and Grease Oil and Grease 200.7 MET ICP Arsenic Cadmium Chromium Copper Lead Molybdenum Nickel Selenium Silver Zinc 2640D Total Suspended Solids Total Suspended Solids Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 ANALYTICAL RESULTS Lab ID: 92228390001 Collected: 12/05/14 08:00 Received: 12/05/14 11:36 Matrix: Water Results Units Report Limit DF Prepared Analyzed CAS No. Qual Analytical Method: EPA 1664B ND mg1L 5.0 1 12109/14 09:11 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 ND uglL 10.0 1 12/08/1415:25 1211011419:48 7440-38-2 ND ug/L 1.0 1 12/08/1415:25 12110/1419:48 7440-43-9 ND ug/L 5.0 1 12/08114 15:25 12/10/14 19:48 7440.47-3 5.0 uglL 5.0 1 12/08/14 15:25 12/10/14 19:48 7440-50-8 ND ug/L 5.0 1 1210811415:25 12110/1419:48 7439-92-1 ND uglL 5.0 1 12I0811415:25 12110/1419:48 7439-98-7 ND ug/L 5.0 1 12/08/1415:25 12110/1419:48 7440-02-0 ND ug1L 10.0 1 1210811415:25 1211011419:48 7782-49-2 ND ug/L 5.0 1 12108/1415:25 12/1011419:48 7440-22-4 187 ug/L 10.0 1 1210811415:25 12/10/14 19:48 7440-66-6 Analytical Method: SM 25400 9.8 mglL 5.0 1 12/10/14 14:53 Sample: MGM Lab ID: 92228390002 Collected: 12/05/14 08:00 Received: 12/05/14 11:36 Matrix -.Water BRAKES/STORMWATER #5 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual HEM, oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg1L 5.0 1 12109/14 09:11 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 2007 Arsenic ND ug/L 10.0 1 12/0811415:25 12110M419:57 7440-38-2 Cadmium ND ug/L 1.0 1 12/08/1415:25 12/10/14 19:57 7440-43-9 Chromium ND ug/L 5.0 1 1210811415:25 12/10114 19:57 7440-47-3 Copper ND ug/L 5.0 1 12108/1415:25 12/10/14 19:57 7440-50-8 Lead ND ug1L 5.0 1 12/08/14 15:25 12/10/14 19:57 7439-92-1 Molybdenum ND ug/L 5.0 1 12/08/14 15:25 12/10/14 19:57 7439-98-7 Nickel ND ug/L 5.0 1 12108/14 15:25 12/10/14 19:57 7440-02-0 Selenium ND ug/L 10.0 1 12108/14 15:25 12/10/14 19:57 7782-49-2 Silver ND uglL 5.0 1 12108/14 15:25 12/10/14 19:57 7440-22-4 Zinc 108 uglL 10.0 1 12/08/14 15:25 12/10/1419:57 7440-66.6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 2.7 mg1L 2.5 1 12/10/14 14:54 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12112/2014 11:52 AM without the written consent of Pace Analytical Services, Inc.. Page 4 of 13 aceAnalytica! www.pscalabacorn ANALYTICAL RESULTS Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Sample: MGM BRAKESISTORMWATER #6 Parameters Lab ID: 92228390003 Collected: 12/05/14 08:00 Results Units Report Limit DF Received: 12/05/14 11:36 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease ND mg1L 5.0 1 12/09/14 09:11 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA200.7 Arsenic ND ug/L 10.0 1 12108/14 15:25 12/10/14 20:00 7440-38-2 Cadmium ND uglL 1.0 1 12/08/14 15:25 12/10/14 20:00 7440-43-9 Chromium ND uglL 5.0 1 12/08114 15:25 12/10/14 20:00 7440-47-3 Copper ND uglL 5.0 1 12/08/14 15:25 12/10/14 20:00 7440-50-8 Lead ND ug1L 5-0 1 12/08/14 15:25 12/10/14 20:00 7439-92-1 Molybdenum ND uglL 5.0 1 12/08/14 15:25 12/10/14 20:00 7439-98-7 Nickel ND ug1L 5.0 1 12/08/14 15:25 12/10/14 20:00 7440-02.0 Selenium ND ug1L 10.0 1 12/08/14 15:25 12/10/14 20:00 7782-49-2 Silver N❑ ug1L 5.0 1 12/08/14 15:25 12/10/14 20:00 7440.22-4 Zinc 82.6 ug/L 10-0 1 12/08/14 15i25 12/10/14 20:00 7440-66-6 2540D Total Suspended Solids Analytical Method; SM 2540D Total Suspended Solids 4.6 mg1L 2.6 1 12/10/14 14:54 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/1212014 11.52 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 13 aceAnalytical e WWW..pacetabac= QUALITY CONTROL DATA Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 QC Batch: GCSV119728 Analysis Method: EPA 1664B QC Batch Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92228390001, 92228390002, 92228390003 METHOD BLANK: 1346505 Matrix: Water Associated Lab Samples: 92228390001, 92228390002, 92228390003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 12/09/14 09:04 Pace Analytical Services, Inc. 2225 Riverside Dr, Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 1345506 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 34.3 86 78-114 MATRIX SPIKE SAMPLE: 1346507 92228229001 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L ND 40 36.6 92 78-114 Results presented on this page are In the units Indicated by the "Units- column except where an alternate unit Is presented to the right of the resutt. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12I1212014 11:52 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 113 aceAnalytical wwwpscerratu.00m QUALITY CONTROL DATA Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 QC Batch: MPRP117496 Analysis Method: QC Batch Method: EPA 200.7 Analysis Description: Associated Lab Samples: 92228390001, 92228390002, 92228390003 EPA 200.7 200.7 MET METHOD BLANK: 1346119 Matrix: Water Associated Lab Samples: 92228390001, 92228390002, 92228390003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Arsenic ug/L ND 10.0 1211011418A5 Cadmium ug/L ND 1.0 1211011418:45 Chromium ug/L ND 5.0 1211011418:45 Copper ug/L ND 5.0 12/10/1418:45 Lead ug/L ND 5.0 12/10/1418:45 Molybdenum uglL NO 5.0 12/10/1419:45 Nickel ug/L ND 5.0 12/10/1418:45 Selenium ug/L NO 10.0 1211011418:45 Silver ug/L NO 5.0 1211011418:45 Zinc ug/L NO 10.0 1211011418:45 Pace Analytical Services, Inc. 2225 Riverside 0r. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: Parameter 1346120 Units Spike Canc. LCS Result LCS % Rec % Rec Limits Qualifiers Arsenic ug/L 500 503 101 85-115 Cadmium ug/L 500 511 102 85-115 Chromium ug/L 500 489 98 85.115 Copper ug/L 500 528 106 85-115 Lead ug/L 500 503 101 85-115 Molybdenum ug/L 500 515 103 85-115 Nickel ug/L 500 503 101 85-115 Selenium ug/L 500 506 101 85-115 Silver ug/L 250 254 101 85-115 Zinc ug/L 500 477 95 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1346121 1346122 MS MSD 92228444002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Gone. Cone. Result Result % Rec % Rec Limits RPD Qual Arsenic uglL NO 500 500 512 507 102 101 70-130 1 Cadmium ug1L ND 500 500 518 509 104 102 70-130 2 Chromium ugiL ND 500 500 494 483 98 96 70-130 2 Copper uglL 58.8 500 500 594 589 107 106 70-130 1 Lead uglL ND 500 500 502 494 100 99 70-130 2 Molybdenum uglL ND 500 500 526 519 104 103 70-130 1 Nickel uglL ND 500 500 501 494 100 98 70-130 2 Selenium uglL ND 500 500 517 506 103 101 70-130 2 Silver ug1L ND 250 250 253 250 101 99 70-130 1 Results presented on this page are In the unite Indicated by the "Units" column except where an alternate unit Is presented to the tight or the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/12/2014 11:52 AM without the written consent or Pace Analytical Services, Inc.. Page 7 of 13 aceAnalytical wwwpecftb&tmn QUALITY CONTROL DATA Project: MGM BRAKES/STORMWATER 1215 Pace Project No.: 92228390 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1346121 1346122 MS MSD 92228444002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Clual Zinc ug1L 390 500 500 860 861 94 94 70-130 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1346123 1346124 MS MSD 92228390001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD 4ual Arsenic ug1L ND 500 500 496 488 99 98 70-130 2 Cadmium ug1L NO 500 500 505 498 101 100 70-130 1 Chromium ug1L ND 500 500 486 483 97 96 70-130 1 Copper ug/L 5.0 500 500 527 518 104 103 70-130 2 Lead ug1L ND 500 500 502 496 100 99 70-130 1 Molybdenum ug1L ND 500 500 514 507 103 101 70-130 2 Nickel ug1L NO 500 500 499 495 100 99 70-130 1 Selenium ug1L NO 500 500 503 495 100 99 70-130 2 Silver ug1L NO 250 250 249 246 100 98 70-130 1 Zinc ug1L 187 500 500 654• 647 93 92 70-130 1 Results presented on this page are In the units Indicated by the "Units- column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/12/2014 11!52 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 13 aceAnal.001. wwwpacelabacom QUALITY CONTROL DATA Projecli MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 QC Batch: WETI34696 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92228390001, 92228390002, 92228390003 METHOD BLANK: 1348071 Matrix: Water Associated Lab Samples: 92228390001, 92228390002, 92228390003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 12/10/14 14:48 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: 1348072 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 238 95 90-110 SAMPLE DUPLICATE: 1348073 92228289001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 1770 1950 10 SAMPLE DUPLICATE: 1348074 92228647002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mgJL 30.0 25.0 18 D6 Results presented on this page are in the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 12/12/2014 11:52 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical WWWpecabbimm QUALIFIERS Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 DEFINITIONS Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL -Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/12/2014 11:52 AM without the written consent of Pace Analytical Services, Inc„ Page 10 of 13 aceAnalytical wwwpecefa mCam QUALITY CONTROL DATA CROSS REFERENCE TABLE Paco Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: MGM BRAKESISTORMWATER 1215 Pace Project No.: 92228390 Analytical LabID Sample ID QC Batch Method QC Batch Analytical Method Batch 92228390001 MGM BRAKESISTORMWATER #4 EPA 1664B GCSV119728 92228390002 MGM BRAKESISTORMWATER #5 EPA 1664B GCSV119728 92228390003 MGM BRAKESISTORMWATER #6 EPA1664B GCSV119728 92228390001 MGM BRAKESISTORMWATER #4 EPA 200.7 MPRP117496 EPA 200.7 92228390002 MGM BRAKESISTORMWATER #5 EPA 200.7 MPRP117496 EPA 200.7 92228390003 MGM BRAKESISTORMWATER #6 EPA 200.7 MPRP117496 EPA 200.7 92228390001 MGM BRAKESISTORMWATER #4 SM 2540D WET/34696 92228390002 MGM BRAKESISTORMWATER #5 SM 2540D WET134696 92228390003 MGM BRAKESISTORMWATER #6 SM 25401) WETI34596 Date: 12/12/2014 11:52 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ICP115763 ICP115763 ICP115763 Page 11 of 13 CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain-cf-CuWcdy is a LEGAL DOCUMENT_ M relevnnt ficlds muSt be COmpleftd accurately. �2 O AP _NPDES F GRID R DRINKING MER OTHER r• . ®rrrtrrrrrrrr .. . r voter wr .� SAMPLE ID CS OL , 1 --M y��l •r • I! ■�■��■■r. �\' �iir■■■■r■■■. _ i * ! ® Vi� rig: ;._ j • r:�irf������®�■©�.■■. A`E■H■.■E.■E " ©ill-.�r ::�a.__ �c-��._�:`� ' � �D��iE�`%��©��0�1■■�■ ►�/F F�■■�■■��■■■ ■■■i■��■�■■■■�■ ■r■tit■■�■ UPIENEUPM AMPLER NAME AND SIGNATURE PRINT Name *f SAMPLER; �:. SIGNATURE of SAMPLER: '1 rpartwt Now: By s.Vw g Do form you are a=ptlrrg Pace's NET 30 day paympnl tar= *no agr00arg 10 4t9 Cnarg03 or 1.5% Der m%:pth for any unracee - 'h' days. F-ALL-0-020rov.07. 15-May-2p07 Document Name: Sample Condition Upon Document Revised: June 10, 2014 ZAnaplcal Recei t SCUR Pa e 1 of 2 Document No.. issuing Authorities: �""' F-ASV-CS-003-rev.14 Pace Asheville Quality Office Client Name: Courier (Circle): Fed Ex UPS USPS . E�qCommercial Pace Other Custody Seal on Cooler/Box Present: es J�'nnco . Seals intact: ❑ yes no Packing Material: Bubble Wrap Bubble Bags ❑ Norse n Other Thermometer Used: IR Gunit3-'1,30265963 Type of Ice: Oe Blue None �Ssmpon Ice, cooling process has begun IR Gr SNA40290365 Other: Temp Correction Factor: Add / Subtract- C Corrected Cooler Temp.: r C Temp should be above freezing to 6'C biological Tissue Is Frozen: Yes No I Comments: Date and Inttlal of u on a p lning contents: •) J it r Chain of Custody Present: Yes No ©NIA 1. Chain of Custody Filled Out: p s-6No ❑wA 2. Chain of Custody Relinquished: Ye No ❑NrA 3. Sampler Name $ Si nature on COC: Ye No ❑wA 4. Samples Arrived within Hold Time: Yos •.❑No wA 5. Short Hold Time Analysis <72hr : Oyes No wA 6. Rush Turn Around Time Requested: ❑Yes No ❑wA 7. Sufficient Volume: Y No ❑NIA 8. Correct COntainees Used: -Pace Containers Used: No �YeNo ❑wA CIwA 9. Containers Intact: Ye: ON. ❑NIA 10. Filtered volume received for Dissolved tests ❑Ye No NIA 11. Sample Labels match COC: Yes ❑No -includes date/iimell=na is Matrix:- f ❑wA 12. All containers needing preservation have been checked. Ad containers needing preservation are found to be in compliance with EPA recommendation. exceptions: VOA �rorm. TOC, G&G, WI-080 (water) No ❑N1A Yea ❑Na ❑NIA ❑Yea Ao' 13. Samples checked for dechlorination: Yas ❑No ❑NIA 14. Headspace in VOA Vials ( }6mm): ©Yes ON NIA 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # (if purchased): OYes ❑Na OYes ❑No E w wA �. Client Notification/ Resolution: Field Data Required? Y I N Person Contacted: Date/rime- Comments/ Resolution: SCURF Review: SRF Review:/ iDate: Note: Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (Le out of hold, incorrect preservative, out of temp, incorrect containers) WO#�390 l V922M28390Illll � Page 13 of 13 r A� �RFA NCDENR Stormwater-Discharge Outhall (SDO) Qualitative Monitoring Report Forguidance onfilling outthis form, please visit.: gweb we ZWS.I.Su n >clessw#tab-11 Permit No.: or Certificate of Coverage No.: NX/ i/ Facility Narne: MGM uP4qKE'5 County: Inspector: 1..��LE Phone No. BZa- 637 -21 17 Date of Inspection: Time of Inspection: E 0 a. Total Event Precipitation (inches): 0, 1 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 ftlonitoring must be per formed during a "representative storm event" or "rneasureable storm event" (requirements vary, depending on the permit). r Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "rneasureable 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 (lays) 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 perinittee 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: (Signatu rani tee or Designee) C Page 1 of 2 _1 l�r�i�= i�• Z 1. Outfall Description: F Outfall No. -. Structure (pine, ditch, etc.) r t p� Receiving Stream: ---Hr_ �. Desci']bC the industrial activities that occur within the outfall drainage area: i 2. Color: Describe the color of th�discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: f C2� -T?�f-f'`� 3. Odor: Describe anydistinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): O N 'l-e rf�& rC-D _ Y 4. Clarity: Choose the number %vhich best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 (J3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 C2 ) 3 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in tine stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 O 3 4 5 7. Is there any foam in the stormwater discharge? Yes Na B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at tie outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. 'These conditions warrant further investigation. Page 2 of 2 r • Sample Details Pagel of 2 i Give us your feedback here Welcome, Tom Fasig, Change Password Locout Hpme - Container Orders i R Ultrslt5 ' EObs_ Dam Notifications Resources Help inn �i �� VJGMR +,��V��o R,V• Client Project: MGM BRAKES/STORM WATER 12/5 Pace Project Nbr: 92228390 Sample: MGM BRAKES/ STORM WATER #4 Lab Id: 92228390001 ��c�rwcaa Analysts ---- ---- - - - --- 2003 MET ICP HEM, Oil and Grease 0 25440 Total Suspended Solids Query by Method Method Desc EPA 200.7 EPA 1664E SM 2540D Project Status: Complete Matrix: Water Collected Date: 12/05/2014 Received Date: 12/05/2014 Status Complete i Complete Complete El Show Hits Only tf Result List 12 items found, displaying all items. - I� 1 j R_ L=Report Limit, MDL=Method. DetectionLim it,_DIF=Dilution _Fa_c_tor,-Bas_=Basis_, Qu_ al=Qu_allfiers mm II Method Desc Parameters Results Units RL MDL DF� Analyzed Date Bas Qual EPA 1664E Oil and Grease NO mg/L 5.0 1.1 1 12/09/2014 NA 09:11 EPA 200.7 Nickel NO ug/L 5.0 2.5 1 12/10/2014 NA 19:48 I EPA 200.7 Zinc 187 ug/L 10.0 2.5 1 12/10/2014 NA J` 19:48 { EPA 200.7 Molybdenum ND ug/L 5.0 2.5 1 12/10/2014 NA 19:48 EPA 200.7 Chromium ND ug/L 5.0 2.5 1 12/10/2014 NA 19:48 EPA 200.7 Arsenic ND ug/L 10.0 5.0 1 12/10/2014 NA 19:48 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 12/10/2014 NA i 19:48 EPA 200.7 Selenium ND ug/L 10.0 5.0 1 12/10/2014 NA 19:48 'EPA 200.7 Copper 5.0 ug/L 5.0 2.5 1 12/10/2014 NA 19:48 EPA 200.7 Lead NO ug/L 5.0 2.5 1 12/10/2014 NA ! 19:48 iI 'EPA 200.7 Silver NO ug/L 5.0 2.5 1 12/10/2014 NA I 19:48 SM 25400 Total Suspended 9.8 mg/L 5.0 5.0 1 12/10/2014 NA Solids 14.53 https.Ilpaceport.pacelabs.com/ClientPortallsampleDetaits.do?proj ectl D=92228390&syste... 12/ 12/2014 Sample Details Page 2 of 2 12 items found, displaying all items. 1 � I Terms of Service Copyright ® 2014 Pace Analytical Services, Inc. https://paceport.pacelabs.com/ClientPortal/sampleDetails.do?projectID=9222839O&syste... 12/ 12/2014 , � t NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For 9uidance on filling out this form, please visit: htt �: /iiortal.ncdenE.orlr weh wcI tivs su ��k�dessw#tah-�1 Permit No.: N/(;/G/a /3/d /O /O/O/, , or Certificate of Coverage No.: Facility name: -MGCOS County: i Inspector: Date of Inspection: Time of Inspection: Total Event Precipitation (inches): 0- l Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the Kermit? (See information below.) N Yes ❑ No Please verify whether Qualitative 6Tonitorinrd must be performed during a "representative storm event" or "measureahle storm event" (requirements vary, depending on the permit). l _ 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 storni 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 perrnittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the perrnittee 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: (Signatu - rnu tee or Designee) ["age i of 2 jDH ]. Outfall Description: � Outfall No. •••— Structure pi pe, ditch, etc.) T 1� R Receiving StreaIn: l \ Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of th discharge usinbasic t,co ors (red, brown, blue, etc.) zrnd tint (light, medium, dark) as descriptors: 3. Odor: Describe any IISLIIICt weak chlorine odor, etc.): rs that the discharge may have (i.e., smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is cleat' and 5 is very Cloudy: 1 (J2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 11iis no solids and S is the surface covered with floating solids: (_ 1J 2 3 4 5 b. Suspended Solids: Choose the number which best describes the amount of suspended so] icis in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: �1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No a. Is there an oil sheets in the stormwater- discharge? Yes 0 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators ofStormwater Pollution: List and describe Note- Low clarity, high, solids, and/or the presence of foam, oil sheen, or es-osion/deposition Inay be Indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 . ,Sample Details Page 1 of 2 ceAnaiy i�c 14 c It II Home :Results : Prolect 92228390 : Sample 1344732 Give us your feedback here Welcome. Tom Fesig. Change-Passswort Loclou Home Container Orders Results EDDs Data Notifications Resources Help YTD]e'Gi AnvuFMC211un Client Project: MGM BRAKES/STORMWATER 12/5 Pace Project Nbr: 92228390 Sample: MGM BRAKES/STORMWATER $5 Lab Id: 92228390002 MVLnvaa Analysis- --- --. ----� ` - - �- - -Method Desc 200.7 MET ICP EPA 200.7 HEM, Oil and Grease EPA 1664E i] 25400 Total Suspended Solids SM 2540D Query by Method Result List Project Status: Complete Matrix: water Collected Date: 12/05/2014 Received Date: 12/05/2014 Status Complete Complete Complete EJ Show hits Only 12 items found, displaying all items. ;1 R_L=R_eport_Limit,MDL=Method-De_tection�Limit-DF=D___ ilution-Factor;_Sag=Basi_s,_QualWQualifiers - l �MDL I Method Desc Parameters Results Units RL DF Analyzed Date Bas Qual EPA 1664D Oil and Grease ND mg/L 5.0 1.1 1 12/09/2014 NA 09:11 EPA 200.7 Arsenic ND ug/L 10.0 5.0 1 12/10/2014 NA 19:57 EPA 200.7 Lead ND ug/L 5.0 2.5 1 12/10/2014 NA 19:57 f EPA 200.7 Copper ND ug/L 5.0 2.5 1 12/10/2014 NA i 19:57 'EPA 200.7 Nickel ND ug/L 5.0 2.5 1 12/10/2014 NA 19:57 EPA 200.7 Chromium ND ug/L 5.0 2.5 1 12/10/2014 NA 19:57 EPA 200.7 Silver ND ug/L 5.0 2.5 1 12/10/2014 NA 19:57 EPA 200.7 Selenium ND ug/L 10.0 5.0 1 12/10/2014 NA 19:57 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 12/10/2014 NA 19:57 EPA 200.7 Molybdenum ND ug/L 5.0 2.5 1 12/10/2014 NA 19:57 'EPA 200.7 Zinc 108 ug/L 10.0 2.5 1 12/10/2014 NA i 19:57 5M 2540D Total Suspended 2.7 mg/L 1 12/10/2014 NA - �- Solids -2.5 -2.5 14:54 - �- https:llpaceport.pacelabs.com/ClientPortallsampleDetails.do?proj ectlD=92228390&syste... 12/ 12/2014 Sample Details Page 2 of 2 12 items found, displaying all items. 1 Terms of Service Copyright © 2014 Pace Analytical Services, Inc_ https:llpaceport.pacelabs.com/ClientPortallsamp]eDetaits.do?proj ectlD=9222839O&syste... 12/ 12/2014 ' NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For rluhlance onfilling out tlris foray, please visit: httl,:// xirtal.ncdenr.0r r JLVub Lv(f %V9 sit1pdesswv4 tall-4 Permit No.: or Certificate of,Coverage No.: N/C/c�/ 4/3/ 0/5/3/ 4/ Facility Name: (YI&M :E f gEs County: �$�1C�E _ PhoneNo. I7 Inspector:- 1(01M Date of Inspection: Time of Inspection: e,.60GL Total Event Precipitation (inches): 0, r Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) R Yes ❑ No Please verify whether Qualitative Monitoring must be performed durfrW a "representative storm event" or "measureable storm event" (requirements vary, depending on the perrrrit). � 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 storin event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the ; permitted site outfall. The previous measurable storm event must have been at least 72 hours I prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter i 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: ri l (Signatu rnu tee or Designee) C Page 1 01,2 C. r 3.9 1. Outfall Description: -TO �`���OuLfall No, lO Structure,)ipe, ditch, etc.] .F C) Receiving Stream: — _1 )6\166, -- ' Describe the industrial activities that occur within the outfall drainage area:nt-1 2. Color: Describe the color of the discharge using basic c lors (red, brown, blue, etc.) and tint (light, me(lium, dark) as desci-iptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e:, smells strongly of oil, weak chlorine odor, etc.). h. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1. (02 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 O 3 4 5 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: 0 2 3 4 5 7. Is there any foam in the storinwater discharge? Yes No B. Is there an oil sheen in the stormwater discharge? Yes �N 9. Is there evidence of erosion or deposition at the ontfail? Yes No 10, Other Obvious Indicators of Stormwater Pollution: Listand describe NOW: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. 'mese conditions warrant further investigation. Page 2 of 2 Sample Details .l Page 1 of 2 CeAia".VLF 1 # I 3io� me : R sul s : Protect 92228390 : Sample 134,4734 t I' Give us your feedback here Welcome, Tom Fasig. Chance Password L000ut Home Container Orders Resu tS Epps Data Notifications Resources Help r1 vJc�L i111V1111L1LIV11 Client Project: MGM BRAKES/STORMWATER 12/5 Pace Project Nbr: 92228390 Sample: MGM BRAKES/STORMWATER #6 Lab Id: 92228390003 -- - F-MLrrvu5 Q Analysis -------'- Method Desc i❑ 200.7 MET 1CP EPA 200.7 t] HEM, Oil and Grease EPA 1664B ri 2540D Total Suspended Solids SM 2540D Query by Method Project Status: Complete Matrix: water Collected Date: 12/05/2014 Received Date: 12/05/2014 Status Complete Complete Complete 0 Show Hits Only -Result List 12 Items found, displaying all items. 1 -RL=Report Li_mitt, MDL=Method-Detection-Limit,_DF=Di_iution-Factgr,-Bas= Basis,; Qual _Qualifiers -_ _- -- - Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664B Oil and Grease ND mg/L 5.0 1.1 1 12/09/2014 NA 09:11 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 12/10/2014 NA 20:00 EPA 200.7 Zinc 82.6 ug/L 10.0 2.5 1 12/10/2014 NA 20.0D EPA 200.7 Arsenic ND ug/L 10.0 5.0 1 12/10/2014 NA 20:00 EPA 200.7 Nickel ND ug/L 5.0 2.5 1 12/10/2014 NA 20:00 EPA 200.7 Selenium ND ug/L 10.0 5.0 1 12/10/2014 NA 20:00 EPA 200.7 Copper ND ug/L 5.0 2.5 1 12/10/2014 NA 20:00 EPA 200.7 Molybdenum ND ug/L 5.0 2.5 1 12/10/2014 NA 20:00 EPA 200.7 Chromium ND ug/L 5.0 2.5 1 12/10/2014 NA 20:00 EPA 200.7 Lead ND ug/L 5.0 2.5 1 12/10/2014 NA 20:00 EPA 200.7 Silver ND ug/L 5.0 2.5 1 12/10/2014 NA 20:00 SM 2540D Total Suspended 4.6 mg/L 2.6 2.6 1 12/10/2014 NA Solids 14:54 https://paceport.pacelabs.com/ClientPortaUsampleDetails.do?proj ectlD=9222 8 3 90&syste... 12/ 12/2014 . Sample Details ' ti Page 2 of 2 .2 items found, displaying all items. I Terms of,TService T — Copyright @) 2014 Pace Analytical Services, Inc. https J/paceport.pacelabs.comIClientPortallsammpleDetails.do?projectID=92228390&syste... 12/12/2014 O J MGM Brakes D?z (9 Division of Indian Head Industries, Inc P.O_ Box 70-Park Avenue -Murphy, NC 28906 Telephone 7041837-2117 FAX 7041837-7521 December 22, 2014 Central Files RECEIVED Division of Water Quality DEC $ 9 2014 1617 Mail Service Center CENT RAL Raleigh, NC 27699-1617 pyrjRCr,QN Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the second half of calendar year 2014. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace/92228390, 92228390001-92228390003). The following attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of Custody/Analytical Request Document (2 copies) If you have any further questions, please contact me at (828) 837-2117 ext. 247. Sincerely, Tom ig Engineering Manager/ORC �i• I �� ' � t � '/ � N t i l I a r DO ,J MGM Brakes DDivision of Indian Head Industries, Inc P_O. Box 70-Park Avenue -Murphy, NC 28906 Telephone 7041837-2117 FAX 70.W837-7521 June 19, 2014 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the second half of calendar year 2013. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace/92202942, 92202942001-92202942003). The following attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of Custody/Analytical Request Document (2 copies) 19 z— If you have any further qL stions, pease contact me at (828) 837-2117 ext. 247. 1 n f lei' Y C Sincerely, E. W Tom FLL- Engineering ManageNORC r / Pace Anal � ical' yt www.pacelabs.com �CHAIWOF-CUSI' )Y 1 Analytical Request Document The Chain -of -Custody is a LEi DOCUMENT, All relevant fields must be completed accurately. Section A Section B Section C Page: 1 of Required Client Information: Required Project Information: I _ Invoice Information: Report 70� Atlention: CR7e 1793355 �y n c f(� 7 Tn 'fD copy Ca TI l�i�4J t To: I Company Name: REGULATORY AGENCY p9 t+� i Address: { NPDES i� . GROUND WATER, • [ DRINKING WATER r"" UST r RCRA j� OTHER r' Purchase Order No.: e Over: t I��(( Ref Reference: -7 `043 aR750 P� N �l � � Pare Pr Site Location - ( Tti.S- Ii Ma ageor:.len STATE: Requested Due DatelTAT; Project Number: I Pace Profile t+: Requested Analysis Filtefed (Y/N) , Section D Matrix Codes Required Client lniormalion' - .. MATRIX 1 COOE '• S COLLECTED !'I Preservatives y 'z Drinking Water DW l � Water WT L) 11 z O • Waste Water ww Product p ; - ccCOMPOSITE START COMPOSITE ENOrGRAe W �J Z_ ,� r' SoiS/5olid SL SAMPLE ID OilOL 4. r Wipe (A-Z; a-9 ! rY Air AR w p u, ¢ 2 z ai F^ 0 + Sample IDs MUST BE UNIQUE Tissue - TS O L) a w z 1 r•t Other OT Sulk 7C a .J r J N m a O C 1 - f S a , ~ N DATE TIME -DATE TIME U) � n 2 S 2 Z Z 2 O .► Pace Project No./ Lab I.D. 1 (;;m To rn C= Z7 3% 5 v j 1 3 I I 2 �Rfl oPn v3k� 19A I 3c31 4 5 6 7 B - 9 t 19 11 1 rf l� 12 r.• ;17 `` 1 r ADDITIONAL COMMENTS- r RELINQUISHED BY! AFFILIATION DATE 'TIME A CEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS 26.z orn F"si� m60 - S: o(fl a�r� 08 I Ir 5 N r -4 --T2,0154 c I SAMPLER NAME AND SIGNATURE z PRINT Name of SAMPLER: �1m C..J IT Cc E SIGNATURE of SAMPLER: DATE Signed //��F a 7 J 4 (MM1DDlYYI: 'Important Note: By signing (his form you are accepfing Pace's NET 30 day payment loans and agreeing to Ialo charges of 1,5 % per month for any Invoi '' 'n' days. F-ALL-0-020rev.07, 15-May-2007 ` �:Av�S. �.I, YIe �r ii .ry4'++ r� �l�. ia�:,: E`• l i•Sjjj/ .•� .rw E•R: ..'i�14i� �� - '� . _.. .i •Y:J„t ' -f. ., 1''+,'. s� :•T+- c _ _ 4ik � ` .i +Instructions for completing Chain of Custody (COC)- .r _.-ter w-� r. -.. w ..� �+r- . - •- .. --,..a._ . f! -. S I i! ;V _. _ ._wl.._.•Sectian A and B:yConiplctc all Client information at top of sheet:`cc ml p'any name. address, phone, fax. contacC(the parson to contact if thero are 7L c�1lc suons. and �vho will receive the'finaf•rc port.); e-111aiI addt ss (it availahle).-I'U4; Proic'et Name.and/,or Project Nurllbcr-as `•ou would like to.ste it appcar•on the re:-- ~p6rt. _ l Section C. lifv6ice hifoniiatiim: 13illing information is included in this section. _f'his information should include the Iianlc alld a_dd're_ss o_t'thc: peE'sonr.f�._ b E - -- -- ;'. '-rcc4civi' atheinvoice. - - - —•- -�,y, -r i.�%��,� ►�I.�i 1''_ `?lc, l - 3{ �. � 1 � a _' • l i.. ..�.';� Il .�: �� ':,' ' 1 �--r s'..:S.ti�:"�t � ,� � � �` � i � �.� '�! l"r �+- � : `""' q y � {� � ► .. 1 ; � ` '"J e 3. Quote: Refcrenceishould be eompk�tdt if':! cluotaticill W--Ci }-i-ovidcd b} mace-Ailal�1 '11. ie I'F je;ct Manager, aild`f�rofilc Nil. will be c:oliipli tad b 4. Site Locatian.'A soparatc!CQClnlustbe filled out for each day of samp. le collection, Recorddw two letter.piistal code fortlle US state; in which hey, wsaliililLsw��Tere collected, �l "�"j _►_ 1 F -� ►- I', - 5. Re_oulatory ARenev' JistitJ16 1) ograIR.that is Guiding the pfork;to: ensure ptoper rvgulatiotis are f-)llowed. § ! 5. Section D:.Coibplet6 a Sample Description in thi "SAMPLE;• 1D' secttiln as you would like it to appear on the laboratoty report. "file following. e= ' I I •''? ! I•• i' I t- t information should also, be included: �thc.samplc matrix, sanmplt type (Gr(grab) or C (colnpositc).•VI'hcn collecting a_eonlpco tf ;�the.stalt time and olio! t ; r time sllouli3 be documented iil the re,puctii u �ot� s ` :'11 coll� ctto1l_tin�c for a grab (G} se nple should be entered tIi t}le'boxes marked 'Composite ' { : j�l nd/Grab }_ Sa ple letup at cnllcctioq (it quln cE b�r'statc }, tlic total nuhibel of containers; and preservative used.. t { A -� .-. _ •- — - ^� �._` �� _ { ft�=i i•..��• —'_L. �• �,•.jf . il� ...{ .1. {. ._. 7_ Mark if the tialllple was filtered to rile •fytcld l�}• Inarkina Y orNt}in `I:jilt�red' row by the Analysis regytsted sue: s, ' . ;;«;'��`_.Y �t .�c. w E ��•+y{���rr AI ' ' � '_ti!%1H�i` � - � { t,l � j i �, ' 1 - �.� _� I- � -� 1!_tw if�`�j mix+ �:�;rrl-.ili�ti'����•�4-..'�lf_t�-i, tit ��� --! l'teguc sled Allalvsis: rLitit the luircd ailal�rsis and methods qn the lines provided and place a check in the ccilu, for tile: samples rc guilin tlle� analysis. vAdd itionaf,connnents should be rc fercluc:'d in tile; bottom loft hand comer or include attilchment5 for extended lists of parameters.4. -•1'hE sampler, -hould print their nhmc in the space prtYvidcd and sign thcirraamv follorvcd bv' the dlate of the sampling event. at th-c-bcittc�tn of trio Cc�C in i _ _ r tli�: spaces dcsigiiatid for `SAMPLE R NAME 'ANi l SIGNA•f'URI' �_-,t wei• �l.._ ----I �_ 10"wlielf rel �tiquishing custody of the,sai-lllilus to+a rclzresentative tiff tltic�labo at6i), or otlii i orgaili' dtion iuilicate the Itcin Nilinbers of tho,4Caliiples —be iIlg*'tnuisfe:rrcd; si ll r411t1f1lliShed 11y, date aIld t:rtllc, alld'1I1C1llLIC y011r aff111at10El.i .*t.Intportant•l�?ote: ' �� + M 7+� IT (t `l 4. l i� •� ` ` h- `s AStandard T;prnarodnd,j 1 els'2 Weeks110 business Whys: Results willsb�'deliveW bi�clld:o '-buslnc:ss�on the date'dlft�tlIlEt;�S:6111c;rai "'I,1-)Cnll:Ilts,. -�ha� b it tltadewitE1 your project manager. - - - - '.3�_ ary' `�'i�—�.t� I _` : r';'` -� - Special Project Requirements such as Lour Level Detection Lilrlits or level of QC reported must be included on the chain of cusft) tiN In the Flddlttc)llal Comments section.. . - _ - . - - .. ' - " , - -- ` - Sample Recelpt Form Pace Analytical Services, Inc. Charlotte Login Summary e (ice Artalyca! wrw,p�Eibrarn Worknrd9r: 9=02942 Client Work ID: MGM BRAKES- STORMWATER Report version: 8 Client: MGM Brakes Min Sample Cue: 06111/201417:00 Profile: 1478 Max Sample Due: 08/11Q014 17:00 Report Lab ID Sample ID Collected Received Matrix Properties Location Due Date 92202942001 MGM BRAKES/ STORMWATER #4 05127114 15:05 05128/14 08:01 WT PTR DB111114 Sample Comments: A 92202942002 MGM BRAKES/ STORMWATER 05 05/27/14 15:05 051204 08:01 WT PTR 06/11/14 Sampla Comments: A 92202942003 MGM BRAKES/ STORMWATER #6 OW27114 15:05 05128/14 0&01 WT PTR 08/11/14 Sample Comments: A Thursday, June 19. 2014 10:38:19 AM - Page 1 of 4 N Semi-annual Stormwater Dlschar a Monitorin Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submittedy Ae III , Zd 14 :RTIFICATE.OF COVERAGE NO. NCG0310 15 3 U WLiTY NAME OUNTY �egOK�� - - :RSON COLLECTING SAMPLES `r ! RA51 kBORATORY&LIga)MCAL tj G Lab Cert. # - )mments on sample collection or analysis: )art A: Stormwater Benchmarks and Monitoring Results - SAMPLE COLLECTION YEAR 204 SAMPLE PERIOD ®3an-June ❑ luly-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 -i ❑ No discharge this period?z -- Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3 Inches . ` Total Suspended Solids pH,. Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics enchmarks - 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 + 05 27 14 , 5 &3.2 01011 L 4. _3 10103 m L .000 m A Ir_ .350 L 4 5.0 PIA/ L- 05 27 A . 5 - z2.4. MI/ L + r 20 05 27 r - 47' rrr l 6.016 .60ES3 L '. DO-S50 ;Wq1L. .0915 rNIL �5.0IQ /L. Monthly sampling ('instead of semi-annual) must beginwith the second consecutive benchmark exceedance for.the same parameter at the same outfall. =or 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. Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture lectronic crystals, or manufacture cathode ray tubes. iFor purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA ffluent 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 ianufacture 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 ibe manufacture use the definition found in 40 CFR 469.31). 4'-772. ermit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 acilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring iay 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 ermit. 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 belie0n, o dumping of concentrated toxicprganics 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.", - Name (Print name) Title (Print title) (S'ignature} f _- (Date) ote: Results must be reported in numerical format. Do ribtlreport Below Detection Limit, BDL, <PQL, Non -detect; ND, o`r'other similar non-nu'rnerical )rmat.- When results are below the applicable limits, they must be rei,orted in'the format, '<XX mk/L",'wllere'XX is the numerical value of the detection mit, reporting limit, etc. in mg/L. ►ote: 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. i art B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. - -_ - ----- I - ❑ No discharge this period?- - Date Sample 24 hour rainfall Qutfall No. i Collected -' amount, ' Nan --polar O&G/TPH by (mo/dd/yr) _. a _ Inches_ _-- - EPA 1664 (SGT-HEM) Total Suspended Solids a pH Benchmarks =_=> - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU ------------------- ootnotes 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. 2rmit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 {`'� ( ote: if you report a sample value in excess of the benchmark, you must implerr"ient Tier 1, Tier 2, or Tier 3 responses. See General Permit text. )R 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 REGI NAL OFFICE? YES 9 NO ❑ :GIONAL OFFICE CONTACT NAME: LAu i Lail an original and one copy of this DMR, including all "No Discharqe" reports, within 30 days of receipt of the lob results (or at end of monitoring period t the case o "No Discharge" re ports to: ivision of Water Quality ttn: DWQ Central Files 517 Mail Service Center I aleigh, North Carolina 27699-1617 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 ;sure that qualified personnel properly gather and evaluate the information submitted: Based on my inquiry of the person or persons who manage the system, or lose persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I ,n aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." signature of P 6/1 4 (Date) 'ermit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 pnop 3 nf 3 � � .�. - t J f ;: . .. . � i I r , aceAnalytical .Pambb&cam June 04, 2014 Mr. Tom Fasig MGM Brakes PO Box 70 Murphy, NC 28906 RE: Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (028)254-7176 Dear Mr. Fasig: Enclosed are the analytical results for sample(s) received by the laboratory on May 28, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sam pie analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, n �,�} d ` � .,- Tabitha M Dacal tabitha.dacal@ pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the wr ltten consent of Pace Anaiytical Services, Inc.. Page 1 of 15 B �p aceAnalytical www-pacat*aCUm Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Charlotte Certification IDS 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification #: 37706 North Carolina Field Services Certification #: 5342 North Carolina Wastewater Certification #: 12 South Carolina Certification #: 99006001 Ashovillo Certification IDS 2225 Riverside Dr., Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS Flodda/NELAP Certification #: E87627 Kentucky UST Certification #: 84 West Virginia Certification #: 357 VirginiaNELAP Certification #: 460221 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc., Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Page 2 of 15 e aceMalytical wwwwM Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 2225 Riverside 04 Asheville, NC 28804 (828)254-7176 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92202942001 MGM BRAKES/ STORMWATER #4 EPA 1664B CLW 1 PASI-C EPA 200.7 JMW 10 PASI-A EPA 245.1 MTS 1 PASI-A SM 2540D JTJ 1 PASI-A 92202942002 MGM BRAKES/ STORMWATER #5 EPA 1664B CLW 1 PASI-C EPA 200.7 JMW 10 PASI-A EPA 245.1 MTS 1 PASI-A SM 2540D JTJ 1 PASI-A 92202942003 MGM BRAKES/ STORMWATER #6 EPA 1664B CLW 1 PASI-C EPA 200.7 JMW 10 PASI-A EPA 245.1 MTS 1 PASI-A SM 2540D JTJ 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 15 aceAnalytical wwir.Fa Wula6sc0M ANALYTICAL RESULTS Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Pace Analytical Services, Inc. 2225 Riverside Or, Asheville, NC 28804 (828)254-7176 Sample: MGM BRAKES/ Lab ID: 92202942001 Collected: 05/27/14 15:05 Received: 05/28/14 08:01 Matrix: Water STORMWATER #4 Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mglL 5.0 1 05/29/14 07:55 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND ug1L 10.0 1 05/2911411:50 05/30/14 19:19 7440-38-2 Cadmium NO ug1L 1.0 1 05/29/14 11:50 05/30/14 19:19 7440-43-9 Chromium NO ug/L 5.0 1 05/29/14 11:50 05/30/14 19:19 7440-47-3 Copper 10.3 ug1L 5.0 1 05/29/14 11:50 05/30/14 19:19 7440-50-8 Lead 6.9 ug1L 5.0 1 05/29/14 11:50 05/30/14 19:19 7439-92-1 Molybdenum NO ug/L 5.0 1 05/29/14 11:50 05/30/14 19:19 7439-98-7 Nickel NO ug/L 5.0 1 05/29/14 11:50 05/30/14 19:19 7440-02-0 Selenium NO uglL 10.0 1 05/29/14 11:50 05/30114 19:19 7782-49-2 Silver NO ug/L 5.0 1 05/29/14 11:50 05/30114 19:19 7440-22-4 Zinc 350 ug/L 10.0 1 05/29/14 11:50 05/30/14 19:19 7440-66-6 245.1 Mercury Analytical Method: EPA 245.1 Preparation Method: EPA 245.1 Mercury NO ug1L 0.20 1 - (15130/14 20:30 06/02/14 19:50 7439-97-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 63.2 mg1L 2.5 1 06/02/14 15:30 Sample: MGM BRAKES/ Lab lD: 92202942002 Collected: 05/27/14 15:05 Received: 05/28/14 08:01 Matrix: Water STORMWATER #5 Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual HEM,.Oil and.Grease Oil and Grease 200.7 MET ICP Arsenic Cadmium Chromium Copper Lead Molybdenum Nickel Selenium Silver Zinc 246.1 Mercury Mercury Date: 06/04/2014 10:29 AM Analytical.Method:.EPA.1664B ---- NO mg1L 5.0 1 05/29/14 07:55 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 ND ug1L 10.0 1 05/29/14 11:50 05/30/14 19:22 7440-38-2 NO ug1L 1.0 1 05/29/14 11:50 05/30/14 19:22 7440-43-9 NO ug1 5.0 1 0512911411:50 05130/1419:22 7440-47-3 ND ug1L 5.0 1 05/29/14 11:50 05/30/14 19:22 7440-50-8 ND ug1L 5.0 1 05/29/14 11:50 05/30/14 19:22 7439.92-1 ND uglL 5.0 1 05/29/14 11:50 05/30/14 19:22 7439-98-7 ND ug/L 5.0 1 05/29/14 11:50 05/30/14 19:22 7440-02-0 NO ug1L 10.0 1 05/29/14 11:50 05/30/14 19:22 7782-49-2 NO ug1L 5.0 1 05/29/14 11:50 05/30/14 19:22 7440-22-4 86.8 ug1L 10.0 1 05/29/14 11:50 05/30/14 19:22 7440-66-6 Analytical Method: EPA 245.1 Preparation Method: EPA 245.1 NO ugfL 0.20 1 05/30/14 20:30 06IW14 19:53 7439-97-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 4 of 15 s acmnalytical www.peoelaba.mm ANALYTICAL RESULTS Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Sample: MGM BRAKES/ Lab ID: 92202942002 Collected: 06/27/14 15:05 Received: 05/28/14 08:01 Matrix: Water STORMWATER #5 Parameters Results Units Report Limit OF Prepared Analyzed ' CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 22.4 mg1L 2.6 1 06/02/14 17:04 Sample: MGM BRAKES/ STORMWATER #6 Parameters Lab ID: 92202942003 Collected: 05/27/14 15:05 Results Units Report Limit OF Received: 05/28/14 08:01 Matrix: Water Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analybcal Method: EPA 1664E Oil and Grease ND mg1L 5.0. 1 05/29/14 07:55 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic NO ug1L 10.0 1 05/29/14 11:50 05/30/14 19:35 7440-38-2 Cadmium ND uglL 1.0 1 05/29/14 11:50 05/30/14 19:35 7440-43-9 Chromium 6.1 uglL 5.0 1 05/2911411:50 0513011419:35 7440-47-3 Copper 8.3 ug1L 5.0 1 05/29/14 11:50 05/30/14 19:35 7440-50-8 Lead ND ug1L 5.0 1 05/29/14 11:50 05/30/14 19:35 7439-92-1 Molybdenum ND uglL 5.0 1 OW9114 11:50 05/30/14 19:35 7439-98-7 Nickel ND uglL 5.0 1 05/29/14 11:50 05/30/14 19:35 7440-02-0 Selenium ND ug1L 10.0 1 05/29/14 ii:50 05/30/14 19:35 7782-49-2 Silver NO ug1L 5.0 1 05/29/14 11:50 05/30/14 19:35 7440-22-4 Zinc 91.5 uglL 10.0 1 05/29/14 11:50 05/30/14 19:35 744M6-6 245.1 Mercury Analyfical Method: EPA245.1 Preparation Method: EPA245.1 Mercury ND ug1L 0.20 1 05/30/14 20:30 06/02/14 19:55 7439-97-6 2544D.Totai Sus pen ded.Solids Analy6cal.Method:.SM 2540D— _ Total Suspended Solids 4.7 mglL 2.8 1 06/02/14 17:04 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06104/2014 10:29 AM without the written consent of Pace Analytical Services, lnc.. Page 5 of 15 laneAnalyticalo wrwpaDaW& M QUALITY CONTROL DATA Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Pace Analytical Servlces, Inc. 2225 Riverside Dr. Asheville, NC 26804 (828)254-7176 QC Batch: GCSV117750 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92202942001, 92202942002, 92202942003 METHOD BLANK: 1208591 Matrix: Water Associated Lab Samples: 92202942001, 92202942002, 92202942003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5.0 05/29114 07:49 LABORATORY CONTROL SAMPLE: 1208592 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Oil and Grease mg1L 40 37.7 94 78-114 MATRIX SPIKE SAMPLE: 1208593 92203143002 Spike MS MS % Rec Parameter Units Result Cone. Result % Rec Limits Qualifiers Oil and Grease mg/L <5.0 40 37.1 89 78.114 Results presorted on this page are In the units Indicated by tte "Units" corunn except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/04/2014 10:29 AM without the written consent of Pace Analytical Services, Inc.. Page 6 of 15 aceA lytiol to wwwpemla6arbm QUALITY CONTROL DATA Pace Analytical Services, tnc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 QC Batch: MERP16685 Analysis Method: EPA 245A QC Batch Method: EPA 245.1 Analysis Description: 245A Mercury Associated Lab Samples: 92202942001, 92202942002, 92202942003 METHOD BLANK: 1211108 Matrix: Water Associated Lab Samples: 92202942001, 92202942002, 92202942003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Mercury ug1L ND 0.20 06102/1419:10 LABORATORY CONTROL SAMPLE: 1211109 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Mercury ug/L 2,5 2.8 110 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1211110 1211111 MS MSD 92202847001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Mercury ug1L 0.23 2.5 2,5 0.71 0.56 19 13 70-130 25 M1,R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1211112 1211113 MS MSD 92202942003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone, Cone. Result Result % Rec % Rec Limits RPD Qual Mercury ug1L ND 2.5 2.5 2.8 2.8 112 111 70-130 1 Results presorted on this page are In the units Indicated by fie "Units' column except where an alternate unit Es presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/04/2014 10:29 AM without the written consent of Pace Analytical Services, Inc„ Page 7 of 15 aceAnaryitcal' www.pacalsftcom QUALITY CONTROL DATA Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 QC Batch: MPRP116065 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92202942001, 92202942002, 92202942003 METHOD BLANK: 1208826 Matrix: Water Associated Lab Samples: 92202942001, 92202942002, 92202942003 Blank Reporting Parameter Units Result Limit Analyzed Arsenic ug/L ND Cadmium ug/L ND Chromium ug/L ND Copper ug/L ND Lead ug/L NO Molybdenum ug/L NO Nickel ug/L - NO Selenium ug/L ND Silver ug/L ND Zinc uglL ND 10.0 05/30/1417:50 1.0 05/30/1417:50 5.0 05/30114 17:50 5.0 05130/1417:50 5.0 05/30/14 17:50 5.0 05130/1417:50 5.0 05/3011417:50 10.0 05/3011417:50 5.0 05/30/14 17:50 10.0 W30114 17:50 Qualifiers Pace Analytical Services, Inc. 2225 Riverside pr. Asheville, NC 28804 (828)254-7176 LABORATORY CONTROL SAMPLE: Parameter 1208827 Units Spike Conc. LCS Result LCS % Rec % Rec Limits Qualifiers Arsenic ug/L 500 487 97 85-115 Cadmium ug/L 500 485 97 85-115 Chromium ug/L 500 488 98 85-115 Copper uglL 500 480 96 85-115 Lead ug/L 500 498 100 85-115 Molybdenum uglL 500 522 104 85-115 Nickel uglL 500 477 95 85-115 Selenium ugh. 500 504 101 85-115 Silver ug1L 250 242 97 85-115 Zinc ug/L 500 469 94 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1208828 1208829 MS MSD 92202820001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD Qual Arsenic ug/L ND 500 500 486 489 97 98 70-130 1 Cadmium ug/L ND 500 500 482 466 96 97 70A30 1 Chromium uglL ND 500 500 485 484 97 97 70-130 0 Copper ug1L 0.070 500 500 553 564 97 99 70-130 2 mg/t_ Lead ug/L 0.012 500 500 501 503 98 98 70-130 0 mglL Molybdenum ug/L NO 500 500 524 530 104 106 70-130 1 Nickel ug/L NO 500 500 474 476 95 95 70-130 0 Selenium ug/L ND 500 500 497 505 99 101 70-130 2 Results presented on this page are In the units Indicated by the "Units" colutm except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, Date: 06/04/2014 10:29 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 15 • aceAnalytical wwwpacakbs.ufm QUALITY CONTROL DATA Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (628)254-7176 Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 MATRIX SPIKE R MATRIX SPIKE DUPLICATE: 1208828 1208829 MS MSD 92202820001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qual Silver ug/L ND 250 250 241 245 97 98 70-130 1 Zinc ug/L 3.8 500 500 4180 4170 79 78 70-130 0 mg/L MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1208830 1208831 MS MSD 92203139009 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Arsenic ug/L ND 500 500 496 481 98 95 70-130 3 Cadmium ug/L ND 500 500 487 476 97 95 70-130 2 Chromium ug/L 5.3 500 500 484 484 96 96 70-130 0 Capper ug/L 11.4 500 500 508 494 99 97 70-130 3 Lead ug/L 13.6 500 500 501 495 97 96 70-130 1 Molybdenum ug/L ND 500 500 524 514 105 103 70-130 2 Nickel ug/L ND 500 500 479 474 95 94 70-130 1 Selenium ug1L ND 500 500 504 489 101 98 70-130 3 Silver ug1L ND 250 250 244 240 97 96 70-130 2 Zinc ug1L 110 500 500 570 574 92 93 70-130 1 Results presented on this page are In the units Indicated by he "Units" colurnn except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/04/2014 10!29 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 15 0 ace Analytical rww.pamtrhacom QUALITY CONTROL DATA Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QC Batch: WET131322 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92202942001 METHOD BLANK: 1211891 Matrix: Water Associated Lab Samples: 92202942001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 06/02/14 15:11 LABORATORY CONTROL SAMPLE: 1211892 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec. Limits Qualifiers Total Suspended Solids mglL 250 250 100 80-120 SAMPLE DUPLICATE: 1211893 92202961001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 11.2 10.8 4 SAMPLE DUPLICATE: 1211894 92203483001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 282 256 10 Results presented on this page are In the units Indicated by he "Units" column except where an alternate unit is presented to the right of the resutt_ REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/0412014 10:29 AM without the written consent of Pace Ana lytical Services, Inc.. Page 10 of 15 aceAnalytical www.pamiabs.mn QUALITY CONTROL DATA Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QC Batch: WET/31325 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92202942002, 92202942003 METHOD BLANK: 1212104 Matrix: Water Associated Lab Samples: 92202942002, 92202942003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 06/02/14 17:03 LABORATORY CONTROL SAMPLE: 1212105 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 260 104 80-120 SAMPLE DUPLICATE: 1212106 92203359001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 147 151 3 SAMPLE DUPLICATE: 1212107 92203139005 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 37.6 37.9 1 Results presented on this page are In the units Indicated by the "Units" colurm exceptwhere an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Hate: 06/04/2014 10:29 AM without the written consent of Pace Analytical Services, Inc.. Page 11 of 15 Pace Analytical services, Inc. 2225 Riverside Dr. aceAnalytical Asheville, NC 28804 P (828)254-7176 QUALIFIERS Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 TXgU11104I&I DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content. ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL- Adjusted Method Detection Limit. PRL - Pace Reporting Limit. RL - Reporting Limit. S - Surrogate 1,2- Dip henylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-ChloroethyMnyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TN - The NELAC Institute, LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte A14Wmit QUALIFIERS M1 Matrix spike recovery exceeded OC limits. Batch accepted based on laboratory control sample (LCS) recovery. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 06/04/2014 10:29 AM without the written consent of Pace Analytical Services, Inc.. Page 12 of 15 aceAnalytical o www.parefabsaom QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: MGM BRAKES - STORMWATER Pace Project No.: 92202942 Lab ID Sample ID OC Batch Method 92202942001 MGM BRAKES! STORMWATER #4 EPA 1664B 92202942002 MGM BRAKES/ STORMWATER #5 EPA 1664B 92202942003 MGM BRAKES/ STORMWATER #6 EPA 1664B 92202942001 MGM BRAKES/ STORMWATER #4 EPA 200.7 92202942002 MGM BRAKES/ STORMWATER #5 EPA 200.7 92202942003 MGM BRAKES/ STORMWATER #6 EPA 200.7 92202942001 MGM BRAKES/ STORMWATER #4 EPA 245.1 92202942002 MGM BRAKES/ STORMWATER #5 EPA 245.1 92202942003 MGM BRAKES/ STORMWATER #6 EPA 245.1 92202942001 MGM BRAKES/ STORMWATER #4 SM 2540D 92202942002 MGM BRAKES/ STORMWATER #5 SM 25400 92202942003 MGM BRAKES/ STORMWATER #6 SM 2540D Date: 06/04/2014 10:29 AM Pace Analytical Services, Inc, 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QC Batch Analytical Method GCSV/17750 GCSV117750 GCSV117750 MPRP116065 EPA 200.7 MPRP116065 EPA 200.7 MPRP116065 EPA 200.7 MERP16685 EPA245.1 MERP16685 EPA245.1 MERP/6685 EPA 245.1 VVET131322 VVET131325 VVET131325 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Analytical Batch ICP/14529 ICP/14529 ICP/14529 MERC16443 MERC16443 MERC/6443 Page 13 of 15 Document Name: Sample Condition Upon Document Rovised' Aprfl 9, 2014 ft Arlalylical Receipt (SCUR) Page 1 of 2 Document No.: Issuing Authorities: F-ASV-CS-003-rev.13 Pace Asheville QuafitX Office Client dame: Courier (Circle): Fed Ex UPS USPS Clie, I Commercial Pace Other Custody Seat on CoolerlBox Present: ❑ yes no eats intact: ❑ yes ❑ no Packing Material." bble_�?P—E� Bubble Sags None- Other Thermometer IJs �unrl3-1302659113 �1 rype of Ice: Wet Blue None vnples on ice, coding process has begun Other: Tornio Correction Factor: Add / Subtract n, () C Corrected Confer Temp.; 17 C Temp should be above freezing to GC Biological Tissue Is Frozen: Yes No rut bate and Intl Is of perso exa Ining contents: Comments: Chain of Custody Present: 04 ❑No ❑wA 1. Chairs of Custody Filled Out: Yos No ONIA 2. Chain of Custody Relinquished: Ye No ❑wA 3. Sampler Name & Signature on COC: Y No ❑NIA 4. Samples Arrivod within Hold Time: rs rJN-,IUWA 5. Short Mold Time Analysis (t72hr): OYes No ONJA 6. Rush Turn Around Time Requested: ❑Y o Own 7. Sufficient Volume: Ye ❑No ❑wA 8. Cosrect Containers Used: -Pace Containers Used: ❑No Z."IDNO ONIA ❑NIA 9. Containers Intact: es ©No UN 10. Filtered volume received for Dissolved tests ❑yo ❑No rYNIA 11, Sample Labels match COC: -Includes datell ime/ID/Anal sis Matrix: DA, ❑No so ❑wA 12. All containers needing p erservallon have been checked. All containers needing preservation are found to be in eornpliance Wlh EPA recommendation. exceptions: voA, cotiform, l OC, OSG, WI-DRO (water) es ❑No as DNo ❑yes zN. ❑wA ❑NIA 13. Samples checked for dechlorination; py. ❑No ❑NIA 14. I-ieadspace in VOA Vials( >6mm): (-dyes Ono N /,A, 15. Trip Blank Piosent: Trip Blank Custody Seals Present Pace Trip Blnnk Lot A (if purchased): ❑Yw ❑.lo ClYes ❑No NI NIA 16. Client Notificatlonl Resolution: Person Contacted: [Me/Time: Comments! Resolution: Yield Data Required? Y / N SCURF Review: Date: ; 1`f I Place label here SRF Review: Date: �Jo�$� OR Note: Whenever there is a discrepancy affecting North Carolina compllance samples, a copy of this form will be sent to the North Handwrite project number Carolina DEHNR Certification Office ( Le out of hold, incorrect (if no label available) preservative, out of temp, incorrect containers) a a D Page 14 of 15 I tom" F CHAIN-OF-CU51 Vint 1 Anaiyzicai Kequest uocument J .-PaeeAnalyifeal r The Chin -of -Custody is a LEGAL. DOCUMENT. WI rNevant folds mutt be comple;ro acn,ra}eiy. ' rw.paetleae.eim I PIS or I j I I SoctionA soctlan B Section C Required GI•M irtlormation: Required PTDect Intcrarat,on: Invoice ktfarmat m G rw Rapers T Are-mon: i 1 !I 1. 7 9 3 3 5� �O CooyTo: CanpanyNama: I REGU TORYAGENCY I C Address: I N?DES CRQt;ND INA`cR RCR I OP.INKINGV ATER - o7;eRUST Te:(Com R�o,nrK r•n• 7 ' Sits Location , { STATE: N Requet:ad Aw CaadrAT. Prelcct NuTxr: gar.. om"'"' ! Requested Analysis Filtered 9eclian D Matrix Codas (((((YIN) II Uqu;-d_kcm x:ew :a, �,rrcane - = COLLECTED R-osvr auves i- De.nkl:.q Water DIN Water VvT 4Yaste'Na;ar WIN Waste t; F• [CdlPpSliF PCSRE CaY�tllV�rt f 1{ z Pra i TNR _ } y fl/'/%/''j��/,,ff�{''_�,�,1T1^,]1t� So:rSa'.rc SL SAMPLE ID 41 .. ^` Wipe vl'v Ap r :i; -e sanp:a Ids hlt:ST BE :1NIOU'e T'dsue TS Otner OT b J r z ij} 1 , V .'x1 L+ OATE TEL DST_ 71r7- y i z z O a I Pace Project NodLs61.D. z; 3' 3 1 ! ! I I ! I I I l 4 1 i II I T4 I I E 1 I it I I I I I I� I 9 1 I I I I I I 1 I ! I i 1 II ! I III I ,z l i I i t ! A:0170YAL COMMENTS A=! SF:gUISrsE7 SY 1 AFFILF.;TIGN CAT 711.7c I ACCEPTED 8Y 1 AFFiLIATiCIN I DATE I T1StE � SA:IFLE CC?IDITt3t4S ' Te's*,�,ft!G'G�( — I i t iI� z7. z I I ! I S NIPLE3 NA,'..= A`JO STGNATUR_ I I s PRINT Name OF sA1ipLEr.• M f SI^vNAT:iRE of sA:.1P? ER; '�rt„�.nf It iJ11 } DA7c ^eg ')7 O� ���t Il iP:3:,'C I I `, v y 'I:. • -...Ia =. :1-. i 7n'-i• yo. :.r..: .r., cF' f:. _. ... .- _ 1 _n] c�. •.- i-' : .,. . -.. •:v:np,c::a) e ar ` .-rir .�,.il7Cr:r. l�?, al;=?�; i O u, C r� ALIT." ;A NCDENR Stormwater Discharge Outfall (SDO) .; .,,-,� Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://I)ot-tai.ncdenr.or /gr %vel)/wqf ws/su.Inp(ipssiv#tab-h Permit No.: N&/ 2/0 /a/O /O /a/D/ or Certificate of Coverage No.:. Facility Name: M G[n "3RRKEs _ County: Cam- GROKEE Phone No. Inspector: ---Om ffn6lel Date of Inspection: .5&7b4 Time of Inspection: a-_Q5;? _ Total Event Precipitation (inches): -6 t' 0 .ti Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes No r 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, It 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 I ar�d that is preceded by —at least 72'hours (3 days) -in which no storm eV6nt 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 i obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: e or Designee) Page 1 of 2 �' ` 1.. Outfall Description: Outfall No. A— Structure (pipe, ditch, etc.) Receiving Strean]: q1 ,Describe the industrial activities that occur within the outfall drainage area: jgaih1fle,E, 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Matayn Giza-( 3. Odor: Describe any`` distinct odors that the discharge may have (i.e.',-smells strongly of oil, Q weak chlorine odor, etc.): hAEM �- 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 Q 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 Q 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: 1 2 © 4 5 7.. Is there any foam in the stormwater discharge? Yes �.. 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe �J [dote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Sample, Details Page 1 of 2 Analytical Welcome, Tom Fasig. Give us your feedback here Change Password L000ut Home, 'Container Orders Results EDDs_Data Notifl[ationsResources� Help s 'tea 4Z; I Home : Results . Project 92202942 : Sample 1207589 r1 VJG4i i117{dl lnoaIVn Client Project: MGM BRAKES - STORMWATER Pace Project Nbr: 92202942 Sample: MGM BRAKES/ STORMWATER #4 Lab Id: 92202942001 r�ca�+vu� Analysis Method Desc 2 I 200.7 MET ICP EPA 200.7 HEM, Oil and Grease EPA 1664E - 245.1 Mercury EPA 245.1 F— 2540D Total Suspended Solids SM 2540D -71 Query by Method Result List Project Status: Complete Matrix: Water Collected Date: 05/27/2014 Received Date: 05/28/2014 Status Complete Complete Complete Complete E Show Hits Only 13 items found, displaying all Items. 1 RL =Report Limit, MDL=Method Detectlon_Limit. _DF=D!16tion Factor,Bias=Basis,Qua1=Q6a11ifiers Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664E Oil and Grease ND mg/L 5.0 1.1 1 05/29/2014 NA i 07:55 EPA 200.7 Chromium ND ug/L 5.0 0.40 1 05/30/2014 NA 19:19 EPA 200.7 Lead 6.9 ug/L 5.0 4.0 1 05/30/2014 NA 19:19 EPA 200.7 Nickel ND ug/L 5.0 1.7 1 05/30/2014 NA 19:19 EPA 200.7 Silver ND ug/L 5.0 0.10 1 05/30/2014 NA 19:19 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 05/30/2014 NA 19:19 EPA 200.7 Molybdenum ND ug/L S'0 1.1 1 05/30/2014 NA �.++..�•11.•.....�.«...w «.,...,1., 1.......«..!l�l:,.�.all....a._11..._.�•._1..T..a_:Y.. .7 .. �7._,...: .. ..47T�---nnnnnn�� n_�__. _.-. Try_._+[._. .-nn n �- rr, �r..n. . Sample. Details r, Page 2 of 2 s EPA 200.7 Zinc 350 ug/L 10.0 EPA 200.7 . Arsenic ND ug/L 10-C EPA 200.7 Selenium ND ug/L 10.0 EPA 200.7 Copper 10.3 ug/L 5.0 EPA 245.1 Mercury ND ug/L 0.2C SM 2540D Total Suspended 63.2 mg/L 2.5 i — - - -- -- - -- Solids 1 13 Items found, displaying all items. 1_ Terms of Service 19:19 0.40 1 05/30/2014 NA 19:19 2.7 1 05/30/2014 NA 19:19 3.8 1 05/30/2014 NA 19:19 0.30 1 05/30/2014 NA 19:19 0.070 1 06/02/2014 NA 19:50 2.5 1 06/02/2014 NA 15:30 Copyright © 2014 Pace Analytical Services, Inc. h",:-//narPnnrt naralahc r,I1 .0101 A C C. w ' NCDENR Stormwater Discharge Qutfall (SD.0) ,, � 31 L .,11. "1�-Qualitative. Monitoring Report For rduidance on filling out this form, please visit: littl)://portaLncclenr.org,lkvcla/-,vq,Lvs/su I nnclessw#tah-4 Permit No.: Nx/E/Q/a/D/Q/Q/Q/ Facility Name: MGfY3 lam_ �1C1Y5 County:�{�f`JE Inspector: - F S Date of Inspection: 5 Time of Inspection: 3: or Certificate of Cbverage No.: Total Event Precipitation (inches): 5- Phone No. Was this a "Representative Storm Event" or "Measureable Storin Event" as defined by the permit? (See information below.) N Yes :0 No Please verify whether Qualitative Monitoring must be perform ed� 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 aat least 72-hours'(3 days)"in which-rio storm event measuring'greater than— -�-- 1 0.1 inches has occurred. A single'storm event may contain up to 10 consecutive hours of no i precipitation. I 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 I 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: --A �l _ (Signatu or Designee) Page 1 of 2 ,Y FH = +t20 1-Em� � 25.4G 1. Outfall Description: Outfall No. �5- Structure �qlwl. pe,ditch,etc.) Ps Receiving Stream: S 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: WC 44T C-29 --Y 3. Odor: Describe any istinct 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: 1• �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 O , 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: `1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes �.. B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. (E : Page 2 of 2 Sam pie Details Page 1 of 2 Analyticar11 Welcome, Tom Fasig. Give us your feedback here Change Password Logout Horne Container Orders RestlltS EDDs Data Notifications Resources Help 'i 1,' �,YL j � f i Horne : Results : Project 92202942 : Sample 1207590 — — rrvJF=cL i111UPUMCELIVR Client Project: MGM BRAKES - STORMWATER Pace Project Nbr: 92202942 Sample: MGM BRAKES/ STORMWATER #5 Lab Id: 92202942002 Project Status: Complete Matrix: Water Collected Date: 05/27/2014 Received Date: 05/28/2014 -- -- - - (J Analysis - -- --- -�—�- � -- -�— Method Desc F-; 200.7 MET ICP EPA 200.7 r 245.1 Mercury EPA 245.1 HEM, Oil and Grease EPA 1664E 2540D Total Suspended Solids 5M 2540D � Query by Method Result List Status Complete Complete Complete Complete Show Hits Only 13 items found, displaying all items. - 1 RL--Rep6rtLimit,_MDL=Method_Detection_Lim_ it, DFzFDllutlon Fact6r, Bas=Basis, Qual-Qualifiers— Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664E Oil and Grease ND mg/L 5.0 1.1 1 05/29/2014 NA 07:55 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 05/30/2014 NA 19:22 EPA 200.7 Molybdenum ND ug/L 5.0 1.1 1 05/30/2014 NA 19:22 EPA 200.7 Copper ND ug/L 5.0 0.30 1 05/30/2014 NA 19:22 EPA 200.7 Lead ND ug/L 5.0 4.0 1 05/30/2014 NA 19:22 EPA 200.7 Nickel ND ug/L 5.0 1.7 1 05/30/2014 NA I 19:22 EPA 200.7 Silver ND ug/L 5.0 0.10 1 05/30/2014 NA httnc•//nnrrannrt rnal-Ainho A-Q------- TTI-nII') I$C%An n-I- i . Sai ple Details Page 2 of 2 i 19:22 EPA 200.7 Zinc 86.8 ug/L 10.0 0.40 1 05/30/2014 NA 1 19:22 i EPA 200.7 Cadmium NO ug/L 1.0 0.50 1 05/30/2014 NA 1 1 19:22 EPA 200.7 Chromium ND ug/L 5.0 0.40 1 05/30/2014 NA 19:22 EPA 200.7 Arsenic NO ug/L 10.0 2.7 1 05/30/2014 NA 19:22 ' EPA 245.1 Mercury NO ug/L 0.20 0.0701 06/02/2014 NA 19:53 SM 2540D Total Suspended 22.4 mg/L 2.6 2.6 1 06/02/2014 NA Solids 17:04 13 items found, displaying all items. ;1 t Terms of Service Copyright (9 2014 Pace Analytical Services, Inc. )I "Inc •Iln�rar�n n�rPl�}�o rnm/f linnfAnr+al/no.r. r.ldTln+nilo A..)—.-;--+lrn=Ol IiYMAI V. --(1') PA- 411 ePIA1 A C C NCDENR Stormwater Discharge Outfall (-SDO) , 'Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://i)ortal.ncdenr.org/web/wa/ws/su/nt)dessw#tab h Permit No.: N/-C/G/0 /3 -dr Cerdficate.af Coverage No.: N&/G/ 4/3/0/5/3/ Q/ Facility Name: M& j�qICES County: C.4eg KlEa _ _ Phone No. -Z117 Inspector:7Qf ffftSlCa . Date of Inspection: Time of Inspection: _a:Q�7 Total Event Precipitation (inches): • 15• . _ Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) X Yes 0 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 leasC72-tiours (3 days) it 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 j interval is representative for local storm events during the sampling period, and the permittee 1 obtains anr)roval from the local DWO Reizional Office. By this signature, i certify that this report is accurate and complete to the best of my knowledge: (l-) 61 (Signaturi or Designee) Page 1 of 2 1. Outfall Description: T Outfall NO. & Structure aipe, ditch, etc.) ? 1 tT Receiving Stream: 441WE KI&K Describe the industrial activities that occur within the outfall drainage area: f'�G �. 2. Color: Describe the color rof the discharge usir g basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: w. 3. Odor: Describe any qistinct weak chlorine odor, etc.): that the discharge may have (i.e:, smells strongly of oil, 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is . clear and 5 is very cloudy: 1 2 O3 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 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: 7 Q 3 4 5 7. Is there any foam in the stormwater discharge? Yes . 8. is there an oil sheen in the stormwater discharge? Yes IVo 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. QC Page 2 of 2 Sa;4iple Details Page 1 of 2 Analytical Horne : Results : Project 92202942 : sample 1207591 re vJCV.:< aIII v1 IIla LwrI Welcome, Tom Fasig. Home Contalner Orders ReSUlts Client Project: MGM BRAKES - STORMWATER Pace Project Nbr: 92202942 Sample: MGM BRAKES/ STORMWATER 46 Lab Id: 92202942003 r Analysis Method Desc 200.7 MET ICP EPA 200.7 245.1 Mercury EPA 245.1 HEM, Oil and Grease EPA 1664B 2540D Total Suspended Solids SM 2540D Give us your feedback here Change Password Logout EDDs Data Notifications Resources Help Project Status: Complete Matrix: Water Collected Date: 05/27/2014 Received Date: 05/28/2014 Status Complete Complete Complete Complete I-- Show Hits Only 1 Query by Method —71 Result List 13 items found, displaying all items. 1 RL=Report LFmit, MDL=Mbthod Detection Limit, DF-Dilution Factor,_Bas=Basis, Qual=Quallflers- Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664E Oil and Grease ND mg/L 5.0 1.1 1 05/29/2014 NA i 07:55 i EPA 200.7 Molybdenum ND ug/L 5.0 1.1 1 05/30/2014 NA 19:35 EPA 200.7 Lead NO ug/L 5.0 4.0 1 05/30/2014 NA 19:35 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 05/30/2014 NA j 19:35 i l , EPA 200.7 Chromium 6.1 ug/L 5.0 0.40 1 05/30/2014 NA i 19:35 EPA 200.7 Copper 8.3 ug/L 5.0 0.30 1 05/30/2014 NA 19:35 EPA 200.7 Silver ND ug/L 5.0 0.10 1 05/30/2014 NA htfinc•//nnnar�nrf ..onalnl+� n..m/l''i:�.,.+D...w.,l l......��.i..T1.,+,.:1...a.. rf___:__+ir�._.n•�nn�n.n o_—__.,____rr����___ _nn n i ��. ��^.... . Sa:ilple Details Page 2 of 2 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 EPA 200.7 I Zinc 91.5 ug/L 10.0 0.40 1 i EPA 200.7 Nickel ND ug/L 5.0 1.7 1 i EPA 200.7 Arsenic ND ug/L 10.0 2.7 1 I EPA 245.1 Mercury ND ug/L 0,20 0.0701 i SM 2540D Total Suspended 4.7 mg/L 2,8 2.8 1 � Solids I� 13 items found, displaying all Items._ 1 - Terms of Service 19:35 05/30/2014 NA 19:35 05/30/2014 NA 19:35 05/30/2014 NA 19.35 05/30/2014 NA 19:35 06/02/2014 NA 19:55 06/02/2014 NA 17:04 Copyright © 2014 Pace Analytical Services, Inc. :+ttr+o•//nnnnnnr•►.�onnlnl�onnml('lio..*U...+.�1/0.�.....loTlo+..:1� .i..��.,n;�..+fFTI—[]�'1fl)(SAID.�..�+�...,Tfl-1;...�(1�A.L, K114 PIAIA r-1- N "Based on my inquiry of the person or persons directly responsible for managing compliance Nvith the permit monitoring requirement' for total toxic organics (TTO), I certify that to the best of lily knowledge and belief, no leak, spilil#or dumping of concentrated toxic organics into the storm water or onto areas which are exposed toirainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing all the provisions of the Solvent Management .Plan included in the Storniwater Pollution Prevention Plan." fi I' (Sign - »ittee) juNV-_- -191 (Date) 1 M;A� NCDENR Stormwater Discharge Outfall (-S1?0) Qualitative Monitoring Report Forguidance on filling out this form, please visit: htt �; �nrtal,ncclen .ar = weh tiv �� ti �r n xless�v#tah 4 Permit No.: or Certificate of Coverage No.: N/C/G/ O/3/ O/5/�/Q/ Facility Name: MGM WA1CaS County: CA4ER ?l�E _ Phone No. -2117 Inspector:-170M fff�S1Cj , Date of Inspection: 9Cth!E Time of Inspection: 3:o5 32 Total Event Precipitation (inches): G Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) 0 Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureahle 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: (Signatu rmi tee or Designee) Pagel of 2 li_=rq F r 27. Z 1. Outfall Description: C Out:fall No. (10 Structure )ipe, ditch, etc.) —r0 1T Receiving Stream: 44{, t_VEA: Describe the industrial activities that occur within the outfall drainage area: FAK1Cit. G �ff_r ) 4pc� 2. Color: Describe the color of the discharge u�si} g basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:ILLfi 3. Odor: Describe any distinct Qjj.Qrs that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _. Ot�p' 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 O 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: © 2 3 4 5 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: 1 Q 3 4 5 7. Is -there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Sample Details .,' '�L Page 1 of 2 Give us yourfeedback here aceAnalyfical Welcome, Tom Fasig. Change Password LoAout F_-- ---- - _ Home Container orders Results t EDD9 Data Notifications Resources Help } ii - - -- -�� -- ---- -- — --- -- - -- - -- --f •• f.O Home : Results : Project 92202942 : Sample 1207591 Project Information Client Project: MGM BRAKES - STORMWATER Project Status: Complete i, Pace Project Nbr: 92202942 Matrix: water Sample: MGM BRAKES/ STORMWATER #6 Lab Id: 92202942003 Collected Date: 05/27/2014 Received Date: 05/28/2014 r -- Methods -- Analysis Method Desc Status ' 200.7 MET ICP EPA 200.7 Complete - r 245.1 Mercury EPA 245.1 Complete rW HEM, Oil and Grease EPA 1664B Complete r 2540D Total Suspended Solids SM 2540D Complete r Show Hits Only Query by Method r-- Result List -- 13 items found, displaying all items. 1 RL=Report Limit, MDL=Method Detection Limit, DF=Dilution Factor, Bas=Basis, Qua[=Quallfiers Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual I EPA 1664E Oil and Grease ND mg/L 5.0 1.1 1 05/29/2014 NA i 07:55 EPA 200.7 Molybdenum ND ug/L 5.0 1.1 1 05/30/2014 NA 19:35 EPA 200.7 Lead ND ug/L 5.0 4.0 1 05/30/2014 NA 19:35 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 05/30/2014 NA 19:35 EPA 200.7 Chromium 6.1 ug/L 5.0 0.40 1 05/30/2014 NA 19:35 r EPA 200.7 Copper 8.3 ug/L 5.0 0.30 1 05/30/2014 NA # 19:35 I EPA 200.7 'f Silver ND ug/L 5.0 0.10 1 05/30/2014 NA }lttn� !/ a(�ennrt.nar.P]ahc.rnrnlC EiPntPnrtal/camnlPTlptailc �n9nrniantTFl�Q77f1)Qd7Xrclrefw+++1T1-1;.r,�07X 1, F11 41'1M A Sample .Details Page 2 of 2 ' 19:35 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 05/30/2014 NA ! f 19:35 EPA 200.7 Zinc 91.5 ug/L 10.0 0.40 1 05/30/2014 NA 19:35 i EPA 200.7 Nickel ND ug/L 5.0 1.7 1 05/30/2014 NA 19:35 EPA 200.7 Arsenic ND ug/L 10.0 2.7 1 05/30/2014 NA 19.35 i EPA 245.1 Mercury ND ug/L 0.20 0.070 1 06/02/2014 NA I 19:55 SM 2540D Total Suspended 4.7 mg/L 2.8 2.8 1 06/02/2014 NA j Solids 17:04 E 13 items found, displaying all items. 1 II Terms of Service Copyright (D 2014 Pace Analytical Services, Inc. c httns://nacPnnrt_naeelahc_c`ntn/C.1ientPnrtn1/emmn1P1)Ptailc.rin7nrnie.rtiT7=97'7f)74d7R.cvctarnTT)=1imcQ?A h A/1 A/7nI d MGM Brakes D Division of Indian Head Industries, Inc -T—T' P.O. Box 70-Park Avenue -Murphy, NC 289W Telephone 7041837-2117 FAX 7041837-7521 November 15, 2013 Central Files Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NCG030530 To Whom It May Concern, Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the second half of calendar year 2013. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace192176307, 92176307001-92176307003). The following attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of Custody/Analytical Request Document (2 copies) If you have any further questions, please contact me at (828) 837-2117 ext. 247. Sincerely, 'Job Tom F Engineering Manager/ORC DEC i-�Iri QU.'aiity Section is 4r Semi-annual Stormwater Discharize Monitoring eport for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted Noy J�S P-013 CERTIFICATE OF COVERAGE NO. NCG03 0 5 3_ O FACILITY NAME MGM S COUNTY PERSON COLLECTING SAMPLES LABORATORYIfQ_: Lab Cert. #' Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 01013 SAMPLE PERIOD ❑ Jan -June CK 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: Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 - Total Suspended Solids,' pH, Standard units' :. Copper..' Lead Zinc Non -Polar Q&G Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks ==_> - - .100 mg/L or 50 mg/L...:;" ' 6:0 - 9.0 :: . m 0.007 mglC: ° 0.033 mg/L.': 0.067: mg/L . 15 mg/L 1 mg/L ' q- 10 17 , 3 , 3 14. 5 fn L, 5.Z59 .0057mq1L <, 005 :_?.Zo-A_ [ 5.o m L 5,7 L 5. 39 5 4.005 <.005 L t 45 `- � 12, 0 m 1L 5 . z54- ­<01005 .005 :120 m 5.0 ! L 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 reporf 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.cryst_al. anufacture 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). =` DEC - 6 2013 1..3.7d Quality Section Permit Date: 11/1/2012-10/31/2017 Asheville 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." -. holm ��ast&-� Name (Print name) �Gl�.�tr•� 'I��n]fEG�f� Title (Print title) r. (Signature) (Date) Note: Results must be reported in numerical format. Do not reliiort Below Detection Limit, BDL,-<PQL, Non-defect,JND,r-or othersimilar.non-numerical format. When results.are below the applicable limits, the mdst be reported`in the:formatL"<XX.mii/P w'her,e XX'is'the.numericaI 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 Z, or Tier 3 responses. See Genera! 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 =" 1 Collected (mo/dd/yr) ".24=hour rainfall amount,.' a Inches :: Non polar O&G/TPH by "EPA,1664 (SGT-HEM)' Total Suspended,Soljds :; : ;.:.•_. -pH . . Benchmarks =__> _ - `15 mg/,L ' .. 100 mg/L or 50 mg/L* "R 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 waterclassifications 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 1 n) 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 A OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [g'� 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 reeeipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQCentral 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 l*6 r (Date) Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 "Based on 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 leak, spill or dumping of concentrated toxic organics into the stormwater or onto 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 all the provisions of the Solvent Management Plan included in the Stormwater Pollution Prevention Plan." (Sign ittee) tIo\tfln 16, ? 13 (Date) t?k e C aceAnalytical mvw.pacalabsxom SAMPLE ACKNOWLEDGMENT 9800 Kinoey Ave., Suite 100 Huntersville, NC 28078 (704)875-9092 Samples Submitted By: MGM Brakes Pace Project Manager: Tom Williams Client Project ID: MGM STORMWATER 10117 Phone 1(828)254-7176 tom.vviIliams@pacelabs.com Client PO#: Pace Analytical Project ID: 92176307 Samples Received: October 17, 2013 02:18 PM Estimated Completion: October 31, 2013 CC: Mr. Tom Fasig Pace Analytical DateMme Customer Sample ID Lab ID Matrix Collected Method MGM STORMWATER # 4 92176307001 Water 10/17/13 08:30 200.7 MET ICP Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540DTotal Suspended Solids 1IGM, Oil and Grease MGM STORMWATER # 5 92176307002 Water 10/17/13 08:30 200.7 MET ICP Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540DTotal Suspended Solids HEM, Oil and Grease MGM STORMWATER # 6 92176307003 Water 10/17/13 08:30 200.7 MET 1CP Arsenic, Cadmium, Chromium, Copper, Lead, Molybdenum, Nickel, Silver, Zinc, Selenium 2540D Total Suspended Solids HEM, Oil and Grease Gl11Adti1SV U01}DGS A11lenb puc-1 �iR 9 Please contact your project manager if you recognize any discrepancy in this form or have any questions about your project. Thank you for choosing Pace Analytical Services, Inc. Page 1 of 1 r_ NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http:./.112orta1.ncdenr.org/web/wg/wS/su/npdessw#tab-4 Permit No.: or Certificate of Coverage No.: N/C/G/0/j /0/5/3/o/ Facility Name: (nGY1 BRRKE�5 County: CAEJRnKEe _- Phone No. S?$ `S37-Z1(7 Inspector: F Date of Inspection: 10 I7 13 - Time of Inspection: -aO a.rn • _ Total Event Precipitation (inches): Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary; depending on the permit). Qualitative monitoring'requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: ,--I ---,% _ 1% (Signature of PerMigee or esignee) DEC - 6 2C`� Page 1 of 2 Land Quality Section Asheville SM-242, East modified 10/25/2012 F44 = 5 ,05+ -1-6frie 16.1 G !. 4 1. Outtall`Description: —� , Outfall No. (s Structure (pi , ditch, etc.) � .J T Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light; medium, dark) as descriptors: (nFDIU.M Y _ 3. Odor: Describe any weak chlorine odor, etc.): _ istinct odors that the discharge may have (i.e.; srriells strongly of oil, �o Ail✓ �ETi�rEb � . ' 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 12 Q 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 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:, 1 2 30 4 .5 7. Is there any foam in the stormwater discharge? Yes N� 8. Is there an oil sheen in the stormwater discharge? Yes. No 9. Is there evidence of erosion or deposition at the outfa117 Yes ®o 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Sample Details r� Page 1 of 2 Analytical Welcome, Tom Fasig. Give us your feedback here Chance Password Loaout Home Container Orders Results EDDs Data NWficatlons Resources Help :Yw Home : Results : Protect 92176307 : Sample 1068026 r Project Information Client Project: MGM STORMWATER 10/17 Project Status: Complete f Pace Project Nbr: 92176307 Matrix: water Sample: MGM STORMWATER # 6 Collected Date: 10/17/2013 Lab Id: 92176307003 Received Date: 10/17/2013 Methods F Analysis Method Desc # r 200.7 MET ICP EPA 200.7 r HEM, Oil and Grease EPA 16648 r 2540D Total Suspended Solids SM 2540D Query ey Method Status Complete Complete Complete i- Show Hits Only { E ResultList -__ _- i ---- - T_ ------ --- --------- - - --- l 12 items found, displaying all items. j 1 �-RL=Report Limit, MDL-Method Detection, Lim It, -DO =Dilution Factor, Bas=Basis, Qual=Quali. lers­-------- ------ Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664E Oil and Grease N❑ mg/L 5.0 1.1 1 10/18/2013 NA 12:37 EPA 200.7 Zinc 11203 ug/L 10.0 0.40 1 10/23/2013 NA 16:32 EPA 200.7 Lead ND ug/L 5.0 4.0 1 10/23/2013 NA 16:32 E EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 10/23/2013 NA 16: 32 EPA 200.7 Copper ND ug/L 5.0 0.30 1 10/23/2013 NA ; 16:32 } EPA 200.7 Selenium ND ug/L 10.0 3.8 1 10/23/2013 NA 16:32 i EPA 200.7 Nickel ND ug/L 5.0 1.7 1 10/23/2013 NA 16:32 EPA 200.7 Chromium 34.6 ug/L 5.0 0.401 10/23/2013 NA 16:32 EPA 200.7 Arsenic ND ug/L 10.0 2.7 1 10/23/2013 NA 16:32 EPA 200.7 Molybdenum ND ug/L 5.0 1.1 1 10/23/2013 NA t 16:32 EPA 200.7 Silver ND ug/L 5.0 0.101 10/23/2013 NA ? SM 2540D Total Suspended 12.0 mg/L 5.1 5.1 1 16:32 10/21/2013 NA y Solids 21:21 https:llpaceport.pacelabs.com/ClientPortaUsampleDetails.do?projectID=92176307&syste... 10/29/2013 Sample Details Page 2 of 2 t J h 12 items found, displaying all items. 1 � Terms of Service Copyright O 2013 Pace Analytical Services, Inc. https:llpaceport.pacelabs.com/ClientPortal/sampleDetails.do?projectlD=92176307&syste... 10/29/2013 ae! �iA�-lilw NC®EN'R Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http//portal.ncdenr.orglweb.lwq/ws/su/nl2dessw##tab-4 Permit No.: or Certificate of Coverage No.: Facility Name: MGM BRAKES County: CAC-RoIC�E. Phone No. Inspector: = Date of Inspection: 10 17 13 _ Time of Inspection: a . Total Event Precipitation (inches): • 3 Was this a "Representative Storm Event" or "Measureabie 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'requirem' ents 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 are 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: (Signature of Per Lee ar)esignee] DEC - 6 20' Page 1 of 2 SWu-242, Last modified 10/25/2012 Land Quality Section Asheville pH - 5.395 , , q, I c r. 3 1. Outfall Description: Outfall NU f n-- Structure (pipe, ditch, etc.) Pi —= Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: tC DRrt-tn A&-C-, 2. Color: Describe the color of the discharge using basic color_ s (red, brown, blue, etc.) and tint (light; medium, dark) as descriptors: LI Cgr GKR-Y 3. Odor: Describe any weak chlorine odor, etc.): _ �/s�tinF1cctt odors that �thh{�erdischarge may have (i.e., smells strongly of oil; iA lkfU 'Dis rf1Cs--D I". . 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 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 Q 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:-- 1 C2) 3 4 .5 7. Is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Sample Details Page 1 of 2 / Give us your feedback here Welcome, Tom Fasig, Chance Password Locou aceArralytica! Home Container Orders Results EDDs Oata Notifications Resources Help Home : Results : Project 92176307 : Sample 1068025 -Project Information ---------- i - - - -- ---- --- -_ - - - I Client Project: MGM STORMWATER 10/17 Project Status: Complete Pace Project Nbr: 92176307 Matrix: water Sample: MGM STORMWATER # 5 Collected Date: 10/17/2013 I Lab Id:97176307002 Received Date.-10/17/2013 Methods_�-------.-----._---- __- -__ -----.-__--_ ____.__-_---_-_-• r Analysis Method Desc Status r 200.7 MET ICP EPA 200.7 Complete r HEM, Oil and Grease E EPA 1664B Complete fI 2540D Total Suspended Solids r SM 2540D Complete i I j r Show Hits Only i I`-- -Query by Method ResultList ----- __ __ -- ---- --- ----- _� -. --- --- _� _-- - - __ _ ---, i i 12 items found, displaying all items. , I 1 �- RL=Report Limit, MDL=Method Detectlori Limit, DF--Dilution Factor, Bas=Basis, Quaff=Qualifiers I - -- - -- Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual I EPA 1664E Oil and Grease ND mg/L 5.0 1.1 1 10/18/2013 NA 12:36 EPA 200.7 Silver ND ug/L 5.0 0.101 10/23/2013 NA I 16:29 EPA 200.7 Molybdenum ND ug/L 5.0 1.1 1 10/23/2013 NA 16:29 I EPA 200.7 Zinc C84:5� ug/L 10.0 0.40 1 10/23/2013 NA 16:29 EPA 200.7 Chromium ND ug/L 5.0 0.40 1 10/23/2013 NA 16:29 EPA 200.7 Copper ND ug/L 5.0 0.30 1 10/23/2013 NA 16:29 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 10/23/2013 NA t 16:29 EPA 200.7 Lead ND ug/L 5.0 4.0 1 10/23/2013 NA 16:29 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 10/23/2013 NA 16:29 EPA 200.7 Nickel ND ug/L 5.0 1.7 1 10/23/2013 NA 16:29 EPA 200.7 Arsenic ND ug/L 10.0 2.7 1 10/23/2013 NA SM 2540D Total Suspended 5.7 mg/L 2.5 16:29 2.5 1 10/21/2013 NA Solids 21:21 https:Hpaceport.pacelabs.com/ClientPortallsampteDetails.do?proj ectfD=92176307&syste... 10/29/2013 Sample Details Page 2 of 2 12 items found, displaying all items. 1 E Terms of Service Copyright OO 2013 Pace Analytical Services, Inc. https:llpaceport.pacelabs.corn/ClientPortallsampleDetails.do?projectlD=921763O7&syste... 10/29/2013 _ NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: httpf loorta1.ncdenr.Qrg/web jwq/ws/su/npdessw#tab-4 Permit No.: or Certificate of Coverage No.: Facility Name: flIG(n $Rf}tCES County: CA_C1ZnKEE— Phone No. Inspector: 0M FffiS 1C"g__ Date of Inspection: 1/0/17113 Time of Inspection: 6.30 4..m Total Event Precipitation (inches): orzy—y,�4 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). '1 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 I 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: (Signature of Per tee or)esignee) Page 1 of 2 DEC - 6 2010) Land Quality Section Asheville SWU-242, Last modified 10/25/2012 15.259 �Cliit�= 93 c. 1. Outfall Description: ; � Outfall No. � Structure ipe, ditch, etc.) i�l Receiving Stream: t7 i Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the (light; -medium, dark) as descriptors: r rge using basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0& _J eL�=_L-_T4r=D 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3� 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 O 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: C 1 Q 3 4 5 7. is there any foam in the stormwater discharge? Yes 4D 8. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. `= Page 2 of 2 5WU-242, last modified 10/25/2012 Sample Details Page 1 of 2 Give us your feedback here Weloome, Tom Fasig. Change Password LLpq-o_ut aceAnalytical Home Container Orders Results r=ws Data Notifications Resources Help s Home : Re ult ; Proiect 92176307 :Sample 1068024 - Project Information --- ----- -- - - ---------- --____- __ __ ___ .-_---.- Client Project: MGM STORMWATER 10/17 Project Status: Complete Pace Project Nbr: 92176307 Matrix: Water Sample: MGM STORMWATER # 4 Collected Date: 10/17/2013 Lab Id: 92176307001 Received Date: 10/17/2013 - Methods - - -- -- ----- -- ---------- I ---- - -- ------- r Analysis Method Dest Status r 200.7 MET lCP EPA 200.7 Complete II` r HEM, Oil and Grease EPA 1664E Complete 2540D Total Suspended Solids SM 2540D Complete j i F Show Hits Only i Query by Method I #~--Result List ----- -------------- -- ----- -- - -----------; I 12 items found, displaying all items. 1 � RL=Report Llmit, MDL=Method Detection Limit, DF=Dilution Factor,-Bas=Basis, Qual=Qualifiers- --- -- - Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Quai EPA 16645 Oil and Grease ND mg/L 5.0 1.1 1 10/18/2013 NA 12:36 EPA 200.7 Molybdenum ND ug/L 5.0 i.l 1 10/19/2013 NA 01:14 EPA 200.7 Nickel ND ug/L 5.0 1.7 1 10/19/2013 NA I 01:14 EPA 200.7 Zinc C2083 ug/L 10.0 0.40 1 10/19/2013 NA 01:14 i EPA 200.7 Chromium ND ug/L 5.0 0.40 1 10/19/2013 NA 01:14 I EPA 200.7 Silver ND ug/L 5.0 0.10 1 10/19/2013 NA 01:14 EPA 200.7 Lead ND ug/L 5.0 4.0 1 10/19/2013 NA i 01:14 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 10/19/2013 NA 01:14 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 10/19/2013 NA 01:14 EPA 200.7 Copper 5.7 ug/L 5.0 0.30 1 10/19/2013 NA 01:14 EPA 200.7 Arsenic ND ug/L 10.0 2.7 1 10/19/2013 NA 01:14 SM 2540D Total Suspended 14.3 mg/L 8.3 8.3 1 10/21/2013 NA Solids 21:17 https:llpaceport.pacelabs.com/ClientPortallsampleDetails.do?projectlD= 92176307&syste... 10/29/20I3 Sample Details a" [ Page 2 of 2 12 items found, displaying all items. 1 Terms of Service Copyright p 2013 Pace Analytical Services, Inc. https:llpaceport.pacelabs.cornIClientPortaUsampleDetails.do?projectID=92176307&syste... 10/29/2013 f ' NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit; http://portal,ncdeor.org/web/wq/xvs.1su/nndessw#talc-4 Permit No.: N/c/6/O/3/!/Q/!2/Q/ or. Certificate of Coverage No.: N/C/C/Q/3/0/5/3/Q/ Facility Name: MG County: C' 4f;�koKG6 Phone No. 04E-037-0117 Inspector: 1 Date of Inspection: 10 Time of Inspection: ,6 Total Event Precipitation (inches): • 3 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary; depending on the permit). Qualitative monitoring'requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement Please refer to these definitions, if applicable. A "representative storm event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to-10 consecutive -hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Per ee oresignee) Pagel of 2 SWU-242, Last modified 10/25/2012 P� = 5.3R5 Ott = r R, < 1. Outfall Description: - Outfall No. Structure( ipe, ditch, etc.)_ Receiving Stream: A i \ L,=-k - (C Describe the industrial activities that occur within the outfall drainage area: DR}b 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light; medium, dark) as descriptors: LiGar GREY _ 3. Odor: Describe any stinct weak chlorine odor, etc.): hAW idors that the discharge may have (i.e., smells strongly of oil; 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 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 Q -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 S is extremely muddy. . . 1 Q 3 4. 5 . 1 7. is there any foam in the stormwater discharge? Yes No B. Is there an oil -sheen in the stormwater dischargeT Yes - 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. cc, Page 2 of 2 SWU-242. Last modified 10/25/2012 ;Sample Details Page 1 of'-) 4 aY Give us your feedback here aceAnalytilcjal o Welcome, Tom Fasig. Chance Password L ou Home Container Orders Results EDDS Data NatiFlcatians Resources Help 1 Home : Results : Pr6iect 9217629Z : sample 1068025 -- Project Information Client Project- MGM STORMWATER 10/17 i Project Status: Complete Pace Project Nbr: 92176307 Matrix: Water Sample: MGM STORMWATER # 5 Collected Date: 10/17/2013 Lab Id. 92176307002 I Received Date: 10/17/2013 I - Methods r Analysis Method Desc Status I r 200.7 MET ICP EPA 200.7 Complete r HEM, Oil and Grease E EPA 1664B Complete r 2540D Total Suspended Solids SM 2540D Complete r Show Hits Only Query by Method Result List I - , i 12 items found, displaying all items. � 1 RL=Report Limit, MDL=Method Detection Limit -DF=Dilution -Factor,,Bas=Basis, Qual=Qualifiers----- --- - Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664B Oil and Grease NO mg/L 5.0 1.1 1 10/18/2013 NA 12:36 EPA 200.7 Silver NO ug/L 5.0 0.10 1 10/23/2013 NA 16:29 EPA 200.7 Molybdenum NO ug/L 5.0 1.1 1 10/23/2013 NA i 16:29 ; I EPA 200.7 Zinc 84.5 ug/L 10.0 0.40 1 10/23/2013 NA 16:29 EPA 200.7 Chromium NO ug/L 5.0 0.401 10/23/2013 NA 16:29 EPA 200.7 Copper NO ug/L 5.0 0.30 1 10/23/2013 NA 16:29 EPA 200.7 Cadmium NO ug/L 1.0 0.50 1 10/23/2013 NA 16:29 EPA 200.7 Lead ND ug/L 5.0 4.0 1 10/23/2013 NA 16:29 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 10/23/2013 NA I 16.29 EPA 200.7 Nickel ND ug/L 5.0 1.7 1 10/23/2013 NA 16:29 EPA 200.7 Arsenic ND ug/L 10.0 2.7 1 10/23/2013 NA i 16:29 SM 2540D Total Suspended 5.7 mg/L 2.5 2.5 1 10/21/2013 NA Solids 21:21 �ittnc-//nacennrt.nanPlahs �nmlf'.liPntPnrtal/samnlpT?f•tailG.rin�nrniPrtTi7=9217Fi�fi7Rr,wctP - 1f1/24/2f11'i .l Sample Details Page 2 of 2 r 12 items found, displaying all items. 1 Terms of Service Copyright p 2013 Pace Analytical Services, Inc. C httns:lltoacenort.nacelabs.comlClientPortallsamnieDetails.do?nroiectlD=9217F�{i7&.-,vste.__ 10/99/201 ; _ NCDENR Std'rmwater Discharge Outfall (SDO) z , Qualitative Monitoring Report' C� Forguidanceonfllingout thisform,please visit. httn_ .//pQrtal.ncdenr.org/web/wgJws./su/np_d65w#tab-4 Permit No.: N/C/&/O/3/!/Q/Q/Q/, oncertificate of Coverage No.: Facility Name: IMGn t R&$Lgr— _ County: _% KEE. Phone No. 828-837-2117 Inspector: 7Mm Fflrs iC-, - Date of Inspection: , I0,j17113 Time of Inspection: S'•a6 a Total Event Precipitation (inches): • 3 Was this a "Representative Storm Event" or "Measureabie Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary; depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10-consecutive hours of no precipitation. A "measurable storm event' is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: ----I _ (Signature of PALr2jqee or�esignee) SWU-242, last modified 10/25/2012 Page 1 of 2 1. Outfall Description:01 Outfall No. Q7 Structure (pi , ditch, etc.) Receiving Stream:l Describe the industrial activities that occur within the outfall drainage area: �A1 b`C=6 2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light;`rnedium, dark) as descriptors: MED1UA Y 3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil, weak chlorine odor, etc.): Q63E, J.f��ep 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1. 2 �3 4 S. 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 V 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: 1 2 O 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? - Yes - No 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 Sample Details Y �7 MY Page l of 2 Q Give us your feedback here ceAnalytiealWelcome, Tom Fasig. Chance A ssword Logout Hume COrltalnerOrderS Results EDDS DateNtiticabons Resources Help Hamer : Results : Proiect 92176307 : Sample 1068026 Project Information ------�- - f Client Project: MGM STORMWATER 10/17 � Project Status: Complete Pace Project Nbr. 92176307 Matrix: water Sample: MGM STORMWATER # 6 Collected Date: 10/17/2013 Lab Id.92176307003 Received Date:10/17/2013 - r- Methods -- -- - - - i r Analysis Method Desc Status r 200.7 MET ICP EPA 200.7 Complete : I r HEM, Oil and Grease EPA 1664E Complete l- 2540D Total Suspended Solids t SM 2540D Complete r Show Hits Only I - - '_ r Query by Method_71 i r--• Result List i 12 items found, displaying all items. 3 1 RL=Report Limit, MDL= Method -Detection -Limit, DF=Diiution Factor, Bas=Basis, Qua[=Qualifiers -- --- --- - - - l I Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Qual EPA 1664B - Oil and Grease ND- - mg/L -- 5.0 1.1 1 10/18/2013 NA 12:37 { EPA 200.7 Zinc 120 ug/L 10.0 0.401 10/23/2013 NA 16:32 EPA 200.7 Lead ND ug/L 5.0 4.0 1 10/23/2013 NA 16:32 EPA 200J Cadmium ND ug/L 1.0 0.50 1 10/23/2013 NA 16:32 EPA 200.7 Copper ND ug/L 5.0 0.30 1 10/23/2013 NA i 16:32 EPA 200.7 Selenium ND ug/L 10.0 3.8 1 10/23/2013 NA i 16:32 EPA 200.7 Nickel ND ug/L 5.0 1.7 1 10/2312013 NA I 16:32 EPA 200.7 Chromium 34.6 ug/L 5.0 0.40 1 10/23/2013 NA 16:32 EPA 200.7 Arsenic ND ug/L 10-0 2.7 1 10/23/2013 NA 16:32 I EPA 200.7 Molybdenum ND ug/L 5.0 1.1 1 10/23/2013 NA i 16:32 EPA 200.7 Silver ND ug/L 5.0 0.10 1 10/23/2013 NA 16.32 i SM 2540D Total Suspended 12.0 mg/L 5.1 5.1 1 10/21/2013 NA Solids 21:21 httncJ/nncFnnrt-norelnhc-rnmlC.lientPnrtailqamnlel)etlgilg-do?nroiectlD=9217F307&Svste--. 10/29/2013 I F I l i c I _ a. _ h f ♦ . _..emu. - .. _ -S, - y _ _ Sample Details Page 2 of 2 12 items found, displaying all items. r 1 Terms of ,vice Copyright C) 2013 Pace Analytical Services, Inc. httns:llnacenort.nacelabs.corn/ClientPortal/samnleDetails.do?nroiect1D=92176307&syste... 10/29/2013 5.378 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. http://li2o.enr.statc,nc.us/su/F'oT-ms Doccments.htmffFniscforms Permit No.: NIC/&/0/. /0/010/O/ or Certificate of Coverage No.: NlC1G/`0/a0l5131a1 Facility NWe: County: lr�-+�_ KfDK Phone No. Inspector: Date of Ins Time of Im Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) -GAA7r mYs [I No Please check yourperntit to verify if Qualitative Monitoring must be perforrrred during a representative stonn event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature 1. OutfallDescription: Outfall No. L9- - Structure (pipe, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge us' basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe chlorine odor, etc.); SWU 242-112608 odors that the discharge may have (i.e., smells strongly of oil, weak Page I of 2 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 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 S. 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy:.S 1 �2 3 4 5 7. Is there any foam in the stormwater discharge?. Yes No 8. Is there an oil sheen in the stormwater discharge? Yes . No 9. Is there eiidence of erosion or deposition at the outfall? Yes 0�0 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of2• SIVU-242-112608 .� Sample Details Wage 1 of 2 Giva us your feedback here Welcome, TomFasig. Charge Password Locout LeAnalytical!t Home Container Orders Results EDDs Data Notincations Resources Help f . 9me : Results : Project 92155807 : Sample 963152 I---- Project Information - -- - - - -- -- - -- - - -- - - - Client Project: Stormwater 4/24113 Project Status: Complete Pace Project Pibr: 921SS807 Matrix: water Sample: #6 Collected Date: 04/24/2013 Lab Xd: 92155807006 Received Date: 04/25/2013 - Methods Analysis Method Desc Status I r 200.7 MET ICP i EPA 200.7 Complete I r 245.1 Mercury EPA 245.1 Complete HEM, Oil and Grease EPA 16648 Complete I r 2540D Total Suspended Solids i SM 2540D Complete I- Show Hits Only Query by Method -Result List -- -- _ - - - --_ _ - ---- f 13 items found, displaying all Items. I 1 ltL=Report limit„ MDL=Method Detection Limit, DF=Dilutiori Factor, Bas=Basis, Qual=Qualifiers I Method Desc Parameters Results Units RL MDL DF Analyzed Date Bas Quai EPA 16648 Oil and Grease ND mg/L 5.0 1.1 1 05/01/2013 NA 10:31 i EPA 200.7 Selenium ND ug/L 10.0 3.8 1 04/30/2013 NA O5:OB EPA 200.7 Arsenic ND ug/L 50.0 2.7 1 04/30/2013 NA 05:08 EPA 200.7 Cadmium ND ug/L 1.0 0.50 1 04/30/2013 NA 05:08 EPA 200.7 Copper 13.6 ug/L 5.0 0.30 1 04/30/2013 NA 05:08 I EPA 200.7 Nickel ND ug/L 5.0 1.7 1 04/30/2013 NA 05:08 EPA 200.7 Zinc 117 ug/L 10.0 0.40 1 04/30/2013 NA 05:08 i EPA 200.7 Silver ND ug/L 5.0 0.10 1 04/30/2013 NA 05:09 EPA 200.7 Lead ND ug/L 5.0 4.0 1 04/30/2013 NA 05:08 EPA 200.7 Chromium ND ug/L 5.0 0.40 1 04/30/2013 NA EPA 200.7 Molybdenum ND ug/L 5.0 05:08 1.1 1 04/30/2013 NA 05:08 httnc-//nnrrannrt nnrrPlnhe rnm/C'liPntPnrt tl/c �mn1PT7Pt�ilc-rin?nrnePrt11�-971 SSRn7RrGVStemT.__ 5/9/201 i Sample Details �M Page 2 of EPA 245.1 Mercury ND ug/L 0.20 0.070 1 04/30/2013 NA 15:01 SM 2540D Total Suspended 149 mg/L 12.5 12.5 1 04/26/2013 NA Solids 08:38 13 items found, displaying all items. . 1 Terms of Service Copyright (D 2013 Pace Analytical Services, -Inc. llttDS://r)acenort.t)acelabs.com/ClientPortaUSaMDIeDetails.do?oroiectlD=92 i 55807&systemI... 5/8/2013 MGM Brakes Q O Division at Indian Head Industries, Inc P.O. Box 70-Park Avenue -Murphy, NC 28906 NOV 15 2011 ' Telephone 704/837-2117 FAX 7041837-7521 ? 7 �++ WATEH QUALITY SECT!0N :. ASNEVILLF REGIONAL OF ICE November 10, 2011 Central Fifes Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Stormwater General Permit No. NCG030000 Certificate of Coverage No. NGG030530 To Whom It May Concern, Enclosed, you will find duplicate signed copies of our Analytical Monitoring Lab Results and Qualitative Monitoring Results for the second half of calendar year 2011. Also attached are the analytical analysis results of our stormwater discharge at permit described collection/discharge points (Pace192104136, 92104136001-92104136006). The following attachments are included in this submittal: Stormwater Discharge Outfall Monitoring Report (2 copies) Stormwater Discharge Outfall Qualitative Monitoring Report (2 copies) Sample Acknowledgement from Pace Analytical Services, Inc. (2 copies) Analytical results from Pace Analytical Services, Inc. (2 copies) Chain of. Custody/Analytical Request Document (2 copies) If you have any further questions, please contact me at (828) 837-2117 ext. 247. Sincerely, 1 Tom F Engineering Manager/ORC MGM Brakes Divislon of Indian Head Industries, Inc D P.O. Box 7Q-Park Avenue -Murphy, NC 28906 Telephone 7041837-2117 FAX 704/837-7521 November 10, 2011 North Carolina Dept. of Environmental and Natural Resources Asheville Regional Office Division of Water Quality -Water Quality Section 2090 U.S. 70 Highway Swannanoa, NC 28778 Attn: Mr, Jason M. Smith Jason, I have enclosed the following documents for your review: 1) Copy of 2011 (Second Half) Analytical and Qualitative Monitoring Report, submitted to Central Files in Raleigh, NC today. If you have any further questions, please contact me at (828) 837-2117 ext. 247. Sincerely, Tom Tom F� Engineering Manager 9 - �. `', . N . � Y .�l a t -. r �` ' F .. � yy • .' rl. rF� � „ � � i r � � � �J ..`. 11. "Based on 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 leak, spill or dumping of concentrated toxic organics into the stormwater or onto 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 all the provisions of the Solvent Management Plan included in the Stormwater Pollution Prevention Plan". (Signature of Permitee) (Date) W STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT G Permit Number: N4 030coo or Certificate of Coverage Number: NCG FACILITY NAME E7 PERSON COLLECTING SAMPLE(S) CERTIFIED LABORATORY(S) Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: zol l eaflffLF (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY CO IC .E PJJQNEN9-0Mf�37- U7 — & (SIGNATU ERF,RMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. MF Datepc Sam !! ! total Flow (if app.) Oil & Grease Total Suspended SolidsCollected Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes /no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage molddl r MG inches m m Units I gal/mo Form SWU-246-112608 Page 1 of 2 STORM EVENT CHARACTERISTICS: Date 10/f1 1 l Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "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 Pe ) (Date) Form S W U-246-112608 Page 2 of 2 "FA= b,57Z 14 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: littp://h2o.enr.state.nc.us/su/Forms Documents.htm#misc.forins Permit No.: NIC16/0I�IOI Facility Name: .111 111 t County: QaEgOgd,--£ Inspector: Date of Inspection: 10 1 Time of Inspection: 1 Z '0/0/ or Certificate of Coverage No.: NIGGIQI,VI O16-13161 Total Event Precipitation (inches): ,5 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your pernxit to verify if Qualitative Monitoring must be per during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 1t r 1 or Designee) 1. Outfall Description: Outfall No. I Structure (pi e, ditch, etc.) 1-11?£ Receiving Stream:K—,Nkg Describe the industrial activities that occur within the outfall drainage area: 1 dam—VJ44F�, 4ZMF- (!)f�' Ouf, f%lhL]: UtajnS&,. 2. Color: Describe the color of th discharge using basic olors (red, b own, blue, etc.) and tint (light, medium, dark) as descriptors: � -.I6Wr JeUZ jZ / A Lf1%Og 0,L6prf_ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): kll4 Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear 1 and 5 is very cloudy: fll 2 3 4 5 5. floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 0 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: 1 `2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes 4& 9. Is there evidence of erosion or deposition at the outfall? Yes `No C 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWO-242-112608 C' C TEA-F = 18 : T G Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: litt://fi2o.enr.state,nc.us/su/Fornis Documents.litm#miscforms Permit No.: NICIGIO13101010101 or Certificate of I Facility Name: County: _ Lc!- K.j�;E Phone No. Inspector: =e)fn f::fl51 & Date of Inspection: tQ/ 1!la Time of Inspection: lZ 4r--3-P.m Total Event Precipitation (inches): .6 Was this a Representative Storm Event? (See information below) E2 Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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 stone event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of 1. Outfall Description: Outfall No. Structure (pI.Re, ditch, etc.) R l 1 Receiving Stream: _IF_ 11— Describe gy�p; }}ndustrial activities tha ccur within the o__utfall drainage area: s4 fk7L fA f 41Z lr`R.1�1--OTC.G655 >tiC1 - - - 2. Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1 i ► 11kin i WU A 3. Odor: DescribeD kS - any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): h%nmr ^ Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 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 2O 3 4 5 5. 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: 1 2 0 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes Is -� 9. Is there evidence of erosion or deposition at the outfall? Yes No i C 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242-112608 C-1 C c (80 `Ta-KF = 18.E Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. hap:M12o.enr.state. nc.uslsu/Forms Documents.htm#miscforms Permit No.: NICIGIOI al. Facility Name: R rMi County: C Inspector: `. Date of Inspection: t0 Time of Inspection: I Z� ' 0I or Certificate of Coverage No.: NICIGI01314I�I13I a Total Event Precipitation (inches): , 5 Na. Was this a Representative Storm Event? (See information below) Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: VC (Signature of ee or Designee) 1. Outfall Description: —T p Outfall No. Structure (piZIE& ditch, etc.) 1`l Receiving Stream- .1_u!. Describe t indu trial activities that occur within the outfalk drainage area: WAN( 2. Color: Describe the color of thf Fes`discharge using basiscolors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: V ( LL Chi[ CIA) _R 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): E Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: SO, 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 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the storrwater discharge, where 1 is no solids and 5 is extremely muddy: L 1 2 3 4 5 7. is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No - 9. Is there evidence of erosion or deposition at the outfall? Yes No C11 C 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112608 _, . c 7� _ 6. wR -T,�PG= 19,6 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: http://t12o.enr.state.nc.us/su/Forms_Documents.htni#miscforms Permit No.: NIGC: Facility Name: J County: Inspector: Tod Date of Inspection: Time of Inspection: 10 Total Event Precipitation (inches): 1 or Certificate of Coverage No.: NIC1G/013101_51-3-1-01 Was this a Representative Storm Event? (See information below) DQ Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be perfonned during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: rz�gm 6D'a, �— (Signature of 1. OutfaU escription: Gutfall No. Structure (pipe, ditch, etc.) Tt-P6_ Receiving Stream: E& zvk& Ltescribe the industrial activities that occur within the outfall drainage area: TAUIW--9 "TRA1 2. Color: Describe the color of th`qdischarge r using basic olors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: V 6" L.j t�� 7�!-�.n U) 3. Odor: Describe any d ct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.):0?�1�� Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear �h. and 5 is very cloudy: 1 O 3 4 5 C 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 6) 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stonnwater discharge, where 1 is no solids and 5 is extremely muddy: 1 0 3 4 5 7. Is there any foam in the stormwater discharge? 8. Is there an oil sheen in the stormwater discharge? 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes No Yes 0 Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112608 C C' C k -3&+ -r�C- M?. = 18. 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: http://h2o.enr.state.nc.us/su/Forins Documents.htnAmiscfornts Permit No.: NICA&lO 1-310/0/0/0I or Certificate of Coverage No.: NICIG/O131C11_5J' /31CV Facility Name: 11 t County: C % Phone No. _ OzS-837- 2-07 Inspector: Date of Ins Time of In: Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) X Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of 1. Outfall Description: y� Outfall No. _ _. , Structure (pipe, ditch, etc.) T j Receiving Stream: Describe the industrial activities that occur within the outfall drainage area:-A$✓�AG T 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1-1 GLEE D- i,5 3. Odor: Describe any distuLct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.). 1.� Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear �. and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 02 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 `V 3 4 5 7. Is there any foam in the stormwater discharge? 8. Is there an oil sheen in the stormwater discharge? 9. Is there evidence of erosion or deposition at the outfall? C) C 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes oNo Yes No Yes G Nate: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112608 . fd &, zbz A Stormwater Discharge Outfall (SD4) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: http://h2o.en_r.state.ne.us/su/Forms Documents.htni#tmiscforms Permit No.: N_/C/G/D /3 /0 Facility Name: r ( m County: CAE&CzKC4 Inspector: rom �Ac Date of Inspection: lob 1 Time of Inspection: l : 4 0/0/ or Certificate of Coverage No.: N/C/G/0/3/0/f�/,314/ Total Event Precipitation (inches): • 5 Phone No. Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be perfonned during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 12 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurTed. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of 1. Outfall Description: �4fr Outfall No. Structure (pi ditch, etc.) �i� .74 DiTa+ Receiving Stream: E642ftlESE6 Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of in& basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: _��� ����(j Y 3. Odor: Describe' ``any disti odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NO V,C Page i of 2 SWU-242-1 t 2b08 i 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy. i 2 (03 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 (D 3 4 5 5. 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: 1 2 O3 4 5 7. Is there any foam in the stormwater discharge? Yes ED 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfaA? Yes No G C 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242-112608 I\ "Based on 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 leak, spill or dumping of concentrated toxic organics into the stormwater or onto 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 all the provisions of the Solvent Management Plan included in the Stormwater Pollution Prevention Plan." (Si ermittee) (Date) STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT G Permit Number: NCx 0!!P0000 or Certificate of Coverage Number: NCG 436GAD . FACILITY NAME _ MGM PERSON COLLECTING SAMPLE(S) 7 CERTIFIED LABORATORY(S)�f`Ph. RVMrM— Cs _Lab # Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALENDAR YEAR: 2010 I5rq{iF (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY 04690KOS (SIGNATq4&Q8XX6AMITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. SampleDate Collected —Totalr Flow (if +rr.) Suspended .Solids r �rF111_17_ Does this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month?_ yes r no (if yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 0055E 00530 00400 Total now (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage mo/dd/ r MG inches mO m Units al/mo Form SWU-246-112608 Page 1 of 2 STORM EVENT CHARACTERISTICS: Mail Original and one copy to: Division of Water Quality Dateft}1 p Attn: Central Files Total Event Precipitation (inches): 2,� 1617 Mail Service Center Event Duration (hours): (only if applicable — see permit.) Raleigh, North Carolina 27699-1617 (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) "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." (Signatur ee) (Date) Form S W U-246-112609 Page 2 of 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on felling out this fonn, please visit: http://h2o.enr,state.iie.us/su/Forms IDocuments.htm#misc.forms Permit No.: NIC/b /QI310101010 or Certificate of Coverage No.: NIC/G/O1H 01Sl-3IOI Facility Name: ["(item ��}&&5 _ — — County; Phone No. 848' 8 7- Z 1 j Inspector: Torn Ffl51C- Date of Inspection: MAY 25. 261C) Time of Inspection: 740 0 I fM _ Total Event Precipitation (inches): 2.0 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative stor►n event (requirements vary). I 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signa or Designee) 1. Outfall Description: ;� Outfall No. Structure (pipe, ditch, etc.) T i VE Receiving Stream: F411 Er— Kl&& 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: � iC G?2jmY 3. Odor: Describe any distinct odors that the discharge may have (i.e.., smells strongly of oil, weak chlorine odor, etc.): �>L. _ Page I of 2 SWU-242-112608 f 1 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 O 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 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 0 3 4 5 7. Is there any foam in the stormwater discharge? 8. Is there an oil sheen in the stormwater discharge? 0 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes No Yes No Yes Q 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, t� r5.?85 Page 2 of 2 SWU-2.32-112608 +s RUt'o Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: bttp://h2o.e.nZ•.state.nc.us/su/Forim Documents_1itnAniseforms Pernut No.: NIC/G/10/3/0/0_/_0/OI or Certificate of Coverage No.: NIGG/0/3/0/Sl3/0/ Facility Name: iJli �7,419FE-5 County: r- Phone No. 9� -537- Z117 Inspector: --rorA E&5"t&w Date of Inspection: �C04Y 3,2010 Time of Tnspection: 8 : 00 * 4M Total Event Precipitation (inches): Z •0 Was this a Representative Storm Event? (See information below) CA Yes ❑ No Please check your permit to ver{fj> if Qualitative Monitoring must be performed during a representative stoma event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signatur or Designee) 1. Outfall Description: � Outfall No. Structure ipe, ditch, etc.) T l_VE Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 1 2. Color: Describe the color of the discharge (light, medium, dark) as descriptors: -LLEA:&- basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): OPORL&59_. _ Page 1 of SWU-242-112608 1 r' 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: G 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: Ot 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: 12 3 4 5 7. Is there any foam in the stormwater discharge? Yes �l 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 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. `fi t P Page 2 of 2 SWU-242-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fon:z, please visit: ligp://h2o.enr.state.nc.us/su/Forms Docurnents.htni#miscforms Permit No.: N/C/G/O l3/Q/O/D/0/ or Certificate of Coverage No.: N/C/G/0l3/0lS/3/0l Facility Name: County:. �.� � � Phone No. 02A..-0-6-7" Z � 7 Inspector: -1-01A EftSiC-2 Date of Inspection: rfl-gY 3, �Ol Time of Inspection: ? 65 ArM Total Event Precipitation (inches): 2.0 Was this a Representative Storm Event? (See information below) N Yes ❑ No Please check your pennit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary), 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 Q 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: Designee) 1. Outfall Description: OutfalI No. 4" Structure( C. ditch, etc.) Receiving Stream: Ftum r1�. Describe the industrial activities that occur within the outfall drainage area: ?AKK1ldkzUa3n to 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: L4C-4Fi" � 3. Odor: Describe any distinct odors that the discharge may have (i.e.., smells strongly of oil, weak chlorine odor, etc.): AI- S Page 1 of 2 SwtJ-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where f is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 'J 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: (1 2 3 4 5 7. Is there any foam in the stormwater discharge? 8. Is there an oil sheen in the stormwater discharge? 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe Yes & Yes lGo Yes ©° 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. 20, l C- Page 2 of 2 SWU-242-112608 V Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. littp://h2o.enr.state.ne.us/su/Forms Documents.lhtn4miseforms Pernut No.: N_/C_/G/101310/0/0101 or Certificate of Coverage No.: NIC/G/0/31a151310/ Facility Name: MC -A County: C 14EK }K•E, Phone No. %Un ~95-7- Z117 � - Inspector: ©[I1 F$51Cc Date of Inspection: M qy 3, 20) Time of hispection: &.05 i4rq _ Total Event Precipitation (inches): Z `� Was this a Representative Storm Event? (See information below) X Yes ❑ No Please check your pennit to verify if Qualitative Monitoring must be peifonned during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: Designee) 1. Outfail Description: Outfall No_ Structure pe, ditch, etc.) TID�i4� Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge (light, medium, dark) as descriptors:-iiELlnu- colorrs (Fed, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): OPPKLE55 swu-242-1 12608 Page 1 of 2 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 0 3 4 5 f. 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: 1 2 r3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. . Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. 5.74 --ram _ 20, 5 c. Page 2 of 2 swu-242-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms Permit No.: N/CIG/O/,3/0/0/0/-OI or Certificate of Coverage No.: N/C/GI Q/3/QlrJ_' l3/Ol Facility Name: fI County. Phone No. ' Inspector: --G� rl ERSI6-y _..._ Date of Inspection: MAY 3. 201 D Time of Inspection: : Q'57 Total Event Precipitation (inches): 2.0 Was this a Representative Storm Event? (See information below) N Yes ❑ No Please check your pe»nit to verify if Qualitative Monitoring must be perfonned during a representative stonn event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature o or Designee) 1. Outfall Description: Outfall No. 2 Structure ipe, ditch, etc.) F�FlF_1JtrG-1�% Receiving Stream: Describe the industrial activities that occur withjq the outfall drainage area: swan w--y ate y Color: Describe the color of the discharge usin basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 1-1�T T 3. Odor: Describe any distinct odors that the discharge may have (i.e.. smells strongly of oil, weak chlorine odor, etc.): QfD&b6f?5 Page 1 of 2 SVAJ-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear _. and 5 is very cloudy: 1 �2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 Q 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: 1 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes NG 9. Is there evidence of erosion or deposition at the outfall? Yes is 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242- t 12608 c> Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit. hten://h2o.enr.state.nc.us/su/Forrns__Docurnents.htm#misefornis Permit No.: NIC/G/0 /310/D/O/OI or Certificate of Coverage No.: NICIGI D13/0 ISl3/0l Facility Name: fib BRzt1r=5 County: . e ar—. Phone No. Inspector: Train Fasbn2 Date of Inspection: _ #gY :3, zol 0__._„„ Time of Inspection: 1 Total Event Precipitation (inches) 2 •d Was this a Representative Storm Event? (See information below) H Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). �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. By this signature, I certify that this report is accurate and complete to the nest of my knowledge: Designee) 1. Outfall Description: �p Outfall No. Structure ipe, ditch, etc.}'PE��}1� Receiving Stream: r l Describe the industrial activities that occur within the outfall drainage area: ' CWW 2. Color: Describe the color of the discharge (light, medium, dark) as descriptors: [AX289 basic colors (red, brown, blue, etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): SWU-212-112608 Page i of 2 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 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: `1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes S. 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 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. ?4_ 6721 `reirf: 1977 c Page 2 of 2 SwU-242-112608 .�. srArr4 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out This fonn, please visit: littp:/lh2o.epr.state_ne.us/swFon-ns Documentshtm:hmseforms Permit No.: or Certificate of Coverage No.: NICIGID1.310151.3101 Facility Name: MGM il.E:f5p County: Phone No. Inspector: F Date of Inspection: ALL&O,SY a Z . 2 Time of Inspection: f D'• OO * n Total Event Precipitation (inches): . ` -0 Was this a Representative Storm Event? (See information below) Z Yes ❑ No Please claeck>>our permit to verify if Qualitative Monitoring nxust be performed during a representative stonn event (requireinents vary). 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 Q 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: or Designee) L Outfall Description: 9usfltNo. Structure (pipe, ditch, etc.)RQMQ]jM_ 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: _ �.C-jjjT:}J 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak - chlorine odor, etc.): ( 7 LEI,495 % Page I of 2 SRVi-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: f 1 O2 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 floatin6 solids: 1 O 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:'." l 3 4 '5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes 9. is there evidence of erosion or deposition at the outfall? Yes No ' W A 10. Other Obvious Indicators of Stonnwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure_ These conditions warrant further investigation. Page 2 of 2 SR'U-242-112608 4 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this farm, please visit: hM://h2o.ers.state.ne.us/su/Forms_ Documenis.htni#rniscforms Permit No.: NIC/6/0I3I<)/0/0/0l or Certificate of Coverage No.: NICIG101.310151.310l Facility NaLmc: County. Phone No. Inspector: Date of In: Time of In Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) 2g Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be perfornted during a representative sionn event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: or Designee) 1. Outfall Description: Outfall No. Structure (pi e, ditch, etc.) Receiving Stream: u 1l Ar�� VtiNfC� Describe the industrial activities that occur within the outfall drainage area:B"K\G L.o`C])9.ffi 2. Color: Describe the color of the discharge using bpLslc colors (red, brown, blue etc.) and tint (light, medium, dark) as descriptors: E&WA15� �LL� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): OPO#Z.I .66S V� Pape I of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 O 3 4 5 J 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 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: 1 2� 3 4 'S 7. Is there any foam in the stormwater discharge? Yes Na S. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes No (I 10. Other Obvious Indicators of Stormwater Pollution: List and describe 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. --rGmP- 23.4c- Page 2 of 2 SVRV-242-112608 Stormwater Discharge Outfail (SD4) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: tittp:l/h2o.ezir,sIaLte-nc.us/su/Forms Documentshta niscforms Permit No.: N/CIG/Ol /0l01010/ or Certificate of Coverage No.: Ni& GIQ/.3/O/5/3/O/ Facility Name: County: kt.;HeKOKE'k� Phone No. Inspector: Date of Ins Time of In Total Event Precipitation (inches): • 4-0 Was this a Representative Storm Event? (See information below) I& Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be perfom7ed during a representative storm event (requirements vary). 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. By this signature, I certify that this report is accurate and complete to the best of my lmowledge: or Designee) I. Outfall Description: Outfall No. _�Structure (pipe, ditch, etc.) ?IPe. Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: wv-.6 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:. i-►tC0T 3. Odor: Describe any distinct odors that the discharge may have (Le,, smells strongly of oil, weak - chlorine odor, etc.): Page 1 of 2 S'WU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: y �l 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: `V 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: 1 C2 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obi*ious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. P4 TL1-P = 23+C- Pace 2 of 2 SwU-242-112608 dwsr�d Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out thisfonn, please iisit: lin:I/h2o.enr.state.ne.us/su/Forms_ Documents.btr3#miscfornis Permit No.: N/C/G/0I3/0/40/0I40I or Certificate of Coverage No.: N/C/GIZ)I`3/`O/f5G3j0/ Facility Name: M&rn County: Phone No. M " 3 -41 Inspector: Date of In: Time of In Total Event Precipitation (inches): . ` -0 Was this a Representative Storm Event? (See information below) K Yes d No Please check your pernxit to verify if Qualitative Monitoring must be performed during a representative stone evert f requi.rements vary). 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 u to 10 consecutive hours of no precipitation. � g y p — p -p --.. . By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signs or Designee) 1. Outfall Description: Outfall No. 3 Structure (Pipe, ditch, etc.) T[ �.M I1T,R}r —DmA Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: Roo PAD MRfliLWic-, 2. Color: Describe the color of the discharge using basic colots (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.): 0122KLi-$ Page 1 of 2 SWU--242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 01 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: Q 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:'. 1 O 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes ©o IU. Other Obvious Indicators of Ston-nwater Pollution: List and describe 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. T�:W = ?2.5 Page 2 of 2 SVrV-242-112608 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling our this fain, please uisit: http://h2o.err.state.nc.uslsulForms Docurnents.litmfTniscforms Permit No.: N/C/6/0l3/0/0/0/0l or Certificate of Coverage No.: N/C/GI0l3/0151.3/0/ Facility Name: f��!Li� County: 04tE&Kek, Phone No. 0Z8 -837- I,1,?, Inspector: F Date of Inspection: Time of Inspection: �(,i 1 ZOftM Total Event Precipitation (inches): . 4-0 Was this a Representative Storm Event? (See information below) 29 Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be penfonned during a representative stonn event (requirements vary). 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. `Ij By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signa or Designee) 1. Outfall Description: G No. Structure (pipe. ditch, etc.) Eko7Laa5er_ Zla, af' OiiS' LL. 1�0. Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (reel, brown, blue, etc.) and tint (fight, medium, dark) as descriptors: LI CArr 'Th1J I Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): Q3)ftR1..55 Page 1 of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where l is clear and 5 is eery cloudy: L -) i O2 3 4 5 J 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 (71 V 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: 1 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfalt? Yes No ID. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Law 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. -Tern?: 2�.4 Page 2 of 2 SWU-242-112608 1 � 4 D] STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT Permit Number: NCS or Certificate of Coverage Number: NCG 00�5'�) „_.,•__,_ FACILITY NAME PERSON COLLECTING SAMP E(S) CERTIFIED LABORATORY(S Lab # Part A: Specific Monitoring Requirements SAMPLES COLLECTED DURING CALKNDAR YEAR: ZCCR (This monitoring report shall be received by the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY —C PHQVE NO. ( (SIGNATU'�, IITTEE OR DESIGNEE) By this signature, I certify that this report is accurate complete to the best of my knowledge. SampleDate Collected Flow (if app.)�7 1 • Total1 1' 1'1 Solids (TSS) S I 1 Irvyyi 7 W010M I:OxFolm i� �� • ��� . :. O Does (his facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? —yes Vno (if yes, complete Part B) Part It: 'Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected 50050 00556 00530 00400 Total Flow (if applicable) Total Rainfall Oil & Grease Total Suspended Solids pH New Motor Oil Usage mo/ddl r MG inches m M911 Units al/mo Form SW U-246-112608 Page I of 2 0 STORM EVENT CHARACTERISTICS: Date N-,?- Total Event Precipitation (inches): . 40 Event Duration (hours): (only if applicable — see permit.) (if more than one storm event was sampled) Date Total Event Precipitation (inches): Event Duration (hours): (only if applicable — see permit.) Mail Original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance will] 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." f (Signature of ' :5EyT: 10 .9opq (Date) Form SWU-246-112608 Page 2 of 2 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out this fonn, please visit: itttp:l/h2o.er3r.state.nc.usisurl orms Docgrpents.jltn1#liniscfbrrrls Permit No.: NICIGIO13101010101 or Certificate of Coverage No.: N/C/GIQ1310/5/3/01 Facility Name: mGMI J%RKG� County: ltEcOli�F� _ Phone No. Inspector: Date of In: Time of In Total Event Precipitation (inches): Was this a Representative Storm Event? (See information below) f K Yes ❑ No Please check your pemut to verify if Qualitative Moruloring must be performed during a representative storm event (requirements nary). 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signa or Designee) 1. Outfall Description: Outfall No. Z Structure ( 'pe, ditch, etc.) E1T FAgR (PM9) Receiving Stream: Describe th dustrial activ`it�ies that ccur within the outfall drainage area: eAK RRKt t� 16 I o;�sS 2. Color: Describe the color of the discharge using basic colors (red., brown, blue, etc.) and tint (light, medium, dark) as descriptors: Ll G#tr D-i� _ T 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0j &JE:55 Page 1 of 2 SWU-242-112608 4. Clarity: Choose The number which best describes the clarity of the discharge, where 1 is clear and 5 is eery cloudy: 4 i O 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered v;ith floating solids: l 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where ] is no solids and 5 is extremely muddy: h `V 3 4 5 7. Is there any foam in the stormwater discharge? Yes No S. Is there an oil sheen in the stormwater discharge? Yes 9. is there evidence of erosion or deposition at the outfall? Yes `o 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be 1 indicative of pollutant exposure. These conditions warrant further. investigation. 1T�rnP= 23.3 �- Page 2 of 2 SWU-242-112608 e""5U.7p4 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this fonn, please visit: http://h2o.enr.state.ne.us/su/Forms Documents.hm-Ainiseforms Permit No.: NlC/6/4/3/0/0/0/0/ or Certificate of Coverage No.: NIC/G/a/3/015/31Q/ Facility Name: County: lr4-l(1. Phone No. Inspector: Date of In! Time of in Total Event Precipitation (inches): . 4-0 Was this a Representative Storm Event? (See information below) M Yes ❑ No Please check your pennit to verify if Qualitative Monitoring must be perfom?ed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that nneasures 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. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signs or Designee) 1. Outfall Description: Outfall No. * Structure ( e, ditch, etc.) Receiving Stream: Describe the industrial activities that occur within the outfall drainage area: KALIF, 2 Color: Describe the color of the dischar•be using c colors (red, brown, (light, medium, dark) as descriptors: �OU►1NLSA A-F ol1) -(L" etc.) and tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): (31)oKLE;nS Page k of 2 SWU-242-112608 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: i O2 3 4 S 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 G 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspeended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 O 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious indicators of Stormwater Pollution: List and describe 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. -erY1ip= 23 Paoe 2 of 2 SWU-242-112608