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NCG050419_MONITORING INFO_20180906
STORMWATER DIVISION COOING SHEET NCG PERMITS PERMIT NO. /V DOC TYPE 0- /HISTORICAL FILE L7 MONITORING REPORTS DOC DATE o aol53 0 0 l YYYYMMDD . 1 . vow WATERSENVIRONMENTAL, LLC � 1434 CHESTER ROAD • RALEIGH, NC 27608 • PHONE 919.219.5820 February 28, 2018 Mr. Bradley Bennett NCDBQ Stormwater Unit 1617 Mail Service Center Raleigh. N.C. 27699-1617 RJETC�j V ,;Fp 2018 ST fWA ER QU407y RECEIVED PERlr',NG Reference: Stormwater Discharge Sampling Report and SAP 20i$ Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. CENTRAL FILES 1241 Buck Shoals Road Dtl R SECTION F-lamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCG050419 Year 5- Period 2 Waters Edge Job No R 1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 5- Period 2 (January 1, 2018- June 30, 2018) 2018 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn cc,watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 18-0691PLR topozone �i_U�/M tl16XG� tR.yn . a q1� IIL f. 0.4 akWATERS EDGE ENVIRONMENTAL, LLC 366 07' 14"N, 80° 44' 08'W (WG584/NA093) r - T 0.8 1.2 1.6 2 mi toy Drawing Quad Qvad Date Tale project Lmation Map RI-15 xls Brooks X-rds 2000 No. Report Dare Figure Scale Projecr L)-dal I Inc. RI-I5 10/2812004 1 as shown Hamptonville, Forth Carolina Job No. Base Image Dale Tale Outfall Uvation Map with 2016 Building Addition fflkATERS EDGE ENVIRONMENTAL, LLC RI-15 Goo a Eanh 5.21 15 e 2 2015 File Name Figure Scale Project Lydall. Inc. SPCCISWP3 3 unknown IIamptonviIle. North Carolina V. Stormwater Discharge Outfall (SDO) Qualitative Monitoring .Report For guidance on filling out this form, please visit: http://h2o.enr.state.ne.us/su/Fornis_Documents.hou4miscfo_rms Permit No.: I N I C I GI 0� 5 10 10 10 10 I ' or Certificate of Coverage No.: I N� C I G 10 1 5� 0 14 11 19 Facility Name: Lydall Thermal/Acoustical, Inc. County: Yadkin Phone No. 336,485,8522 Inspector: Thomas Haynes Date of Inspection: 1.30.18 Time of Inspection: 11:30 AM Total Event Precipitation (inches): 0.24 Was this a Representative Stone Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event'' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature. I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1 Outfall Description- Outfall 001/002/003/004/005 No. Receiving stream: Unnamed Tributa Structure (pipe, ditch, etc.) of Rockv Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Drainage Swales and Pipes Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown Page I of 2 S W U-242-1 12608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 a 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: O2 3 4 5 7 is there any foam in the stormwater discharge? Yes No S Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the MAW]? es No 10 Other Obvious Indicators of Stormwater Pollution: list and describe Some erosion at 004 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 20 f 2 S W U-242-1 12608 �VAS Ei]C;L E1� VC R(;1��lVf f��I"C`,1C., LLC 4901 WATERS EDGE DRIVE, SuIrE 201 • RALEIGH, NC 27606 • PHONE 919.859,9987 + FAX 919.859.9930 December 18, 2017 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical. Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000. Certificate of Coverage No Year 5- Period 1 Waters Edge Job No RI-15 Dear Mr. Bennett: �r.����� 1„c;2RA�A�10� pR[JC��SiNG UKt NCGO50419 Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 5- Period 1 (July I, 2017- December 31, 2017) 2017 forms for the semi-annual site inspections at the Lydall facility located in Flamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn(c�t�walersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr, Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 17-0$3/PLR 36' 07' 14'N, 800 49' 08-W (WG584/NA083) Nopozone rr7+�1=+Sr-•27�it,girhl,aele.hc -�\` � �•y �.1 �.".w\ � �-'_.� /•' a L 7. ���~ • ` -- -.�~� ' "`+ "'t�ivU)3' ��- y I. f � ✓ •f� ! 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R1-15 10/2812004 1 as shmti m Hwuptonville, North Carolina _ _ - -� ykr,�• <� � fi e� ju ,j`�` yr- • �:Vim 4 1 � a � -� - � G'� � — `.. •- '' •e � '� "` - - f r 'ri: � ; '_ by � -. t .•.. ._ w'• a E. 4 f �S� Jrrr fit! a`r �.. may- �• ... ���:�.r .41�~4{2 Job No, Base Image Dare Trrle Outfall Location Map with 2016 Building Addition �TERSE ENVIRONMENTAL, LLC RI.15 Google Earth 5.2 1. 15 62,2015 -- File Name Figiu'e Scale Profecr Lydal I. Inc. 5PCC15WP3 3 unknown I-{amptonville, North Carolina 1 �yy t�4f•'Yt�� �:• ; I fff`G Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report hor guidanco on filling ow thi form. lVe(ase risil: ltttiz:l/h2o.enr.state.ne.us/su/Forms Doctiments.htu4miscforms Permit No.: I N I C I G1 0 15 10 0 0 10 11 or Certificate of Coverage No.: I N I C I G 10 15 10 14 11 19 Facility Name: Lydall Thermal/Acoustical, Inc. County: Yadkin Phone No. 336.485.8522 Inspector: Thomas Haynes Date of Inspection: 12.8-17 Time of Inspection: 9:30 AM Total Event Precipitation (inches): 0.13 Was this a Representative Storm Event'? (See information below) ® Yes ❑ No Please cheek),ourpermit to vcfif iJ'�iircrlitutive i IcJIT!lCJYili 11Tfist bL' CT 07'l1dG'Gl C7�IfriYT4,� u represenlutive storm event (requirements varj). r A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and i that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches Chas occurred. A single_ storm event may contain up to l0 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Outfall Description: Outfall 001 /002/003/004/005 No. Structure (pipe, ditch, Drainage Swales and Pipes etc.) Receiving stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red. brown, blue, etc.) and tint (light, medium, Clark) as descriptors: Light brown Page Iof2 S W U-242-1 12608 3 Odor: Describe any distinct odors that the discharge may have (i,e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where l is clear and 5 is very cloudy: ( 2 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I O 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O2 3 4 5 7 is there any imam in the stormwater discharge? Yes No 8 Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence oicrosion or deposition at the outfall? es No 10 Other Obvious Indicators of Stormwater Pollution: List and describe Some erosion at outfall 004 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 S W U-242-1 12608 } ; WA"I'I 1i5 L'I) F EN VIRGNNII NTAL, LLC 4901 WATERS EDGE DRIVE, SUITE 201 • RALEIGFI, NC 27606 • PHONE 919.859.9987 • FAX919.859.9930 December 18, 2017 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699- l 6l 7 Reference: Non-Stormwater Recertification Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road "qA' 0 2 2o13 Fla>nptonville, NC 27020 General Permit No NCG050000, Certificate of Coverage No Year 5- Period I Waters Edge Job No RI-15 Dear Mr. Bennett: N(, G 6,o �119 NCGO30595 In the above -mentioned permit, it states in Section A: I E that "The permittee shall recertify annually that the stortnwater outfalls have been evaluated for the presence of non-stormwater discharges." This would document our recertification for 2017 that all outfalls were not contaminated with other pollutants. l certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including; the possibility of fines and imprisonment for knowing violations. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn a watcrsedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC ND�ZCS't� ,]A Ii,ticfl�lhA�IL�taP��" Phillip L. Rahn President CC: Mr. Britton Smith, Lydall and NCDENR Stormwater Central Files (two copies) 17-083fPLR Y ,''�' WA'I'LIZS til�Gl; LNVIRONMENTAL, LLC r 901 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 • PHONE 919.859,9987 . FAx 919.859.9930 December 18, 2017 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Non-Stormwater Recertification Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road I-lamptonville, NC 27020 General Permit No NCG050000, Certificate of Covenioe No, NCGO30595 Year 5- Period 1 Waters Edge .lob No R I -15 Dear Mr. Bennett: In the above -mentioned permit, it states in Section A: l E that "The permittee shall recertify annually that the stormwater outfalls have been evaluated for the presence of non-stormwater discharges." This would document our recertification for 2017 that all outfalls were not contaminated with other pollutants. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete, l am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn r7watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC � �14- 11�e .1 ; /�c /4�,- Phillip L. Rahn President CC: Mr. Britton Smith, Lydall and NCDENR Stormwater Central files (two copies) 17-083/PLR WATERS EDGE ENVIRONMENTAL, LLC r 4901 WATERs EDGE DRIVE. SUITE 201 + RALEIGH, NC 27606 s PHONE 919.859.9987 . FAX 919.859.9930 December 18, 2017 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCG050419 Year 5- Period 1 Waters Edge Job No R 1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 5- Period 1 (July 1, 2017- December 31, 2017) 2017 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATI~RS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 17-083/PLR y i +�.��,_^''�•., y 361 07' 14%, 80° 49' 08-W (WGS64/NAD83) topozone _' {k�� �—. �� •' y �Gr•jtlltrY,LXA.!'�trin•yoebs�kC`�. 4 `4'.ti'..�..«'_"*� 1,�'"-�i-~`'� �` �. f • gaga:o,jf.. ; 'emZz s mg } Y% Subr, Lion;;;,fj E 1 � r � 'i �� �-,. ''� - ^' a c. v : e-•""� � ..a'.'`"e ''` l � 1 f� f.'ti`'*._ ,.,� ��" cif � � I. i.• �fJ. .� �� _ ; �rl, .l`I .�.. � Y• I � �� _�i ♦r i •`{:.. �Ir� '� // `* r '`i r ! _ / �•, $ ar er - �' it . 4i �+` •'� t? l_. ` a Jr � � d r � n� ~• " -� 421 '+-� : I�lG3� `j �,, ]J_ . -� I., � EI j �. ator Tin 0 f� � 4 � � � �; �-'�`` s �i�---��.j(.. �p• SITE �—" _�..�. ". ,,.,_ '`+ ,,,• r . `"1 �.._.-- �,��.' � _� rU e r vTT w f .1 . ,1'+ `„' i 3 ► r r � L ' 'd ���/jf., � t�✓` }/..,�.i'� :: c � x roc # �. �{ •°`' � /! �':, � �s ��, __.,.�� I IN �� . " I' "'�...{! /i rr `wt \. I 1 L� • ` S ". `Y 1-1 :.`,� rA 0 0.4 0.8 1.2 1.6 2 mi L Author Drawing Quad Quad Dare True Project Location Map �TERSEDGE ENVIRONMENTAL, LLC I RI-15.xis Brooks X-rds 1 2000 - Job No, Report Dale F'igirre Scale Project Lydell Inc. R1-15 10/28/2004 1 as shown I Hamptonville, North Carolina L �� 3 yu✓� n "' }'f " - ` ,'�...`-^` 4• �. �`^"' ; .a." -TJ A- `�-ill `E'� t -:'_ '•..,'9� 5 r vy i � "_ •� '.r .ilk. `e.,,xi -� _ "`'p-,�,`w^ 4 s' , �'. p .., ."�• ��'7 ntiomv o = $ a yr, �1-3 DpF* , a. S AWy °-".'c'�<PF -.4•, dr i' .: q � e �t -77 .� .� e . n rod` V. Idol ' h 7- 3�,.'"' i i 1 iF �. ®®4 _ dk I l'�'�.. #� t+. 3 � �9' •.. �. [ g . itPi '!jq POW 2 " s' i Job No. Base Image Dare Title Outfall Location Map with 2016 Building Addition M� WATERS EDGE ENVIRONMENTAL, LLC R1-15 GoogleEanh5.23.15 1 6.2.2015 File Name Figure Scale Project Lydall, Inc. SPCC/SWP3 3 unknown Hamptonville, North Carolina a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt :1 h2o.enr.state.nc.us/su/Forms Documents.htm miscfarms Permit No.: ` N 1 C I G 1 0 1 5 1 0 1 0! 0 1 0 or Certificate of Coverage No.: ': N 1 C 4 G 10 1 5 j, 0 4 1 1! 9 Facility Name: Lydall Thermal/Acoustical, Inc. County: Yadkin Phone No. 336.485,8522 Inspector: Thomas Haynes Date of inspection: 12.8.17 Time of Inspection. 9:30 AM Total Event Precipitation (inches): 0.13 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your pernnit to verify if Qualitative Monitoring must he performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: Z, ;zz (Signature of Pernittee or Designee) l Outfall Description: Outfall 001/002/003/004/005 Structure (pipe, ditch, Drainage Swales and Pipes No. etc.) Receiving Stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic Colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Liaht brown Page lof 2 SWU-242-112608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the, number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: O 2 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 O 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: Ol 2 3 4 5 7 Is there any foam in the stormwater discharge? Yes No 8 Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the outfall? es No 10 Other Obvious Indicators of Stormwater Pollution: List and describe Some erosion at outfall 004 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 SWU-242-112608 d J r . Y" MWATERS EDGE ENVIRONMENTAL, AL, LLC 4901 WATERS EDGE DRIVE, Su1TE 201 • RALEtGrt, NC 27606 + PHONE 919.859.9987 • FAx 919.859.9930 August 8, 2017 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydalt Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCGO50419 Year 4- Period 2 Waters Edge Job No R1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 4- Period 2 (January 1, 2017- June 30, 2017) 2017 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919,219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 17-054/PLR 36* 071 iWN, 801 49' OB'W (WGSB4/P4AD83) • t N, T �onte Jill 103 n vuvr Nj r6 ell Y4. Subs6fiDn # JCP it 13 ri fJ Mader J z 13 SITE N N Ti — 7fF k._ I L160 M \J( r -N� 7 (A 0) Ax fN r 0 0.4 0.8 1.2 1.6 2 mi Author Drenving Quad Quad Date Title Project Location Map MWATERS EDGE ENVIRONMENTAL,, LLC RI-15..xls Brooks X-rds 2000 Job No. Report Date Figure scale project Lydall Inc. RI-15 If)/28/2004 I a Hamptonville, North Carolina 1 5 shown I �ab E �.; s' _ 'i^ %w."�; "$ _. '-�fw.�'� �,�,�y..aC .,L e 3 P �-•��w"'�,'"'�.` �..,� .-x«^r...P^.... aU4w sr. q Y NEI � .�i .� •vzi .+ u j � ^F �v 'fir �. 'a•V � v. is,� F! _� � ` . ✓^` � erg' �i� - 4 „ i f +�'� � 3's .x�� ' ` "4 � � r .v. `� �«- -�. �� Y -���-:- a�a�� � :��• � � FEbers Building � � �:- �`� � � - r e4 IXgVy� ^ K a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfllingout thisform, please visit: http://h2o.enr.state.nc.us/su/Forrns Documents.htm#miscforms Permit No.: I N 1 C 1 GI 0 15 10 10 1 0 .0 I or Certificate of Coverage No.: N I C I G 10 15 _I 0 14 1 1 19 Facility Name: L dall Thermal/Aebustical, Inc. County: Yadkin Phone No. 336.485.8522 Inspector: Thomas Haynes Date of Inspection: 3.1.17 Time of Inspection: 11.30 AM .Total Event Precipitation (inches): 0,47 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verb if Qualitative Monitoring must be performed during a representative storm event (requirements vary). 1 A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches I has occurred. A single storm event may contain uD to 10 consecutive hours of no orecioitation. , By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: �Z z. (Signature of Permittee or Designee) 1 Outfall Description: Outfail 001/0021003/004/005 Structure (pipe, ditch, Drainage Swales and Pipes No. etc.) Receiving Stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown Page t of 2 S W U-242-112608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 20 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 ZO 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 O 3 4 5 7 Is there any foam in the stormwater discharge? Yes No 8 is there an oil sheen in the stormwater discharge? Yes No 9 is there evidence of erosion or deposition at the outfall? es No 10 Other Obvious Indicators of Starmwater Pollution: List and describe Some erosion at outfall 004 Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 SWU-242-112608 'ftWAT EDGE E�1VIRnNMENT AL, LLC 901 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NG 27606 • PHONE 919.859.9987 . FAX 919.859.9930 October 25, 2016 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCG050419 Year 4- Period 'I Waters Edge Job No R1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 4- Period 1 (July 1, 2016-December 31, 2016) 2016 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The facility has successfully changed from a NCG03 General Permit to NCG05 which is just qualitative requirements. Also, due to planned building expansions, there have been three additional outfalls added to the facility (Out&ll 003, 004 & 005- see Figure 2). We have now updated the Stormwater Pollution Prevention Plan which is kept on file at the facility. The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 16-076/PLR "_10POZOns OW &UPS so mb bu - . I too, I 36' 07' 14"N, E301 49- 08-W (WGS84/NAD83) AN m4xjlLi.Yk W ckJ 0 0.4 0.8 1.2 1.6 2 ml Authnr Drawing 0 "d Q --d DaleDale17-1k Projed Location Map WATERS ENMONNIENTAL, LLC RI-15.h 1BrooksX-,& I2000 Jnh N". PeporrDale Figure Scale Project Ly"I Inc. RI-15 10/28/2004 1 1 as Hamptonville, North Carolina Retention Pon6*1 opt low 0 . 0 0 tention and #3 B.,, Image Dwe Outfidl Location Map with 2016 Building Addition WATERS EDGE EN-WRON'MENTM, LU RI-15 Gglebuth5,21.15 -ale 6.2.2015 IFile Name Figure P—ject Lydall, Inc. SPCCISWP3 3 Urd=W I Haniptcaville, N(mlh Carolina Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://h2o.cnr.state,ne.us/su/Ponns_Documents.htm9miscforms Permit No.: ' N I C I G 101 5 10 10 10 10 1 or Certificate of Coverage No.: 1_ N j_C ' G_j 0 15 10 14 1 1 19 Facility Name: L dall Thermal/Acoustical Inc. County: Yadkin Inspector: _ Thomas Haynes Date or Inspection: 9.27,16 Time of Inspection: 10.30 AM Total Event Precipitation (inches): 0.46 Phone No. 336.485,8522 Was this a Representative Storm Event? (Sec information below) ® Yes ❑ No Please check your pertnit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event treasuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Outfall Description: Outfall 001 /002/003/004/005 No. Structure (pipe, ditch, Drainage Swales and Pipes etc.) Receiving Stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brawn, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown Page I of 2 SWU-242-112608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: O 2 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O 3 4 5 b Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where i is no solids and 5 is extremely muddy: 0 2 3 4 5 7 is there any foam in the stormwater discharge? Yes No 8 is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the outfall? es No 10 Other Obvious Indicators of Stormwater Pollution: List and describe None noted Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 SWU-242-112608 r;f fM_WATERS EDGE ENVIRONMENTAL, LLC 4901 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 . PHONE 919.859.9987 . FAx 919.859.9930 RECEIVED June 4, 2015 JINN 15 2015 Mr, Bradlee Bennett CENTRAL FILES NCDENR Stormwater Unit DWR SECTION , 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCG050419 Year 2- Period 2 Waters Edge Job No R1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period 2 (January 1, 2015- June 30, 2015) 2015 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The facility has successfully changed from a NCG03 General Permit to NCG05 which is Just qualitative requirements. Also, due to planned building expansions, there have been two additional outfalls added to the facility (Outfall 003 & 004- see Figure 2). We have updated our Stormwater Pollution Prevention Plan which is kept on Cie at the facility. The Discharge Oulfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@NN,atersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Eric Evans- Lydall Thermal Acoustical and NCDENR Stonnwater Central Filcs (two copies) 15-052/PLR tad � 0.4 WATERS EDGE ENIARONMENTAL, LLC 0.8 1.2 1.6 360 07' 14"N, 800 40' 08"W (W for Drawing Quad Quad Date Tade RS-15.xls Brooks X-rds 2800 ,Vp, Report Date Figure Scale project RI-15 10128'2003 1 asehown n1 Project L m ion Map Lvdal I Inc. nptonville. North Carolina vw A � • _ e_ ` +T +fir �'��.+. o y"' ��- 4kk iv d�'7 X �'$;• " '�tyb •J"{.F �:., � !'�ry �W ,� •'� � �.t� ���E .i �y�'Oa�iltat�•��k� 'tn_�',.wy- S+� �.: � f • �: f Ell ti� T. •�r•wrt�vs . sly t s•' at 4� M d ����= w��� ;:�•� ;�. `,�''•.'�a. �;a•.. '"�� 4: ode•,, rS �.� at J dF1A w isms*y! a`s .. 'tevs a^; - Pn +.h:,: :}.'a�7.,w_o� ,$S`w7: -µf r f .s, ji W., P9 li ,a'�'ti' --•-S ' w aiSr�_ f .yf- �'Ti , -'wT+� s.,-"'�`-c�-•+„ry ..� • ( �' � � ��--�."'� - t %fir^=,--, y �' i t ��•-,5.: � t�i+ �n {.S - •- as ����,� R;t arm -�.+�� '�i� � ��. '`•F �• �,s.`3a+.. -.cK� � N. 1Y :� rr._ tis4 F� �w" "� r 1" •��`dj S �< Q M'W �' �• S•t�� _3 1� f �� E�!} 4-� � IF. t _ .� �Lvtr M Q M�'AT JobNo, Base Image Tlrle Oulfall Location MapERS EDGE ENV1RONti•1ENTAL. LLC RE-15 Yadkin CoGiS E671:015 File home Figure (Scale Project Lvdall: Inc. z unknown Harnptonville. North Carolina Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out this form, please Wsil: httn:a2o.enr.state.ne.us/su/Forms llocuments.h(M#,miscforms Permit No.: I N I C I G1 O 1510 10 10 1_2_j or Certificate of Coverage No.: I N I C I G 10 15 10 14 11 19 � Facility Name: 1_ydall Thermal/Acoustical, Inc, County: Yadkin Phone No. 336.485.8522 Inspector: Thomas Haynes ' Date of Inspection: 3.19.15 Time of Inspection: 11:20 AM Total Event Precipitation (inches): 0.22 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please chec'k3,our permit to verify ifQualitativu MQMwring Hatst be performed chlring a representative storm e►rent (requirements }rac)). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has i i occurred. A single storm event may contain uo to 10 consecutive hours of no orecioitation, By this signature. I certify that this report is accurate and complete to the best of my knowledge: WE (Signature of Pcrmi(tce or Designee) 3 Outfall Description: Outran No. 001/002/003/004 Stnicture (pipe; ditch; Drainage Swale and Pipes etc.) Receiving Stream: Unnamed Tributary of Rocky Branch Describe flit uidustriai activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (ight, niedium, dark;) as descriptors: Light brown Page I of 2 S WU-242-112(1011 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number .vhich best describes the clarity of the discharge, where i is clear and 5 is very cloudy: 1 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: O2 3 4 5 7 Is there any foam in the stormwater discharge? Yes No 8 Is there an oil sheen in the stormwater discharge? Yes 4 Is there evidence of erosion or deposition at the outfall? Yes No 10 Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 SWU-242-112608 v WATERS EDfGE� ENVIRONMENTAL, LLC i 49 1 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 • PHONE 919.859.9987 . FAX 919-859.9930 November 19, 2014 L5 Q20 Mr. Bradley Bennett DNCDENR Stormwater Unit 16l7 MaiI Service Center DENR 401 & Raleigh, N.C. 27699-1617 Reference: Storm water'Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCGO50419 Year 2- Period l Waters Edge Job No R 1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters'^Edge) is pleased to provide two copies of the Year 2- Period 1 (July 1, 2014- December 31, 2014) 2014, forms for:the semi-annual site inspections at the Lydall facility located in Hamptonville, Nortli,.Carolina (sec Figures 1-2). The facility has successfully changed from a NCG03 General''Perhiif. to NCG05 which is just qualitative requirements. The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any'"additional information, please contact me at 919.219,5820 or at prahn@watersedgeenv.com... Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Jose Concepcion/Joe Abbruzzi, Lydall and NCDENR Stormwater Central Files (two copies) 14-097/PLR 360 07' 14"N, 900 49' 08'W (WG884/NAD83) f1 W � • � � � �+ � r � ,--fir ,• t • s ! 13 E 4+ er, J 'cb LN uI SITE ester Tan 'v ri rf 0 I li 111rrrJ f� 1 i 0 0.4 0.6 1.2 i.5 2 Mi Author Draiefng Quad Qmd Dane Title �TERSEDGE ENVIRONMENTAL, LLC R1-15 xls Brooks x-rdg 2000 Project l.ocatian Map Jab NO. Report Date Figure Scale Project Lydall Inc. RI-I5 10/28/2004 1 as shown Hamptonville, North Carolina S-001 _E Metals Plant Storage Shed Metals Fibers Plant Air Compressors Fibers West Entt MM4arking lot _Oil Storage Dike Fibers Front Oil Storage Shed, Metals South Air Compressors Fibers South -1 Lydall Thermal Acoustical Figure 2 for Stormwater Plan 2010 Hamptonville, MC scale 1" = 121Y Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onflling out thisform, please visit: httn://h2o.enr.state.nc.us/su/Forms_ Documents.htm#miseforms Permit No.: I N I C I G 0 15 1 0� 0 10 1 .9_j or Certificate of Coverage No.: 1 N I C j G 10 15 10 E 4� 1 19 Facility Name: Lydall Thermal/Acoustical, Inc. County: Yadkin inspector: Thomas Date of Inspection: Time of Inspection: h_ aynes 10.15.14 11:20 AM Total Event Precipitation (inches): 0,76 Phone No. 336.485.8522 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event'' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: -;i��& ;-7iKz (Signature of Permittee or Designee) I Outfall Description: Outfal] No. 001/002 Structure (pipe, ditch, etc.) Drainage Swale Receiving Stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown Page I of 2 S WU-242-1 12b08 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: la 2 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 1 O2 3 4 5 b Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 () 4 5 7 Is there any foam in the stormwater discharge? Yes No 8 Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the outfall? Yes No 10 Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S WU-242-1 12608 M��Z!0�4901 EENVIRONMENTAL, LLC WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 •PHONE 919.859.9987 •Fax 919.859.9930 February 5, 2014 Mr. Bradley Bennett NCDENR Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 RECEIVED N.C.Dept. ofENR FEB 10 2014 Winston-Salem R iortLo ce Reference: January 2014 Monthly Stormwater Discharge Sampling Report, Stormwater Discharge Outfall Monitoring Report and Tier I Response Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG030000, Certificate of Coverage No. NCG030595 Year 2- Period 1 Waters Edge Job No Rl -15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period 1 (January 2014) 2014 forms for the January 10, 2014 monthly site inspections and discharge sampling at the Lydall facility located in Hamptonville, North Carolina (see Figures 1- 2). The Discharge Outfall Qualitative Monitoring Report and DMR are included in Appendix A with analytical results included in Appendix B. This Tier 2 monthly sampling is due to three consecutive benchmark exceedances at the facility. Based on the results, we had the following exceedances at Outfall-001 and Outfall 002: Outfall 001 • Copper detected at 0.0129 mg/L versus a benchmark at 0.007 mg/L Lead detected at 0,0438 mg/L versus a benchmark at 0.03 mg/L o Zinc detected at 0.0976 mg/L versus a benchmark at 0.067 mg/L Outfall 002 a Copper detected at 0.0101 mg/L versus a benchmark at 0.007 mg/ We have conducted a Tier 1 inspection and saw no unusual or visual indicators that would contribute to these benchmark exceedances. As previously reported, we have conducted soil sampling and detected naturally occurring levels of copper in the soil which could be a contributing factor. However in an effort to examine the source of these exceedances, we are proposing the following: Stormwater Discharge January 2014 Monthly Sampling Report and Tier 1 Response Lydall Thermal/Acoustical, Inc. Hamptonville. NC Page 2 of 2 February 5. 2014 1. We will test some of the rainfall downspouts to determine if they are a potential source of the exceedances for both outfalls. 2. During the next rain event, we will examine whether there is any runoff emanating from the air compressor area at Fibers West and if so, what measures could be implemented to contain this discharge. 3. During the next sampling event, we will collect additional samples which will be filtered to determine whether that would be a successful means of mechanical treatment for the past exceedances of TSS and metals. 4. During the next sampling event, we will conduct both upgradient and downgradient surface water sampling of the receiving stream to determine if the Outfall discharges are contributing in any measurable impact. Based on the permit conditions, this Tier 1 response was recorded in the SPPP including the date and value of the benchmark exceedance, the inspection date, personnel conducted the inspection, the selected actions and the date the selected actions were implemented. We understand that the facility is required to conduct an additional monthly sampling and proceed to Tier 3 permit requirements. This correspondence has been copied to the NCDENR Winston- Salem Regional Office to determine if there are other recommended ameliorative measures to consider. It is our belief that with the measures described above, we will be able to identify a potential source and be better able to reduce these benchmark exceedances. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC -oleo -A 7Z0004"I Phillip L. Rahn President ec:Jose Concepcion, Lydalll NCDENR W-S OfficeINCDENR Stormwater Central Files (two copies) 14-0121PLR Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 1.31.14 CERTIFICATE OF COVERAGE NO. NCG030595 SAMPLE COLLECTION YEAR _2014_ FACILITY NAME Lydall Thermal Acoustical SAMPLE PERIOD ❑ Jan -June July -Dec COUNTY Yadkin or ® Monthly' January (month) PERSON COLLECTING SAMPLES T. Haynes DISCHARGING TO CLASS ®ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace_ Lab Cert. # _37706_ Comments on sample ❑Zero -flow ❑ Water Supply []SA collection or analysis: None ❑Other Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?I Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks =_=> - - 100 mg/L or 50 mg/L` 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 1110/14 0.73 26.4 6.59 0.0129 0.0438 0.0976 ND NA 002 1/10/14 0.73 56.7 6.36 0.0101 ND 0.0461 ND NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 7for sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. `See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. s Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (70), 1 certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the Stormwater or areas which are exposed to rainfall or Stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Jose R. Concepcion Name (Print name) Environmental Health and Snfeiv hlana er Title (Print title) . , 213114 (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part 8: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n No discharge this period? Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar o&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> 15 mg/L 100 mg/L or 50 mg/L• 6.0 — 9.0 SU Footnotes from Part A also apply to this Part 8 ' See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: li/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 9: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ®NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: _Tom Yocum ( Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring_period in the case of "No Discharge" reports) to. Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of law, that this document and all attachments were prepared under my direction or supe rvision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person cr persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware th,4 theigm enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." •� • • •�� 2/3/2014 (Signature of Perm, ee (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: htt ://h2o.enr.state.nc.us/sulForms Documents. htm#miscforms Permit No.:!, N E C! GI 0 1 3 j 0 1 0 0 1 0 1 or Certificate of Coverage No.: 1 N I C I G 1 0; 3 10 15 19 15 Facility Name: Lydall Thermal/Acoustical, Inc. County: Yadkin Phone No. 336.485.8522 Inspector: Thomas Haynes Date of Inspection: 1.10.14 Time of Inspection: 10:30 AM Total Event Precipitation (inches): 0.73 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). ------.......--._.._-..-..._-............ .......--............ ......---- - - _ -_ __-.-....--............... ...-...-.-........-.-.... -- - — - A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation By this signature, I certify that this report is accurate and complete to the best of my knowledge: ;i��� 2,"l (Signature of Permittee or Designee) 1 Outfall Description: Outfall No. 001/002 Structure (pipe, ditch, etc.) Drainage Swale Receiving Stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Liaht brown Page 1 of 2 S WU-242-112608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O 2 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the ston»water discharge, where l is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 G Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: ]O 2 3 4 5 7 Is there any foam in the stormwater discharge? Yes No S Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the outfall? Yes No 10 Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S Wli-242-112608 _I eAnalXical www.paaala6s.cam February 03, 2014 Mr. Phil Rahn Waters Edge Environmental 4901 Water's Edge Drive Suite 201 Raleigh, NC 27606 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 RE: Project: Lydall Pace Project No.: 92186095 Dear Mr. Rahn: (336)623-8921 Pace Analyt[cal Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254.7176 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on January 13, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, Terri Page terri.page@pacelabs.com Project Manager Enclosures 6p�A�o, REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, fnc.. Page 1 of 12 aceAnalytical" wwwpacelabsmm E I Project: Lydall Pace Project No.: 92186095 Pace Analytical Services, Inc. Pace Analytical Serv"s, Inc, 205 East Meadow Road - Suite A 2225 Riverside Dr, Eden, NC 2728E Asheville, NC 28a04 (336)623-8921 (828)254-7176 CERTIFICATIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 2807E (704)B75-9092 Charlotte Certification We 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 FloridalNELAP Certification #: E87627 North Carolina prinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 12 _I eAnalytical Hww.pace,�a6s.corr+ J Project Lydall Pace Project No.: 92186095 Lab ID Sample ID 92186096001 O utfal l 001 92186096002 Otitfall002 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Or, Asheville, NC 28604 (828)254.7176 SAMPLE SUMMARY Matrix Date Collected Water Water 01/1011412:30 01/1011412:00 Date Received 01/13/14 09:10 01/13/14 09:10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Nuntersville, NC 28078 (704)875-9092 Page 3 of 12 aceAnalyticalo wmr,pace{abs.com I Pace Analytical Services, Inc. 205 East Meadow Road -Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 KinceyAVe. Suite 100 Huntersville, NC 28078 (704)875.9092 Project: Pace Project No.: Lydall 92186095 Analyses Lab ID Sample ID Method Analysts Reported Laboratory 92186095001 Outfall 001 EPA 1664E CLW 1 PASI-C EPA 200.7 JMW 3 ' PASI-A SM 2540D DAS 1 PASI-A 92186095002 Outfall 002 EPA 1664E CLW 1 PASI-C EPA 200.7 JMW 3 PASI-A SM 2540D DAS 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical services. Inc.. Page 4 of 12 aceAnalytircal svxw.perelabs.cvm r I Project: Lydall Pace Project No.: 92186095 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 2728a (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (82B)254.7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite100 Huntersville, NC 29078 (704)875-9092 Sample: Outfall 001 Lab ID: 92186095001 Collected: 01110/14 12:30 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MDL DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Gil and Grease ND mg/L 5.0 1.1 1 01115/14 10:17 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper 12.9 ug/L 5.0 0.30 1 01115/14 09.10 01116114 20:58 7440-50-8 Lead 43.8 ug1L 5.0 4,0 1 01/15/14 09:10 01/16/14 20:58 7439-92-1 Zinc 97.6 ug1L 10.0 0.40 1 01/15/14 09:10 01/16/14 20:58 7440-66-6 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 26.4 mg1L 5.0 5.0 1 01115/14 21:04 Sample: Outfait 002 Lab ID: 92186095002 Collected: 01/10114 12:00 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MpL DF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Gil and Grease 200.7 MET ICP Copper Lead Zinc 2540D Total Suspended Solids Total Suspended Solids Date: 02/03/2014 10:31 AM Analytical Method: EPA 1664E ND mg1L 5.0 1.1 1 01/16/14 10:17 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 10.1 ug1L 5.0 0.30 1 01115114 09:1D 01/16/14 21:21 7440-50-8 ND ug/L 5.0 4.0 1 01/15/14 09:10 01/16/14 21:21 7439-92-1 46.1 ug/L 10.0 0.40 1 01/15/14 09:11) 01/16/14 21:21 7440-66-6 Analytical Method: SM 2540D 56.7 mg1L 8.3 8.3 1 01/15/14 21:04 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc-. Page 5 of 12 aceAnallytical" svHu.pacek�4s.axm 1 Project: Lydall Pace Project No_: 92186095 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA QC Batch: GCSW16435 Analysis Method: EPA 16649 QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92186095001, 92186095002 METHOD BLANK: 1121262 Matrix: Water Associated Lab Samples: 92186095001, 92186095002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 01/15/14 10:09 5 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntemville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE & LCSD: 1121263 1121264 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Oil and Grease mg/L 40 33.0 37,9 82 95 78-114 14 30 Date: 02/03/2014 10:31 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical wrru;uac�elabs.com Project: Lydall Pace Project No.: 92186095 Pace Analytical Sery lees, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Or. Asheville, NC 28804 (828)254.7176 QUALITY CONTROL DATA Pace Analytical Services, Inc. 9600KfnceyAve. Suite100 Huntersville, NC 28078 (704)875-9092 QC Batch: MPRPJ15045 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92186095001, 92186095002 METHOD BLANK: 1121240 Matrix: Water Associated Lab Samples: 92186095001, 92186095002 Blank Reporting Parameter Units Result Limit Analyzed Quallfiers Copper ugfL ND 5,0 01/16/14 20:05 Lead ugfL ND 5.0 01/16/14 20:05 Zinc ugfL ND 10.0 01/16/14 20:05 LABORATORY CONTROL SAMPLE: 1121241 Spike LCS LCS % Rec Parameter Units Conc, Result % Rec Limits Qualifiers Copper ugfL 500 495 99 85-115 Lead ugfL 500 491 98 85-115 Zinc ug1L 500 496 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE' 1121242 1121243 MS MSD 92185976009 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD RPD Qual Copper ugfL 23.9 500 500 528 526 101 100 70-130 0 20 Lead ugfL ND 500 500 482 482 96 96- 70-130 0 20 One ugfL 173 500 500 678 670 101 99 70-130 1 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121244 1121245 MS MSD 92186114003 Spike Spike MS MSD M5 MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Copper ugfL 0.16 500 500 655 639 99 96 70-130 2 20 mg1L Lead ugfL ND 500 500 476 470 95 94 70-130 1 20 Zinc ugfL 7.5 500 500 7820 7560 66 13 70-130 3 20 M1 mgfL REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/03/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 aceAnalyiical e v wrxvga�abs.rnm r I Project: Lydell Pace Project No.: 92186095 Pace Analytical Services,Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)2$4.7176 QUALITY CONTROL DATA Pace Analytical Services, Inc. ` 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704 )875-9092 QC Batch: WETI29102 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description; 2540D Total Suspended Solids Associated Lab Samples: 92186095001, 92186095002 METHOD BLANK: 1122068 Matrix: Water Associated Lab Samples: 92186095001, 92186095002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg1L ND 2.5 01/15114 20i57 LABORATORY CONTROL SAMPLE: 1122069 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec. Limits Qualifiers Total Suspended Solids mg/L 250 248 99 80-120 SAMPLE DUPLICATE: 1122070 92186360001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 33.0 47.6 36 10 D6 SAMPLE DUPLICATE: 1122071 92186079002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL 18.0 17.1 5 10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/03/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical Y wrnv paealaGs.ca�r i 1 Project: Lydalt Pace Project No.: 92186095 DEFINITIONS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)G23-8921 QUALIFIERS Pace Analytical Services, Inc. 2225 Riverside Dr, Asheville, NC 28804 (828)254.7178 Pace Analytical Services, Inc. 9800 KincayAve. Suite 100 HuntersvWe, NC 28078 (704)875-9092 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of the sample aliquot, or moisture content, ND - Not Detected at or above adjusted reporting limit. J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL- Adjusted Method Detection Limit, PRL- Pace Reporting, Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene. Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values. LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference INC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS Tnis report shall not be reproduced, except in fuli, Date: 02/0312014 10:31 AM without the written consent of Pace Analytical Services, Inc., Page 9 of 12 aggkaVical www:paceiabs.= 1 Project: Lydall Pace Project No.: 92186095 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 272BB (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunteril lle; NC 28078 (704)875-9092 Lab ID Sample ID QC Batch Method QC Batch Analytical Method Analytical Batch 92186095001 Outfall 001 EPA 1664B GCSV116435 92186095002 Outfall 002 EPA 16646 GCSVl16435 92186096001 Outfall001 EPA200.7 MPRP115045 EPA200.7 ICP/13663 92186095002 Outfall 002 EPA200.7 MPRPI15045 EPA200.7 ICP113663 92186095001 Outfall 001 SM 25400 WET129102 92186095002 Outfall 002 SM 25400 WETY29102 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02103/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 10 of 12 Document Name: Sample Condition Upon Document Revised: March 13, 2013 Receipt(SCUT Page 1 of 2 'Document No,: Issuing Authorities: F-EDN-CS-403-rev.09 .. Pace Eden Quaff' Office . Client -Name: \refs- , F.AC Where Recelved: ❑ Huntersville 0 Asheville. Eden []'Raleigh Courier (circle): Fad Ex UPS LISPS C i n Commercial - Pace Other Custody Seat on Cooler/Box Present: [jyes ❑ no Seals.Intact: ❑ -yes [I no Packing Material: 03ubble Wrap 28ubble Bags ❑ None I] Other Thermometer Used: iR Gurt ED007 „Type, oP,lce; W Blue,._ None._ . _ Sampfes.an ice, cooling process has taguq Tema Correction Factor! Ad'&/Subtract 61 f - . C Correcbd Cooler Temp.: C 'Pomp should be above freezing to WC Sloto ical sue Is Froian; Yea Na NIA S Comrrtents: Cate and Initials of persq ex nin9 . contents: f Chain of Custody Present: 12(Yes. ❑No ❑WA 1. Chain of Custody Filled Out: EYes QNo ON1A 2. Chain of Custbdy Relinquished: UrYes Ohio. ❑WA 3. . Sampler Name & Signature on COO: 16Y'es. ❑No, ©WA 4, Sam les Arrived within Hold Tlme., ,Elves ❑No ' C]WA 5, Short Held Time Analysis e12hr : [3ves -F fNo - ❑NIA 6. Rush Turn Around .Time Ra uested: C Yes . 6No ❑NIA 7, Sufficient Volume:. IVYes ONo -OWA 8: Correct Containers Used:. -Pace Containers Used: 2ryes 014. 6Yes IJNo . 0NIA ❑NIA 9, Containers Intact: WrYes ONo , OWA 10. Filtered volume received -for Dissolved tests '❑Yes ONo 0N/A 1'1. Sample Labels match COO; -Includes date/tlmDAD/Analsis • Matrix: fd"res ONO 0N1A 12. All containers needing pro servatlon have been checked, All containere needing preservatlon are found to be In compflance with EPA recommendation. exoe bons: VOA, conform, TOC, O&Q, WWR0 ete ZYes ONo ZYes ONo DYes •❑No ©WA ©WA 13. C— Initial when com Bled . Sarn les checked for dechlorinatlon: ' Oyes ❑No CTWA 14. Heads aoe In VOA -Vials >6mm : O.Yea ON, . TWA 15.. . Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # If urchased : ❑Yes ONo. CiYea ONo VWA �i}FtlA 10, Client Notificatlon/ Resolution: Field Data Required? Y I. N ' Person Contacted: DatelTime: Comments/ Resoiutton: SCURF Revlew: Date: SRF Review: Date: Note: Whenever there is a discrepancy affecting North Carolina oomplian samples, a copy of this form will be sent to the North Carolina DEHNR Cerl)floadon Office ( Le out of hold, incorrect preservative, out of temp, Incorrect containers) Place label here OR Handwrite project number. ' (if no label available) Page 11 of 12 aceAnalytkal* CHAIN -OF -CUSTODY / Analytical Request Document' The Chain -of -Custody is a LEGAL DOCUMENT. Ali relevant fields mutlt be completed Section A Section 8 Section C. Required Prokact Info��rnatiorl: Invoice Wolmatfort: Campsny: Report To: Attention:'-. 4�4&725�0 . 1. -157 1700 Address: Company Name: Copy To-, RE LATORY�AGEW&'�' A) - NPDEs r GROUND WATER F' DRINKING WATER LIST r. RCRA OTHER Email To: Ad Purchase order No,: Pam owt . . Refena n w-L Phone: Tax: jProjoctNataw A* Requested D,j&0aWTA1--, Project Number plarild, rob 'IRi -t d Analysis F Section 1) MaWKC des 1 .9 CODE . RwnrlmdViant lnf6rmadw MMRJ4 I a L, 9 ': 1: COLLECTED' PreservaWos Odr;P-Jfkg Water OW U z I Water WT U wastewater WW ODMPOSrTE $TA7 caa-mrrr z Product P 501USofid SL SAMPLE ID O(L OL 91) Wpe WPQ W z 0-9 1 Air AIR CL Sample lDs MUST BE UNIQUE T'issue, TS C> w% Other OT 7 fa 'ru ek LLI Lu w 0 0 Z m. L DATE ],'TIME DATE I TIME (n :w D 1: mix zjz12;5 Pace Project Nod Lab I.D. T- I P I L .12 LL L I L I DAT E SAMPt. CONDITIONS E Y ORIGINAL PRMT Name of SAMPLER: it Z8 E �2 A r SIGNATURE of SAMPLER - K) 'Important N&Ag BY 59" V* form you are aMWft Paft'O NET 30 day payn t to and agireeft W late chargft of 1-5% per ro< sr5r N.-DiOft not p*aW&'J0 days. F-ALL-"20rev.07, 15-May-2007 Wf1rERS 13-DGF ENVIR0NMENTAl-,1,LC 4901 WATERS EoGE DRIVE, SuiTE 201 . RALEIGH, NC 27606. PHONE 919.859.9987 9 FAX 919.859.9930 April 25, 2014 RECEIVED Mr. Bradley Sennett F�LE MAY 0 6 2014 CENTRAL FILES NCDENR Stormwater Unit CEDWQIBOG 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: January 2014 Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG050000, Certificate of Coverage No, NCG050419 Year 1- Period 2 Waters Edge Job No RI -15 Dear Mr. BeIrinett: Lydall has received the March 27, 2014 NPDES permit allowing the facility to monitor stormwater under General Permit No. NCGO50000 under Certificate of Coverage No. NCG050419, Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 1- Period 2 (January 1, 2014- June 30, 2014) 2014 form for the January 10, 2014 monthly site inspection we had previously conducted at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A If you have any questions or require any additional information, please contact me at 919.219,5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President cc -Jose Concepcion, Lydall/NCDENR W-S Office/NCDENR Stormwater Central Files (two copies) 14-012A/PLR +� 360 07' WN, BO. 4-W 09•W (WGS84/NAD03) 7D%a7Tlfy-flFLd aYaatR� - f � - - 1 •���Od : j r =Zr 5ubovtlotl ��r • * �r % 1 f ✓ i � ifl � . ,, � �' �--- ' '� >' � ■ � � � � ;7 ' � r yea go _ N aV ! I^J /1 11VJI I } t S • / / � / r 7 - � � ��'`1 ,sue--:/ • � � Aa f `t I 1000 o r ( 1 0 o.4 o.8 1.2 1.6 2 oni Author Drawing Quad Qswd Dale Title WATERS EDGE ENVIRONMENTAL, LLC: RI-15xis B,,4aX-r+d■ 21100 Proaecl Location Map Job No. Report Date Figure Scale Project Lydal l Inc. RI-15 10128I2004 I ! I as shown Ham tonville, Ncw1h Carolina S4D020 Mli Rear Storage Shed Metals Metals Plant 21306 parking lot E N,* +* S Fibers Plant W Air Compressors Shed Fibers West Eaft r❑ FY al staape ew trr metals CUmp670 Stock arse RQMOM rlrrtrttlrl 1%Il�fllll ��YY ibiBf parW nn�ri�n Il�iI+I�III 1 1 0---■ S-001 Oil ++ Oil Stora�F�ro�njl Dike 'Parking lot Fibers r t I ------------------ ------------------- ---------------- ------ ------ 5-003 Nat in Use Planned Oil Storage Shed Metals South Air Com r s Shed Fibers South L�dall Thermal Acoustical Fes— 2 for Stormwater Plan 2012 Hamptonville, NC s®le i" = T2D' Lydail iherrml Acoustical Figure 2A pl prom ' Details for ' Stormwater Plan 2012 Hamptom+ilte, NC , Rear Storage Sheds I mrc , Metals Ljl , orvWater ' Separator : ■r , ...............�.� sap. Air Compressors Shed Fibers South C**, or Air Compressors Shed Fibers West Entry Sung Pumplc - � i CiVA%Or Tank i000 - r3�117r1 . � 6 &Md Oil Storage Dike Fibers Front Oil Storage Shed Metals South a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on f lling out this form, please visit. http://ii2o.enr.state.nc.us/su/Forms Documents,htm9miscforms Permit No.: I NI C 1 G 1 01 51 0 10 10 I 0 I or Certificate of Coverage No.: I N I C I G 10 15 10 1 4 11 19 Facility Name: L dall Thermal/Acoustical, Inc. County: Yadkin Inspector: Thomas Haynes Date of Inspection: 1.10.14 Time of Inspection: 10:30 AM Total Event Precipitation (inches): 0.73 Phone No. 336.485.8522 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no preciRitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: p (Signature of Permittee or Designee) Outfall Description: Outfall No. 001/002 Structure (pipe, ditch, etc.) Drainage Swale Receiving Stream: Unnamed Tdbutary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown Page 1 of 2 SWU-242-112608 . I. .�. .�. t :� _r .1 ''? . ,✓ , � i. r .'I ,,1, r r _ 1. - V � _ �f _.. � � f Y. 1 .'.1 l . r ,• fir• 1 ,��, - \r+`� .1 I I[ ti,' . r .li .. 1, ',• • 1 r � .. `� f l I r i:. ,1 .{ 'gyp •� 3 I � i� f,� � .i .. .�"� iL' I ,.'I ,r ,i 5:•,. _ r,l � ! II f + I .+ ifr'!1 �I�i y',;i ,':�F IIIr 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: Q 2 3 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: iO 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: Q 2 3 4 5 7 Is there any foam in the stormwater discharge? Yes No 8 Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the outfall? Yes No 0 Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 S WU-242-112608