HomeMy WebLinkAboutNCG160111_MONITORINGINFO_20180720Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted May 18, 2018
CERTIFICATE OF COVERAGE NO. NCG160111 SAMPLE COLLECTION YEAR 2018
FACILITY NAME APAC Atlantic, Inc. Plant #9 SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY Randolph or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES Kenneth Sorrell DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY ENCO LabCert.# 591 RECEIVED❑Zero-flow ❑Water Supply []SA
Comments on sample collection or analysis: ®Other Back Creek
JUL 2 0 2018
CENTFew rn Cc
Part A: stormwater Benchmarks and Monitoring Results DNJn SECTION
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
❑ No discharge this period?2
Outfall No.
Date Sample -,.
Collected'
(mo/dd/yr)
•-24-hour rainfall'
amount
inches3
x _
Total5'uspended Solids
Benchmarks =__>`
-
' 100 mg/L or s0 mg/L4
001
04/24/2019
2.5
3.0
002
04/24/2018
2.5
9.1
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2
n No dischorae this oeriod?2
Outfall No.
Date Sample
Collected"
.(mo/dd/yr)
24-hour rainfall
amount,
=Inches
R a
Non -polar EPA
= 1664(SGT-HEM} -
Total 'Suspended Solids ,
Benchmarks =_> 4
_ - .:
;-15,mg/L =
100mg/L or.50 mg/0
Footnotes from Part A also apply to this Part B
Nat-: Is you • le value : 0 the benchmark .rt ; 1e.. +Tier t Tier � r Tier 3 • nses See General Permit tent,
eYa... .^Y oj . ra nap._...... _.
FOR PART AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal and one conv of this DMR, includina all "No Discharae" 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 Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware tat there
are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
05 18 208
(Signature of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2
Laboraton"es,
B
Accurate, Timely, Responsive. Innovative,
102-A Woodwinds Industrial Court
Cary NC, 27511
Phone: 010 467 3090 FAX- 01 O AF7 3515
Friday, May 4, 2018
EI Group, Inc. (TH005)
Attn: Doug Albrecht
2101 Gateway Center Blvd., Suite 200
Morrisville, NC 27560
RE: Laboratory Results for
Project Number: [none], Project Name/Desc: APAC Plant 9
ENCO Workorder(s): CB01695
Dear Doug Albrecht,
Enclosed is a copy of your laboratory report for test samples received by our laboratory on
Wednesday, April 25, 2018.
Unless otherwise noted in an attached project narrative, all samples were received in
acceptable condition and processed in accordance with the referenced methods/procedures.
Results for these procedures apply only to the samples as submitted.
The analytical results contained in this report are in compliance with NELAC standards, except
as noted in the project narrative if applicable. This report shall not be reproduced except in
full, without the written approval of the Laboratory.
This report contains only those analyses performed by Environmental Conservation
Laboratories. Unless otherwise noted, all analyses were performed at ENCO Cary. Data from
outside organizations will be reported under separate cover.
If you have any questions or require further information, please do not hesitate to contact me.
Sincerely,
Bill Scott
Project Manager
Enclosure(s)
FINAL This report relates only to the sample as reeeived by the laboratory, and may only be reproduced in full. I Page 1 Of ]
c AVC=
otj-
www.entolabs.com
SAMPLE SUMMARY/LABORATORY CHRONICLE
Client ID: 1 Lab ID: CB01695-01 Sampled: 04/24/18 11:30 Received; 04/25/18 11:42
Parameter Preparation Hold Date/Time(sl Prep Date/Time(s) Analysis Date/Time(s)
SM 2540D-1997 NO PREP 05/01/18
05/01/18 15:35 05/01/18 15:35
Client ID: 2 Lab ID: CB01695-02 Sampled: 04/24/18 11:37 Received: 04/25/18 11:42
Parameter Preparation Hold_Date1Tlme(5] Prep Date/Time(s) Analysis Date/Time(s)
SM 2WD-1997 NO PREP 05/01/18
04/27/18 12:35 04/27/18 12:35
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In Full. I Page 2 Of
www.encolabs.com
SAMPLE DETECTION SUMMARY :j
Client ID: 1 Lab ID: C001695-01
Analvte Resulks E!i!a aVDL EPIL Units Method Notes
Total Suspended Solids 3.0 2.5 2.5 mg/L SM 254OD-1997
Client ID. 2 Lab ID: C601695-02
Anat Results FLas MDL iiL Units Method Notes
Total Suspended Solids
9.1 2.5 2.5 mg/L SM 25400-1997
FINAL
This report relates only to the sample as received by the laboratory, and may oNy be reproduced !n full. I Page 3 Of 7
www.encolabs.com
ANALYTICAL RESULTS
Description: 1 Lab Sample ID:CB01695-01 Received: 04/25/18 11:42
Matrix: Water Sampled:04/24/18 11:30 Work Order: CB01695
Project: APAC Plant 9 Sampled By: CLIENT
Classical Chemistry Parameters
^ - ENCO Cary cerbried a-Ve MC 5911
Analyte rCAS Numberl Results Flag Units gp MDL Q Batch Method Analyzed My Notes
Total Suspended SOUSA 3.0 mg/L 1 2.5 2.5 BE01002 SM 254OD-1997 OS/01/18 15:35 01,111
Description: 2 Lab Sample ID:CB01695-02 Received: 04/25/18 11;42
Matrix: Water Sampled:04/24/18 11:37 Work Order: CB01695
Project: APAC Plant 9 Sampled By:CLIENT
Classical Chemistry Parameters
^ - ENCO Cary cetihed anaVe (NC 5911
Analyte KAS Humberl Results f L49 Units pT MU L% Batch Method Analyzed }3y Notes
Total Suspended Solids^ 9.1 mg/L 1 2.5 2.5 8D27020 SM 254OD-1997 04/27/18 12:35 OMR
FINAL This report relates only to the sample as received by the laboratory, and may only be reproduced In full. I Page 4 of 7
www.encolabs.com
QUALITY CONTROL DATA
Classical Chemistry Parameters - Quality Control
Batch SD27010 - NO PREP
Blank (8D27020.11M)
Prepared & Analyzed: 04/27/2018 12:35
Spike Source %REC
RPD
Analvte
Result
Flan
POL
Units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
2.5
U
2.5
mg/L
LCS (811327020-051)
Prepared & Analyzed: 04/27/2018 12:35
Spike Source °/a R E C
RPD
Analvte
Result
Flag
P-OL
Units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
97
2.5
mg/L
100 97 80-120
Duplicate (8D2702D-DUPl)
Prepared & Analyzed: 04/27/2018 12:35
Source: CB03896.01
Spike Source %REC
RPD
Analyte
Result
Flag
PQ4
U_Tlit5
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
87
17
mg/L
92
5
20
Duplicate (BD27020-DUP2)
Prepared & Analyzed: 04/27/2018 12:35
Source: CB06087.01
Spike Source %REC
RPD
Analrte
Resu t
Flag
P_0L
flails
Level get a/eREC Limo
RPD
1110A Notes
Total Suspended Solids
55
25
mg/L
57
4
20
Batch BE01001- NO PREP
Blank (SE01002-BLK1)
Prepared & Analyzed: 05/01/2018 15:35
Spike Source %REC
RPD
Analyt
Result
Flag
RQL
Units
Level Resul %REC Limits
RPD
Limit Notes
Total Suspended Solids
2.5
U
2.5
mg/L
LCS (8E01002-BS1)
Prepared & Analyzed: 05/01/2018 15:35
Spike Source %REC
RPD
Analvte
Result
Flag
ROL
Units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
88
2.5
mg/L
100 88 80-120
Duplicate (SE01002-DUPl)
Prepared & Analyzed: 05/01/2018 15:35
Source: C801514-01
Spike Source %REC
RPD
ADalyt
Result
Flag
P-QL
-Mu
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
53
10
mg/L
57
7
20
Duplicate (I;€v1002-.^.UP2)
Prepared u n,a'r,e d: 05/0.1/2018 13�
Source: C801690-01
Spike Source %REC
RPD
Analvte
Result
Flag
P-OL
Units
Level Result %REC Limits
RPD
Limit Notes
Total Suspended Solids
100
12
mg/L
110
0.5
20
FINAL 7h;s report relates only to the sample as received by the laboratory, and may only be reproduced in full. Page 5 Of 7
www.encolabs.com
FLAGS/NOTES AND DEFINITIONS
B The analyte was detected in the associated method blank.
D The sample was analyzed at dilution.
3 The reported value is between the laboratory method detection limit (MDL) and the laboratory method
reporting limit (MRL)r adjusted for actual sample preparation data and moisture content, where applicable.
U The analyte was analyzed for but not detected to the level shown, adjusted for actual sample preparation
data and moisture content, where applicable.
E The concentration indicated for this analyte is an estimated value above the calibration range of the
instrument. This value is considered an estimate.
MRL Method Reporting Limit. The MRL is roughly equivalent to the practical quarititation limit (PQL) and is
based on the low point of the calibration curve, when applicable, sample preparation factor, dilution
I--, and, in the case of ssarnp!ess, mocisture content.
PQL PQL: Practical Quantitation Limit.
N The analysis indicates the presence of an analyte for which there is presumptive evidence (85% or greater
confidence) to make a "tentative identification".
P Greater than 25% concentration difference was observed between the primary and secondary GC column.
The lower concentration is reported.
RNRL This report relates only to the sample as received by the laboratory, and may only be reproduced in Full. Page 6 of 7
Sample Chain of Custody Form
Acct#: ri 1005 Preluq ii; CB01695
Client - El Group, Inc, (TF1005) ProjectltiReferenci3: APAC'Plant 9
Contact: Doug Albrecht Required TAT. 10
Ship Tcj; 2101 Gateway Center Blvd., Sulte 20 EN(:Ci t ontart; iBill _Srntt
Morrisville. NC 27560 r 102-A Woodwinds Industrial Court
'C NG.27511
Report To: 2101 Gattwway ,(.tinter Blvd., Suite 2q F
Morrisville, NGf275fi0 -*(I""
P 1
CabNumber;`,r a l]at mme'Se!npleds �S`ample'l€NIMV; USAI ,�.��t�' �lysnaeslCa'ntarners *'a ?s
CB01695-01 Analyses: TSS SM254 q
T•
�
Containers- t - 1 LP
C801695 02 Ar'.olyses: TS5 SM2540D
Containers: 1 1 LP
.� 'µ 5f
—40
S Pt d Sr. rum,: Refirri
Condrtran: ZAqceptob"le Unaccoptablc Para rid• y' Datef'i'rrfru:
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samples in 3 ymil3r manner. This bCtSia curt€ainb Qeitinized Wat>_r'flnty,
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CENTRAL FILES
DWR SECTION
Semi-annual Stormwater Discharge Monitoring Report (DMR
for North Carolina DEMLR General Permit No. NCG160000 -Asphalt
Date submitied 4/04/2017
CERTIFICATE OF COVERAGE NO. NCG 160111 SAMPLE COLLECTION YEAR 2017
FACILITY NAME: APAC Atlantic, Inc. Plant #9 SAMPLE PERIOD ® )an -June ❑ July -Dec
COUNTY: Randolph or ❑ Monthly' lmonthl
PERSON COLLECTING SAMPLES: Kenny Sorrell DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
LABORATORY: Prism Lab Cert. i1402 ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: ®Other: Back Creek
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results
No discharge this period?
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches
Total Suspended Solids
Benchmarks
_
-
200 mg/L or 50 mg/O
001
03/31/2017
0.43
BRL
002
03/31/2017
1 0.43
BRL
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall,
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites maybe eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note. If you repot a sample value in excess of the benchmark, you must implement 77er 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.
Permit Date: 10/l/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2
n No dischorae this period?Z
Outfall No.
Date Sample
Collected`
(mo/dd/yr)
24•hour rainfall
amount,
Inches,
Non -polar O&G by EPA
1664 JSGT-HEM)
Total Suspended Solids
Benchmarks =_>
15 mg/L
100 mg/L or 50 mg/O
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must Implement 77er I, Tier 2, or Ter 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• ASINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? 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 Lor at end a monitoring period
In the case of "No Discharge" reports) ta:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete.
am aware that th a are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
J ELIL '7-Io -1 -1
(Signature of Permittee) (Date)
Permit Date: 10j1/2014-9/31j2019 5WU-252, last revised 9/17/2014
Page 2 of 2
/Air1701
\111 r % A A
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OLABORATORIES, ING
Full -Service Analytical &
Environmental Solutions
El Group, Inc. - Morrisville
Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
NC Certification No. 402
nir mrinkin^y :Water Cart No. 37735
SC Certification No. 99012
Project: APAC Stormwater Testing
Project No.: Plant # 9
Lab Submittal Date: 04/04/2017
Prism Work Order: 7040031
Case Narrative
U411112U17
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
a --.-I
Angela D. Overcash
VP Laboratory Services
Data Qualifiers Key Reference:
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
Reviewed By Angela D. Overcash
VP Laboratory Services
Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240W - Charlotte, NC 28224-0543
Phone: 704/529-6364 -Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 1 of 6
e,.
\R> Full -Service Analytical d
GP R I S M � Environmental Salutions
•��aa„.aR��,�a�
Sample Receipt Summary
04/11 /2017
[ M Ri lvirm MOli+ MPH11*111
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
001 7040031-01 Water 03/31/17 04/04/17
002 7040031-02 Water 03/31/17 04/04/17
Samples were received in good condition at 2.1 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toil Free Number: 1-8001529 6364 - Fax: 7041525-0409 Page 2 of 6
a\
L.\1 Full -Service Analytical b
�P R ISM environmental Solutions
,M,za,�
El Group, Inc. - Morrisville
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
Project: APAC Stormwater Testing
Project No.: Plant # 9
Sample Matrix: Water
Laboratory Report
0411112017
Client Sample ID: 001
Prism Sample ID: 7040031-01
Prism Work Order: 7040031
Time Collected: 03/31/17 10:30
Time Submitted: 04/04/17 08:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Date(Time ID
General Chemistry Parameters
Total Suspended Solids BRL mg1L 2.6 0.80 1 'SM2540 D 416117 9:59 SLS P700079
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1-8001529.6364 - Fax: 704/525-0409 Page 3 of 6
//aIlPPJ Fu11-Service Anet ical d
L.SpL— ISM I £nvimnmentel Solutions
Laboratory Report
04/11/2017
El Group, Inc. - Morrisville
Attm Josh Dunbar
2101 Gntewny Center nr S-tP_ ?00
Morrisville, NC 27560
Project- APAC Stormwater Testing
ProiAr-.t No rii— �t #
Sample Matrix: Water
Client Sample ID: 002
Prism Sample ID: 7040031-02
Prism Work Order: 7040031
Time Collected: 03/31/17 10:45
Time Submitted: 04/04/17 08:40
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
r:
Limit FactorU41611A��G lD
General Chemistry Parameters
Total Suspended Solids BRL mglL 2.5 0.80 1 'SM2540 D 416/17 9:59 SLS P7130079
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1-8001529.6364 - Fax: 704/525-0409 Page 4 of 6
n.i
/�tI a Full -Service Analytical 5
NBI S M Environmental Solutions
'�"v �^eow•.onva Iw
El Group, Inc_ - Morrisville Project: APAC Stormwater Testing
Attn: Josh Dunbar
2101 Gatewav Center Dr Ste. 200 Project No: Plant # 9
Morrisville, NC 27560
General Chemistry Parameters - Quality Control
Level II QC Report
4/11/17
Prism Work Order: 7040031
Time Submitted: 4/4/2017 8:40:OOAM
Reporting Spike Source %REC RPD
Analyto Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P7DO079 - NO PREP
Blank (P7D0079-BLK1
Total Suspended Solids
Or�L S.V IIIglL
& Analyzed: 04/06/17
LCS (P700079-BS1) Prepared & Analyzed: 04/06/17
Total Suspended Solids 460 5.0 mglL 477.0 97 90-110
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 5pringbrook Road - P.O. Box 24OW - Charlotte, NC 28224-0543
Phone: 704I529-6364 -Toll Free Number: 1-8001529-5364 - Fax: 7041525-0409 Page 5 of 6
OF CUSTODY RECORD
/A&M
Full -Service Analytical &
SCHAIN
Environmental Solutions
PAGE / OF_� OVOY'yE O TO ENSURE FROPBR BILLING,
�LPBORATOPIES INC.
�,� J ]� r
449 Springbrook Road • Charlotte, NC 28217
Phone 7041529.6364 Fax: 704/525.0409
Project Name:
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
Client Company Name: flewdf
�L Nff
"Please ATTACH any project specific reporting (QC LEVEL 1 Il 111 IV)
provisions and/or QC Requirements
Report TolContact Name //.�,,,
rC,--,.d�
Invoice To:
Reporting Address:p7 "ae'
.✓r
Uv
Address:
7 flares iY1Fi
_
Phone: 3:41 AW, 1=`R' f Fax (Yes) (No,):
Email Address: 4 ;In - 4 C�c' i L c or
EDD Type: PDF-�k_Excei_Other
Site Location Name: �i,.v:jr)Yw(, -I• C-
Purchase Order No./Billing Reference /bh b J7 t7V 1%1!�
Requested Due Date O 1 Day O 2 Days ❑ 3 Days O 4 Days ❑ 5 Days y
"Working Days" 0rr9 Days C�(5tandard 10 days O Pre-ApP°o must Be
Samples received after 14:00 will be processed next business day.
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC_ DoD_ FL_ NC_
SC OTHER NIA
Site Location Physical Address:_7_ Q0, ;iiix 1, / );O;-
1 41 Tumarolmd time is based on business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO_
(SEE REVERSE FOR TERMS S CONDITIONS REGARDING SERVICES
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES NO
CLIENT
DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
MATRIX
(SOIL,`
WATER OR
SLUDGE)
ar.P�r�o CONI,
SAMPLE CO
TIVES
PRESERVA-Ae///
A�ILYSIS REQUESTED
REMARKS
(F)
ooicNlSAMPLE
iAS
ID NO.
`TYPE
SEE BELOW
ND.
SIZE
001
.5 .S, � �
(HOURS
111- U
VV
I C
!Y
�—
r /;r
r
T"
I I
Ag1 tNlG-
�J �
n
02-
vJ
�11A
t
Sampler's Signatur
Sampled By (Print Name) Affiliation
upon relinquishing, s Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be
submitted in westing to43te Prism rrojeci manager. Therebee charges Vany eh' after s hve �lyseabeen initialized.
ellnqulshe e : W. 7 7
7i
Rellnqu4she
ace a : i9nature to ifitary ours Additional Comments
Race By: Del
Sde Daparlure Time err;-
-�
4`11d A
Relinqu ed By: (Sig ure1
For Prism Le todw By. O te,I J / -
_ f lath
Melhod a Ship NOTE: LL SAMPLE GOO RS SXOUk.D BE TAPED SM Y 5P 1L5 FOR TRANS RTATION TO THE LABORATORY. C Group
5 LES ARE NOT gCCEPYED AND VERIFIED AGAINST CD,C—UNTTI_L R.ECErvi AT THE LABORATORY. �I
O Fed/ O HaMdelivered ❑ Pdsrn Field Servke Other /ILL' -fir I_ �u _ 1 0
-
NPDES: UST: GROUNDWATER:
INKING WATER: SOLID WASTE: RCRA: CERCLA LANDFlLL OTHER:
C1 NC O SC� ❑ NC CI SC C1 NC Cl SC O
NC CI SC O NC ❑ SC ❑ NC O Sr E3 NC Cl SC I Q NC CI SC O NC CI SC
n ❑ n n
❑ n ❑ n n
ORIC;IAiAI
'CONTAINER TYPE CODES: A= Amber C = Clear G= Glass P = Plastic, TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space)
Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG160000 - Asphalts
Date submitted 6/7/2016
CERTIFICATE OF COVERAGE NO. NCG160111 SAMPLE COLLECTION YEAR 2016
FACILITY NAME: APAC Atlantic, Inc. Plant_#9 SAMPLE PERIOD ® Jan -June ❑ July -Dec
COUNTY: Randolph or ❑ Monthly' (month)
PERSON COLLECTING SAMPLES: Kenny Sorrell DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
LABORATORY: Prism Lab Cert. # 402 RECEIVED ❑Zero -flow ❑Water Supply ❑SA
Comments on sample collection or analysis: JUL 2 B 1U16 ®Other: Back Creek
CENTRAL FILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results DWR SECTION
No discharge this period?
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches
Total Suspended Solids
Benchmarks
-
-
100 mg/L or 50 mg/L4
001
06/07/2016
0.75
5.6
002
06/07/2016
0.75
1 5.3
' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit;�etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 1 of 2
...
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/0
Footnotes from Part A also apply to this Part e
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 SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FORTH E SAME PARAMETER AT THE SAME OUTFALLTRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES [:]NOR
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 tab results (or at end of monitoring period
in the case of "No Discharge" reports) for
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Imo, Cad, � as-i+-
(Signature of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2
Semi-annual Stormwater Discharge Monitoring Report (DMR)
for North Carolina DEMLR General Permit No. NCG160000 - Asphalt
Date submitted 11/25/2015
CERTIFICATE OF COVERAGE NO. NCG160111
FACILITY NAME: APAC Atlantic, Inc. Plant #9 _ ,��
COUNTY: Randolph RECE V�v
PERSON COLLECTING SAMPLES: Kenny Sorrell
LABORATORY: Prism Lab Cert. # 402 DEC 1 8 201�
Comments on sample collection or analysis: CENTRAL FILES
QWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2015
SAMPLE PERIOD ❑ Jan -June ® July -Dec
or ❑ Monthly' %month)
DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA
[]Zero -flow []Water Supply ❑SA
®Other: Back Creek
PLEASE REMEMBER TO SIGN ON THE REVERSE "elf
r—
El
No discharge this period?' FV20
Outfall No.
Date Sample
Collected)
(mo/dd/yr)
24-hour rainfall
amour
Inches'
Total Suspended Solids
Benchmarks =__>
-
-
100 mg/L or 50 mg/L°
001
11/09/2015
1.4
120
002
11/09/2015
1.4
36
003
11/09/2015
1.4
< 2.6
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies,
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, quantitation limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tler 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.
Permit Date: 10/1/2014-9/31/2019 SWIi-252, last revised 9/17/2014
Page 1 of 2
❑ No discharge this period?'
Outfall No.
yCollected'
(mo/dd/yr)
rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note: if you report a sample value in erreSS of tho honrhmgrk vnlj mitt imnlo►nPnt Tor 1, Ter 2; nr Ter 3 reseonses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A SINGLE BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDANCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE AS REQUIRED BY THE PERMIT? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail on original onO one copy _of this DMR, including all 'No Discharge" reports, within 30 days of receipt_oLthe -job results for at end_ of monitoring period
in the case of "No Discharge" reports) to:
Division of Water Resources
Attn: DWR Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
N 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-ihe information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
j(� & i I - 15.
(Signature of Permittee) (Date)
Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014
Page 2 of 2
M, 1 f�1 it A
�%ol�Nl
NC Certification No, 402
SC Certsficaton No. 99012
e ,R'C nnnU�.,y uaete• Ce.t No 37735
ill ll'JCI YI4C Illlaiy+llLal OI
Environmental Solutions VA Certification No, 460211
DoD FLAP: L-A-B Accredited Certificate No. L2307
ISOIIEC 17025: L-A-B Accredited Certificate No. L2307
El Group, Inc. - Morrisville
Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
Project: APAC Stormwater Testing
Project No.: Plant # 9
Lab Submittal Date: 11/13/2015
Prism Work Order: 5110325
Case Narrative
11/24/2015
This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample
Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed
according to the referenced methods.
Data qualifiers are flagged individually on each sample_ A key reference for the data qualifiers appears at the end of this case
narrative.
Please call if you have any questions relating to this analytical report.
Respectfully,
PRISM LABORATORIES, INC.
a ----I
Angela D. Overcash
VP Laboratory Services
Data Qualifiers Key Reference:
Reviewed By Terri W. Cale For Angela D. Overcash
Project Manager
HT Sample received and analyzed outside of the hold time.
BRL Below Reporting Limit
MDL Method Detection Limit
RPD Relative Percent Difference
* Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and
reporting limit indicated with a J.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240S43 - Charlotte, NC 28224-0643
Phone: 704162"364 - Tall Free Number. 1-8001629-6364 - Fax: 7041526-W9 Page 1 of 7
ZPR I S M Fullmo Analytical S
Environmental Solutions
��waOMTOwF$ me
Sample Receipt Summary
11 /2412015
Prism Work Order: 5110325
Client Sample ID Lab Sample ID Matrix Date Sampled Date Received
out--1-1
5110325_01
Water
111nori5
111111i,1A
�
Outfall-2
5110325-02
Water
11/09/15
11/13/15
Outfall-3
5110325-03
Water
11/09/15
11/13/15
Samples were received in good condition at 2.1 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 7041629-6364 - Toll Free Number. 1-9001629-6364 - Fax: 7041525-0409 Page 2 of 7
Fu11-Service Analytical &
APE'RISM Erwironmsntal Solutions
onwraaiEs INC
El Group, Inc. - Morrisville
Attn: Josh Dunbar
2101 Gateway Center Dr Ste. 200
Morrisville, NC 27560
Project: APAC Stormwater Testing
Project No.: plank # 9
Sample Matrix: Water
Laboratory Report
11/24/2015
Client Sample ID: Outfall-1
Prism Sample ID: 5110325-01
Prism Work Order: 5110325
Time Collected: 11/09/15 10:15
Time Submitted: 11/13/15 16:15
Parameter
Result
Units
Report
Limit
MDL Dilution
Factor
Method
Analysis Analyst
DateRme
Batch
ID
General Chemistry Parameters
Oil & Grease (HEM)
BRL
mg1L
5.0
Q48 1
'1664B
11123115 13:15 ARC
P5KO479
PH
4A HT
pH Units
1
'SM4500-H 8
11116116 13:47 EGC
PSK0281
Total Suspended Solids
120
mg1L
10
0.80 1
'SM 2540 D
11116115 16:10 EGC
PSK0323
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 7041629-6364 - Toll Free Number: 1-8001629-6364 - Fax: 7041626-0409 Page 3 of 7 I
n�
1l Full -Service Analytical 8
/,LP-P I S � y /Jj� j j Environmental Solutions
vueoe.,eR�Fs ��
Laboratory Report
11 /24/2015
El -Group, Inc. - Morrisville
Project: APAC Stormwater Testing
Client Sample ID: Outfall-2
Attn: Josh Dunbar
Prism Sample ID: 5110325-02
2101 Gateway Center Dr Ste. 200
Project No.: Plant # 9
Prism Work Order: 5110325
Morrisville, NC 27560
Sample Matrix; Water
Time Collected: 11/09/15 10:47
Time Submitted: 11/13/15 16:15
Parameter
Result Units
Report MDL
Dilution Method Analysis Analyst
Batch
Limit
Factor Datelrime
ID
General Chemistry Parameters
Oil & Grease (HEM)
BRL mg1L
5.0 0.48
1 '1664B 11/23/15 14:25 ARC
P51<0479
PH
4.2 HT PH Units
1 'SM4600-H B 11/16115 13:48 EGC
PSK0281
Total Suspended Solids
36 mg/L
6.0 0.80
1 'SM 2640 D 11116115 16:10 EGC
PSK0323
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Sprinabrook Road - P.O. Box 240543 - charlotte, NC 28224-OS43
Phone: 7041629-6364 - Toll Free Number. 1-800I529-6364 - Fax: 7041526-M9 Page 4 of 7
JE Fuli-Sorvico Analytical &
PR I S M j Environmental Solutions
EI'Group, Inc. - Morrisville
Attn: Josh Dunbar
Morrisville, NC 27560
Project: APAC Stormwater Testing
PI-1-4 AL. -
giant * v
Sample Matrix: Water
Laboratory Report
11/2412015
Client Sample ID: Outfall-3
Prism Sample ID: 51110325-03
Time Collected: 11/09/15 11:20
Time Submitted: 11/13/15 16:15
Parameter Result Units Report MDL Dilution Method Analysis Analyst Balch
Limit Factor Date/Time ID
General Chemistry Parameters
Oil & Grease (HEM) BRL mg/L 5.0 0.48 1 "1664B 11/23115 14:25 ARC P51<0479
pH 4.4 HT pH Units 1 "SNM4500a1 B 11116115 13:49 EGC PSK0281
Total Suspended Solids BRL mglL 2.6 0.80 1 'SM 2540 D 11/16/15 16:10 EGC P5K0323
This report should nut -be reproduced, except in its entirety, without the written c;pnSeRt of Prism Laboratories; Inc.
449 Springbrook Road - P.O. Box 240643 - Charlotte, NC 28224-0643
Phone: 7041529-6364 - Toll Free Number. 1-8001629-6364 - Fax: 7041525-0409 Page 5 o 77
Anb\nRISM Full -Service Analytical 8
Environmental Solutions
D-LABOH�TOe�ES CMG
EI Group, Inc. - Morrisville Project: APAC Stormwater Testing
Attn: Josh Dunbar
2101 Gateway Center Dr Ste: 200 Project No: Plant # 9
Morrisville, NC 27560
General Chemistry Parameters - Quality Control
Level II QC Report
11124/15
Prism Work Order: 5110325
Time Submitted: 11/13/2015 4:15:OOPM
Reporting Spike Source %REC RPD
Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes
Batch P5K0281 - NO PREP
LCS (P5K0281-BS1)
Prepared & Analyzed: 11/16/15
pH
6.68
pH Units
6.880 100 98.5-101.5
Batch P5K0323 - NO PREP
Blank (P6K0323-BLK1)
Prepared & Analyzed: 11/16/15
Total Suspended Solids
BRL
5.0
mg/L
LCS (P5K0323-BSI)
Prepared &Analyzed: 11/16/15
Total Suspended Solids
480
5.0
mglL
477.0 100 90-110
Batch P6K0479 - NO PREP
Blank (1151<0479-131LKI)
Prepared & Analyzed: 11/23/15
Oil & Grease (HEM)
BRL
5.0
mg/L
LCS (P5K0479-BSI)
Prepared & Analyzed: 11/23/15
Oil & Grease (HEM)
36.6
5.0
mg/L
40.00 91 78-114
1.1atrix �9-MSI)
vp,nc 1. - .�
c....mc:5
110325-01
Prepared Analyzed:11M3!15
..'... ...��
Oil & Grease (HEM)
44.1
5.0
mglL
40.00 0.620 109 7B-114
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P.O. Box 240S43 - Charlotte, NC 28224-0543
Phone: 71f41529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 6 of 7
lam+ �:: �:�:...;: -: � �-�.. � � ....:....:.....�.....�..-.W ......w................�..... �... ,..i„�,........... � �....,...............�..-_-.......-.4.-...._��_�..-.,.._..,.rmr«
.................................................................................................
r
CHAIN OF CUSTODY RECORD
.II, Full -Service Analytical8
R S M Environmental Solutions PAGE�OF QUOTE 0TO ENSURE PROPER BILL
Samples INTACT upon amval7
�R 1A60nnopmSING qq JJ--77 nn / Q +�* 'W $' O
Prniwe•.}Nama� /'llf�� —ICI Y.4 J S� „x Received ON WETIGE?
449 Springbrook Road • Charlotte, NC 28217
Phone 7041529-6364 • Fax: 7004411525-0409
Client Company Name;�
Report To/Contact Name:
Reporting Address: , `10i 6l�!6/
Short Hold Analysts: (Yes) (NO) UST Project: (Yes) (NO)
`Please ATTACH any project specific reporting (QC LEVEL 1 II III IV)
provisions andlor QC Requirements
Invoice To:
Address.
Phone: Fax (Yes) (I�i -zl —
Email Address: _! C�V 1 ha I- 6 � Lan
EDD Type: PDF a Excal Other
T
Site Location Name; %�'�/iL _Ar,L f �
Site Location Physical Address: A4_1 :- C, *,C-
Purchase Order No./Billing Reference
Requested Due Date ❑ 1 Day ❑ 2 Days O 3 Days O 4 Days ❑ 5 Days
"Working Days" ❑ 6.9 Days�Standard 10 days ❑ Rush AWorrk Must Be
Samples received after 14:00 will be processed next business day.
Turnaround time Is based on business days, excluding weekends and holidays.
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Certification: NELAC_ DOD FL NC
CC rTTLIFR' NIA
C— -
Water Chlorinated: YES— NO
71
(SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICED
RENDERED BY PRISM LABORATORIES, INC. TO CLIENT)
Sample Iced Upon Collection: YES NO_
CLIENT
SAMPLE DESCRIPTION
DATE
COLLECTED
TIME
COLLECTED
MILITARY
HOURS
MATRIX
(SOIL,
WATER OR
SLUDGE)
SAMPLE CONTAINER
IS.
PRESERVA•
TNES
ANALYSIS REQUESTED
REMARKS
\ 7� V.
.`�j 7
PRISM
LAB
jD NO.
*TYPE
SEE BELOW
NO.
SIZE
C./a �'-7�/ �,l•
�� /l
/ �%S
eL
4U �J C.�
L i 1
1L �Il. .Aoi�
%/i✓ "'
V
V
al&1111 - z
Sampler's signature Sampled By (Print Name) Affiliation
Upon relinquis , this Chh f Custody is your authorizatlon for Prism to proceed with the analyses as requested above. Any changes must be
r
Submitted In t ng to the Pr m Project Manager. There will be charges for an ch gas after analyses have been
e
ellrpuished Y•( 9na � Data iRary cum'-
Comments
Slte Amval Time d -���.
rAdditlonal
1-1J /ao -
erinquls By: (sic re) - R Is a ) - -- ate 77 ��
Rellnpu SI nature eca' r Pns •• boretones B :
r: (s i y I t 7 �1S
- l%'rs
ettgtl of5 pmenc NOT ALL SAMPLE C LERS SHOULD BE TAPED SH WrTH GU O Y R aPORTATIONT THE LABORATORY. COG Group o -
SA LES ARE NOT ACCEPTED AND VERIFIED AGAINST COC UNn EC DAT TXE LABORATORY. p,
❑ Fed Ex ❑ UPS ❑ Hand -delivered ❑ Prim Field Service ❑ Other V3 t 5-
-Site Departure 71me -
,Field Tech Fee K !,.
AAlleage !'
NPDES; ,UST. GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
QNCOSC ❑NC OSC CINC ❑SC LINC OSC
UNC OSC ONCOSC� oNC ❑SCIC OSC ❑NC OSC
❑ ❑
'CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL
RECEIv D
N.C. [Deut. or ENR
STORMWATER DISCHARGE OUTFALL (SDO) MAR 0 12011
ANNUAL SUMMARY DATA MONITORING REPORT (DMR)
Winstcn-5atem
Calendar Year 2010 I Regional CUffice
General Permit No. NCG160000
Certificate of Coverage No. NCG160111
This monitoring report summary is due to the DWQ Regional Office no later than 30 days from the date
the facility receives laboratory sampling results from the final sample of the calendar year.
Facility Name: APAC Atlantic, Inc, Plant #9 Randleman, NC^
County: Forsyth
Phone Number: (336) 672-0947 Total no. of SDOs monitored: 2
aA.
Outfail No. 001
In this outfall currently in Tier 9 Imnnitnrarl mnnth1v17 Vec F-1 w
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X
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 ❑
Outfall 001
Total Rainfall, inches
00530
00400
00666
Vehicle
Maintenance
Activities
TSS, mglL
pH, S.U.
Oil &
Grease,
mglL
New Motor Oil
Usage,
gal/month
Benchmark
N/A
100
6.0 — 9.0
30
N/A
Date. Sample Collected,
molddh, r
+ " . i �'
M v « b :a a , .
r ".
.4 „e
�'.. ✓s � �
'4l"h'y �,�
� �k✓[�' E�Y 1N
i' 7 t%i^ 1 "� '.�{.
02/22/2010
0.25
286
7
ND
NA
08/19/2010
0.5
79.4
7.2
ND
NA
SWU-250 NC G 16-051709
I -
Additional Outfall Attachment
Outfall No. 002
Is this outfall currently in Tier 2 (monitored monthly)? Yes ❑ No X
Was this outfall ever in Tier 2 (monitored monthly) during the past year? Yes ❑ No X
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 ❑
Outfall 002
Total Rainfall, inches
00630
00400
00566
Vehicle
M�infnn�nna
Activities
TSS, mglL
pH, s.u.
Oil &
Grease,
mglL
New Motor Oil
Usage,
gallmonth
Benchmark
N/A
.100
BA -• 9.0
30 -
N/A -
Date Sample Collected,
$F
0212212010
0.5
Dis har a
Discharge
Discharge
NA
SWU-25ONCG16-051709
"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."
Sinnaturei-�.l1�-f
Date
Mail Annual DMR Summary Reports to:
DWQ Regional Office Contact Information:
Asheville Office ......
(828) 296-4500
Fayetteville Office ...
(910) 433-3300
Mooresville Office ...
(704) 663-1699
Raleigh Office ........
(919) 791-4200
Washington Office ...(252)
946-6481
Wilmington Office ...
(910) 796-7215
Winston-Salem ......
(336) 771-5000
Central Office .........(919)
807-6300
2090 US Highway 70
Swannanoa, NC 28778
(828) 2964500
3800 Barrett Drive
Raleigh, NC 27609
(919) 791-4200
585 Waughtown Street
111:nston Q-1.,m Alf' '1'71 A 7
•T IIIJ LVII-OCMA11, 1YL. L.I IV 1
(336) 771-5000
225 Green Street
Systel Building Suite 714
Fayetteville, NC 28301-5043
(910) 433-3300
943 Washington Square Mall
Washington, NC 27889
(252) 946-6481
MOORESVILLE,�RIE_CIONAL'6 FICI
bl 0 East Center Avenue/Suite 301
Mooresville, NC 28115
(704)663-1699
127 Cardinal Drive Extension
Wilmington, NC 28405-2845
(910) 796-7215
1617 Mail Service Center to preserve,' p►oieet
Raleigh, NC 27699-1617 and enhance
�Yiv) 6u/-d_5uu I :� vrNti Prw7�� rralc%..
i
SWU-250 NC G 16-051709
r
Permit: NCG160111
SOC:
County: Randolph
Region: Winston-Salem
Contact Person: Lori Carter
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Compliance Inspection Report
Effective: 10/02/14 Expiration: 09/30119 Owner: APAC Atlantic Inc -Thom pson-Arthur Div
Effective: Expiration: Facility: APAC Atlantic Inc- Randleman Plant (42409)
2805 Mopewood Rd
Title: Plant Superintendent
Certification:
Randleman NC 27317
Phone: 336-412-6849
Phone:
Inspection Date: 07/19/2017 Entry Time: 09:30AM Exit Time: 12:30PM
Primary Inspector: Ryan Swaim Phone: 336-776-9659
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Asphalt Paving Mixture Stormwater Discharge COC
........y...w•..o. v.niiNumu LJ i.�.t vCompliant
u
Question Areas:
Storm Water
(See attachment summary)
Page: t
Permit: NCG160111 Owner - Facility:APACAtianticInc- Thompson -Arthur Div
Inspection Data: 07/19/2017 Inspection Typo: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2
r
pennit: NCG160111 Owner-Facility:APAC Atlantic Inc - Thompson -Arthur Div
Inspection Date: 07/19/2017 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
0 ❑ ❑ ❑
# Does the Plan include a General Location (USGS) map?
0 ❑ ❑ ❑
# Does the Plan include a "Narrative Description of Practices"?
0 ❑ ❑ ❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
0 ❑ ❑ ❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
0 ❑ ❑ ❑
# Has the facility evaluated feasible alternatives to current practices?
E ❑ ❑ ❑
# Does the facility provide all necessary secondary containment?
0 ❑ ❑ ❑
# Does the Plan include a BMP summary?
0 ❑ ❑ ❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
0 ❑ ❑ ❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
N ❑ ❑ ❑
# Does the facility provide and document Employee Training?
E ❑ ❑ ❑
# Does the Plan include a list of Responsible Party(s)?
0 ❑ ❑ ❑
# Is the Plan reviewed and updated annually?
E ❑ ❑ ❑
# Does the Plan include a Stormwater Facility Inspection Program?
N [] ❑ ❑
Has the Stormwater Pollution Prevention Plan been implemented?
■ ❑ ❑ ❑
Comment: The sites SWPPP was reviewed and found to complete and up to date for 2017.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? 0 ❑ ❑ ❑
Comment: The Qualatative monitoring for the site was reveiwed and had been completed as required by the
NCG permit for 2017.
Analytical Monitoring Yes No NA NE
Has the facility conducted its Analytical monitoring? 0 ❑ ❑ ❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas? N ❑ ❑ ❑
Comment: The Analytical monitoring for the site was reveiwed and had been completed as required by the
NCG permit for 2017.
Permit and Outfalls
# Is a copy of the Permit and the Certificate of Coverage available at the site?
# Were all outfalls observed during the inspection?
# If the facility has representative outfall status, is it properly documented by the Division?
# Has the facility evaluated all illicit (non stormwater) discharges?
Yee No NA NE
❑■❑❑
IN ❑ ❑ ❑
❑❑■❑
■❑❑❑
Page: 3
permit: NGG160111 owner - Faculty: APAC Atlantic Inc - Thompson -Arthur Div
Inspection Date: 07/1912017 Inspection Type : Compliance Evaluation Reason for Visit: Routine
Comment: A copy of the permit was not found to be on site at time of inspection. Lori Carter (Environmental
Representative APAC Atlantic) has provided a copy- via email to the plant manager on 7-21-17.
At time of inspection each outfall was in need of modifying in order to capture stormwater flow
events. An adequately installed PVC pipe or concrete chute is recommended to capture
stormwater more effectively. In addition, there was was liquid asphalt waste that needed to be
cleaned up leading to outfall 2 as discussed in field. Finally, elp the diversion berm
for the western side of the property is functionina properly or provide another stormwater outfall.
If another stormwater outfall is added please inform this office and update as the sites NCG
permit requires. Please provide pictures of all corrections to this office.
Page: 4
A4J
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 262009
Ms. Lori Carter
Thompson -Arthur, APAC Atlantic, Inc
"Inn coout,'"Dcri..ow 1 ..,.a
IV UVl.1 L11 l.J vilUV W 1\VAL1
��xoMasoN�`�
ARTHUR�"LS.
Greensboro, NC 27401
Safety-QuaI ity-Integrity
Subject: General Stormwater .Permit inspection
Thompson -Arthur, Asphalt Plant # 9
Thompson -Arthur
Permit No. NCG160111
APAC Atlantic, Ine.
300 S. Bcnbow Road
Randolph County
Greensboro, NC 27401
Dear Ms. Carter:
Safety First r&vaya
Equal Opportunity Employer - h11FAIN k
i
Lori Carter
Division Environmental Representative
336-412-6753
cell 336-706-9968
fax 336-412-6751
lwcarter@apac.com
apac.com
On March 24, 2009, Mike Mickey of this office met with you and James Stephens to
perform a NPDES Stormwater Permit Inspection at the Thompson -Arthur Asphalt Plant # 9
located off Pineview Street near Asheboro. This inspection evaluated the five (5) areas as
designated on the attached inspection form. Observations. from each area are addressed
below:
1. Permit
Thompson -Arthur, APAC Atlantic holds NPDES Stormwater Permit No. NCG160111 for
the discharge of stormwater from the facility. The permit expires on July 31, 2009.
Hopefully, you have already received a letter form our Central Office outlining the renewal
requirements.
2. Records/Reports
Part II, Section A of the permit requires the development of a Stormwater Pollution
Prevention Plan (SPPP). A copy of the SPPP for Plant # 9 was reviewed during the
inspection. The plan, prepared in 2002, appeared thorough and complete and had been
updated with new contact information.
3. Facility Site Review
A tour of the property found the site to be clean and well managed. Observations did not
reveal any concerns. Secondary containment was provided for the #4 fuel oil tank.
Stormwater that collects in the containment structure is removed by a sump pump.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown 91. Winston-Salem, North Carolina 27107
Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarol ina_
Naturally
y
Ms. Lori Carter
Page #2
March 26, 2009
4. EffluentfReceiving Waters
U 1V11nry aLl.l 11V111 L11e site is 111Ve1JLVLeV aL Lwo outl�Llls. The stollllwater eventually leaellCS all
unnamed tributary to Back Creek, Class "WS-II HWQ" waters in the Cape Fear River Basin.
S5.Monitoring_Program
Part il, Section B of the permit requires the collection of annual analytical samples of the
stormwater discharge at both outfalls during a representative storm event. A review of the
facility files found that this monitoring was being performing as required. Please note that
the analytical results should be submitted to the Division no later than 30 days from the date
that you receive the sampling results from your laboratory.
Part II, Section C of the permit requires that qualitative (visual) monitoring be performed and
documented semi-annually. The file review shored that this monitoring was also performed
as required. Please note that the qualitative records do not need to be submitted to the
Division, however, they must be kept on file at the facility for a period of five years.
The analytical monitoring for on -site vehicle maintenance listed in Section D of the permit is
not required since the facility does not use more that 55 gallons of new motor oil per month
when.averaged over the calendar year.
Your efforts to comply with the stormwater permit are appreciated. If you have any
questions concerning this letter, please contact Mike Mickey or me at (336) 77t-5000.
Sincerely,
i
Steve W. Tedder
Water Quality Regional Supervisor
CC' NPS Assistance and Compliance Oversight Unit
Central Files — SWP
WSRO
�J
Form Approved
OMB No.2040-0057
Approval Expires
8-31-98
IJnited States Environmental Protection Aeencv. Washineton. D.C.. 20460
Section A: National Data S stem Coding..
Transaction Code NPDES No. Yr/Mo/Day Inspection Type Inspector FacilityType
N 5 NCG16011.1 09-03-24 C S 2
Facility Evaluation Rating 61 QUA ...... ..._Reserved...........
1 N S \T
Section B: Facility Data
Name and Location of Facility Inspected:
Entry Time:
Permit Effective
1000 hrs.
Date: Aug 1, 2004
APAC Atlantic, Inc,, Thompson -Arthur Division, Randleman Plant # 9
2805 Hopewood Road
Randleman, NC 27317
Exit Time:
Permit Expiration
1040 hrs.
Date: July 31, 2009
Name(s) of On -Site Representative(s): Title(s): Phone No(s):
Ms. Lori Carter Division Enviromental Representative (336) 412-6753
Mr. James Stephens Plant Foreman (336) 672-1621
Name, Address of Responsible Official:
Tide: Division Environmental Representative
Ms. Lori Carter
Thompson -Arthur, APAC Atlantic, Inc.
Phone No. (336) 412-6753
Contacted? Yes
300 South Benbow Road
Greensboro, NC 27401
Section C: Areas Evaluated During Inspection (check only those areas evaluated)
X Permit NA Flow Measurement NA Operations/Maintenance NA Sewer Overflow
X Records/Reports X Self -Monitoring Program NA Sludge Handling/Disposal NA Pollution Prevention
X Facility Site Review NA Compliance Schedules NA Pretreatment
X Effluent/Receiving Waters NA Laboratory X Stormwater
Section D: Summary of Findings/Comments
See cover letter and attached inspection form for specific comments.
Name(s) and Signature(s) of Inspectors:
Agency/Office/Telephone:
Date:
j�
DWQ / WSRO / (336) 771-5000
Signature of Reviewer:
Agency/Office:
Date:
DWQ / WSRO / (336) 771-5000
EPA Form 3560-3 (Rev 9-94)
Permit: NCG16011 t Owner - Facility: APAC Atlantic Inc - Thompson -Arthur Div
Inspection Date: 03/24/2009 Inspection Type: Stormwater Reason for Visit: Routine
RMrmwalar Pnlliefinn Pravontinn Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
# Does the Plan include a General Location (USGS) map?
# Does the Plan include a "Narrative Description of Practices"?
# Does the Plan include a detailed site map including outfall locations and drainage areas?
# Does the Plan include a list of significant spills occurring during the past 3 years?
# Has the facility evaluated feasible alternatives to current practices?
# Does the facility provide all necessary secondary containment?
# Does the Plan include a BMP summary?
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
# Does the facility provide and document Employee Training?
# Does the Plan include a list of Responsible Party(s)?
# Is the Plan reviewed and updated annually?
# Does the Plan include a Stormwater Facility Inspection Program?
Has the Stormwater Pollution Prevention Plan been implemented?
Comment: The Stormwater Pollution Prevention Plan (SPPP) for the facility, prepared
in 2002, was found to be thorough and complete. The plan had been updated with
recent company contact changes. Further updates are planned once the General
Permit is reissued. Training took place last in October 2008. The #4 fuel oil tank has
secondary containment. Stormwater is removed Dy sump pump. A iocked drain was
also present. The two'liquid asphalt cement tanks do not have containment.
Qualitative Monitoring
Has the facility conducted its Qualitative Monitoring semi-annually?
Comment: The semi-annual qualitative monitoring was performed as required. The
2008 events took place on 5/5 and 9125.
Analytical Monitoring
Has the facility conducted its Analytical monitoring?
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
Comment: The annual analytical monitoring was performed in 2004 on 9128 and in
2005 on 1017 (Note: as allowed by the permit, the annual sampling was discontinued in
2006 and 2007 since the initial TSS values were <100 mgll. Sampling is to occur again
in the 5th year of the permit cycle in 2009). The vehicle maintenance monitoring is not
required since the facility uses <55 gallons of new motor oil per month when averaged
over the calendar year.
Yes No NA NE
on❑n
Yes No NA NE
Page: 3
Permit: NCG160111 Owner - Facility: APAC Atlantic Inc - Thompson -Arthur ON
Inspection Date: 03/24/2009 Inspection Type: Stormwater Reason for Visit: Routine
Permit and Outfaiis
# Is a copy of the Permit and the Certificate of Coverage available at the site? ■ n
# Were all outfalls observed during the inspection? ■
# If the facility has representative outfall status, is it properly documented by the Division? ❑ ❑ ■ 0
# Has the facility evaluated 0 illicit (non stormwater) discharges? ■ n
Comment: Plant # 9 has two outfalls on either side of the south end of the property.
No problems or concerns were noted. The stormwater eventually reaches an unnamed
tributary to Back Creek, Class "WS-li HQW" waters in the Yadkin Pee -Dee River Basin.
Page: 4
( Rnalylltal Llmlt ' Qualitative Limit Ve 11t1e Llmit COnlments History Inspections. Incltlents Eniorcements , • V[olaFions
Permit. NCG1601,19 Version: 2.0 Status: Attire „c., i+ �Snve
Facility Rpac AUantic Inc. Randleman Plant (42 p6), Billing Contact: kader, Lori, find Per_.. Fiotl Qrg,,, hsaint:,:
County Randolph Address ti 30o S Ben how Rd Title:.,
Fee Category 5lormwatarrWastavvalei dl§charge COCS , Address 2: Phone: l(336j d1� 2-6849'Ext.r
8'illManth: B.August• ;.CdgBilled.0810111997 CILy Gmenshnro State: NCa yZIP; 27420• 't'
0:! Normal Fast Track Q Express Review
InyOlce Type
Period Year
Period ee in
Period End
Pilling Month
Due Dale
� Invoice F
Amount
' Paid
Balance
Status`
PermitArnuai Fee
200E
001011200B
07/3112009
August
1oil 712008
20063
08PR009
$ipq.pq �
glQa•QQ_j
$Q•p0 I
Paid
PermilAnnual Fee
2007
08f0112007
07f3112008
August
10718:2007
2007PROO9326
$.1..OA.00J
Sl_p0.0.0-i
S.0.0.0
Paid
Permit Annual Fee
2006
09f0112006
070112307
August
1 OP 29 2006
2006PROO9422
S_8.Uo 1
iQfA0J
SO_
Paid
Permit Annual Fee
2006
OWOV2005
07/3112006
A.0 ust
10/1412005
2005PR003638
180.00J
Sao-00J
80_00_-J
Paid
Permit Annual Fee
2004
OBMU2004
072112035
Au ust
1 OP 712004
2004PR035825
$80.00__1$80_00J
$0.p.p._-
Paid
PermitAnnuall Fee
2002
08lOtl3002
07l3tf2003
August
10118i2002
2002PR004252
$QQOOJ
S8.0 00J
Paid
Permit Annual Fee
2001 jWi
07f3112002
Au ust
110f W001 12001PR003921
$8.p_Q0J
S80.00J
$0.00—
Paid
• - . _ Reprint Invoice EntYr Payments...•A1 alntain 11'"Ice...
LI 1=1 es found ti Ready t.SID: PM81
Permit: NCG160119
SOC:
County: Randolph
Region: Winston-Salem
Compliance Inspection Report
Effective: 08/01/04 Expiration: 07/31/09 Owner: APAC Atlantic Inc - Thompson -Arthur Div
Effective: Expiration: Facility: Apac Atlantic inc - Randleman Plant (42406)
2779 Hopewood Rd
Contact Person: Lori Carter
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
On -site representative
Related Permits:
Lori Carter
Title: Superintendent
Certification
Randleman NC 27317
Phone: 336-412-6849
Phone:
Phone: 336-412-6753
Inspection Date: 03/2412009 Entry Time: 10:00 AM Exit Time: 10:40 AM
Primary Inspector: Michael M Mickey Phone: 336-771-5000
Secondary Inspector(s):
Reason for inspection: Routine Inspection Type: Stormwater
Permit Inspection Type: Asphalt Paving Mixture Stormwater Discharge COC
Facility Status: ■ Compliant ❑ Not Compliant
Question Areas:
= Storm Water
(See attachment summary)
Page: 1
Permit: NCG160119 Owner - Facility: APAC Atlantic Inc - Thompson -Arthur Div
Inspection Date: 03/24/2009 Inspection Type: 5tormwater Reason for Visit: Routine
inspection Summary:
Plant #6 has been dimantled and is no longer in use. This site is located in the quarry at the end of Hopewood Road. No
SPPP required at this time.
Page: 2