Loading...
HomeMy WebLinkAboutNCG060368_MONITORING INFO_20190604STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /V D.3(-e � DOC TYPE El HISTORICAL FILE � MONITORING REPORTS DOC DATE n ate I D% 0 '-/ YYYYMMDD STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 Date submitted 6l412o19 CERTIFICATE OF COVERAGE NO. NCG06 0 3 6 8 FACILITY NAME New Belgium Brewing Company, Inc COUNTY Buncombe PERSON COLLECTING SAMPLES Courteney Foster LABORATORY ETS Lab Cert. # 600 r } Part A Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD Jan -June ❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW *Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA *Other Class C - Directly to French Broad FACILITY ACTIVITIES INCLUDE (check all that apply): ❑ use/process meats ❑ use animal fats/byproducts PLEASE REMEMBER TO SIGN ON THE REVERSE --> Total event rainfall a or ❑ No discharge this period' = Outfall No. _ - -Date Sample = -Collected mo/ddjyr A TSS;. = -= - _ - mgf L__ -: -_ _ = pal,- _ __ Standard units_ - COD, _ _ m W g/L - Oil and Grease,-. mg/i_ _= _ Fecal Coliform; = Colonies per 100 ml _ Enterococa, -Colonies per 100 ml Benchmark - - - 100 or 504 _ thin 6.0 - 9.0 Within = 120 -" 30 = 10001 - - - - Soo,`- Parameter Code =� C0530 :_ Q0400 _- � 00340 - - 00556 _ 31616- = �- - - - _ 61211 SDO-1 0511712019 <10 631 100 <5 - z Only applies to facilities that use/process meats z The total precipitation must be recorded using data from an on -site rain gauge For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here 4See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall Did this facilely perform Vehicle Maintenance Activities using more than 55 gallons of new oil per month? ❑ yes IN no Permit Date 11/1/2018-05/31/2021 (ice complete Part B) SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. Outfall No - Date Sample Collected-- -_` (mo/dd/yr) 24-hour rainfall amount,--- _ _ _ Inches_ = = _ New Motor Oil or __- Hydraulic Oil Usage -- Non -Polar O&G/Total _ - - Petroleum Hydrocarbons -Total Suspended Solids - - - _ Benchmarks -_ _ _ _ _- - - - _ — _ - _ = - -� - __ - =15 mg/L--=_ = _-` 100 mg/L or 50 mg/L` Parameter Code _- - _ �_ -_ _ -_ _ - _ _ 46529 - - NCOIi- _ - _ - 00552~-' �C0530- -= Footnotes from Part A also apply to Part B *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B • TIER & HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original copy of this AMER including all "No Discharge" reports, within 30 days of recei t of the lab results or at end of monitoring period in the case of "No Dischar e" re orts to: Division of Water Quality Attn. DWQ Central Files 1617 Mall Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " Signature of Permittee Permit Date 11/1/2018-05/31/2021 11,41//f Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG060000 CERTIFICATE OF COVERAGE NO. NCG06 0 3 6 8 FACILITY NAME New Belgium Bream Company — — — COUNTY Buncombe PERSON COLLECTING SAMPLES Anupama Mehrotm LABORATORY ETS Lab Cert. # 600 Date Submitted 01115/2019 SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June Q July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA RAC E IV ED LgOther Class B waters (French Broad River) FACILITY ACTIVITIES INCLUDE (check all that apply): JAN 2019 ❑ use/process meats ❑ use animal fats/byproducts CENTRAL FILES DVJR SECTION! PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results Total event rainfall 2 0 30 or ❑ /Va discharge this period' Outfall No Date Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Col -Worm, Colonies per 300 ml Enterococcr, Colonies per 100 ml Benchmark - 100 or SW Within 6.0 — 9.0 120 30 10001 5001 Parameter Code - C0530 00400 00340 00556 31616 61211 S00.1 12/11118 <5 ff n 7 245 WA <5 mgA WA WA ' Only applies to facilities that use/process meats 'The total precipitation must be recorded using data from an on -site ram gauge ' For sampling periods with no discharge at Uy outfalls You must still submit this discharge monitoring report with a checkmark here 'See General Permit text, Table 1, identifying the especially sensitive receiving water classifications where the more protective benchmark applies 'Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall Did this facility perform Vehicle Maintenance Activities using mare than 55 gallons of new ail per month? Dyes Eno (ifyes complete Part B) Permit Date 11/1/2018-05/31/2021 SWU-249, Last Revised 11/5/2018 Page 1 of 2 Part B• Vehicle Maintenance Area Monitoring Results. only for facilities averaging > SS gal of new motor oil/month. Outfall No. Date Sample Collected- (mo/dd/yr) 24-hour rainfall amount, Inches z New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/Total Petroleum Hydrocarbons Total Suspended Solids - Benchmarks-- - - _ - 15 mg/L 100 mg/L or 50 mg/O Parvmeter Code - 46529 NCOIL 00552 C0530 _ Footnotes from Part A also apply to Part B *FOR PART A AND PART B MONITORING RESULTS * A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B * 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B * TIER 3. HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES [:INO [] IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original copy of this DMR, including all "No Discharge" reports, within 30days of receipt of the lab results for at end of rnonitorinp period in the case of 'No Discharge" reportsf to: Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED' "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " Signature of Permittee Permit Date 11/1/2018-05/31/2021 / t,; /17 Date SWU-249, Last Revised 11/5/2018 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM Calendar Year Zn/Y Individual NPDES Permit No NCSULJLJU"" or Certificate of Coverage (COC) No NCGZQ1dQ®® JAN 2 3 2019 CENTRAL FILES This monitoring report summary of the calendar year should be kept on file on -site with the facility SPPPOWR SECTION i Facility Name New Belgium Brewing Company, Inc County Buncombe Phone Number si 70 ) 494-7805 Total no of SDOs monitored Outfall No. SDO01 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No 0 Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No 0 If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑■ Parameter, (units) Total pH (Standard Oil and Fecal Rainfall , units) Grease •/1) Coliform inches Date Sample mmiddlyy 05 SWU-264 - Generic Annual DMR Last revised "1/2018 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ (units) TotalParameter, Rainfall , inches .s S w mmi.. $ f SWU-264 - Generic Annual DMR Last revised 6/01/2018 I certrfy, 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 gathenng the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are signrfcant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " Signature ��✓�� Date 01/15/19 For questions, contact your local Regional Office: DEMLR Regional Office Contact Infonnation- 2090 US Highway 70 Swannanoa, NC 28778 (828) 2964500 3 800 Barrett Drive Raleigh, NC 27609 (919) 7914200 450 Hanes Mill Rd, Suite 300 Winston-Salem, NC 27105 (336)776-9800 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 ICE CENTBALitiFFICE , 1617 Mail Service Center Raleigh, NC 27699-1617 (919) 807-6300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704)663-1699 127 Cardinal Drive Extension Wilmington, NC 28405-2845 _(910) 796-7215 SWU-264 - Generic Annual DMR Last revrsed &01/1018 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Resou ce`s General Permit No NCG060000 Date submitted 4/ 1 ! / jr CERTIFICATE OF COVERAGE NO NCG06_D 3 6 _f SAMPLE COLLECTION YEAR _ 10Y FACILITYNAME NE kJ i3a4run 6Ri` wjw_4 FACILITY ACTIVITIES INCLUDE (check all that apply). COUNTY _ 1� �,vron•(3E ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Am,?AmA CNIZ07a DISCHARGING TO SALTWATERS? ❑YES HNO LABORATORY E 1 Lab Cert. # Coo Part A• Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 l _lq7 or ❑ No discharge this period' Outfall No. Sample Collected, mo/dd/yr TSS, mg/L PH, Standard units COD, mg/L Oil and Grease. mg/L Fecal Coliform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6 0 — 9 0 120 30 1000 50o JYV—I a5' 31 .a Na r ..� 1 Only applies to facilities that use/process meats �UN a 2 The total precipitation must be recorded using data from an on -site rain gauge 7 2018 3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring repoci r here 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where thEgFPcheckmark Rf4e%;jnchmark applies TIO, Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑yes ❑ no (Lfyes, complete Part B) Part B: Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month. Outfall No Sample Collected, mo/dd/yr Oil and Grease, mg/L T55, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 504 6.0 — 9.0 - 1 Only applies to facilities that use/process meats 2The total precipitation must be recorded using data from an on -site rain gauge 3 For sampling periods with no discharge ate outfalls, you must still submit this discharge monitoring report with a checkmark here °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies SV.U-249 Last Revised October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B 0 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES El No ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO 0 REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within .30 days of receipt of the lab results for at endue monitoring period in the case o "No Discharge' reports) to: Division of Water Resources Attn DWR Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of (Date) Additional copies of this form may be downloaded at http //portal ncdenr orb/web w+�/wsL Jnpdessw#tab-4 S W U-249 Last Revised October 18, 2012 Page 2 of 2 STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR)1 SPPP Annual Update DATA REVIEW FORM Calendar Year 2017 Individual NPDES Permit No NCS❑❑❑❑❑❑ or Certificate of Coverage (COC) No NCG060368 This monitoring report summary of the calendar year should be kept on Me on -site with the facility SPPP. Facility Name New Belgium Brewing Company. Inc County Buncombe CEIV;: Phone Number 970 494-7805 Total no of SDOs monitored 1 FEB I.? , '" OIR �L^t11T, r Outfall No 1 SIR ` EC77pES Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No SWU-264 - Generic Annual DMR Last revised 5/17/2013 Additional Outfall Attachment Outfail No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ Total Rainfall, inches Parameter, (units) pH, Standard units •. Oil and Fecal Date Sample x - =� a SWU-264 - Generic Annual DMR Last revised .5/17J2Q23 t, "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are signfcant penatttes for submitting false information, including the possibility of fines and imprisonment for knowing violations " Signature Date 02/06/2018 For questions, contact your local Regional Office: DWO Regional Office Contact Information: ASHEVILLE REGRONAL'ORFICE I,"AYETTEVILLE REGI©NAL 4FFI" MOQRESViDIEREGIONAL,OMICE 2090 US Highway 70 225 Green Street ! 610 East Center Avenue/Suite 301 Swannanoa, NC 28778 Systel Building Suite 714 Mooresville, NC 28115 # (828) 2964500 Fayetteville, NC 28301-5043 (704) 663-1699 —._.—. __..__....__... __.._...._.___ (910) 433-3300 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 Winston-Salem, NC 27107 Raleigh, NC 27699-1617 (336) 771-5000 _ _ 1 (919) 807-6300 WILNjMGTON REGI0NAL OFFICE 127 Cardinal Dnve E tenston Wilmington, NC 28405-2845 (910) 796-7215 "To preserve, pnatex and enher►ne Akwffi Camhna's water _ SWU-264 - Generic Annual DMR Last revised 6Vf 712013 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted F- s:7 roz_r OD ZDfg CERTIFICATE OF COVERAGE NO. NCG03 O o -7 FACILITYNAME Uyiire.4 -Soo! COUNTY w Y ,. PERSON COLLECTING SAMPLES LABORATORY VO i ro _ _ Lab Cert, # �,RD141z- Oil Comments on sample collection or analysis: NC POH * 37if y Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR Z O 1 e SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © monthly' vu✓V month DISCHARGING TO CLASS ❑ORW ❑HQW OTrout ❑PNA Otero -flow []Water Supply [:]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -> © No discharge this Period? Outfali No. Date Sample Collected' (mo/dd/yr), 24-hour rainfall amount, inches3 Total Suspended Solids pH, Standard units Copper � Lead Zinc Non -Polar O&G/ Total Petroleum hydrocarbons Total Toxic Organics Benchmarks 100 mg/L or 50 mg/L 6.0 — 0.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L I Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same out -fall 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11, for semiconductor manufacture use the definition as found in 40 CFR 469.12, for electronic crystal manufacture use the definition as found in 40 CFR 469 22, and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement forTfO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics Into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included In the 5tormwater Pollution Prevention Plan," Name (Print name) Title (Print title) (Signature) (Date) Note, Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, thpy must be re orted 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 Fier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z _ Outfall NO. :. - Date Sample: 1. Collected (mo/dd/yr) -24=hdui rainfall - amount, inches3 Non -polar O&G/TPH by EPA 1554 (SGT-HEM) Total Suspended Solids pH Berichmark3 15 mg/L 100 mg/L or 50'mg/L* 5.0 —9.0 5U Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Permit Date 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must Implement Tier I, Tier 2, or Tier 3 responses. See General Permit text .. FOR PART A AND PART B MONITORING RESULTS' • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART 11 SECTION B, • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL7 YES ❑ NO,® IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME. Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period In the case of "No Discharge" reports) to: Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware th�tjhere are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signatuo of ermittee) T� (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted V_ 11 It -7 CERTIFICATE OF COVERAGE NO. NCG06 0 G 8' SAMPLE COLLECTION YEAR Z-01"1 FACILITY NAME /116y 31X6yj)tj4_ QnrPA►J y FACILITY ACTIVITIES INCLUDE (check all that apply). COUNTY _ allr+ro0t fjc _ _ ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES &-Q PAM/f or&0_y & _ DISCHARGING TO SALTWATERS7 ❑YES &�NO LABORATORY Pee- AMAcyrfe !1e_ Lab Cert. # _ 5/O Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall' 0-93 •t or ❑ No discharge this period' Outfall No Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Oil and Grease, mg/L Fecal Colrform , Colonies per 100 ml Enterococci , Colonies per 100 ml Benchmark - 100 or 50 Within 6 0 - 9 0 120 30 1000 Soo SDO-( oY 63 Z e 7 6 04 D Y 1 Only applies to facilities that use/process meats CENTRAL FILES ZThe total precipitation must be recorded using data from an on -site rain gauge DWR SECTION 3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B: Vehicle Maintenance Area Monitoring Results, only for facilities averaging > 55 gal of new motor oil/month. Outfali No Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6.0 - 9 0 - Only applies to facilities that use/process meats ZThe total precipitation must be recorded using data from an on -site rain gauge 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies (_f yes, complete Part B) SWU-249 Last Revised October 18, 2012 Page I of 2 *FOR PART A AND PART B MONITORING RESULTS* * A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B * 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B * TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharrc e" reports) to: Division of Water Quality Attn DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Pi bS1►112o (Date) Additional copies of this form may be downloaded at http //portal ncdenr orR/web/wq/ws/su/npdessw#tab-4 SW U-249 Last Revised October 18, 2012 Page 2 of 2 SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted �Zfl Z17 CERTIFICATE OF COVERAGE NO. NCG06 0 !> 6 g SAMPLE COLLECTION YEAR Z-017 FACILITY NAME /JEu f3E_4,­U gnEwl,wl G Co*?A�j y FACILITY ACTIVITIES INCLUDE (check all that apply) COUNTY a✓rd eoft 12.6 ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES &J,iP.4or/f rr&fCv7-X& - DISCHARGING TO SALTWATERS) ❑YES S4NO LABORATORY p?Ce- 1M 4cy rtc d� Lab Cert # _ y0 PLEASE REMEMBER TO SIGN ON THE REVERSE -i Part A Stormwater Benchmarks and Monitoring Results Totol event rainfall Z 0.93 or ❑ No discharge this period? Outfall No Sample Collected, mo/dd/yr TSS, mg/L pH, Standard units COD, mg/L Od and Grease, mg/L Fecal Cohform , Colonies per 100 ml Enterococcnl, Colonies per 100 ml Benchmark - 100 or 50 Within 6 0 — 9.0 120 30 ' 1000 S00 SDo-1 OY 03 , 7 G 06 NIA A)D 1 Only applies to facilities that use/process meats ZThe total precipitation must be recorded using data from an on -site rain gauge 3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here 4See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ® no Part B Vehicle Maintenance Area Monitoring Results only for facilities averaging > 55 gal of new motor oil/month Outfall No Sample Collected, mo/dd/yr Oil and Grease, mg/L TSS, mg/L pH, Standard units New Motor Oil Usage, Annual average gal/mo Benchmark - 30 100 or 50 6 0 — 9 0 - 1 Only applies to facilities that use/process meats ZThe total precipitation must be recorded using data from an on -site rain gauge 3 For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here °See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies (if yes, complete Part B) SWU-249 Last Revised October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART II SECTION B • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B • TIER 3• HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Marl an original and one copy of this DM& 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, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "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 " (Signature of Pi (Date) Additional copies of this form may be downloaded at http /mortal ncdenr orR/web/wct/ws/su/ngdessw#tab-4 SWU-249 Last Revised October 18, 2012 Page 2 of 2 aceAnalytical o wwwpacelabs WM April 07, 2017 Anupama Mehrotra New Belgium Brewing 91 Craven Street Asheville, NC 28806 RE Project Stormwater 413 Pace Project No 92335560 DearAnupama Mehrotra Pace Analytical Services, LLC 2225 Riverside pry Asheville, NC 28804 (828)254-7176 Enclosed are the analytical results for sample(s) received by the laboratory on April 03, 2017 The results relate only to the samples included in this report Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report If you have any questions concerning this report, please feel free to contact me Sincerely, Lorri Patton lorri patton@pacelabs com 1(828)254-7176 Project Manager Enclosures cc Mr Fredric Cunningham, New Belgium Brewing Mr Gabe Quesinberry REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full without the written consent of Pace Analytical Services LLC Page 1 of 12 (�'a'ceftlytical& wwwpecafa6s.cam Protect Slormwater 413 Pace Protect No 92335560 Pace AnslyticaI Services, LLC 2225 Riverside Dr Asheville, NC 28804 (828)254a176 Charlotte Certification Ms 9800 Kincey Ave Ste 100, Huntersville, NC 28078 North Carolina Drinking Water Certification # 37706 North Carolina Field Services Certification # 5342 North Carolina Wastewater Certification # 12 Asheville Certification iDs 2225 Riverside Drive Asheville, NC 28804 FloridalNELAP Certification # E87648 Massachusetts Certification # M-NC030 North Carolina Drinking Water Certification # 37712 CERTIFICATIONS South Carolina Certification # 99006001 FlondalNELAP Certification # E87627 Kentucky UST Certification # 84 VirginiaIVELAP Certification # 460221 North Carolina Wastewater Certification # 40 South Carolina Certification # 99030001 VirginialVEL.AP Certification # 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full without the written consent of Pace Anatytical Services LLC Page 2 of 12 acmnalytical wwwpKvMbs com SAMPLE ANALYTE COUNT Pace Analytical Services, LLC 2225 Riverside Dr Asheville NC 25804 (828)254a17e Project Pace Project No Stormwater 413 92335560 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92335560001 SW-SDO-01 EPA 1664B JMS 1 PASI-C SM 2540D CJH1 1 PASI-A SM 5220D MDW 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analyticak Services, LLC Page 3 of 12 laceAnaocal* ~pacalaha com ANALYTICAL RESULTS Pace Analytical Services, LLC 2225 Riverside Dr Asheville, NC 28804 t82ey254-7176 Project Stormwater 413 Pace Project No 92336560 Sample SW-SDO-01 Lab ID 92336660001 Collected 04/03117 11 50 Received 04/03/17 15 50 Matrix Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No Qual HEM, Oil and Grease Analytical Method EPA 1664B Oil and Grease ND mg11- 5 0 1 04/07/17 06 37 2640D Total Suspended Solids Analytical Method SM 2540D Total Suspended Solids 4 7 nil 2 5 f 041051f7 15 54 5220D COD Analytical Method SM 5220D Chemical Oxygen Demand ND mg1L 250 1 04/06/17 17 55 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full Date 04/07/2017 02 47 PM without the written consent of Pace Analytical Services, LLC Page 4 of 12 aceAnalytica! wwwpacak&tcom QUALITY CONTROL DATA Pace Analytical Services, LLC 2225 Riverside Dr Asheville NC 28804 (828)254-7176 Project Stormwater 413 Pace Project No 92335560 QC Batch 355681 Analysts Method EPA 1664E QC Batch Method EPA 1664B Analysis Description 1664 HEM Oil and Grease Associated Lab Samples 92335560001 METHOD BLANK 1973245 Matrix Water Associated Lab Samples 92335560001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg1L ND 5 0 04/07/17 06 31 LABORATORY CONTROL SAMPLE 1973246 Spike LCS LCS % Rec Parameter Units Conc Result % Rec Limits Qualifiers Oil and Grease mg/L 40 36 5 91 78-114 MATRIX SPIKE SAMPLE 1973247 92335882001 Spike MS MS % Rec Parameter Units Result Conc Result % Rec Limits Qualifiers Oil and Grease mg/L. ND 40 36 5 91 78-114 Results presented on this page are In the units indicated by the Units column except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full Date 04/07/2017 02 47 PM without the written consent of Pace Analytical Services LLC Page 5 of 12 accAnalytical wwwpacelabscnm QUALITY CONTROL DATA Project Stormwater 413 Pace Project No 92335560 QC Batch 355257 Analysis Method SM 2540D QC Batch Method SM 2540D Analysis Description 2540D Total Suspended Solids Associated Lab Samples 92335560001 METHOD BLANK 1970610 Associated Lab Samples 92335560001 Parameter Units Total Suspended Solids mg/L LABORATORY CONTROL SAMPLE 1970611 Parameter Units Total Suspended Solids mg1L SAMPLE DUPLICATE 1970612 Parameter Total Suspended Solids Pace Analyticat Services, LLC 2225 Riverside Dr Asheville, NC 28804 (826)254-7176 Malnx Water Blank Reporting Result Limit Analyzed Qualifiers ND 2 5 04/05/17 15 48 Spike LCS LCS % Rec Conc Result % Rec Limits Qualifiers 250 228 91 90-110 92335429004 Dup Units Result Result RPD Qualfiers mg1L 432 41 6 4 SAMPLE DUPLICATE 1970613 92335466001 Dup Parameter Units Result Result Total Suspended Solids mg1L ND ND RPD Qualifiers Results presented on this page are In the unite indicated by the Units" column except where an alternate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full Date 04/07/2017 02 47 PM without the written consent of Pace Analytical Services LLC Page 6 of 12 5ceAna1)&a1. wwwPacelabs cam QUALITY CONTROL DATA Project Stormwater 413 Pace Project No 92335560 QC Batch 355407 Analysis Method SM 5220D QC Batch Method SM 5220D Analysis Descnptton 5220D COD Associated Lab Samples 92335560001 METHOD BLANK 1971714 Associated Lab Samples 92335560001 Parameter Units Chemical Oxygen Demand mg/L LABORATORY CONTROL SAMPLE 1971715 Parameter Units Chemical Oxygen Demand mg/L Pace Analytical Services, LI-C 2225 Riverside Dr Asheville NC 28804 (828)254-7176 Matrix Water Blank Reporting Result Limit Analyzed Qualifiers ND 25 0 04/06/17 17 55 Spike LCS LCS % Rec Conc Result % Rec Limits Qualifiers 750 779 104 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE 1971716 1971717 MS MSD 92335090001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc Conc Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 1510 750 750 3930 3710 323 293 90-110 6 M1 R1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE 1971718 1971719 MS MSD 92335273002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conic Conc Result Result % Rec % Rec Limits RPD Qua[ Chemical Oxygen Demand mg/L 68 0 750 750 858 861 105 106 90-110 0 Results presented on this page are In the units indicated by the 'units column except where an alternate unit Is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date 04/07/21317 02 47 PM without the written consent of Pace Analytical Services LLC Page 7 of 12 aceAnalyncal' . wwx'Osoefaba.oGm QUALIFIERS Project Stormwater 413 Pace Project No 92335560 DEFINITIONS Pace Analytical Services, LLC 2225 Riverside Dr Asheville NG 28804 (828)254-7176 DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot ND - Not Detected at or above adjusted reporting limit J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit MDL - Adjusted Method Detection Limit PQL - Practical Quantitalton Limit RL - Reporting Limit S - Surrogate 1,2-❑iphenythydrazme decomposes to and cannot be separated from Azobenzene using Method 8270 The result for each analyte is a combined concentration Consistent with EPA guidelines unrounded data are displayed and have been used to calculate % recovery and RPD values LCS(D) - Laboratory Control Sample (Duplicate) MS(D) - Matrix Spike (Duplicate) DUP - Sample Duplicate RPD - Relative Percent Difference NC - Not Calculable SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for but not detected Acid preservation may not be appropriate for 2 Chloroethytvmyl ether A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitnle by EPA Method 8260 N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270 The result reported for each analyte is a combined concentration Pace Analytical is TNI accredited Contact your Pace PM for the current list of accredited analytes TNI - The NELAC Institute LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS M1 Matrix spike recovery exceeded QC limits Batch accepted based on laboratory control sample (LCS) recovery R1 RPD value was outside control limits REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full Date 0410712017 02 47 PM without the written consent of Pace Analytical Services, LLC Page 8 of 12 aceAnalytical' wwwpamlaDa com QUALITY CONTROL DATA CROSS REFERENCE TABLE Project Stormwater 413 Pace Project No 92335560 Pace Analytical Services, LLC 2225 Riverside Dr , Asheville NC 28804 (828)254-7176 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92335560001 SW-SDO-01 EPA 1664E 355681 92335560001 SW-SDO-01 SM 2540D 355257 92335560001 SW-SDO.01 SM 5220D 355407 Date 04/07/2017 02 47 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced except in full, without the written consent of Pace Analytical Services LLC Analytical Batch Page 9 of 12 Document Name Document Revised Sept 21, 2016 o Sample Condition Upon Rece1 t(SCUR) Page 1 of 2 Document No Issuing Authority J aceRnalytical l F-CAR-CS-033•Rev 01 Pace Quality Office Laboratory receiving samples: Asheville,0' Eden[] Greenwood ❑ Huntersville ❑ Raleigh❑ Mechanicsville❑ Sample Condition UponE Client Name- -WO : 9233556® (P ( Project #: Courier: ❑F x ❑UPS r �❑ SPS Client Ittil! 11IIII1II ❑ Commercial Pace Other 8Sao 1111111 Custody Seal Present? ❑Yes L—e �0 Seals Intact? ❑Yes No Date/Initlals Person Examining Contents, Packing Material. []Bubble Wrap ❑Bubble Bags 21rone ❑Other Thermometer. �t ❑Slue ❑None mpies on ice, cooling process has begun IR Gun 10Type of Ice• Correction Factor Couler Temp Corrected ('Cl it, Biological Tissue Frozen? ❑Yes ❑No '�31N/A Temp should be above freer ng to VC USDA Regulated Soil I I/A, water sample) Did samples originate in a quarantine zone within the United States CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally, ❑Yes ❑Ne Includinx Hawaii and Puerto Rico)? ❑Yes [71No Chain of Custocly Present? es ❑Na N/A 1 Samples Arrived within Hold Time? es ONO N/A 2 5hort Hold Time Analysis S72 hr, Yes 2<o N/A 3 Rush Turn Around Time Requested? ❑Yes 0<0 ❑N/A 4 Sufficient Volume? CaYes ❑Na N/A 5 Correct Containers Used? -Pace Containers Used? j[fes s ❑No ONo ❑N/A N/A 6 Containers Intact? ONG N/A 7 Samples Field Flltered7 Yes ONo NIA 8 Sample Labels Match COC? -includes Date/rime/IU/Analysis Matrix -InYes ON, ❑N/A 9 Heads ace In VOA Vials >S-6nnrn)? ❑Yes ❑No ONIA 10 Trip Blank Present? Trip Blank Custody,Seals Present? ❑Yes ❑Yes ❑No ❑Na rN/A 11 CLIENT NOTIFICATION/RESOLUTION Note if sediment is visible in the dissolved container Person Contacted Date/Time Comments/Sample Discrepancy Project Manager SCURF Review - Project Manager SRF Review: Field Data Required? Date. q 4 !J Date L!A Note Whenever there Is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the !North Carolina DEHNR Certification Office {I e Out of hold, incorrect preservative, out of temp, Incorrect containers) Page 10 of 12 m rn 3 D D 13 m v R A c o� ro Y r n n � a M 0 D M m I'► d r o 0 a q c � h V m a % M ti fyD 3 P{C " CL m CL a N cCL y N t o rp 7 N A 3 0 c m o rz CL � m 'm a 2 m c m 0 sz N r 4 m m -4 I'll In a LL1 M r Itemri BRU-125 mL Plastic Unpreserved (N/A) (CI-) B1531.1250 mL Plasut Unpreserved INfA) 813211.I-500 mL Plastic Unpreserved (N/A) BP1U-1 liter Plastic Unpreserved (N/A) BP35-250 mL Plastic H2$04 IPH <2) ([I-) BP3N-250 mL plastic HNO3 (pH < 2) BP3Z-2S0 mL Plastic 2N Acetate & NaOH (s9) BP3C-25D mL Plastic N&OH (pH > 12) (Ck) WGFU-wide-mouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved IN/A) (C4) Z1,"V;7zzzz_zzz�K AG1H-1 liter Amber HCl (pH < 2) AG31.11-250 mL Amber Unpresenred IN/A) (0-) ACM-1 liter Amber H2SO4 (pH < 2) AWS-250 mL Amber H2504 (pH < 2) AG3A(DG3A)-250 mt. Amber NH4Ci (N/A)(CI-) DG9H-00 mL VOA KCI (NIA) V69T-40 mLVOA Na25203 (N/A) V69U-40 mL VOA Unp INfA) DGSP-40 mL VOA H3POA (N/A) VOAK 16 vials per lit)-5035 kit (NIA) V/GK (3 vrats per lit)-VPH/Gas kit (N/A) SPST-325 mL Sterile Plastic (NIA —lab) SM-250 mL Sterile Plastic (N/A —lab) MA-250 mL Plastic (NH2)2SO4 (9 3-9 7) Cubitamer VSGGU-20 mL Scintillation vials (N/A) GN n o n x. CL S O d d 7 O X- �. to CL T O * O -h 3 0 su X y 3 -.% ? -4, w M Cr 41 O y� n X M . g � t11 2 IY Cr 0 fa � 3 O rr m M h o ^ d S u: 0 ti 3 O M O ro n .r r 3 �i 64 ID w 1 2 o 3 O e• 0 01 d C) A r W F+ .,1 /0 aneAnalyheal" CHAIN -OF -CUSTODY 1 Analytical Request Document The Ch=.di Custody is a LEGAL DOCUMENT 0 relevant fields rrmst be completed a=atdy ww pannxm cum Pam' of Section A Section B Section C IR Requfred C4i" Inlomr bu Regains! Prolect Wamuahorr, Invoice Inforrraalmn Comp-y Repot! To tl 1 2067228 l 1 ' r ' 1 'Z� Address Q t . Copy To Canparry REGULATORY AGENCY l ' v14 f r NPOES r- GROUNDWATER lT DRINKING WATER r UST i- RCRA F OTHER Emaa To ,. - G L1l Lf� Pri Ptsamse Ordc No +�e Relerer� Phone _ Fwr- Projeti Name Site Location STATE Due DaterTAT Prcq" N=ber Requested Analysts Filtered (YIN) Sechon D Mahix Codes p z M. Fd -dCWA nay.h, COLLECTED Preservatrves �- Wng DnnWater OW 9 (e zz water VVT wasw water U Prodmd PW ST—T ? SddlSobd SL S cg V) SAMPLE 1D awe °yLP - < JA-Z, 0.9 r -1 Au AR O a Lu Z m }— o Sample [Ds MUST BE UNIQUE Tissue TS O - r m m U Qatar OT U � � Z d Z m o m m 2 F a o m00 O� y. t `l�Z33rJSGO w ~ W u � y � T z z t � m t o y w � OATE TIME DATE ymm r0n 2 Pace PnDjaCt No.f Lab 10 3 l - � 34v �t 5 6 7 8 0 10 11 12 OD"ATETM AnOTTIONAL COMMENTS RELINOULSi1W BY I AFFILUITIOyN TIME ACCEPTED BY t AFFILIATIQN SAMPLE comom us117IJ 1 WRIT SANIFLER NAME AND SIGNATURE U � o a 0EUGINAL _ o$ r y �f PRIKt- Naito SAMPLERUY r 5 �� E p} T - - �• a z a ~ DATE Signed +� ` SIGNATURE of SAMPLER li ~ u a I u 1° E r iYYI IMWDDU 1 ? 'r w"wl Noto By syw%ens lam you ma wzeperg Para s NET 30 day paymem farms a.xt aamV to Uw OwMft of 1 5%per month6amy invaie roi paid wdm 30 days F-ALL-0-020rev 07 1 SMay-2007 It • ... SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT for North Carolina Division of Water Quality General Permit No. NCG060000 Date submitted 01/31/2017 CERTIFICATE OF COVERAGE NO. NCGO60368 SAMPLE COLLECTION YEAR 2016 FACILITY NAME New Belgium Brewing Company, Inc FACILITY ACTIVITIES INCLUDE (check all that apply): COUNTY Buncombe ❑ use/process meats ❑ use animal fats/byproducts PERSON COLLECTING SAMPLES Nick Am a DISCHARGING TO SALTWATERS? [-]YES ®NO LABORATORY PACE Analytical Lab Cert. # 40 (wastewater Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Total event rainfall 2 0.57 or ❑ No discharge this period' Outfall No: �- Sample Collected,=. nio/dd/yr - =TSS; "mg/L= 3 _ ' - PH;� -- _Standard units COD; = = mg/C 011 and Grease; _=` =Fecal Colifarmi, = Colonies per itl0 ml- -�Enterocacw�, Cnlonles per,100 rrEi=_ Benchmark ' ` `='z r_ ' - ct ---100 or 504-� m Within6.0 = 9.0 SDO 1 09/27/16 it 6 767 49 ND N/A N/A r 1 Only applies to facilities that use/process meats CENTRAL, FILES 7 The total precipitation must be recorded using data from an on -site ram gauge DWR SECTION 3 For sampling periods with no discharge at any outfalls You must still submit this discharge monitoring report with a checkmark here 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? ❑ yes ®no Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month. mm Outfail No: _ =Sample Collected; = Oil and Grease;pH, = �Sfandard units = n Nev Moir O_fi Usage; �T: - Annaa! average gal/maw Benchmark:-_100or50°- --..6.09.0; 1 Only applies to facilities that use/process meats 2The total precipitation must be recorded using data from an on -site rain gauge 3 For sampling periods with no discharge at anv outfalls, you must still submit this discharge monitoring report with a checkmark here 'See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies ( yes, complete Part B) SWU-249 Last Revised October 18, 2012 Page 1 of 2 *FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS SEE PERMIT PART 11 SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS SEE PERMIT PART II SECTION B • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME Mail an originsl 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, NC 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inqui ry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations " (Signature of Permittee) 01 /31 /2017 [Date] Additional copies of this form may be downloaded at httpllportal ncdenr or web w ws su n dessw#tab-4 SWU-249 Last Revised October 18, 2012 f �' Page 2 of 2 k _ A. STORMWATER DISCHARGE OUTFALL (SDO) ANNUAL SUMMARY DATA MONITORING REPORT (DMR) ! SPPP Annual Update DATA REVIEW FORM Calendar Year _2016 Individual NPDES Permit No NCS❑❑❑❑❑❑ or RECEIVED Certificate of Coverage (COG) No NCGO60368 FED A 2 2017 This monitoring report summary of the calendar year should be kept on rile on -site with the facility SPPP. CENTRAL Facility Name. New Belgium Brewing Company, Inc °� cTivN County Buncombe Phone Number 970 494-7805 Total no of SDOs monitored 1 Outfall No. 1 Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No W : ' .. µa ®® _ = - Parametet;T(uriits -:�r P a_ - = zz5 _Oil and= `µ Standard== _ - - _ w p _ • - = Grease= q Fecal _ = Enterococci'= a - "__ -Rainfall; TSS (mgll.) x _ =COD (ni911_1 - _ _ = mLL Inches _ - -- - - --~(_ - Benchmark N/A Date�Sample "Collected, � -�minlddlyy = :. 09/27/16 0.57 in 11 6 767 49 ND WA WA SWU-264 - Generic Annual DMR Last rewsed 5(i 712013 Additional Outfall Attachment Outfall No. Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No ❑ Was this outfall ever in Ter 2 (monitored monthly) during the past year? Yes ❑ No ❑ If this outfall was in Tier 2 last year, why was monthly monitoring discontinued? Enough consecutive samples below benchmarks to decrease frequency ❑ Received approval from DWQ to reduce monitoring frequency ❑ Other ❑ Was this SDO monitored because of vehicle maintenance activities? Yes ❑ No ❑ = -Rainfall, 7:. �� n�_ - -Benchmark - Date�Sample_ a�wColiected,_ �� -"mmlddlyy- SW U-264 - Genenc Annual DMR Last revised 5/7/2013 "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 fine and i prisonment for knowing violations " Signature Date 01 /31 /2017 For questions, contact your local Regional Office: DWQ Regional Office Contact Information: FA 2090 US Highway 70 Swannanoa, NC 28778 (828) 2964500 3800 Barrett Drive Raleigh, NC 27609 (919) 791-4200 225 Green Street Systel Building Suite 714 Fayetteville, NC 28301-5043 (910) 433-3300 943 Washington Square Mall Washington, NC 27889 (252) 946-6481 585 Waughtown Street 1617 Mail Service Center Winston-Salem, NC 27107 Raleigh, NC 27699-1617 (336) 771-5000 (919) 807-6300 610 East Center Avenue/Suite 301 Mooresville, NC 28115 (704) 663-1699 127 Cardinal Drive Extension Wilmington, NC 28405-2845 (910) 796-7215 "Tn'prese a pt feU` and enliarrpe d N�if►t Cam+ttna's�cvaler`"a SWU-264 - Genenc Annual DMR Last revised 5/172013 Permit Number NCGO60368 Program Categary NPDES SW Perm it Type FoodfTobaccolSoapslCosmetics/Publlc Warehousing Stonnwater Discharge COC Primary Reviewer nck riddle Coastal SWRuIe Permitted Flow Facility Central Files APS _ SWP 2/9/2016 Permit Tracking Slip Status Project Type In draft New Project Version Permit Classification CCC REC E NFRID..ontact Affiliation FEB 0 0 ZU16 CENTRAL FILES DINR SECTION Facitity Name MajorlMinor Region New Belgium Brewing Company, Inc Minor Asheville Location Address County 91 Craven St Buncombe Facility Contact Affiliation Bittmore Lake NC 28715 Anupama Mehrotra 91 Craven St Owner Biltmore Lake NC 28715 Owner Name Owner Type New Belgium Brewing Company Inc Non-Govemment Owner Affiliation Anupama Mehrotra 91 Craven St Dates/Events Bdtmore Lake NC 28715 Scheduled Orig issue App Received Draft Initiated Issuance Public Notice is a Eff ctivf Expi aU1io 1211812015 11412016 ���i4 a & X0 ADr1(7 Regulated Activities Requested /Received !!!!Events Food and kindred products manufacturer _•RO staff report requested —I-• 1I4116 RO staff report received 215116 Outfall 1 Waterbody Name Streamindex Number Current Class Subbasin FRENCH BROAD RIVER 6-(54 75) B 04-03.02 Energy, Mineral and Land Resources ENVIRONMENTAL QUAUTV Anupama Mehrotra New Belgium Brewing Company, Inc 91 Craven Street Asheville, NC 28715 Dear Anupama Mehrotra PAT MCCRORY 1 xn uruoI DONALD R VAN DER VAART �Efnfan' February 8, 2016 TRACY DAVIS Lhreaw Subject General Permit No NCG060000 New Belgium Brewing Company, Inc COC NCGO60368 Buncombe County In accordance with your application for a discharge permit received on December 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 Asheville Regional Office Central Files Stormwater Permitting Program File State of North Carolina I Environmental Quality I Energy, Mineral and Land Resources 1612 Mail Service Center 1512 North Salisbury Street I Raleigh, NC 276994612 919 707 9200 T STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF ENERGY, MINERAL, AND LAND RESOURCES GENERAL PERMIT NO. NCG060000 CERTIFICATE OF COVERAGE No. NCG060368 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, New Belgium Brewing Company, Inc is hereby authorized to discharge stormwater from a facility located at New Belgium Brewing Company, Inc. 91 Craven Street Asheville Buncombe to receiving waters designated as French Broad River, a class B water in the French Broad 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. NCG060000 as attached This certificate of coverage shall become effective February 8, 2016 This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day February 8, 2016 for Tracy E. Davis, P.E., Director Division of Energy, Mineral, and Land Resources By the Authority of the Environmental Management Commission Is 4 N ivmft-6 4A awl, M4 J1 I IP A YMI NO 1FA- SM ' tA If f'I =Fj5Te=j-,g-j:;-, -rffp-�Cfffj- 41 :LK , � 4 w �" 1 : 6gr jai PVA 'IXj I VM, In R �. jj{{FF 1%. 14 N RW Miffs IN f" Ralaiu??--� � 1 1 i -IrnaTv. I1C. 0_1 Division of Energy, Mineral and Land Resources ��, NCDENR N� C-0— ] [M D, E.mr En quo NAruRu Rceouncr Land Quality Section National Pollutant Discharge Elimination System N //� Ncca6aaaa NOTICE OF INTENT FOR AGENCY USL ONLY Date Rece"ed Year Month Da Cemficate of COYCra Ch do H o Perms hSS14Ed to National Pollutant Discharge Elimination System application for coverage under General Permit NCG060000. STORMWATER DISCHARGES associated with activities classified as SIC (Standard Industrial Classification) 20 Food and Kindred Products SIC 21 Tobacco Products SIC 283 Drugs SIC 284 Soaps, Detergents, & Cleaning Preparations, Perfumes, Cosmetics, & Other Toilet Preparations SIC 422 Public Warehousing and Storage (except 4226) For questions, please contact the DEMLR Regional Office for your area. See page 4 Do Not use this NOl for renewals (Please print or type) 1) Mailing address of ownerloperator (address to which all permit correspondence will be mailed) Name New Belgium Brewing_ Company, Inc Street Address 91 Craven St City Asheville State NC ZIP Code 28715 Telephone No _ 828-333-6900Fax 2) Location of facility producing discharge, Facility Name New Belgium Brewing Company, Inc Facility Contact Anupama Mehrotra Facility Address 91 Craven St Facility City Asheville State NC ZIP Code 28715 Facility County Buncombe Telephone No 828-333-6900 Fax Email _ amehrotraiMnewbelgium_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) Facility is located off of Craven St, lust west of downtown Asheville It is located directiv on the French Broad River. between the Craven St and Haywood Rd bridges (A copy of a county map or USGS quad sheet with the facility clearly located must be submitted tenth this application ) 4) Latitude 35' 35' 16.0038" Longitude -82' 34' 24 726" (deg, min, sec) 5) This NPDES Permit Application applies to which of the following. Nr New or Proposed Facility Date operation is to begin 05/01 /2016 ❑ Existing Page 1 of 4 SWU-221 Last revised 6124114 NCG060000 N.O.I. 14) Hazardous Waste - a) Is this facility a Hazardous Waste Treatment, Storage, or Disposal Facility? I(No ❑ Yes b) Is this facility a Small Quantity Generator (less than 1000 kg of hazardous waste generated per month) of hazardous waste? l& ❑ Yes c) Is this facility a Large Quantity Generator (1000 kg hazardous waste? WNo ❑ Yes or more of hazardous waste generated per month) of d) Is hazardous waste stored in the 100-year flood plain? Ao ❑ Yes If yes, Include Information to demonstrate protection from flooding e) If you answered yes to questions b or c , please provide the following information Type(s) of waste How is material stored Where is material stored How many disposal shipments per year Name of transoort 1 dI6Dosal vendor Vendor address 15) Certification. North Carolina General Statute 143-215.6B (i) provides that Any person who knowingly makes any false statement, representation, or certification in any application record, report, plan, or other document riled 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 Nick Ampe, CHMM Title EH Specialist z� 1 Z/16 /�Sr (Signature of Applicant (Date Signed) This Notice of Intent must be accompanied by a check or money order for $100 00, made payable to NCDENR Do not send the check or money order separately Page 3 of 4 SWU-221 Last revised 6124/14 id if it S iV,. ON , �B ��1'j M R lM'�°� l)•l�� � I� � i �9 Q LJ � §-� + mW r F y d ' v o as a g r a dill t o� xo .a i g p 6 N ♦ m CD 3�fi� r to 0 ON6� a yyyy: i � ��--1�11• i 9Y� I � �� �ax� � Dais y6G � s cal 4 R 4y° c p I I� I 9 C `II I +\ 1 I 110 flp I I I � I ? � it it I " `�'R � M4 s &,14i, HBO ESM MOST eKMr TRUCK COURT STORM SYSTEM em.4b ai 4•.._.. � Z�o ING �J ® & (5 9 1 1 �J G )-