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Home My WebLink AboutNCG030660_COMPLETE FILE - HISTORICAL_20160422STORMWATER DIVISION CODING SHEET NCG PERMITS [PERMITNO. I /vCC�U3U��O DOC TYPE iJ'HISTORICAL FILE ❑ MONITORING REPORTS DOC DATE o YYYYMMDD RAIN EVENT DATA �) C G- 02060 FAC[LITY Matlab, Inc ADDRESS 1112 HNvX 49 South Asheboro, NC 27204 CONTACT PERSON -Press Brower TELEPHONE (336) 629-4161 STORM FVENT�INEORMATION DATE YEAR MONTH DAY 2016 4 22 DURATION HOURS MINUTES 24 30 PRECIP 041 AMOUNT (IN) RUNOFF 026 VOL (M/GAL) DAYS HOURS PRECEDING EVENT i 1 10 10 19IN1211 SIGNATURE I DATE w Y ,ii'Rr!F� &_ dRIsm 7L4BORATMES INC. NC Certificabon No 402 SC Certification No 99012 Full Service Analytical 8 NC Dnnking Water Cert No 37735 Environmental Solutions VA Certification No 460211 DoD ELAP L-A B Accredded Certificate No L2307 ISDIEC 17025 L A B Accredited Certificate No L2307 Leonhardt Environmental P C Derr Leonhardt Suite 101 8392 Six Forks Road Raleigh NC 27615 Project Matlab - Plant 11 Lab Submittal Date 04/2312016 Pnsm Work Order 6040462 Case Narrative 05/0512016 This data package contains the analytical results for the project identified above and Includes a Case Narrative Sample Results and Chain of Custody Unless otherwise noted all samples were received in acceptable condition and processed according to the referenced methods Data qualifiers are Flagged Individually on each sample A key reference for the data qualifiers appears at the end of this Case narrative Please call if you have any questions relating to this analytical report Respectfully PRISM LABORATORIES, INC Angela D Overcash VP Laboratory Services Data Qualifiers Key Reference Reviewed By Cara C Rusmisell For Angela D Overcash Project Manager DL Sample concentration too low for RPD evaluation HT Sample received and analyzed outside of the hold time BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit All other results are reported to the MDL with values between MDL and reporting limit indicated with a J This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Sprfngbrook Road - P O Box 240643 Charlotte NC 29224-0643 Phone 7041529.6364 Toll Free Number 1-8001529-6364-fax 7041626-0409 r7 page 1 of 6 Lg'17 S i+M + Env$onmlentalSouiIons 5 Sample Receipt Summary 05/05/2016 Prism Work Order 6040462 Client Sample ID Ub Sample ID Matrix Date Sampled Date Received 001 6040462-01 Water 04/22/16 04/23/16 Samples were received In good condition at 2 2 degrees C unless otherwise noted This report should not be reproduced except in its entirety without the wntten consent of Prism Laboratories Inc 449 Springbrook Road P O Box 240643 Charlotte NC 282240543 Phone 704l629-6364 Toll Free Number 1-8001629-6M4 Fax 7041626-0409 Page 2 of 6 r pR S M Laboratory Report G"� i � FUII $ervlCo Analyticel 6 Environmental Solutions 05/05/2016 A'ueo�uranuea rrc Leonhardt Environmental P C Pro)ecl Matlab - Plant 11 Client Sample ID 001 Attn Derr Leonhardt Prism Sample ID 6040462-01 Suite 101 8392 Six Forks Road Prism Work Order 6040462 Raleigh NC 27615 Sample Matnx Water Time Collected 04/22/16 11 00 Time Submitted 04/23/16 10 40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID General Chemistry Parameters Oil & Grease (HEM) BRL mg1L 50 1 0 1 *16648 $14116 1027 TJY P6EO073 P14 6 2 HT pH Units i SM4500-H B 4126/16 14 56 SLS P6DD470 Total Suspended Solids 62 MOIL 17 080 1 SM 2640 D 4128116 13 16 SLS P61>0662 Total Metals Copper BRL m911L 0 010 00021 1 2007 513116 2222 BGM P6E0013 Lead BRL mg/L 00050 000070 1 `200 7 513116 2222 BGM P6E0013 Zinc BRL mg/L 0 030 00073 1 2007 513116 2222 BGM P6EO013 This report should not he reproduced except in its entirety without the wntten consent of Pnsm Laboratories Inc 449 Springbrook Road P O Box 240543 Charlotte NC 281244543 Phone 70416294364 Tots Free Number 1-9001629-6364 Fax 7041626-0409 Page 3 of 6 IS �W>A2"R I S� ry J Full onrneo Analytical 6 ' V' i Ennronmentai Solutions Imo' Y-iAeauTMIIM 11 c Leonhardt Environmental P C Attn Derr Leonhardt Suite 101 8392 Six Forks Road Raleigh NC 27615 Total Metals Quality Control Analyte Protect Matlab - Plant 11 Level t! QC Report 515116 Prism Work Order 6040462 Time Submitted 4123/2016 10 40 OOAM Repotting Spike Source %REC RPD Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P6E0013 - 200 7 Blank {P6E0013-BLK1} Prepared 05/02/16 Analyzed 05/03/16 Copper 8RL 0 010 mg1L Lead BRL 00050 mg/L Zinc URL 0 030 mg1L LCS tPSE00 "S1j Prepared 05/02/16 Analyzed 05103M Copper 0 252 0 010 mglL 02500 101 85 115 Lead 0 272 00050 mg1L 02500 109 85-115 Zinc 0 276 0 030 mg1L 02500 110 85115 This report should not be reproduced except in its entirety without the wntten consent of Prism Laboratories Inc 449 Springbrook Road P O Box 240643 Charlotte NC 28224-0643 Phone 7041629-6364 Tall Free Number 14001629-0264 - Fax 7041626-MS Page 4 of 6 R I n Full Service Analytical 8 ' V' Environmenta4 Solutions '��+ecnwraraa �� Leonhardt Environmental PC Attn Derr Leonhardt Suite 101 8392 Six Forks Road Raleigh NC 27615 General Chemistry Parameters - Quality Control Analyte Batch P61010470 - NO PREP Project Matlab - Plant 11 Reporting Result Limit Units Level If QC Report 515116 Prism Work Order 6040462 Time Submitted 4/23/2016 1040 OOAM Spike Source %REC RPD Level Result %REG Limits RPD Limit Notes LCS (P600470-BSI) Prepared &Analyzed 04125/16 PH 680 pH Units 6 8B0 99 985 101 5 Duplicate (P6DO470-DUP1) Source 6040462-01 Prepared & Analyzed 04/25/16 PH 634 pH Units 621 2 10 Batch P6DO652 - NO PREP Blank (P6D0552 BLKI) Prepared & Analyzed 04/28/16 Total Suspended Solids BRL 50 mglL LCS (P6D0562-BSI) Prepared & Analyzed 04l28116 Total Suspended Solids 490 50 mg1L 4770 103 90.110 Batch P6E0073 - NO PREP Blank (P6EO073-BLK1) Prepared & Analyzed 05/04116 Oil & Grease (HEM) BRL so mg1L LCS (P6E0073-BS1) Prepared & Analyzed 05/04/16 Oil & Grease (HEM) 336 so mglL 4000 84 78 114 Duplicate (PSE0073-DUP1) Oil & Grease (HEM) 172 Prep Method 200 7 Source 6040462-01 Prepared & Analyzed 05/04/16 50 mg1L 221 25 18 DL Sample Extraction Data Lab Number Batch Initial Final Daterrrme 6040462 01 P6E0013 50 mL 50 mL 05/02116 8 05 This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc. 449 Springtimok Road PO Box 240643 Charlotte KC 282244643 Phone 70062s-6364 Tots Free Humber 140016294364 Fax 7041626-0409 Page 5 of 6 CHAIN OF CUSTODY RECORD I M Fult-Service Analytical & /,--RR Environmental Solutions PAGE_ OF _ QUOTE 19 TO ENSURE PROPER e1LLINGsv""z.s Samples INTACT upon arrival? i? LA$CHATORIM INC Project Name Received ON WET ICE? 449 oneSpr70brook Road Phone 7041529.6384 Charlotte 25 2809 Fax 7041525-04D9 Short Hold Analysis (Yes) (No) UST Protect (Yes) (NO) PROPER PRESERVATIVES indicated? a "Please ATTACK any project specific reporting (QC LEVEL 1 II III IV) Received WITHIN HOLDING TIMES? Client Company Name provisions and/or QC Requirements CUSTODY SEALS €NTACT Report To/Contact Name Invoice To VOLATILES reed W117UT HEAD$PACE? Reporting Address Address PROPER CONTAINERS used? �, .i., rr► TEMP Therm ID") --CtS- JO Observed 10 I YE , NO NIA V O �W CD °C i Corr z I.—C Phone u(OL`91i(DI `'"Pax Ne&r(No) Purchase Order NoJBillmg Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Email Address Requested Due Dale ❑ 1 Day 0 2 Days 0 3 Days ❑ 4 Days IJ 5 Days Certification NELAC DOD FL NC EDD Type PDF_ _ _Excel Other Site Location Name r -,I Working Days Q 6 9 Days LI Standard 10 days ❑ RRfeshh WoroVeMdust Be Samples received after 14 00 will be processed next business day Sc OTHER NIA Site Location hysica,IjKddress i Turnaround time is based on business days excluding weekends and holidays (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES INC TO CLIENT) Water Chlorinated YES_ NO_ Sample Iced Upon Collection YES NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY HOURS MATRIX (SOIL WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA TIVES ANALYSIS REQUESTED REMARKS PRISM I NO 'TYPEOW SEE BEL NO 512E 11i00 Qr-r j n w 7a-t6 w, d0 6io-�r " - C. -(� q-1-W6 it + d w' r H (,L +VA 1100 �,u�-�' �14 f90C Sampler s 5tgnature Sampled By (Pnnt Name) CAPW- Affiliabon Upon relinquishln is Chain of Custody is your authorization for Prism to proceed with the analyses as requested above Any changes must be submitted in writing to the Prism Project Manager There will be charges for any changes after analyses have been initialized Relinquished y (ignatureReceived y(Signature) Data ilttaryours Additional Comments Stte Arnvat Time Relinquished By Signature) Received By (Signature) Date Site Departure Time Relinquished By (Signa—T Recelved boretones By at Field Tech Fee �-1 W i ii iiAdeaga Method of Shipment NOTE ALL SAMPLE COOLERS SHOD LD 6E TAPED SHUT CUSTODY LS FOR TRANSPORTATION TO THE LABORATORY CDC Group No SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINS COC UN EIVED AT THE LABORATORY , / 0 Fed Ex ❑ UPS ❑ Hand -delivered Prism Field Service Other ��`% G 0 q o j (� i V p NPDES j�O WANKING❑ SOLID CEFRtCLA LANDFILLUS-0 milswagEn ❑ NC ❑ 5C ❑ NC ❑ SC 13NCU ❑ SC I ❑ SCiATER NC ❑ NC ❑ SCE ❑ NC ❑ SC I NC C] SC ❑ NC SCI f] NC C] SC ri n 'CONTAINER TYPE CODES A= Amber C = Clear G= Glass P = Ptashc TL = Teflon Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) )r ,�sll Jr�L RAIN EVENT DATA FACILITY Matlab, Inc ADDRESS 1112 HW 49 South Asheboro, NC 27204 CONTACT PERSON Press Brower TELEPHONE (336) 629-4161 a STORM EVENT'INFO RMATION , � 4� new � ,,. � DATE YEAR MONFH DAY 2016 4 22 HOURS MINUTES DURATION -- 24 30 PRECIP 041 AMOUNT(IN) RUNOFF 026 VOL (M/GAL DAYS HOURS PRECEDING EVENT 10 10 r t "PRINCIPLE f d } EXECUTIVEI}rOFFIC.tE3 Rs"©R*AUT...HOR* IZaED AB.YGJL EN,t 9�i vr4"t J,S ;f F; -lot r i 5E+ k x `9 l PRINT SIGNATURE DAI E aL�I-,I S M ©C7usoR 7mm inc Full Service Analytical & Environmental Solutions Leonhardt Environmental PC Herr Leonhardt Suite 101 8392 Six Forks Road Raleigh NC 27615 NC Certification No 402 SC Certification No 99012 NC Dnnlung Water Cert No 37735 VA Certification No 460211 DoD ELAP L-A B Accredited Certificate No 1.2307 ISOIIEC 17025 L A B Accredited Certificate No L2307 Project Mattab - Plant 11 Lab Submittal Date 04/23/2016 Prism Work Order 6040462 Case Narrative 05/05t2016 This data package contains the analytical results for the project identified above and includes a Case Narrative Sample Results and Chain of Custody Unless otherwise noted all samples were received in acceptable condition and processed according to the referenced methods Data qualifiers are flagged individually on each sample A key reference for the data qualifiers appears at the end of this case narrative Please call if you have any questions relating to this analytical report Respectfully PRISM LABORATORIES, INC a -..-I Angela D Overcash VP Laboratory Services Data Qualifiers Key Reference Reviewed By Cara C Rusmisell For Angela D Overcash Project Manager DL Sample concentration too low for RPD evaluation HT Sample received and analyzed outside of the hold time BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference Results reported to the reporting limit All other results are reported to the MDL with values between MDL and reporting limit indicated with a J This report should not be reproduced except in its entirety ►rnthout the written consent of Prism Laboratories Inc 449 Springbrook Road P O Box 240643 Charlotte NC 28224.0"3 Phone 7041529.6364 Toil Free Number 1.800162MM Fax 704152"409 Page 1 of ti A Sample Receipt Summary 71Sn AIFWnmecnludor n I V I Enrironments� Solutions (]S�fl�J�2(]16 .�7usowaro IM,. Prism Work Order 6040462 Client Sample ID Lab Sample ID Matrix Date Sampled Date Received 001 6040462-01 Water 04/22/16 04/23/16 Samples were received in good condition at 2 2 degrees C unless otherwise noted This report should not be reproduced except in its entirety without the wntten consent of Prism Laboratories Inc 449 Springbrook Road P 0 Box 240543 Charlotte NC 28224-0543 Phone TQ41529-6364 Toll Free Number 1-600152"364 Fax 7041525-0409 Page 2 of 6 "I \ Laboratory Report j{ Full Service An8 Snronental Solutions 05f0512418 wm .BOnaiOgi[� iMG Leonhardt Environmental PC Project Matlab - Plant 11 Client Sample ID 001 Attn Derr Leonhardt Prism Sample ID 6040462-01 Suite 101 8392 Six Forks Road Prism Work Order 6040462 Raleigh NC 27615 Sample Matrix Water Time Collected 04/22/16 11 00 Time Submitted 04231115 10 40 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Daterrime ID General Chemistry Parameters Oil & Grease (HEM) BRL mglL 50 1 0 1 1664B 514116 1027 TJY P6E0073 pH 6 2 HT pH Units 1 SM4600-1-I B 4126116 14 56 SI,S P600470 Total Suspended Solids 62 -OIL 11 080 1 SM 2640 D 4128116 13 15 SLS PGDOSS2 Total Metals Copper BRL mg1L 0010 00021 1 2007 513116 2222 BGM P6E0013 Lead BRL mg1L 00050 000070 1 2007 513116 2222 BGM P6E0013 Zinc BRL mglL 0 030 00073 1 2007 513116 2222 BGM P6E0013 This report should not be reproduced except in its entirety without the written consent of Prism Laboratories Inc 449 Spnngb►ook Road P 0 Box 240643 Charlotte NC 28224-0643 Phone 704162"364 Toll Free Number 1-8001529-0364 Fax 7041625-0409 Page 3 of 6 ISM I Enlv"nmamal S e . Leonhardt Environmental PC Attn Derr Leonhardt Suite 101 8392 Six Forks Road Raleigh NC 27615 Total Metals - Qualtly Control Analyte Project Matlab - Plant 11 Level II QC Report 515116 Prism Work Order 6040462 Time Submitted 4/23/2016 10 40 OOAM Reporting Spike Source %REC RPO Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P6EO013 - 200 7 Blank (P6E0013-BLK1) Prepared 05/02/16 Analyzed 05/03/16 Copper BRL 0 010 mgrL Lead BRL 00050 mg11t. Zinc BRL 0 030 mglL LCS (P6E0013 BSI) _ Prepared 05/02/16 Analyzed 05/03/16 Copper 0 252 0 010 mglL 02500 101 85-115 Lead 0 272 0 0050 mg1L 02500 109 85 115 Zinc 0 276 0 030 mg1L 02500 110 85-115 This report should not be reproduced except in its entirety without the wntten consent of PnSm Laboratories Inc 449 Spnngbrook Road P O Box 240543 Charlotte NC 28224-0643 Phone 704/629,6364 Toll Free Number 1,8001529-6364 Fax 70416254409 Page 4 of fi IR A I Full Service Environmental Enronmental al Solutions � ueaumnas inc Leonhardt Environmental PC Attn Derr Leonhardt Suite 101 8392 Six Forks Road Raleigh NC 27615 General Chemistry Parameters - Quality Control Analyte Batch PGD0470 - NO PREP Project Matlab - Plant 11 Reporting Result Limit Units Level II QC Report 515116 Prism Work Order 6040462 Time Submitted 4/23/2016 10 40 OOAM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes LCS (P600470-BS1) Prepared & Analyzed 04/25/18 PH 680 pH Units 6 680 99 9851015 Duplicate (P6D0470 DUP1) Source 6040462-01 Prepared 8i Analyzed 04125116 PH 634 pH Units 621 2 10 Batch P6DO552 - NO PREP Blank (PGD0552 BLK1) Prepared & Analyzed 04/28/16 Total Suspended Solids BRL 50 mg1L LCS (P6DO562 BS1) Prepared & Analyzed 04/28/16 Total Suspended Solids 490 50 mg1L 4770 103 90 110 Batch P6E0073 - NO PREP Blank (P6E0073 BLK1) Prepared & Analyzed 05/04/16 Oil & Grease (HEM) BRL 50 m911- LCS (KE0073 BSI) Prepared & Analyzed 05104/16 Oil & Grease (HEM) 338 50 mg1L 4000 84 78-114 Duplicate (KE0073-DUPi l Source 6040462-01 Prepared & Analyzed 05104/16 Oil & Grease (HEM) 172 50 mglL 221 25 18 DL Sample Extraction Data Prop Method 200 7 Lab Number Batch Initial Final DateMme 6040462 01 P6E0013 50 mL 50 mL 05102116 8 05 This report should not be reproduced except in its entirety without the wntten consent of Pnsm Laboratories Inc 449 9pringbrook Road P O Box 240643 Charlotte NC 28224-0643 Phone 7041629.4364 Toll Free Number 1.8001629-6364 Fax 7041626-0409 Page 5 of 6 G 1 t PRISM l CHAIN �� cus��v ��c®�� Full Service Analytical 8 Environmental So1UtI0ns PAGE_ OF _ QUOTE 9 TO ENSURE PROPER BILLING �+�LABORATORIF$, INC 449 Springbrook Road Charlotte NC 28217 Project Name Phone 7041529.6364 Fax 7041525-0409 Short Hold Analysis (Yes) (No) UST Protect (Yes) (NO) i' "Please ATTACH any protect specific reporting (QC LEVEL I It III FV) Client Company Name provisions andlor QC Requirements Report To/Contact Name Invoice To Reporting Address Address ell Samples INTACT upon arrival? Received ON WET ICE? t� PROPER PRESERVATIVES Indicated? Received WITHIN HOLDING TIMES? CUSTODY SEALS INTACT? VOLATILES rec d W/OUT HE:ADOPACF? PROPER CONTAINER used? TEMP Therm 1[3''/ 4 j iO Observed YES NO NIA o --in oc 1 CarrZ Phone,5YP ! ` 1(0/ "P ix Purchase Order He 11311hng Reference TO BE FILLED IN BY CLIENTISAMPLINEG PERSONNEL Email Address Requested Due Date ❑ 1 Day Cl 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days Certification NELAC DoD FL NC EDD Type PDF—Excel Other Working flays" ❑ 5-9 Days ❑ Standard 10 days ❑ Rush Work Must Be SG OTHER NIA Site Location Name (411 Samples received Biter 14 00 will be processed next business day Site Location hyslcal &dress i Turnaround tuna ,s based on business days excluding weekends and holidays Water Chlorinated YES_ NO (SEE RENDREVERSE ED BYF RRISMRLABORATORIES INCEGARDING TOCLIENT)SERVICE3 Sample Iced Upon Collection YES NO CLIENT DATE TIME COLLECTED MATRIX (SOIL SAMPLE CONTAINER I I PIiESERVA ANALYSIS REQUESTED ` PRISM I *TYPE NO SIZE I SAMPLE DESCRIPTION COLLECTED MILITARY WATER OR TIMES REMARKS iD B HOURS SLUDGE) SEE BELOW / q 2.1-1� 11.00 w�1a- r J Sampled By Nam®) '!'14 Affiliation 1 l Samplers Signature (Print Upon relinquishini4is Chain of Custody Is your authorization For Prism to proceed with the analyses as requested above Any changes must be Submitted in writing to the Prism Project Manager There will be charges for any changes after analyses have been initialized Refinqu;;;ed y (Signature) ) Received By Ignatrim) Date M111taryiHours Addrtional Comments Site Arrival Time Relinquished By (Signature) Received By (Signature) Date Silo Departure Time Rel instied B (Srgriahrre) w Recawed baretpdes By ut9 Y Field Tech Fee 7,10 � � � MtiPage Method of Shipment NOTE ALL SA PLE COOLERS SHOULD BE TAPED SHUT CUSTODY L$ FOR TRANSPORTATION TO THELABORATORY OC Group No SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINS COC UN EIVED AT THE LABORATORY '-� ��'r (9� E''{ J ( } ❑ Fed Ex 0 UPS d Han"etryerW EI Prism Field Service Other "{ NPOES UST G OLINDWATER NKING WATER SOLID WASTE RCRA CERCLA LANDFILL OTHER ' aa NC ❑ 5C ❑ NC ❑ SC CYNC ❑ SC ❑ NC ❑ SC I ❑ NC ❑ SC ❑ NC ❑ SC Cl NC ❑ SC I ❑ NC 0 SC ❑ NC ❑ SC13 1-1 'CONTAINER TYPE CODES A = Amber C = Clear G= Glass P = Plastic TL = Teflon Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL rMailab, Inc. P.O. Box 2046, Asheboro, North Carolina 27405 1 • Phone: (336) 629-4161 Fax: (336) 629-3595 i August 1, 2015 Stormwater Permitting Unit Program Division of Energy, Mining, and Land Resources 450 West Hanes Mill Road, Suite 300 Winston-Salem, NC 27105 Attention Sherri Knight Regional Supervisor Subject Waiver of Total Toxic Organics Sampling General Stormwater Permit NCG030000 Certificate of Coverage NCG030657 Matlab, Inc — Plant 14 Dear Ms Knight RECEIVED N C Dept of ENR SEP 18 2015 Winston Salem Regional Office The Matlab, Inc - Plant 14 is located at 1623 North Fayetteville Street, Asheboro, NC has been issued a General Stormwater Discharge Permit Under the terms of the permit, NCG030000, has initiated stormwater sampling activities The permit allows for a waiver of Total Toxic Organics (TTO) sampling for facilities which incorporate a solvent management plan into their Stormwater Pollution Prevention Plan A solvent management plan has been prepared for this facility, and accordingly we are hereby requesting a waiver from TTO sampling Please advise if additional information is needed Sincerely, MATLAB, INC cs�� Press Brower VP of Engineering Matlab, Inc P.O. Box 2046, Asheboro, North Carolina 27405 1 Phone: (336) 629-4161 Fax- (336) 629-3595 August 1, 2015 Stormwater Permitting Unit Program Division of Energy, Mining, and Land Resources 450 West Hanes Mill Road, Suite 300 Winston-Salem, NC 27105 Attention Sherri Knight Regional Supervisor Subject Waiver of Total Toxic Organics Sampling General Stormwater Permit NCG030000 Certificate of Coverage NCG030660 Matlab, Inc -- Hwy 49 South Campus Dear Ms Knight RECEIVED N C Dept of ENR SEP 18 2015 Winston Salem Regional Office The Matlab, Inc — Hwy 49 South Campus is located at 1112 Highway 49 South, Asheboro, NC has been issued a General Stormwater Discharge Permit Under the terms of the permit, - NCG030000, has initiated stormwater sampling activities The permit allows for a waiver of Total Toxic Organics (TTO) sampling for facilities which incorporate a solvent management plan into their Stormwater Pollution Prevention Plan A solvent management plan has been prepared for this facility, and accordingly we are hereby requesting a waiver from TTO sampling Please advise if additional information is needed Sincerely, MATLAB, INC Press Brower VP of Engineering Permit Number NCG030660 Program Category NPDES SW Permit Type Metal Fabrication Stormwater Discharge COG Primary Reviewer nck riddle Coastal SWRule Permitted Flow Facility RECEIVED JUL 10 IM CENTRAL FILES DWR SECTION Central Files APS _ SWP 7/8/2015 Permit Tracking Slip Status Project Type In review New Project Version Permit Classification COG Permit Contact Affiliation Facility Name MajorlMmor Region Matlab Inc (Hwy 49 S. Campus) Minor Winston Salem Location Address County 1112 Hwy 49 S Randolph Facility Contact Affiliation Asheboro NC 27204 Press Brower PO Box 2046 Owner Asheboro NC 27204 Owner Name Matlab Inc Owner Type Non Government Owner Affiliation Press Brower PO Box 2046 DateslEvents Asheboro NC 27204 Scheduled Ong Issue App Received Draft Initiated Issuance Public Notice Iss a IFR15 Effe live �g�/".� Expirratio 5/1812015 1 1Qrj��ipl"I Regulated Activities Requested /Received Events Metal products manufacture RO staff report received 7 l RO staff report requested Outfall 1 Waterbody Name Streamindex Number Current Class Subbasm Taylors Creek 13235 C 03 07 09 OVA NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Press Brower Matlab, Inc P 0 Sox 2046 Asheboro, NC 27204 Dear Mr Brower Donald R van der Vaart Secretary July 8, 2015 Subject General Permit No NCGO30000 Matlab, Inc Highway 49 South Campus COC NCG030660 Randolph County In accordance with your application for a discharge permit received on May 18, 2015, 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 Energy, Mineral, and Land Resources The Division may require modification or revocation and reissuance of the certificate of coverage This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Energy, Mining, and Land Resources, or permits required by the Division of Water 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 Richard Riddle at telephone number (919) 807-6375 Sincerely, for Tracy E Davis, P E , CPM, Director Division of Energy, Mineral and Land Resources cc Winston-Salem Regional Office Central Files Stormwater Permitting Program Files Division of Energy, Mineral and Land Resources Energy Section • Geological Survey Section • Land Quality Section 1612 Mail Service Center Raleigh, North Carolina 27699-1612 • Telephone 919 707-92001 FAX 919 715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet htto //portal ncdenr orglwebllrl An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled l 10% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO NCG030000 CERTIFICATE OF COVERAGE No NCG030660 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, Press Brower is hereby authorized to discharge stormwater from a facility located at Matlab Hwy 49 South Campus 1112 Highway 49 South Asheboro Randolph to receiving waters designated as Taylors Creek, a class C water in the Yadkin River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, Il, III, and IV of General Permit No NCG030000 as attached This certificate of coverage shall become effective July 8, 2015 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day July 8, 2015 for Tracy E Davis, P E , Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission M � S � � s `i � � i•lli n + TDI 15 _ 1 � � �'�� i+ � '�i ,,,, � Tom• �1 itf�M1 ` �� IM �/ 1` � \`• y \ '✓ ,r � -• j4 � J 4 � }\ �r�4 `�'w 'r' p �� fry � � 1 t � f Matlab, Inc - Hwy 49 S Campus 1 I 1 r ` �ti Yl tt J y ° '�� •._ 1 x /'—ll ik, 4�1.r '�^ \L y� i t C _ ��• /.r _ _/ sn/ . ear o Tr W, NCC3030660 N W F S Map Scale 1 24,004 ! /rI Jyc (�• a � Matlab, Inc, Hwy 49 South Campus Latitude 350 40' 43" N Longitude -790 51' 19 55" W County Randolph Receiving Stream Taylor Creek Stream Class C Index Number 13-2-3-5 (Yadkin River Basin) Facility Location Division of Encrgy, Mincral and Land Resources Land Quality Section National Pollutant Discharge 1-hintnation Syste3n NCDENR NORTn C.AROLINA DEPARTMENT OF NCG030000 ENVIRONMLNT AND NATLRAL REsoullc Ls NOTICE OF INTENT I OR AG3 NM UY ONLY Date RLCencd Yc a ivlonlh D� Certificate br CU%er3 e NC 03 ie k n1wint Pcnnil Ayti nul to 1 )-i< National Pollutant Discharge Elimination System application for coverage under General Permit NCG030000 STORMWATER DISCHARGES associated with activities classified as SIC (Standard Industrial Classification) 335 Rolling, Drawing and Extruding of Nonferrous Metals 51C 3398 Metal Heat Treating RECEIVED 34 Fabricated Metal Products SIC 35 Industrial and Commercial Machinery SIC 36 Electronic and Other Electrical Equipment I ,AY 18 2015 SIC 37 Transportation Equipment DENR LAND QUALITY SIC 38 Measuring Analyzing and Controlling Instruments STORMWATERPEFM11 iING VZFor questions, please contact the DEMLR Regional Office for your area See page 4 (Please print or type) 1) Mailing address of owner/operator (address to which all permit correspondence will be mailed Name Matlab, Inc Street Address P O Box 2046 City Asheboro State NC ZIP Code 27204 Telephone No 336 629-4161 Fax (336) 626-3595 2) Location of facility producing discharge Name Matlab, Inc Facility Contact Press Brower Street Address 1112 Highway 49 South City Asheboro State NC ZIP Code 27204 County Randolph Telephone No (336) 629-4161 Fax (336) 626-3595 Email press b-matlabinc com 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) Route 40185 west to Route 85 South to Route 220 south to Highway 49 South (A copy of a county map or USGS quad sheet with the facility dearly located must be submitted with this application ) 4) Latitude 35 cleTj 4 0 N Longitude -81 �}eq- t' " S W (deg, min, sec) 3,5° 'qa Y2 98 "nl "79 Sr,�' ��5�"i Page 1 of 4 5WU 218 071408 Last revised 712114 10 NGG030000 N O 1 5) This NPDES Permit Application applies to which of the following ❑ New or Proposed Facility Date operation is to begin X 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 3479 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility METAL COATING AND ENGRAVING 8) Discharge points 1 Receiving waters How many discharge points (ditches pipes channels etc ) convey stormwater from the property? 1 What is the name of the body or bodies of water (creek, stream, river, lake etc ) that the facility stormwater discharges end up in? Ta to Creek Receiving water classification C Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e g City of Raleigh municipal storm sewer) Asheboro 9) Does this facility have any other NPDES permits? X No ❑ Yes If yes, list the permit numbers for all current NPDES permits for this facility 10) Does this facility have any Non -Discharge permits (ex recycle permit)? X 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 X Yes (Show any structural E3MPs on the site diagram ) If yes, please briefly describe Secondary containment, raw and waste materials sheltered from stormwater_ 12) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes If yes, when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? X No ❑ Yes 14) Hazardous Waste a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? X No ❑ Yes Page 2 of 4 SWU 218 071408 Last revised 712114 r t NCG030000 N O 1 b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of hazardous waste? No X Yes c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of hazardous waste? X No _ Yes d) Is hazardous waste stored in the 100-year flood plain? X 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 Flammable Liquids (D001) How is material stored In steel 55 gallon drums Where is material stored In secondary containment, sheltered from Stormwater How many disposal shipments per year 4 Name of transport 1 disposal vendor GARCO, Inc Vendor address 2503 N Fayetteville Street, Asheboro, NC 27204 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 fa}se 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 rules 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 (510 000) I hereby request coverage under the referenced General Permit I understand that coverage under this permit will constitute the permit requirements for the discharge(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 information is true complete, and accurate Printed Name of Person Signing Press Brower Title VP of Engineering (Signature o Applicant) 4/20/15 (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 SWU 218 071408 Last revised 712114 NCG030000 N O 1 Final Checklist This application will be returned as incomplete unless all of the following items have been included C Check for $100 made payable to NCDENR C 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, 1 (f) impervious areas, (9) site property lines d 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 Program Division of Energy Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee coverage under the General Permit For questions, please contact the DEMLR Regional Office for your area DEMLR 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 712114 RECEIVED N C Dept of ENR 8�� JUL 14 2015 VtiItNSTaN SALE[ NCDENR REGIONAL DFFICE North Carolina Department of Environment and Natural Resources Pat McCrory Governor Press Brower Matlab, Inc P O Box 2046 Asheboro, NC 27204 Dear Mr Brower Donald R van der Vaart Secretary July 8, 2015 Subject General Permit No NCG030000 Matlab, Inc Highway 49 South Campus COC NCG030660 Randolph County 1n accordance with your application for a discharge permit received on May 18, 2015, 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 l 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 Energy, Mineral, and Land Resources The Division may require modification or revocation and reissuance of the certificate of coverage This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Energy, Mining, and Land Resources, or permits required by the Division of Water 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 Richard Riddle at telephone number (919) 807-6375 Sincerely, ORIGINAL. SIGNED B) KEN PICKLE for Tracy E Davis, P E , CPM, Director Division of Energy, Mineral and Land Resources cc Winston-Salem Regional Office Central Files Stormwater Permitting Program Files Division of Energy, Mineral and Land Resources Energy Section • Geological Survey Section • Land Quality Section 1612 Mad Service Center, Raleigh, North Carolina 27699-1612 - Telephone 919 707 9200I FAX 919 715 8801 512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet http !!portal ncdenr orglwebllr! An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO NCG030000 CERTIFICATE OF COVERAGE No NCG030660 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, Press Brower is hereby authorized to discharge stormwater from a facility located at Matlab Hwy 49 South Campus 1112 Highway 49 South Asheboro Randolph to receiving waters designated as Taylors Creek, a class C water in the Yadkin 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 July 8, 2015 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day July 8, 2015 �:• j-'ie for Tracy E Davis, P E , Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission 1 I: i 11 mIEzrM. . Compliance Inspection Report Permit NCG030660 Effective 07/08/15 Expiration 10/31l17 Owner Matlab Inc SOC Effective Expiration Facility Matlab Inc (Hwy 49 S Campus) County Randolph 1112 Hwy 49 S Region Winston Salem Asheboro NC 27204 Contact Person Press Brower Title Phone 336-629-4161 Directions to Facility Route 40185 west 10 Route 85 south to Route 220 south to Hwy 49 south System Classifications Primary ORC Certification Phone Secondary ORC(s) On -Site Representative(s) Related Permits Inspection Date 11/03/2016 EntryTime 10 00AM Exit Time 10 45AM Primary Inspector Glen White Phone 336-776-9800 Secondary Inspector(s) Reason for Inspection Routine Inspection Type Compliance Evaluation Permit Inspection Type Metal Fabrication Stormwater Discharge COC Facility Status Compliant Not Compliant Question Areas Storm Water (See attachment summary) Page 1 Permit NCGO30660 Owner Facility Matlab Inc Inspection Date 1110312016 Inspection Type Compliance Evaluation Reason for Visit Routine Inspection Summary See Compliance Letter in hard copy of file Page 2 Permit NCG030660 Owner Facility Matlah Inc Inspection Date 1110312016 Inspection Type Compliance Evaluation Reason for Vialt Routine Analytical Monitoring Yes No NA NE Has the facility conducted its Analytical monitoring? E ❑ ❑ ❑ # Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? ❑ ❑ E ❑ Comment Analytical Monitoring conducted twice annually as per permit No deficiency noted Permit and Outfalls Yes No NA NE # Is a copy of the Permit and the Certificate of Coverage available at the site? 0 ❑ ❑ ❑ # Were all outfalls observed dunng the inspection? 0 ❑ ❑ ❑ # If the facility has representative outfail status is it properly documented by the Division? 00100 # Has the facility evaluated all illicit (non stormwater) discharges? U ❑ ❑ ❑ Comment Inspector walked facility with Mr Brower and Ms McLaughlin All outfalls were observed No issues were observed Qualitative Monitoring Yes No NA NE Has the facility conducted its Qualitative Monitoring semi-annually? M ❑ ❑ ❑ Comment Qualitative Monitoring conducted twice annually as per permit Stormwater Pollution Prevention Plan Yes No NA NE Does the site have a Stormwater Pollution Prevention Plan? 0 ❑ ❑ ❑ # Does the Plan include a General Location (USGS) map? 0 ❑ ❑ ❑ # Does the Plan include a Narrative Description of Practices ? 0 ❑ ❑ ❑ # Does the Plan include a detailed site map including outfall locations and drainage areas? 0 Cl ❑ ❑ # Does the Plan include a list of significant spills occurring during the past 3 years? Q ❑ Cl ❑ # Has the facility evaluated feasible alternatives to current practices? Q ❑ ❑ ❑ # Does the Facility provide all necessary secondary containment? a ❑ ❑ ❑ # Does the Plan include a BMP summary? M ❑ ❑ ❑ # Does the Plan include a Spill Prevention and Response Plan (SPRP)? M ❑ ❑ ❑ # Does the Plan include a Preventalive Maintenance and Good Housekeeping Plan? ❑ ❑ ❑ # Does the facility provide and document Employee Training? ❑ ❑ ❑ # Does the Plan include a list of Responsible Party(s)? ❑ ❑ ❑ # Is the Plan reviewed and updated annually? E ❑ ❑ ❑ # Does the Plan include a Stormwater Facility Inspection Program? 0 ❑ ❑ ❑ Has the Stormwater Pollution Prevention Plan been implemented? E ❑ ❑ ❑ Page 3 Permit NCG030660 Owner Facility Matlab Inc Inspection Date 1110312016 Inspection Type Compliance Evaluation Reason for Visit Routine Stormwater Pollution Prevention Plan Yes No NA NE Comment Inspector met with Press Brower and Colleen McLaughlin for Inspection of records and site review SPPP prepared by Leonhardt Environmental, PC out of Raleigh, NC They are contracted to provide annual update and conduct annual training along with annual site review to determine and correct any issues found Spill kits inspected monthly in-house No deficiency noted Page 4 NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Press Brower Matlab, Inc P 4 Box 2046 Asheboro, NC 27204 Dear Mr Brower Donald R van der Vaart Secretary July 8, 2015 Subject General Permit No NCG030000 Matlab, Inc Highway 49 South Campus COC NCG030660 Randolph County In accordance with your application for a discharge permit received on May 18, 2015, 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 Energy, Mineral, and Land Resources The Division may require modification or revocation and reissuance of the certificate of coverage This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Energy, Mining, and Land Resources, or permits required by the Division of Water 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 Richard Riddle at telephone number (919) 807-6375 Sincerely, ORIGINAL SIGNED W KEN PICKLE for Tracy E Davis, P E , CPM, Director Division of Energy, Mineral and Land Resources cc Winston-Salem Regional Office Central Files Stormwater Permitting Program Files Division of Energy, Mineral and Land Resources Energy Section • Geological Survey Section • Land Quality Section 1612 Mail Service Center, Raleigh, North Carolina 27699-1612 • Telephone 919-707-9200 / FAX 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet http 1/portal ncdenr oralwebllrl An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper /1b. STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO NCG030000 CERTIFICATE OF COVERAGE No NCG030660 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, Press Brower is hereby authorized to discharge stormwater from a facility located at Matlab Hwy 49 South Campus 1112 Highway 49 South Asheboro Randolph to receiving waters designated as Taylors Creek, a class C water in the Yadkin 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 July 8, 2015 This Certificate of Coverage shall remain in effect for the duration of the General Permit Signed this day July 8, 2015 ORIGINAL SIGNED Bl KEN PICKLE for Tracy E Davis, P E , Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission 4 Riddle, Rick L From Sue White <sues lig@gmail com> Sent Tuesday, July 07, 2015 1143 AM To Riddle, Rick L Subject Re Matlab Ramsuer Last mat lab ok to permit Sent from my iPhone > On Jul 6, 2015, at 12 56 PM, "Riddle, Rick L" <rick riddle@ncdenr gov> wrote > Thanks Sue for your response > I'll look for it soon after > Have a great week > Richard L Riddle Jr,Stormwater Engineer > NCDENR / DEMLR / Stormwater Permitting Program > 1612 Mail Service Center, Raleigh, INC 27699-1612 > 512 N Salisbury Street, Raleigh, NC 27604 > 919 / 807-6375, 919 / 807-6494 (fax) > Website http //portal ncdenr org/web/Ir/stormwater > 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 > -----Original Message ----- > From Sue White [mailto sues lig@g_mail com) > Sent Monday, July 06, 201512 55 PM > To Riddle, Rick L > Subject Re Matlab Ramsuer > Hi Rick > Going back there tomorrow or Wed Will get it then i > Sent from my iPhone >> On Jul 6, 2015, at 1145 AM, "Riddle, Rick L" <rick riddle a ncdenr Rov> wrote >> Hey Sue, >> Hope you had a nice holiday weekend >> There was a third Matlab location at 1112 Hwy 49 South, Asheboro Do you have that one to visit or someone else? 1 Riddle, Rick L From Riddle, Rick L Sent Wednesday, May 27, 2015 2 36 PM To Gantt, Matt Subject NCG030660 NOI MatLab Hwy 49 S Campus Attachments NCG030660 Matlab Plant -Hwy 49 NOI pdf Dear M Gantt Here is the third one and last one in the series Please review the attached NOI application and after your review respond to me with any recommendations for issuance of the permit I've also a location map for your review COC # Facility I Location City/County NCG030660 Matlab, Inc —Hwy 49 S Campus 1112 Hwy 49 South Asheboro/Randolph If you need anymore info, }Tease give me a call or email If you could send me your review or recommendation to issue the permit by 06/27/2015, I'd appreciate it, so I can issue their COC Thanks, and have a great day Richard Riddle �ulraad .L' ,$'eddPe � Sty �K yueeoi NCDENR / DEMLR / Stormwater Permitting Program 1612 Mail Service Center, Raleigh, NC 27699-1612 512 N Salisbury Street, Raleigh, NC 27604 919 / 807-6375, 919 / 807-6494 (fax) Webs►te http //portal ncdenr orgiweb/Ir/stormwater k marl correspondence to and frorn this address mai, he subjccl to the North Carolina Public Records tau and nrai he disclosed to lhtrd porlrc s M Matlab April 20, 2015 Stormwater Permitting Unit Program Division of Energy, Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Attention Tracy E Davis, P E , CPM Director Subject Matlab, Inc (Hwy 49 S Campus) 1112 NC Hwy 49 South Asheboro, North Carolina Stormwater Permit # NCG030000 Dear Ms Davis RECEIVED MAY 18 20415 DENR LAND QU/,LFTY STORMWATER PERN07ING Enclosed you will find completed Stormwater Permit Notice of Intent (NOI) It is requested that the permit be issued If any additional information or action is needed, please advise Sincerely, MATLAB, INC Press Brower VP of Engineering Division of Energy, Mineral and Land Resources Land Quality Section 1' National Pollutant Discharge Elimination System NCDENR C'A«ri-ccftw� a NCG030000 E.W*OMNEM -NO NWUs_ iiLxiFaCfm NOTICE OF INTENT I OR AGENCY USE ONLY Dale Received Year Monsh Da Cenifcaie of Coverage, e Parma A,& ed to '1 6 i-e National Pollutant Discharge Elimination System application for coverage under General Permit NCG030000 STORMWATER DISCHARGES associated with activities classified as SIC (Standard industrial Classification) 336 Rolling, Drawing, and Extruding of Nonferrous Metals SIC 3398 Metal Heat Treating RECEIVED 34 Fabricated Metal Products SIC 35 Industrial and Commercial Machinery SIC 36 Electronic and Other Electrical Equipment "AY 18 20I SIC 37 Transportation Equipment DENR LAND QUALITY SIC 38 Measuring, Analyzing and Controlling Instruments STORMWATER PEW0 i ING PIh For questions, please contact the DEMLR Regional Office for your area Seepage4 (Please print or type) 1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed) Name Matlab, Inc Street Address P O Box 2046 City Asheboro State NC ZIP Code 27204 Telephone No (336) 629-4161 Fax 336 626-3595 2) Location of facility producing discharge Name Matlab Inc Facility Contact Press Brower Street Address 1112 Highway 49 South City Asheboro State NC ZIP Code 27204 County Randolph Telephone No (336) 629-4161 _ Fax (336) 626-3595 Email pressb(d)matlabmc com 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) Route 40185 west to Route 85 South to Route 220 south to Highway 49 South (A copy of a county map or USGS quad sheet with the facility clearly located must be submitted with this application ) 4) Latitude 3.5_deg 44 48 05 N" Longitude -81 deg 21 46 48 _W (deg, min, sec) v Page 1 of 4 SWU 218 071408 last revised 712114 r' NCG030000 N O 1 5) This NPDES Permit Application applies to which of the following ❑ New or Proposed Facility Date operation is to begin X Fxisting 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 3479 7) Provide a brief narrative description of the types of industrial activities and products manufactured at this facility METAL COATING AND ENGRAVING 8) Discharge points 1 Receiving waters How many discharge points (ditches, pipes, channels, etc ) convey stormwater from the property? I What is the name of the body or bodies of water (creek stream river, lake, etc ) that the facility stormwater discharges end up in? Taylor Creek Receiving water classification C Is this a 303(d) listed stream? No Has a TMDL been approved for this watershed? No If the site stormwater discharges to a separate storm sewer system, name the operator of the separate storm sewer system (e g City of Raleigh municipal storm sewer) Asheboro 9) Does this facility have any other NPDES permits? X No ❑ Yes If yes list the permit numbers for all current NPDES permits for this facility 10) Does this facility have any Non -Discharge permits (ex recycle permit)? X 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 X Yes (Show any structural BMPs on the site diagram ) If yes please briefly describe Secondary containment, raw and waste materials sheltered from stormwater 12) Does this facility have a Stormwater Pollution Prevention Plan? ❑ No X Yes If yes when was it implemented? 13) Are vehicle maintenance activities occurring at this facility? X No ❑ Yes 14) Hazardous Waste a) Is this facility a Hazardous Waste Treatment, Storage or Disposal Facility? X No ❑ Yes Page 2 of 4 SWU 218-071408 Last revised 712114 ti NCG030000 N O 1 b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of hazardous waste? No X Yes c) Is this facility a Large Quantity Generator (1000 kg or more of hazardous waste generated per month) of hazardous waste? X No _ Yes d) Is hazardous waste stored in the 100-year flood plain? X 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 Flammable Liquids (D001) How is material stored In steel 55 gallon drums Where is material stored In secondary, containment, sheltered from Stormwater How many disposal shipments per year 4 Name of transport 1 disposal vendor GARCO, Inc Vendor address 2503 N Fayetteville Street, Asheboro, NC 27204 15) Certification North Carolina General Statute 143-215 6B (t) 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 rules 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) I hereby request coverage under the referenced General Permit I understand that coverage under this permit will constitute the permit requirements for the discharge(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 information is true, complete and accurate Printed Name of Person Signing Press Brower Title VP of Engineering (Signature ToApplicant) 4/20/15 (Date Signed) This Notice of Intent must be accompanied by a check or money order for $100 00, made payable to NCDENR SWU 218 071408 Page 3 of 4 Last revised 712114 r NCG030000 N O 1 Final Checklist This application will be returned as incomplete unless all of the following items have been included C 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 Program Division of Energy Mineral and Land Resources 1612 Mail Service Center Raleigh, North Carolina 27699-1612 Note The submission of this document does not guarantee coverage under the General Permit For questions, please contact the DEMLR Regional Office for your area DEMLR 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 712114 f "j.,} 35 deg 40' 42 98" N Figure 1 - Matlab, Inc Ma Llab _ Highway 49 South campus 6UAl!'lYCLL9fOMfIMi9HIN0 79 deg 51 19 55 W 9 Randolph County Site Location Map +dZ I � Sal k 49 1 k 4, { ag - 1I Rd � % �crw�ld r,i 8 w Nczl 14 f 412201 � 4 v* ~ f : 47 1 t i 15 A.licrosalY Corporx�hon Z015 Nokia. _ i, �t i "�F.i'.�tr � �_ � .' .� �`. r �` r a_"•'Y 'Si `+ti+ �i� �� '"•, J r + a+'�A ��'4 ; I - o �` y .h �� •ti .,. +, ` � • } ,., �..- Y��„ �, f y.: •. � ;. � �-._..-_,,�.-�y- • r �i'x _ t -. �� n, s:.= j s�'4r= � .. �,. .''� _ - 5:.4-.l : , - � ..i ~ . ,��<, �','y; . ,�, • y�:1 tti, a^a'� � t�� `�'� • •:`Y'•. _ ,�' ♦ � _ ,. a' � .lF: .-. r, . , ' � •�,.. r.�.. � �'� ', °'tip ; `� .r ! �• +� k h y / .� ..5� fit, 1 .. _ _ ; NV -'+r• . i - C .`!T'�i, - • 1 _ L r� _ _ ' �i'*�y+'" .a r•�T-�k3_a 1, 4. .t, tf Jam'-}aS �(. -;' '" ', � D • J . > n w wrF --Ts � . 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B .. n �� ^:' .- � f 1 �{ i � � �}Y` � � � ltCo"''�' � S4` xr s ' :,- 8g�> s 66 112/531 � P ;MAT"�� I NC. � .� Na HIGHWAY 49 S opPO BOX, 2046 x{4 a i 5 'ASHLBORO, NC 27204-204fi ~ t _ fb E � '.F N - aft '3;t`ti 't s Y9a �i to • _'��Y Day ONE HUNDRED AND 00/100 US'DOLLARS �r- -ex 1 NCDECNR "' 5'w V\ "'V, 1 `y STORMWATER-PERMITTING w ,w 1'� r ` 05/11/2015 —" **********10Q QQ UNIT PROGRAM TO x � � �� ` � � r .ray � � �' ' ,THE ,= f k�DMSION-OF ENERGY'MINERAL &LAND RESOURCES ORDERp-� t } , r c "?4' 1612 MAIL SERVICE CENTERS OF RA.LEIGiMNC, - { " ` 27699-1612 y M , _^5� 4 ' kl _ i r. - rx,sAl, AUTHORI{':r a� � ZED SIG 11106905131"