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HomeMy WebLinkAboutNCG030585_MONITORING INFO_20190610STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. C)L��� DOC TYPE [I HISTORICAL FILE K MONITORING REPORTS DOC DATE p a01 q Olo 1 b YYYYMMDD 0 eurofins Environment Testing TestAmerica ANALYTICAL REPORT Eurofins TestAmerica, Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Tel: (615)726-0177 Laboratory Job ID: 490-174739-1 Client Project/Site: Semi Annual Stormwater For: Berco of America, Inc. 615 Pegg Road Greensboro, North Carolina 27409 Attn: Mr. Michael Stone Authorized for release by: 611012019 6:04.14 PM Ken Hayes, Project Manager 11 (615)301-5035 ken, hayes@testamericainc.com The test results in this report meet all 2003 NELAC and 2009 TN! requirements for accredited parameters, exceptions are noted in this report. This report may not be reproduced except in full, and with written approval from the laboratory. For questions please contact the Project Manager at the e-mail address or telephone number listed on this page. This report has been electronically signed and authorized by the signatory. Electronic signature is intended to be the legally binding equivalent of a traditionally handwritten signature. Results relate only to the items tested and the sample(s) as received by the laboratory. Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Laboratory Job ID: 490-174739-1 Table of Contents Cover Page .............................................. Table of Contents ......................................... 2 Sample Summary ......................................... 3 Case Narrative ........................................... 4 Definitions ............................................... 5 Client Sample Results ...................................... 6 QC Sample Results ........................................ 9 QC Association ........................................... 12 Chronicle ................................................ 14 Method Summary ......................................... 15 Certification Summary ................ .. . . . . . ........ 16 Chain of Custody .......................................... 17 Eurofins TestAmerica, Nashville Page 2 of 18 . 6/10/2019 Sample Summary Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Job ID: 490-174739-1 Lab Sample ID Client Sample ID Matrix Collected Received Asset ID 490-174739-1 #1 NE Curb Water 05/23/19 08:00 05/24119 09:55 490-174739-2 #2 SE Curb Water 05/23/19 08:00 05/24/19 09:55 490-174739-3 #3 Roof Drain Water 05/23/19 08:00 05/24/19 09:55 Eurofins TestAmerica, Nashville Page 3 of 18 6/10/2019 Case Narrative M Client: Serco of America, Inc. Job ID: 490-174739-1 Project/Site: Semi Annual Stormwater Job ID: 490-174739-1 Laboratory: Eurofins TestArnerica, Nashville Narrative Job Narrative 490-174739-1 Comments No additional comments. l, Receipt F: I The samples were received on 5/24/2019 9:55 AM; the samples arrived in good condition, properly preserved and, where required, on ice. U., I The temperature of the cooler at receipt was 13.70 C. Metals ` No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. General Chemistry No analytical or quality issues were noted, other than those described in the Definitions/Glossary page. Organic Prep Method 1664B: Analysis for Hexane Extractable Material (HEM) was performed for the following samples: #1 NE Curb (490-174739-1), #2 SE Curb (490-174739-2) and #3 Roof Drain (490-174739-3). Since the HEM result was below the reporting limit (RL), the result for Silica Gel Treated - Hexane Extractable Material (SGT-HEM) was reported as a non -detect. All HEM quality control criteria were met. No additional analytical or quality issues were noted, other than those described above or in the Definitions/Glossary page. Eurofins TestAmerica, Nashville Page 4 of 18 6/10/2019 Definitions/Glossary Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Qualifiers Job ID: 490-174739-1 Metals Qualifier Qualifier Description 4 MS, MSD: The analyte present in the original sample is greater than 4 times the matrix spike concentration: therefore, control limits are not applicable. General Chemistry Qualifier Qualifier Description HF Field parameter with a holding time of 15 minutes. Test performed by laboratory at client's request. 5' Glossary Abbreviation These commonly used abbreviations may or may not be present in this report. r— Listed under the "D" column to designate that the result is reported on a dry weight basis �� J %R Percent Recovery CFL Contains Free Liquid CNF Contains No Free Liquid DER Duplicate Error Ratio (normalized absolute difference) Dil Fac Dilution Factor DL Detection Limit (DoD/DOE) DL, RA, RE, IN Indicates a Dilution, Re -analysis, Re -extraction, or additional Initial metalslanion analysis of the sample DLC Decision Level Concentration (Radiochemistry) 17 r1� LJ,� EDL Estimated Detection Limit (Dioxin) LOD Limit of Detection (DoD1DOE) LOQ Limit of Quantitation (DOD/DOE) MDA Minimum Detectable Activity (Radiochemistry) MDC Minimum Detectable Concentration (Radiochemistry) MDL Method Detection Limit ML Minimum Level (Dioxin) NC Not Calculated ND Not Detected at the reporting limit (or MDL or EDL if shown) PQL Practical Quantitation Limit QC Quality Control RER Relative Error Ratio (Radiochemistry) RL Reporting Limit or Requested Limit (Radiochemistry) RPD Relative Percent Difference, a measure of the relative difference between two points TEF Toxicity Equivalent Factor (Dioxin) TEQ Toxicity Equivalent Quotient (Dioxin) Eurofins TestAmerica, Nashville Page 5 of 18 6/10/2019 Client Sample Results Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Client Sample ID: #1 NE Curb Date Collected: 05/23/19 08:00 Date Received: 05/24119 09:55 Method: 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable Analyte Result Qualifier' RL Lead ND 0.00500 Copper 0.0105 0.0100 Zinc N❑ 0.0500 General Chemistry a Job ID: 490-174739-1 Lab Sample ID: 490-174739-1 4 Matrix: Water MDL Unit D Prepared Analyzed mg/L 05/28/19 18:14 05/30/19 01:37 mg/L 05128119 18:14 05/30/19 01:37 mglL 05128119 18:14 05/30/19 01:37 Analyte Result Qualifier RL MDL Unit D Prepared Analyzed SGT-HEM (TPH) ND 4.4 mg1L 06/10/19 11:49 06/10/19 11:49 Total Suspended Solids 33.0 10.0 mg1L 05129/19 16:30 Analyte Result Qualifier RL RL Unit D Prepared Analyzed PH 6.4 HF 0.1 SU 06107/1913:42 Oil Fac 1 1 1 r. Oil Fac 1 L o Oil Fac 1 Eurofms TestAmerica, Nashville Page 6 of 18 6/10/2019 Client Sample Results Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Client Sample ID: #2 SE Curb Date Collected: 05/23/19 08:00 Date Received: 05/24/19 09:55 Method: 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable Analyte Result Qualifier RL Lead ND 0.00500 Copper ND 0.0100 Zinc 0.0939 0.0500 General Chemistry Analyte Result Qualifier RL SGT-HEM (TPH) ND 4.2 Total Suspended Solids 36.0 10.0 Analyte Result Qualifier RL K)H 6.4 HF 0.1 Job ID: 490-174739-1 M r, I + Lab Sample ID: 490-174739-2 f>. Matrix: Water E. MDL Unit D Prepared Analyzed Dil Fac mg1L 05/28/19 18:14 05/30/19 01:31 1 mg1L 05/20/19 18:14 05/30/19 01:31 1 mg1L 05/28/19 18:14 05/30/19 01:31 1 MDL Unit D Prepared Analyzed Dil Fat mg/L 0611011911:49 06/1011911:49 1 mg/L 05/29/19 16:30 1 RL Unit D Prepared Analyzed Dil Fac ". SU 06107/19 13:42 1 Eurofins TestAmerica, Nashville Page 7 of 18 6/10/2019 Client Sample Results M Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Client Sample ID: #3 Roof Drain Date Collected: 05/23/19 08:00 Date Received: 05/24/19 09:55 Method: 200.7 Rev 4.4 - Metals (ICP) - Total Recoverable Analyte Result Qualifier RL Lead ND 0.00500 Copper ND 0.0100 Zinc 0.195 0.0500 General Chemistry Analyte Result Qualifier SGT-HEM (TPH) ND Total Suspended Solids 1.10 Analyte Result Qualifier pH 6.0 HF Job ID: 490-174739-1 Lab Sample ID: 490-174739-3 Matrix: Water MDL Unit D Prepared Analyzed Dil Fac mg/L 05/28119 18:14 05/30/19 01:26 1 mg/L 05128119 18:14 05/30/19 01:26 1 mgtL 05/28119 18:14 05/30/19 01:26 1 RL MDL Unit D Prepared Analyzed Dil Fac 4.7 mg/L 06/10/1911:49 06110/1911:49 1 1.00 mg1L 05129/1916:30 1 RL RL Unit D Prepared Analyzed Dil Fac 0.1 SO f 06107 91913:42 1 Eurofins TestAmerica, Nashville Page 8 of 18 6/10/2019 QC Sample Results Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Method: 200.7 Rev 4.4 - Metals OC Lab Sample ID: MB 490-69818211-A Matrix: Water Analysis Batch: 598617 Analyte Lead Copper Zinc MB MB Result Qualifier RL ND 0.00500 ND 0.0100 ND 0.0500 Lab Sample ID: LCS 490-598182/2-A Matrix: Water Analysis Batch: 598617 Analyte Lead Copper Zinc Lab Sample ID: 490-174789-A-8-B MS Matrix: Water Analysis Batch: 598617 Sample Sample Analyte Result Qualifier Lead 0.0283 Copper 0.442 Zinc 0.0788 Lab Sample ID: 490-174789-A-8-C MSD Matrix: Water Analysis Batch: 598617 Spike Added 0.100 0.100 0.100 Job ID: 490-174739-1 - Client Sample ID: Method Blank ' Prep Type: Total Recoverable Prep Batch: 598182 D Prepared Analyzed Dil Fac 05/28/19 18:14 05/30/19 00:39 1 05/28/19 18:14 05/30/19 00:39 1 05/28119 18:14 05/30/19 00:39 1 Client Sample ID: Lab Control Sample Prep Type: Total Recoverable Prep Batch: 598182 " LCS LCS %Rec. Result Qualifier Unit D %Rec Limits 0.09850 0.09970 0.1005 MDL Unit mg1L mg1L mg1L Spike Ms MS Added Result Qualifier 0.100 0.1316 0.100 0.6159 4 0.100 0.1848 Sample Sample Spike MSD MSD Analyte Result Qualifier Added Result Qualifier Lead 0.0283 0.100 0.1311 Copper 0.442 0.100 0.6109 4 Zinc 0.0788 0.100 0.1818 Method: 1664B - HEM and SGT-HEM Lab Sample ID: MB 490-60064511-A Matrix: Water Analysis Batch: 600695 MB MB Analyte Result Qualifier RL 5GT-HEM (TPH) ND 4.0 Lab Sample ID: LCS 490-600645/2-A Matrix: Water Analysis Batch: 600695 mg/L mg/L mg/L 99 85-115 100 85-115 101 85-115 Client Sample ID: Matrix Spike Prep Type: Total Recoverable '— Prep Batch: 598182 %Rec. Unit D %Rec Limits mg/L 103 70-130 mg/L 174 70 -130 mg/L 106 70-130 Client Sample ID: Matrix Spike Duplicate Prep Type: Total Recoverable Prep Batch: 598182 %Rec. RPD Unit D %Rec Limits RPD Limit mg/L 103 70- 130 0 20 mg1L 169 70-130 1 20 mg1L 103 70-130 2 20 Client Sample ID: Method Blank Prep Type: Total/NA Prep Batch: 600645 MDL Unit D Prepared Analyzed Dil Fac mg1L 0611011911:49 0611011911:49 1 Spike LCS LCS Analyte Added Result Qualifier SGT-HEM (TPH) 20.8 18.44 Client Sample ID: Lab Control Sample Prep Type: Total/NA Prep Batch: 600645 %Rec. Unit D %Rec Limits mg/L 89 64 -132 Eurofins TestAmerica, Nashville Page 9 of 18 6/10/2019 QC Sample Results Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Method: 1664B - HEM and SGT-HEM (Continued) Job ID: 490-174739-1 Lab Sample ID: LCSD 490-60064513-A Client Sample ID: Lab Control Sample Dup - Matrix: Water Prep Type: Total/NA Analysis Batch: 600695 Prep Batch: 600645 Spike LCSD LCSD %Rec. RPD u Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit SGT-HEM(TPH) 20.8 19.38 mg/L 93 64-132 5 34 Lab Sample ID: 490-174739-3 MS Client Sample ID: #3 Roof Drain Matrix: Water Prep Type: Total/NA Analysis Batch: 600695 Prep Batch: 600645 Sample Sample Spike MS MS %Rec. Analyte Result Qualifier Added Result Qualifier Unit D %Rec Limits SOT -HEM (TPH) ND 23.0 17.51 mg1L 76 64- 132 l_ L Method: SM 2540D - Solids, Total Suspended (TSS) Lab Sample ID: MB 490-598435/1 Client Sample ID: Method Blank Matrix: Water Prep Type: Total/NA Analysis Batch: 598435 MB MB UT; Analyte Result Qualifier RL MDL Unit D Prepared Analyzed Dil Fac Total Suspended Solids ND 1.00 mg/L 05/29/19 16:30 1 Lab Sample ID: LCS 490-598435/2 Client Sample ID: Lab Control Sample Matrix: Water Prep Type: Total/NA Analysis Batch: 598435 Spike LCS LCS %Rec. Analyte Added Result Qualifier Unit D %Rec Limits Total Suspended Solids 100 97.90 mg/L 98 90 -110 Lab Sample ID: LCSD 490-598435/3 Client Sample ID: Lab Control Sample Dup Matrix: Water Prep Type: Total/NA Analysis Batch: 598435 Spike LCSD LCSD %Rec. RP❑ Analyte Added Result Qualifier Unit D %Rec Limits RPD Limit Total Suspended Solids 100 98.00 mg/ 98 90 -110 0 20 Lab Sample ID: 490-174709-A-1 DU Client Sample ID: Duplicate Matrix: Water Prep Type: Total/NA Analysis Batch: 598435 Sample Sample DU DU RPD Analyte Result Qualifier Result Qualifier Unit D RPD Limit Total Suspended Solids 5150 4850 mg1L 6 20 Lab Sample ID: 490-174723-A-1 DU Client Sample ID: Duplicate Matrix: Water Prep Type: Total/NA Analysis Batch: 598435 Sample Sample DU DU RPD Analyte Result Qualifier Result Qualifier Unit D RPD Limit Total Suspended Solids 138 142.0 mg1L 3 20 Eurofins TestAmerica, Nashville Page 10 of 18 6/10/2019 QC Sample Results [i] Client: Berco of America, Inc. Job ID: 490-174739-1 Project/Site: Semi Annual Stormwater Method: SM 2540D - Solids, Total Suspended (TSS) (Continued) 4 Lab Sample ID: 490-174774-C-1 DU Client Sample ID: Duplicate F-77 Matrix: Water Prep Type: Total/NA (� Analysis Batch: 598435 Sample Sample DU DU RPD Analyte Result Qualifier Result Qualifier Unit D RPD Limit Total Suspended Solids 172 156.0 mg/L 10 20 Method: SM 4500 H+ B - pH Lab Sample ID: 490-174627-A-1 DU Client Sample ID: Duplicate Matrix: Water Prep Type: Total/NA�� Analysis Batch: 600374 Sample Sample DU DU RPD Analyte Result Qualifier Result Qualifier Unit D RPD Limit pH 6.6 6.6 SU 0 20 Eurofins TestAmerica, Nashville Page 11 of 18 6/10/2019 � Client: Berco of America, inc. QC Association Summary Job ID: 490-174739-1 - - Project/Site: Semi Annual Stormwater Metals Prep Batch: 598182 Lab Sample ID Client Sample ID Prep Typo 490-174739-1 #7 NE Curb Total Recoverable 490-174739-2 #2 SE Curb Total Recoverable 490-174739-3 #3 Roof Drain Total Recoverable MB 490-598182/1-A Method Blank Total Recoverable LCS 490-59818212-A Lab Control Sample Total Recoverable 490-174789-A-8-B MS Matrix Spike Total Recoverable 490-174789-A-8-C MSD Matrix Spike Duplicate Total Recoverable Analysis Batch: 598617 Lab Sample ID 490-174739-1 490-174739-2 490-174739-3 MB 490-598182/1-A LCS 49D-598182I2-A 490-174789-A-8-B MS 490-174789-A-8-C MSD General Chemistry Client Sample ID #1 NE Curb #2 SE Curb #3 Roof Drain Method Blank Lab Control Sample Matrix Spike Matrix Spike Duplicate Matrix Method Prep Batch Water 200.7 Water 200.7 Water 200.7 Water 200.7 Water 200.7 Water 200.7 Water 200.7 Prep Type Matrix Method Prop Batch Total Recoverable Water 200.7 Rev 4.4 598182 Total Recoverable Water 200.7 Rev 4.4 598182 Total Recoverable Water 200.7 Rev 4.4 598182 Total Recoverable Water 200.7 Rev 4.4 598182 Total Recoverable Water 20D.7 Rev 4.4 598182 Total Recoverable Water 200.7 Rev 4.4 598182 Total Recoverable Water 200.7 Rev 4.4 598182 Analysis Batch: 598435 Lab Sample ID Client Sample ID Prep Type Matrix Method 490-174739-1 #1 NE Curb TotaUNA Water SM 2540D 490-174739-2 #2 SE Curb TotaUNA Water SM 2540D 490-174739-3 #3 Roof Drain TotaUNA Water SM 2540D MB 490-59843511 Method Blank Total/NA Water SM 2540D LCS 490-59843512 Lab Control Sample Total/NA Water SM 2540D LCSD 490-59843513 Lab Control Sample Dup Total/NA Water SM 2540D 490-174709-A-1 DU Duplicate Total/NA Water SM 2540D 490-174723-A-1 DU Duplicate TotallNA Water SM 2540D 490-174774-C-1 DU Duplicate Total/NA Water SM 2540D Analysis Batch: 600374 Lab Sample ID Client Sample ID Prep Type Matrix Method 490-174739-1 #1 NE Curb Total/NA Water SM 4500 H+ B 490-174739-2 #2 SE Curb Total/NA Water SM 4500 H+ B 490-174739-3 #3 Roof Drain TotaUNA Water SM 4500 H+ B LCS 490-600374h Lab Control Sample Total/NA Water SM 4500 H+ B 490-174627-A-1 DU Duplicate Total/NA Water SM 4500 H} B Prep Batch: 600645 Lab Sample ID Client Sample ID Prep Type Matrix Method 490-174739-1 #1 NE Curb Total]NA Water 1664E 490-174739-2 #2 SE Curb Total/NA Water 16646 490-174739-3 #3 Roof Drain TotaYNA Water 1664B MB 490-60064511-A Method Blank Total/NA Water 1664E LCS 490-60064512-A Lab Control Sample TotallNA Water 1664B LCSD 490-60064513-A Lab Control Sample Dup Total/NA Water 1664E 490-174739-3 MS #3 Roof Drain Total/NA Water 1664B Prep Batch Prep Batch Prep Batch Eurofins TestAmerica, Nashville Page 12 of 18 6/10/2019 QC Association Summary Client: Berco of America, Inc. Project/Site: Semi Annual Stormwater Genera! Chemis Analysis Batch: 600695 Job ID: 490-174739-1 Lab Sample ID Client Sample ID Prep Type Matrix Method 490-174739-1 FT NE Curb Total/NA Water 1664B 490-174739-2 #2 SE Curb Total/NA Water 1664B 490-174739-3 #3 Roof Drain Total/NA Water 1664E MB 490-60064511-A Method Blank Total/NA Water 1664B LCS 490-600645/2-A Lab Control Sample Total/NA Water 1664E LCSD 490-60064513-A Lab Control Sample Dup Total/NA Water 1664E 490-174739-3 MS #3 Roof Drain Total/NA Water " 1664B Prep Batch 600645 600645 600645 600645 600645 600645 600645 Eurofins TestAmerica, Nashville Page 13 of 18 6/10/2019 Lab Chronicle Client: Berco of America, Inc. Job ID: 490-174739-1 Project/Site: Semi Annual Stormwater Client Sample ID: #1 NE Curb Lab Sample ID: 490-174739-1 Date Collected: 05/23/19 08:00 Matrix: Water Date Received: 05/24/19 09:55 Batch Batch Prep Type Type Method Run Total Recoverable Prep 200.7 Total Recoverable Analysis 200.7 Rev 4A TotalINA Prep 1664B Total/NA Analysis 1664B Total/NA Analysis SM 2540D Total/NA Analysis SM 4500 H+ B Client Sample ID: #2 SE Curb Date Collected: 05/23/19 08:00 Date Received: 05/24/19 09:55 Batch Batch Prep Type Type Method Run Total Recoverable Prep 200.7 Total Recoverable Analysis 200.7 Rev 4.4 TotaUNA Prep 1664B TotaUNA Analysis 1664E TotaUNA Analysis SM 25401) Totat1NA Analysis SM 4500 H+ B Client Sample ID: #3 Roof Drain Date Collected: 05/23/19 08:00 Date Received: 05/24/19 09:55 Batch Batch Prep Type Type Method Run Total Recoverable Prep 200.7 Total Recoverable Analysis 200.7 Rev 4.4 TotaVNA Prep 1664E Total/NA Analysis 1664E Total/NA Analysis SM 2540D TotallNA Analysis SM 4500 H+ B Dil Initial Final Batch Prepared Factor Amount Amount Number or Analyzed Analyst , Lab 50 mL 50 mL 598182 05/28/19 18:14 CAP TAL NSH 1 598617 05/30/19 01:37 RLB TAL NSH 882 mL 960 mL 600645 06/10/19 11:49 BAD TAL NSH 1 600695 06/10/19 11:49 BAD TAL NSH 1 100 mL 1000 mL 598435 05/29/19 16:30 BMC TAL NSH 1 600374 06/07/19 13:42 MXX TAL NSH Lab Sample ID: 490-174739-2 Matrix: Water oil Initial Final Batch Prepared Factor Amount Amount !Number or Analyzed Analyst Lab 50 mL 50 mL 598182 05/28/19 18:14 CAP TAL NSH 1 598617 05/30/19 01:31 RLB TAL NSH 914 mL 960 mL 600645 06/10/19 11:49 BAD TAL NSH 1 600695 06/10/19 11:49 BAD TAL NSH 1 100 mL 1000 mL 598435 05/29/19 16:30 BMC TAL NSH 1 600374 06/07/19 13:42 MXX TAL NSH Lab Sample ID: 490-174739-3 Matrix: Water Dil Initial Final Batch Prepared Factor Amount Amount Number or Analyzed Analyst Lab 50 mL 50 mL 598182 05/28/19 18:14 CAP TAL NSH 1 598617 05/30/19 01:26 RLB TAL NSH 823 mL 960 mL 600645 06/10/19 11A9 BAD TAL NSH 1 600695 06/10/19 11:49 BAD TAL NSH 1 1000 mL 1000 mL 598435 05/29/19 16:30 BMC TAL NSH 1 600374 06/07/19 13:42 MXX TAL NSH Laboratory References: TAL NSH = Eurofins TestAmerica, Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL (615)726-0177 Eurofins TestAmerica, Nashville Page 14 of 18 6/10/2019 Method Summary Client: Berco of America, Inc. Job U 490-174739-1 Project/Site: Semi Annual Stormwater Method Method Description Protocol Laboratory 200.7 Rev 4.4 Metals (ICP) EPA TAL NSH 16648 HEM and SGT-HEM 1664B TAL NSH SM 25400 Solids, Total Suspended (TSS) SM TAL NSH SM 4500 H+ 8 pH SM TAL NSH 1664B HEM and SGT-HEM (SPE) 1664B TAL NSH 200.7 Preparation, Total Recoverable Metals EPA TAL NSH Protocol References: 16648 = EPA-821-98-002 EPA = US Environmental Protection Agency SM = "Standard Methods For The Examination Of Water And Wastewater' Laboratory References: TAL NSH = Eurofins TestAmerica, Nashville, 2960 Foster Creighton Drive, Nashville, TN 37204, TEL (615)726-0177 Eurofins TestAmerica, Nashville 10 0 Page 15 of 18 6/10/2019 Accreditation/Certification Summary Client: Berco of America, Inc. Job ID: 490-174739-1 Project/Site: Semi Annual Stormwater ; �2 Laboratory: Eurofins TestAmerica, Nashville ci Unless otherwise noted, all analytes for this laboratory were covered under each accreditadonlcertil5cation below. ; Authority Program EPA Region Identification Number Expiration Date' North Carolina (WWISW) State Program 4 387 12-31-19 The following analytes are included in this report, but the laboratory is not certified by the governing authority. This list may include analytes far which the agency does not offer certification, Analysis Method Prep Method Matrix Analyte 1664E 1664E Water SGT-HEM (TPH) `C) Eurofins TestAmerica, Nashville Page 16 of 18 6/10/2019 TestAmeriea THE LEADER IN ENVIRONMENTAL TESTING Nashville, TN COOLER RECEIPT FORM 4sD I il L111 1i I Iof Icustody Cooler ReceivedlOpened On_512412019@ 955 Time Samples Removed From Cooler Time Samples Placed In Storage (2 Hour Window) 1. Tracking # 7 _(last 4 digits, FeclEx)x) /////QQ��-�JJ Courier: FedEx IR Gun ID_31470368 PH Strip Lotl t Chlorine Strip Lot�- 2. Temperature of rep. sample or temp blank when opened: fi I Degrees Celsius 3, If Item #2 temperature is 4°C or less, was the representative sample or temp blank frozen? YES NO,�q 4. Were custody seals on outside of cooler? 10..NO...NA If yes, how many and where: K G2 S. Were the seals intact, signed, and dated correctly? ...NO ... NA 6. Were custody papers Inside cooler? &..NO ... NA I certify that I opened the cooler and answered questions 11-6 (intiail 7. Were custody seals on containers: YES INO and Intact YES ... NO(49 Were these signed and dated correctly? YES.,.NO 8. Packing mall used? ubblews Plastic bag Peanuts Vermiculite Foam Insert Paper Other None 9. Cooling process: Ice Ice -pack Ice (direct contact) DryIce Other SO - on SI i 10. Did all containers arrive in good condition (unbroken)? (215>..NO...NA - 11. Were all.container tabels.complete (#, data, signed, pres., etc)? - LDES ..NO...NA 12. Did all container labels and tags agree with custody papers? EESS ..NO ... NA 13a. Wore VOA vials received? YESe... NA b. Was there any observable headspace present In any VOA vial? YES... Larger than this. 14. Was there a Trip Blank In this cooler? YES..\40.NA If multiple 15a. On pres'd bottles, did pit test strips suggest preservation reached the correct pH level? b. Did the battle labels indicate that the correct preservatives were used 16. Was residual chlorine present? I certifv that I checked for chlorine and nH as Der SOP and answered ouestions 15-16 fintlall 17. Were custody papers properly filled out (ink, signed. etc)? 18. Did you sign the custody papers In the appropriate place? 19. Were correct containers used for the analysis requested? 20_ Was sufficient amount of sample sent in each rnntainer? 21. Were there Non -Conformance issues at login? YES ... @O Was a NCM generated? YES.01...# YES ... NO...t 0... NO ... NA YES ... N EESS�.NO... NA JfF� ..NO ... NA L`lyF' --NO...NA .4Q NO MA BIS - Broken in shipment I Cooler Receipt Forin-doc LF-I ReNised 8 73 17 age it of 18 6/10/2019 N (D IC] • co Eurofins TestAmerica, Nashville 2960 Foster Creighton Drive Nashville, TN 37204 Phone (615) 726-0177 Fax (615) 726-3404 i Chain of Custody Record by eurofins Environment Tcstirg Testkmerica Client Information Samplq,(: M %Ke Qne Lab PM' Hayes, Ken Camer Tracking No(s): coo No: 490-98928-18368.1 client Contact: Mr. Michael Stone Phone: 33atOG-4 -ass E-Mafl: lken.hayesQtestamericainc.com Papa: Page 1 of i company: BerCD of America, Ino. Analysis Requested Job A Address: 615 Pegg Road out Date Requested: u 2 O a`1' tll m ii >C 7. � o ; '-we '... 1, = o, f N S a w i `No g w C -� G Ez a� Preservation Codea: A _ tier. u - Haxane a-NnON N - None C -Zn Acetate C • AsNa02 b - Nitric Acid P - Na204S E-NaHSd4 0-WSW F-MeOH R-Na2S203 G-Amato S-H2SO4 H•AscarolcAcid r- TSPDodewnydrara 1- Ica U - Acetone J- DI Water V- MCAA K - EDTA W • pH 4-5 r_-EUA z- other(spetlry) other: City. Greensboro TAT Raquaetad{days): State, Zip, NC, 27409 Pam, 336-931-1415 Tel 7 PO 4300007695 Ematl a Me WO 0: Projecl. Name; Semi Annual Swrnwater Project #. 49011106 Site: SSOWY: ` y\Y%4r0?f). A Sample entification Sam le Date Sample Time Samplele T(wur ype (Gaoomp G=gra6 Matrix arYrt —A� m, Special InstruCtionslNote: Preservation Code: N .' D' A N.' .23-t Water Water; rr� J ��`y Water 16Q 3g Al R 5-23-15 $A e,- Possible Hazard Identification 1D Non -Hazard © J%mmable Skin Irritant © poison B Unknown © Radiciogical Sample Disposal (A fee may be assessed If samples are retained longer than 9 month) Cl Return To Client 171 Disposal By Lab Archive For Months Deliverable Requested: I, II, III, IV, Other (specify) Special Instructions= Requirements, Empty Kit Relinquished by: Dale: Time: math of Shipment Rel'mquished by: s, O Datarrime. Company Received try: oaterF 0: Company Relinquis Dateriime: p ny XAA Receive Date/Ti Com Rolinquis by: DatdMme: Company I Received by.DatetTrrw Company Custody Seals Intact Custody Seal No.: ,gyroQ� e Yes n No Ceder Temporebra(s) °C and Other Romartss: Ver: 01/15/20 t 9 GREENSBORO NORTH CAROLINA WATER RESOURCES April 13, 2017 Mike Stone Berco of America 615 Pegg Rd. Greensboro, NC 27409 RE: Industrial Compliance Inspection Inspection location: Berco of America 615 Pegg Rd. Greensboro, NC 27409 SW Permit #: NCG030585 Dear Mr. Stone: On April 6, 2017 the City of Greensboro Stormwater Management Division completed an industrial compliance inspection of Berco of America. Local regulations permit an inspection of industrial facilities under authority granted by City of Greensboro Code of Ordinance Chapter 30, Article l2, Section 7.1 (C-5). This inspection consisted of two parts: a review of the facility files/records and an on -site facility inspection. The inspection was performed by McKenzie Smith, and the following deficiencies/observations were noted during the inspection. Stormwater Pollution Prevention PlanlVpill Plan Review Site Maps and SWP3 Note the receiving water(s) on the site map and/or in the Stormwater Pollution Prevention Plan. Spill Prevention and Response Plan • Update and add a list of spill occurrences to the Stormwater Pollution Prevention Plan. • Add the phone numbers to the contact information in the Stormwater Pollution Prevention Plan, Monitoring • No deficiencies observed. PO BOX 1170 • GREENSBORO NC 27402-1170 • WWW.GREENSBORO-NC.GOV • 336-373-CITY (2489) Employee Training • No deficiencies observed. Site Inspection Preventative Maintenance/Good Housekeeping o No deficiencies observed. Non-Stormwater Discharges • No deficiencies observed. It is recommended that Berco of America take appropriate actions to correct the noted deficiencies. If you have any questions concerning this inspection, please contact me at 336-373- 7665 or McKenzie.Smith@greensboro-nc.gov. Sincerely, --y"4�� McKenzie Smith, Water Quality Specialist City of Greensboro, Water Resources Department cc: Peter Schneider, Water Quality Supervisor Glen White, N.C. Dept. of Environment Quality Industrial Inspection File PO BOX 1170 • GREENSBORO NC 27402-1170 • WWW.GREENSBORO-NC.GOV • 336-373-CITY (2489) WR SflllS White, Glen From: Smith, McKenzie <McKenzie.Smith@greensboro-nc.gov> Sent: Thursday, April 13, 2017 3:38 PM To: White, Glen Cc: Schneider, Peter Subject: NCG030585, Berco of America, GSO inspection Attachments: NCG030585, Berco of America, 2017 GSO inspection.pdf Glen, Attached is the letter for the City of Greensboro inspection of Berco of America (NCG030585). There were only a few things wrong that need to be addressed. Please let me know if you have any questions. Thank you, McKenzie K. Smith, Water Quality Specialist Department of Water Resources City of Greensboro Ph:336-373-7665; Fax:336-373-3119 PO Box 3136, Greensboro, NC 27402-3136 www.greensboro-nc.gov Please note that email sent to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. -r' Permit: NCG030585 SOC: County: Guilford Region: Winston-Salem Contact Person: Tony Lee Directions to Facility: System Classifications: Primary ORC: Secondary ORC(s): On -Site Representative(s): Related Permits: Compliance inspection Report Effective: 11/01/12 Expiration: 10/31/17 Owner: Beroo of America Effective: Expiration: Facility: Berco of America 615 Pegg Rd Greensboro NC 27409 Title: Phone: 336-255-2922 Inspection Date: 04/06/2017 Primary Inspector: Glen White Secondary Inspector(s): Certification: Phone: Entry Time: 10:OOAM Exit Time: 11:OOAM Phone: 336-776-9800 Reason for Inspection: Routine inspection Type: Compliance Evaluation Permit Inspection Type: Metal Fabrication Stormwater Discharge COC Facility Status: ® Compliant 0 Not Compliant Question Areas: Storm Water (See attachment summary) Page: 1 permit NCG030585 Owner - Facility: Berco of America inspection Date: 04I0612017 Inspection Type: Compliance Evaluation Reason for Visit: Routine Inspection Summary: Inspection conducted by McKenzie Smith of COG Water Resources. Page. 2 permit NCG030585 Owner - Fac[lity: Urco of America Inspection Date: 041O612017 Inspection Type : Compliance Evaluation Reason for Visit: Routine Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? ® ❑ ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ ® ❑ Comment: Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? ❑ ❑ ❑ ❑ # Were all outfalls observed during the inspection? ❑ ❑ ❑ ❑ # If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ❑ ❑ # Has the facility evaluated all illicit (non stormwater) discharges? ❑ ❑ ❑ ❑ Comment: Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑ Comment: Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? ®❑ ❑ ❑ # Does the Plan include a "Narrative Description of Practices"? E ❑ ❑ ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? E ❑ ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? ❑ E ❑ ❑ # Has the facility evaluated feasible alternatives to current practices? 0 ❑ ❑ ❑ # Does the facility provide all necessary secondary containment? ® ❑ ❑ ❑ # Does the Plan include a BMP summary? ® ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? ® ❑ ❑ ❑ # Does the Plan include a Preventative Maintenance and Good Housekeeping Plan? ® ❑ ❑ ❑ # Does the facility provide and document Employee Training? 0 ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ❑ i ❑ ❑ # Is the Plan reviewed and updated annually? 0 ❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? ■ ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? ® ❑ ❑ ❑ Page: 3 Permit: NCG030585 Owner - Facility: Berco of America Inspection Date: 04/06/2017 Inspection Type: Compliance Evaluation Reason for Visit: Routine Stormwater Pollution Prevention Plan Comment: - Note Receiving waters on the sitemap and the SPPP. -_Update Spills Occurances - Add Contact Numbers for Responsible Parties &_EmergencyContact List. Yes No NA NE Page: 4 NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Al VitSe Berco of America W 229 N 1420 Westwood or Waukesha, WI 53186 Dear Permittee: Division of Water Quality Charles Wakild, P. E. Director December 4, 2012 Dee Freeman Secretary Subject: NPDES Stormwater Permit Coverage Renewal Berco of America COC Number NCG030585 Guilford County In response to your renewal application for continued coverage under stormwater General Permit NCGO30000 the Division of Water Quality (DWQ) is forwarding herewith the reissued General Permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently amended). The following information is included with your permit package: • A new Certificate of Coverage (COC) • A copy of General Permit NCG030000 • A copy of the Technical Bulletin for the General Permit • Two copies of the Discharge Monitoring Report (DMR) Form • Two copies of the Qualitative Monitoring Report Form The General Permit authorizes discharges of stormwater, and it specifies your obligations for discharge controls, management, monitoring, and record keeping. Please review the new permit to familiarize yourself with all the changes in the reissued permit. Your facility has six (6) months from the time of receipt of the permit to update your current SPPP to reflect all new permit requirements. The first sample period of your permit begins January 1, 2013. Your facility must sample a "measureable storm event" beginning during the periods beginning January 1 and July 1 of every year (or, if applicable, report "No Flow," as outlined in Part III, Section E). Also, please note that Tier 3 Actions in Part II of your permit are triggered by benchmark exceedances on four occasions beginning on the effective date of this permit and do not count prior exceedances. The more significant changes in the General Permit since your last COC was issued are noted either in the Draft Permit Fact Sheet that accompanied the public notice (http://portal.ncdenr.org/web/wq/ws/su/current- notices), or in the Response to Comments / Summary of Changes and Technical Bulletin documents that are posted on the Stormwater Permitting Unit's website with the new General Permit. Please visit http:/Iportal.ncdenr.org/web/wq/ws/su/npdessw (click on 'General Permits' tab) to review that information for your specific General Permit carefully. 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N Salisbury St. Ralei h, Norlh Carolina 27604 Phone: 919-801 63001 FAX: 919-807-6492 Intemet: www ni:,raterguality.org An Equal Opportc ily',Af6rmOveAction Emplo,-. NorthCail-ol ijia ;Vaturallil Al Vitse Dpcember 4, 2012 Page 2 of 2 Some of the changes include: Part II: • Section A: The Stormwater Pollution Prevention Plan (SPPP) section, if applicable, has been updated to the most current language of our permits. Additional conditions for specific industry sectors have been added to the SPPP requirements in some cases. • Sections B, C: Failure to perform analytical stormwater monitoring may result in the Division requiring that the permittee begin a monthly sampling scheme. • Sections B, C: A lower TSS benchmark of 50 mg/I for HQW, ORW, PNA and Tr Waters applies to these more sensitive waters. • Sections B, C: The monitoring parameter Oil & Grease (O&G) has been replaced by the parameter Total Petroleum Hydrocarbons (TPH) for vehicle maintenance areas, and in some cases, other analytical monitoring requirements. • Sections B, C, D: Inability to sample due to adverse weather must be recorded in the SPPP, or in separate on -site records if your General Permit does not require an SPPP. Adverse weather is defined in the "Definitions" section of the permit. • Sections B, C: The term "Representative Storm Event" has been replaced by "Measurable Storm Event." A measurable storm event is defined in the permit. • Section D: If the permittee fails to respond effectively to problems identified by qualitative monitoring, DWQ may require the permittee to perform corrective action. Please review Parts III and IV to understand the Standard Conditions of your new NPDES General Permit, including Compliance and Liability, Reporting, Monitoring and Records requirements; Operation and Maintenance obligations; and Definitions. Please note that all samples analyzed in accordance with the terms of this permit must be submitted to the Division on Discharge Monitoring Report (DMR) forms available on the Stormwater Permitting Unit's website above. DMR forms must be delivered to the Division no later than 30 days from the date the facility receives the sampling results from the laboratory. Also note that existing permittees do not need to submit a renewal request prior to expiration unless directed by the Division. Your coverage under the General Permit is transferable only through the specific action of DWQ. This permit does not affect the legal requirements to obtain other permits which may be required by DENR, nor does it relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. If you have any questions regarding this permit package, please contact the Division's Stormwater Permitting Unit at (919) 807-6300. Sincerely, for Charles Wakild, P.E. cc: DWQ Central Files Stormwater Permitting Unit Files Winston-Salem Regional Office STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030585 STORMWATER NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Berco of America is hereby authorized to discharge stormwater from a facility located at: Berco of America 615 Pegg Rd Greensboro Guilford County to receiving waters designated as East Fork Deep River, a class WS-IV:* waterbody in the Cape Fear River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective December 4, 2012. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 41h day of December, 2012. for Charles Wakild, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission 14, City of Greensboro 6 J North Carolina April 23, 2012 Tony Lee Berco of America 615 Pegg Road Greensboro, NC 27409 RE: Industrial Compliance Inspection inspection location: Berco of America 615 Pegg Road SW Permit #: NCG030585 Dear Mr. Lee: . On April 20, 2012 the City of Greensboro Stonnwater Management Division completed an industrial compliance inspection of the Berco of America, Local regulations permit an inspection of industrial facilities under authority granted by City of Greensboro Code of Ordinance Chapter 30, Article 12, Section 7.1 (C-5). This inspection consisted of two parts: a review of the facility files/records and an on -site facility inspection. The inspection was performed by Debbie Shoffner, and the following deficiencies/observations were noted during the inspection. Stormwater Pollution Prevention Plan/Spill Plan Review Site Maps and SWP3 ♦ No deficiencies observed. Spill Prevention and Response Plan ♦ No deficiencies observed. Monitoring ♦ No deficiencies observed. Employee Training ♦ No deficiencies observed. P.O. Box 3136 1 Greensboro, NC 27402-3136 - www.greensboro-nc.gov , (336) 373-CITY (2489) � TTY # 333-6930 Site Inspection Preventative Maintenance/Good Housekeeping ♦ No deficiencies observed. Non-Stormwater Discharges ♦ No deficiencies observed. We appreciate your continued cooperation and proactive approach. If you have questions or concerns at any time, please contact me at 336-373-2741 or Debbie.Shoffner@greensboro- ne.gov. Sincerely, 00 Debbie Shoffner, Water Quality Specialist City of Greensboro, Water Resources Department ce: Peter Schneider, Water Quality Supervisor Mike Mickey, N.C. Dept. of Environment and Natural Resources Industrial Inspection File la. NC®ENR. North Carolina Department of Environment and Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director June 26, 2009 1 Mr. AI Vitse, Manager Berco of America W 229 N 1420 Westwood Dr. Waukesha, WI 53186 (o ry5 RECEIVED N.C. D+ct of FMF )UN 3 0 2009 Natural Res ourcoslst rl Dee Freeman - Secretary Subject: General Permit No. NCG030000 Berco of America COC NCG030585 Guilford County Dear Mr. Vitse: In accordance with your application for a discharge permit received on June 16, 2009, we are forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. Please note that per the requirements of the Randleman Lake Water Supply Watershed Buffer Rule. all stormwater drainage to streams, from portions of this site that have been constructed after April 1, 1999, must be discharged through a correctly designed level spreader or another device that meets diffuse flow requirements per 15A NCAC 2B .0250. Diffuse flow requirements are described in Chapter 8 of the North Carolina Stormwater BMP Manual, available at: http://h2o.enr.state.nc,us/suibmo-forms.htm. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal or local governmental permit that may be required. If you have any questions concerning this permit, please contact Robert Patterson at telephone number (919) 807-6375. Wetlands and Stormwater Branch 1617 Mail Service Center, Raleg h, North Carolina 27699-1617 Location: 512 N. Salisbury St. Ralegh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64941 Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org An Equal O000rtunity 1 Affirmative Action Errolover None rthCarolina Naturally Mr. Al Vitse Berco of America—NCG030585 June 26, 2009 S4hc-'R&7ry., IBy BETHAtq%�- JE:. 'N UULIAS for Coleen 14. Sullins cc: Winston Salem Regional Office, Corey Basinger Central Files Stormwater Permitting Unit Files Page 2 of 2 1. . STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030585 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Berco of America is hereby authorized to discharge stormwater from a facility located at Berco of America 615 Pegg Road Greensboro Guilford County to receiving waters designated as a UT of East Fork Deep River, a class WS-IV:* water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and. VI of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective June 26, 2009. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 261h day of June, 2009. ORIGINAL SIGNED BY BETHANY GEORGOULIAS for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission N00030585 Map Scale 1:30,000 Berco of America Berco of America Latitude: 360 04` 20" N Longitude: 790 58' 08" W County: Guilford Receiving Stream: UT of East Fork Deep River Stream Class: WS-IV:* Sub -basin: 03-06-08 (Cape Fear River Basin) Facility Location North Carolina Beverly Eaves Perdue Governor A'* ' 'A WDER Department of Environment and Division of Water Quality Coleen H. Sullins Director June 26, 2009 Mr. Al Vitse, Manager Berco of America W 229 N 1420 Westwood Dr. Waukesha, WI 53186 Natural Resources Subject: General Permit No. NCG030000 Berco of America COC NCG030585 Guilford County Dear Mr. Vitse: Dee Freeman Secretary In accordance with your application for a discharge permit received on June 16, 2009, we are forwarding herewith the subject certificate of coverage to discharge under the subject state — NPDES general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency dated October 15, 2007 (or as subsequently amended). Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of coverage. Please note that per the requirements of the Randleman Lake Water Supply Watershed Buffer Rule, all stormwater drainage to streams, from portions of this site that have been constructed after April 1, 1999, must be discharged through a correctly designed level spreader or another device that meets diffuse flow requirements per 15A NCAC 2B .0250. Diffuse flow requirements are described in Chapter 8 of the North Carolina Stormwater BMP Manual, available at: http:/ih2o.enr_state,nc.us/su/bmp forms.htm. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other federal or local governmental permit that may be required. If you have any questions concerning this permit, please contact Robert Patterson at telephone number (919) 807-6375. Wetlands and Stormwater Branch 1617 Mail Service Center, Ral* h, North Carolina 27699-1617 Location; 512 N. Salisbury St. Ralegh. North Carolina 27604 Phone: 919-807-63001 FAX: 91M07-64941 Customer Service: 1-877-623-6748 Intemet: www.ncwaterquality.org An Fouai OQoortunity 4Affirma8ve Acton Emolover North Carolina Naturally Mr. Al Vitse Qerco of America—NCG030585 June 26, 2009 r Mb bIGNED BY 'IFTHANY GEORGOULIAS for CoIeen H. Sullins cc: Winston Salem Regional Office, Corey Basinger Central Files Stormwater Permitting.Unit Files Page 2 of 2 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030585 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Berco of America is hereby authorized to discharge stormwater from a facility located at Berco of America 615 Pegg Road Greensboro Guilford County to receiving waters designated as a UT of East Fork Deep River, a class WS-IV:* water in the Cape Fear River Basin, in accordance with the effluent limitations; monitoring requirements, and other conditions set forth in Parts 1, II, III, IV, V, and VI of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective June 26, 2009. This Certi iicate of Coverage shall remain in effect for the duration of the General Permit. Signed this 261h day of June, 2009. ORIGINAL SIGNED BY BETHANY GFORGOUL AS for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission 1w. E _ � I �� ' �:�' �-� its `l� 1 �� 181� o c:�" � "' V >r� � /� � r ~�-J♦ 0 "'N.F r G • y J l✓ I+ i. /ti` _. a MII 1 E.M I! `. t • ' nvil .qj\ r 1 1f t ,. ••. � �� -:. -eM �(�� Jib. l , Ll g"�dl � rir\ i� ' �/ ?. � _ j a I E ^ i�'.• _ y '�� "# ' y l�,�� Y ���y. 'r �, { .` _ [',��f: �?tII .r + I � /may, � -Ir �'��� ■ ► � `_ri z3 _� � ; Berco of America +- - �: "s s -- ' f • . � 1 �� e 1�+�. - } . t ,%'„ ° �i � �� �} � I IE "Ci NCG030585 N w E S Map Scale 2 : 30, 000 Berco of America Berco of America Latitude: 361 04' 20" N Longitude: 790 58' 08" W County: Guilford Receiving Stream: UT of East Fork Deep River Stream Class: WS-IV:* Sub -basin: 03-06-08 (Cape Fear River Basin) Facility Location Patterson, Robert From: Basinger, Corey Sent: Wednesday, June 24, 2009 2:14 PM To: Patterson, Robert Subject: RE: NCG030585 - Berco of America Robert, Ok to issue NCG030585.� CB Corey Basinger, Environmental Engineer Corey. Basinger@ncdenr.Rov NC DENR Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 (336) 771-5000 Fax (336) 771-4630 E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Patterson, Robert Sent: Tuesday, June 23, 2009 2:28 PM To: Basinger, Corey Subject: NCG030585 - Berco of America Corey, Please see N01 attached. We have received an application for coverage of an existing facility under NCG 03 from Berco of America. The facility drains to a UT of East Fork Deep River (class WS-IV:*) in Greensboro (Guilford County). That segment is on the 303(d) list for turbidity, fecal, and biological integrity; and has a TMDL for fecal and turbidity. They have vehicle maintenance, but no haz waste. Does the WSRO have any concerns about issuing this facility a COC for this general permit? Thanks! Robert D. Patterson, PE Environmental Engineer NCDENR I DWQ I Stormwater Permitting 1617 Mail Service Center, Raleigh, NC 27699-1617 (Mailing) 512 N. Salisbury St, Raleigh, NC 27604 (Location & Parcels) (919) 807-6375 Phone 1 (919) 807-6494 Fax Email: robert.pattersona,ncdenr.gov (NOTE NEW EMAIL ADDRESS) Website: httn://h2o.enr.state.nc.us/su/stormwater.html *Please consider the environment before printing this email* E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties. m Division of Water Quality / Surface Water �, � — Protection Section NC���n National Pollutant Discharge Elimination System .�,,... Ern a NCG030000 NOTICE OF INTENT MR AGENCY USE ONLY Date Rmeivrd Yeer Month Da (01 � l enific Cmera Check # Amnnnt b— Permit As igiwd to (,SOn National Pollutant Discharge Elimination System application for coverage under General Permit NCGO30000: STORMWATER DISCHARGES associated with activities classified as: SIC (Standard Industrial Classification) 335 Rolling, Drawing, and Extruding of Nonferrous Metals SIC 3398 Metal Heat Treating SIC 34 Fabricated Metal Products SIC 35 Industrial and Commercial Machinery SIC 35 Electronic and Other Electrical Equipment d SIC 37 Transportation Equipment z� SIC 38 Measuring, Analyzing, and Controlling Instruments' ;l For questions, please contact the DWO Regional Office for your area_ Se�j.)age 4.,_. ; (Please print or type) 1) Mailing address of owner/operator (address to which all permit correspondence will be mailed): Name Berco of America Street Address W 229 N 1420 Westwood Dr. City Waukesha State W1 ZIPCode 53186 Telephone No. 262-513-3399 Fax: 2) Location of facility producing discharge: Facility Name Facility Contact Street Address City County Telephone No. Email Berco of America Al Vitse 615 Pegg Rd Greensboro State �NC ZIP Code 27409 Guilford 262-513-3399 Fax: 3) Physical Location Information: Please provide a narrative description of how to get to the facility (use street names, state road numbers, and distance and direction from a roadway intersection). (A copy of a county map or USGS quad sheer with the facility clearly located must be submitted with this application_) 4) Latitude 36.07359 Longitude Long -79.97053 (deg, min, sec) 36 04 20.4 1- N 79 58 07.75 " W 7� 2G' j SWU-218-071408 Page 1 of 4 Last revised 7l14108 EF NCG030000 N.O.l. 5) This NPDES Permit Application applies to which of the following: ❑ New or Proposed Facility Date operation is to begin Q Existing 6) Standard Industrial Classification: Provide the 4-digit Standard Industrial Classification Code (SIC Code) that describes the primary industrial activity at this facility. SIC Code: 3 5 3 1 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility: Tracks for Heavy_Equipment, grinding and painting operations. 8) Discharge points / Receiving waters: How many discharge points (ditches, pipes, channels, etc.) convey stormwater from the property? 3 What is the name of the body or bodies of water (creels, stream, river, lake, etc_) that the facility stormwater discharges end up in? Retention pond Receiving water classification: N/A Is this a 333(d) listed stream? No Has a TMDI- been approved for this watershed? No If the site stormwater discharges to a separate storm sewersyystem, name the operator of the separate storm sewer system (e.g. City of Raleigh municipal storm sewer)_ N/A 9) Does this facility have any other NPDES permits? 11 No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility: 10) Does this facility have any ton -Discharge permits (ex: recycle permit)? C?f No ❑ Yes If yes, list the permit numbers for all current Non -Discharge permits for this facility: 11) Does this facility employ any best management practices for stormwater control? ❑ No n Yes (Show any structural BMPs on the site diagram.) If yes, please briefly describe: Inside storage, stood house keeping, _inspections Preventive maintenance, erosion control, spill prevention. 12) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No U Yes If yes, when was it implemented? 5/01/05 13) Are vehicle maintenance activities occurring at this facility? ❑ No EXYes Inside 14) Hazardous Waste: a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? IN No ❑ Yes Page 2 of 4 SWU-218-071408 Last revised 7114108 NCG030000 N.O.I. b) Is this facility a Small Quantity Generator (less than 1000 kg. of hazardous waste generated per month) of hazardous waste? 0 No ❑ Yes VSQG c) Is this facility a Large Quantity Generator (1000 kg, or more of hazardous waste generated per month) of hazardous waste? Xl No ❑ Yes VSQG d) Is hazardous waste stored in the 100-year flood plain? n No ❑ Yes If yes, include information to demonstrate protection from flooding. e) If you answered yes to questions b. or c., please provide the following information: Type(s) of waste: How is material stored: Where is material stored: How many disposal shipments per year: Name of transport / disposal vendor. Vendor address: 15) Certification: North Carolina General Statute 143-215.6B (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who Knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or miles of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000), hereby request coverage under the referenced General Permit. I understand that coverage under this permit will constitute the permit requirements for the discKarge(s) and is enforceable in the same manner as an individual permit. I certify that i am familiar with the information contained in this application and that to the best of my knowledge and belief such informatiois true, complete, and accurate. Printed Name of Person Signing A V i t s e Title: /1 (Signature of Applicant) Manager 4/15/09 (Date Signed) This Notice of Intent must be accompanied by a check or money order for $100.00, made payable to: NCDENR Page 3 of 4 SW U-218-071408 Last revised 7/14/08 NCG030000 N.O.E. Final Checklist This application will be returned as incomplete unless all of the following items have been included: ❑ Check for $100 made payable to NCDENR. ❑ This completed application and all supporting documents. ❑ A site diagram showing, at a minimum, (existing or proposed): (a) outline of drainage areas, (b) stormwater management structures, (c) location of stormwater outfalls corresponding to the drainage areas, (d) runoff conveyance features, (e) areas where materials are stored, (f) impervious areas, (g) site property lines. ❑ Copy of county map or USGS quad sheet with the location of the facility clearly marked on the map. Mail the entire package to: Stormwater Permitting Unit Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Note The submission of this document does not guarantee coverage under the General Permit. For questions, please contact the DWQ Regional Office for your area. DWQ Regional Office Contact Information: Asheville Office ...... (828) 296-4500 Fayetteville Office ... (910) 433-3300 Mooresville Office ... (704) 663-1699 Raleigh Office ........ (919) 791-4200 Washington Office ...(252) 946-6481 Wilmington Office ... (910) 796.7215 Winston-Salem ...... (336) 771-5000 Central Office .........(919) 807-6300 Page 4 of 4 swu-218-071408 last revised 7114108 Print - Maps Page 2 of 2 Trip: < 1 min bi tual Earth" y 3 gs` w E I N. A # - r1 i 5� N 0 R T H c ma D Piednl Triad Imam li nai ir g�G y �y !x t1 I t 4 4� Q,C-o-Ra cr ut v eip cr 1'R' 0 a L a t: y f 01 p D BXm R,1VII a 1 j p^ Davis ParkRd RG q F n r { } im I bra J .vi KOOPR PM Tea 7tds-map is hasLA on Ilse map view a ifle orcnvser window wlleh you decked Print A: 615 Pegg Rd, Greensboro, NC 27409-9414 B_ 615 Pegg Rd, Greensboro, NC 27409-9414. Microsoft* Micrgsoft' Virtual Earth' ! Virtual Earth' } i F f horrK*e Rd i hornlike Rd p a t 's Tnm ouv wer Dr Taro Rshmdar m ' f . 02009 Navmq ! 02009 Navteq x° 0 2009 mcrosoft I ! 02009 Niomsoft http:/heaps.l ive.comlprint.aspx?nik-t=en-us&t=13&s=r&cp=gObg9tSb279d&pt=pf&rs=v8... 4/29/2009 r. I . . STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG030000 CERTIFICATE OF COVERAGE No. NCG030585 STORMWATER DISCHARGES NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Berco of America is hereby authorized to discharge stormwater from a facility located at Berco of America 615 Pegg Road Greensboro Guilford County to receiving waters designated as a UT of East Fork Deep River, a class WS-IV:* water in the Cape Fear River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 1I, III, IV, V, and VI of General Permit No. NCG030000 as attached. This certificate of coverage shall become effective June 26, 2009. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this 26t" day of June, 2009. ORIGINAL SIGNED BY BETHANY GEORGOULIAS for Coleen H. Sullins., Director Division of Water Quality By the Authority of the Environmental Management Commission '�`'o � �°, �• � JS '`I , �� � ? of 1 ��I , . I v � � / 1�, ,�� , `•Y /f ! 4 L I _ � f r � r' t � _ g_- �. - T ./1/,� f L� 0 ^ I{ _ p✓� z t \ � �+�,.. tam.+ .; ip y 'i1 �• • .• ; •. 71 ,tom - `� ' 4� � - ,� • �= a Berco of America • r•J f r TTII iJJ IN 41 NCG030585 N W E S Map Scale 1: 30, 000 Jr F ~'a'C�'. .In��� •�uln r lrr r.�s Berco of America Berco of America Latitude: 360 04' 20" N Longitude: 790 58' 08" W County: Guilford Receiving Stream: UT of East Fork Deep River Stream Class: WS-IV:* Sub -basin: 03-06-08 (Cape Fear River Basin) Facility Location