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NCG160223_MONITORING INFO_20180523
STORMWATER DIVISION CODING SHEET NCG PERMITS . PERMIT N0. DOC TYPE ❑HISTORICAL FILE MONITORING REPORTS DOC DATE o a.b� �a o5 a 3 YYYYMMDD May 23, 2018 Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, NC 27699 - 1617 RECEIVED MAY 2 3 Zola CC-NTfRAL FIFES DWR SEC7`IOI4 Re: Stormwater Discharge Outfall Monitoring Report (DMR) Year 4, Period 2, Sample 8, 2018 Fibercrete Preservation Technologies Inc (Surry County) General Permit NCG 160000; Certificate of Coverage Number NCG160223 Dear Stormwater Permitting Unit; We respectfully submit the enclosed original and one copy of the Stormwater Discharge Outfall Monitoring Report for Fibercrete Preservation Technologies Inc under General Permit Number NCGI 60000, Certificate of Coverage NCG160223. This submission is for stormwater discharge sampling for Year 4, Period 2, Sample 8, 2018 (January 1, 2018 — June 30, 2018) as outlined in Part 11, Section B of our stormwater discharge permit. If you have any questions or comments regarding this Stormwater Discharge Outfall Monitoring Report (DMR), please contact us at your convenience. Sincerely, c Bart Pharr, Vice President Fibercrete Preservation Technologies Inc Enclosures: Stormwater Discharge Outfall Monitoring Report (DMR), 1 original & 1 copy Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 05/23/2018 CERTIFICATE OF COVERAGE NO. NCG16 0 2 2 3 FACILITY NAME Fibercrete Preservation Technologies Inc COUNTY Sur!y PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY PACE Analytical Services, Inc. Lab Cert. # 40, 37712 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑X Jan -June ❑ July -Dec or ❑ Monthly' _ (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑X Other Q PLEASE REMEMBER TO SIGN ON THE REVERSE 4 ❑ No discharge this period?Z outfall No. date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, 3 Inches Total Suspended Solids Benchmarks ===> - - 100 mg/L or 50 mg/L SDO-001 04/15/201B 1.19 13.4 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, Tier 2, or Tier 3 responses. See Genera! Permit text. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 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 excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AAND 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 original and one copy of this DMR, including all "No Discharge" reports, within 30 dovs of receipt of the lob results for at end of monitorina 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 that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �� � •� Z3 Zd! � (Signature of Permittee) (Date) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2 A�� ���.�� NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http: f /portal.ncdenr.org/web/lr/npdes-stortnwaterl Permit No.: N/�/_/_/_/_/_/_/_/ or Certificate of Coverage No.: Facility Name: Fibercrete Preservation Technologies Inc County: Surry Phone No. 336-789-6159 Inspector-. Ryan R. Osborne (INENCO, INC_) Date of Inspection: 04/15/2018 Time of Inspection: 19:38 Total Event Precipitation (inches): 1.19 Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ® Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a `representative storm event" or "rneasureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, F some permits do not have this requirement. Please refer to these definitions, if applicable. j 3 tA "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall 11 and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no 3 precipitation. i A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter i interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify t�at this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 7/31/2013 1. Outfall Description: Outfall No. SDO-001 Structure (pipe, ditch, etc.) Ditch Receiving Stream: UT to Stoney Creek in the Ararat River in the Yadkin Pee -Dee River Basin Describe the industrial activities that occur within the outfall drainage area: Asphalt compound manufacturing 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Clear with a light brown tint 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): None 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: O 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: O 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes S 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes S 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 7/31/2013 aceAnalytical r www.pac&'abs.corn April 20, 2018 Mr. James Willard II Inenco, Inc. 132 W. Statesville Ave Mooresville, NC 28115 RE: Project: FIBERCRETE-MT AIRY Y4PZS82018 Pace Project No.: 92381005 Dear Mr. II: Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Enclosed are the analytical results for sample(s) received by the laboratory on April 16, 2018. 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, P/� Matthew Brainard matthew.brainard@pacelabs.com (704)875-9092 Project Manager Enclosures 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 10 ace Analj cal W*wPaceaabimn Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Project: FIBERCRETE-MTAIRYY4PZS82018 Pace Project No.: 92381005 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #; E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 2 of 10 acMnalytical wwwpacslabs-cam SAMPLE ANALYTE COUNT Project: FIBERCRETE-MT AIRY Y4PZS82018 Pace Project No.: 92381005 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytes Lab ID Sample lD Method Analysts Reported Laboratory 92381005001 SDO-001 SM 2540D EJJ 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LX. Page 3 of 10 aceAnalytical o r WWW-PaoetabSxGM ANALYTICAL RESULTS Project: FIBERCRETE-MT AIRY Y4PZS82018 Pace Project No.: 92381005 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: SDO-001 Lab ID: 92381005001 Collected: 04/15/18 19:37 Received: 04/16/18 16:24 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 13.4 mg/L 3.6 1 04/18/18 17:51 Date: 04120/2018 12:47 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 4 of 10 Pace Analytical Services, LLC e aceAnalytical 9800 Kincey Ave. Suite 1oo Huntersville, NC 28078 wwwpqcqlabs.corn (704)675-9092 QUALITY CONTROL DATA Project: FIBERCRETE-MT AIRYY4PZS82018 Pace Project No.: 92381005 QC Batch: 406839 Analysis Method: SM 2540D QC Batch Method- SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 92381005001 METHOD BLANK: 2257310 Matrix: Water Associated Lab Samples: 92381005001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 04/18/18 17:47 LABORATORY CONTROL SAMPLE: 2257311 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 252 101 90-110 SAMPLE DUPLICATE: 2257312 92381003004 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L ND 5.2 SAMPLE DUPLICATE: 2257313 92380942001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L ND ND 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: 04/20/2018 12:47 AM without the wntten consent of Pace Analytical Services, LLC. Page 5 of 10 aceAnalytical ! www.pocombs.com i QUALIFIERS Project: FIBERCRETE-MT AIRY Y4PZS8201 8 Pace Project No.: 92381005 DEFINITIONS 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. TNTC - Too Numerous To Count J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit. MDL- Adjusted Method Detection Limit. PQL - Practical Quantitation Limit. RL - Reporting Limit. Pace Analytical Services, LLC 980o KinceyAve. Suite 100 Huntemville, NC 28078 (704)875-9092 S - Surrogate 1,2-Diphenythydrazine 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 Chloroethylvinyl ether. A separate vial preserved to a pH of 4-5 is recommended in SW846 Chapter 4 for the analysis of Acrolein and Acrylonitrile 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. TN - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/20/2018 12:47 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 10 aceAmlytilcal f wwwPacalahs.cwn 1 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: FIBERCRETE-MT AIRYY4PZS82018 Pace Project No.: 92381005 Pace Analytical Services, LLC 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92381005001 SDO-001 SM 2540D 406839 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04120/2018 12:47 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 10 Document Name: Document Revised: February 7, 2018 e?GLAr alyltat Sample Condition Upon Recelpt(SCUR) Page 1 of 2 Document No.: Issuing Authority: F-CAR•CS-033-Rev.06 Pace Carolinas Quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersville ©� Raleigh❑ Mechanicsville❑ Client Name:eceipt w� 923� 1®Q5 �� Project At. �TY1�ri � _ G� I Courier: Fed Ex ❑UPS , ❑LISPS +- Bent 1 ❑ Commercial ❑Pace "E]Qther: 111 Illttt fff 92381005 Custody Seal Present? [Dyes lea Seats intact? Dyes o Packing Material: ❑Bubble Wrap ©Bubble Bags ❑None ❑ Other Thermorrteter•r' can lo: 91TO36 Type of ice; []Wet ❑Blue 6 Cooler Temp ('C): cq • V Correction Fector: Add/Subtract ('C) -h0.1 Cooler Temp Corrected (`Cj: USDA Regulated Soil (C'1 N/A, water sample) Did samples orlg ,ate in a quarantine zone within the United States: CA, NY, or SC (check maps)? I IYPS iq Oate/Inittals Person Examining Contents:CY W-U Biological Tissue Frozen? ❑Yes []NoQN/A ©None Temp should be above freezing to VC []Samples out of temp criteria. Samples on ite, tooling process has begun old samples originate from a foreign source (internationally, i.H.Alna Hawall and Puprto Ri.17 rIV.s Rl1 n Comments/Discrepancy: Chain ofCustod Present? es No ©NIA 1, Samples Arrived within Hold Time? es No N/A 2. Short Hold TimeAnahlsls (t72 hr.)? 0 Yes 13IND 0flJA 3. Rush Turn Around Time Requested? QYes C36p ❑N/A 4. Sufficient volume? cKs No IINJA S. Correct Container$ Used? -Pace Cantainers Used? ❑Ye! Byes ❑Na ONO ❑N/A QNIA 6. Containers Intact? EYel No N/A 7. Dissolved analysis: Samples Field Filtered? ❑Yes ONO N/A S. Sample Labels Match COC? -includes Date/Time/ID/Analysis Matrix: Qfes " ❑No ❑N/A g. `Heads ace in VOA Vials >5-6mm)7 ElYes QNo /A 10. Trip Blank Present? Trip Blank Custody Seats Present? ❑Yes Oyes ONO ONO /A i/A 11. COMMENTS/SAMPLE DISCREPANCY Lot ID of split Containers: CLIENT NOTIFWATION/RESCtLUVON Person contacted: Project Manager SCURF Review: Project Manager SRF Review: Date/Time: Date: Date: Field Oats Required? ❑Yes ONO Page 8 of 10 Document Name: Document Revised: February 7, 2018 b �ace Sample Condition Upon Recelpt4SCUR) Page 1 of 2 Document No.: issuing Authority: Analyt«I f•CAR-CS-033•Rev.06 Pace Carolinas Quality Office "Check mark top half of box if pH and/or dechlorination is verified and within the acceptance range for preservatlon samples. Ettception3: VOA, Colitorrn, TOC, Oil and Grease, ORO/8015 iwaterl DOC, LLHS "Bottom half of box Is to list number of bottle Project # WO# • 923810®5 PM: MWB true date: 04/25/18 CLIENT: 92-INENCO _ w c N o J E c w a c M m c M a E LA N m n u O. N m a E 4 m am y .:+i a J c en co m O ,S! a E R m n z O .Y a ..., E C to w A Q . a.0 E B 3 u 2 Z ge 0, r�1 d ,y v E ° 14 a UQ a e ° a n Q E M d ^ v a sr s, d E G t M a v Z S aOLCL 1C L cE�At M a tom} 2 $' E E o 4 r.� Q I— x ¢ O 7 E at a Q C) Q O� a - ¢ O S E M a ee a o 7 7 ' Q o a n m ro y E N -, w yr qE & W z a cE� 4 z_ D a ) E _ 2 c c 8 E 1-4 7 Q �S a E E ! 2 3 4 5 N N\ t a 9 10 11 !2 pH Adjustment Log for Preserved Samples Sample ID Type of Preservative PH upon receipt Date preservation adlusted Time preservation adjusted Amount of Preservative added Lot 0 Note: Whenever there is a &screpancy 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 9 of 10 t PaceAnaJytical' www.vatetabs.com CHAIN -OF -CUSTODY I Analytical Request Document The Chain-ot-Cuslvdy is a LEGAL DOCUMENT. All relevant frelds must be cornpFated accurately, Section A Section IS Section C Page: of Required Client Wormation; Required project Information: Trlvoico Information: Company: J` G RCportTa'. (_ t r j_ f, �( Attan3ion: V NLJ 1/v [ r 2189634 ACdrerC•� 7 �� Cagy To: Company Name; REGIJ TORY AGENCY Address: - NPQES ?" GROUNDWATER (- DRINKING WATER F LIST I... RCRA F OTHER Email u' Purchase Order No.: Paco priatn Rafarenrr' F w 4 Project Name: I/}/� -� /� � /I� f* Paco Projed A�SrmoUar, Site Location STATE: f t� N Requasfod Duo DaterrAT; Project Number: a -7- S G-CJ `^i Pace ProrAe c. Requested Analysis Filtered (YlN) Section D Matrix Codes z Required Cliemt tnion:xatgn MATRIX :r cnDF m o t COLLECTED Preservatives N 1360ing Water DW a p z0 water WT waste water ww m C Product P $T PT'eE Z SoillSolid SL g of J 0 y } SAMPLE ID ape I H VP (A.Z.0-91,•1 Air AR O LLI z tm- `o Samplo IDs MUST BE UNKIUE Tissue TS O CT as> .aa -Z 0 dr 0 sC OII Ur OT X h w H a 1 n S Q c `ie D � O Q - N DATE TIME DATE TIME ran ar 2 2 Z 2 0 .� M Pace Project No./ Lab I.D. Z 3 4 6 r - a 9 10 tz ADDITIONAL COMMENTS Q eD BY f AFFILIATION DATE TIME AC/CE PPTED BY I AFFILIATION DATE TIME SAMPLE~ CONDITIONS Lu- m SAMPLER NAME AND SIGNATURE _ ORIGINAL s PRINT Name of SAMPLER:.r SIGNATURE of SAMPLE DATE Signed 1 r (MMIDDIYYI: Q �. - n 'Important Note: By sgning :his farm red WO.1=01ing P,x s NET 30 caw µ ymont lc:ms zed tay of q to late cl vq s or I .� n pe�RrmU, tar not Paid *-. 3o days- F-ALL-0-020rev.07, 15-hlay2007 132 W. Statesville Ave. Mooresville, NC 28115 ]�% �r92 �1 d"O (Ion f) 662 81 Fax:(704)662-8194 '�1 \ INC. incncog,inencoinc.corn Stormwater Sampling Documentation Fac&W Data Report Date: 05/18/2018 Facility Name: Fibercrete Preservation Technologies Inc Facility Address: 301 Old Hwy 52 S County: Surry County Contact: Keith Miller Phone #: 336-789-t3159 Permit CoC #: NCG160223 Sampling Cycle: Year 4, Period 2, Sample 8, 2018 S DO ID #'s : S OO-001 (As described in QMR) Date(s) Event Precipitation Previous Storm Emnt: 04/07/2018 0.36 inches Sampled Storm Event: 04/15/2018 1.19 inches Source: Weather Station KNCPILOTI2, Old US 52 South, "Airy, North Carolina Was this a representative event? Yes Sample Collection Data Person Collecting Samples: Ryan R. Osborne Were appropriate sample bottles with required preservatives used? Yes Ha separate collection container was used, was it properly decontaminated prior to use? Yes Were samples immediately poured into sample bottles after collection? Yes Were sample bottles properly labeled and sealed? Yes Were sample bottles placed on ice in cooler after being sealed? Yes Were pH samples collected and placed in appropriate container for analysis? Yes Was the pH meter properly calibrated within 4 hours of conducting analysis? Yes Was pH meter check of 7.0 buffer within acceptable limits? Yes Date of Sample Time Laboratory Analytical Time Qualitative Visual Collection Samples Collected Samples Collected Sample Location ID: SDO-001 04/15/2018 19:37 19:37 Sample Location ID: Were analytical results within benchmark ranges? Yes If not, note which samples were outside benchmark range: Comments: Stormwater Sampling Documentation Fibcrcretc Preservation Technologies Inc Old US 52 S/Simmons Grove KNCPILOTI2 Radar Webcam * Icon 1 O MapbaxG Opwaftemap I Improve this map 2018 Tampoirmune Qew Point Humidity Speed preasun Precip. Aooum. Mar High Avg Low High Avg Low High Avg Law High Avg Gust High Avg Low Sum 31 661F 47.7'F 29.3'F 34.4'F 30'F 25'F 99% 56% 23% 7mph 2mph 9mph 30.33 in 30.23 In 30.13n On :201a TemperaWre Uewpoint Humidity Speed Pressure Precip. Amum. i , High Avg LOW High Avg Low High Avg Low High Avg Gust High Avg Low Sum 1 69.4'F 52.4 •F 35A'F 45.6'F 38.4'F 32'F 89 % 64 % 33 % 6 mph 1 mph 7 mph 30.13 in 30.03 in 29,93 in O in 2 74.1 'F 57.5'F 41.4'F 53'F 46.9'F 41.1 'F 99% 71 % 39 % 12 mph 2 mph 12 mph 30.03 in 29.95 in 29.8T in O In 3 73'F 58.3 •F 39.7 •F $7.2'F 48.9'F 39A •F 99% T7 % 50 % Ono 2 mph 9 mph 30.07 in 29.93 in 29.8 in 0 in 4 66.9' F S4.2' F 41.4'F 58.3'F 4" T 19.2 IF 99% 57 % 20 % 12 mph 2 mph 15 mph 30.08 in 29.64 in 29.68 i1 0 in 6 63.5 'F 45.2 •F 27.3'F 30.2'F 23-2 'F 18.5'F 99% 40 % 20 9� 9 mph 1 mph a mph 30.23 in 30.14 in 30.05 in 0 in 6 72.9'F 50.3 T 28.6'F 51,2'F 35.S'F 27.a •F 99% 64 % 22 % 13 mph 2 mph 13 mph 30.07 in 29.94 in 29.81 in 0.13 in 7, 52.3'F 43.7'F MI 52'F 45.3'F 34,8'F Previous Measurable Storm Event (0.36 inches on 04/07/2018) -------- >"O.36 in' 6 55.8'F 40.9'f 26.2'F 35.1 'F 26.7'F 10.6'F 99 % 62 % 26 % 11 mph 2 mph 11 mph 30.01 in 29.94 In 29.86 in 0.01 in 9 50.S'f 45.3'F 40.1 'F 43'F 38.4'F 33.1'F 91 % 69 % 51 % 6 mph 1 mph 6 mph 30.11 in 30.04 in 29.97 in 0 in 10 65.3 IF 49.7'F 34.31F 43.2 IF 35.0 'F 31.5 'F 99 % 66 % 30 % 10 mph 2 mph 10 mph 30.18 in 30.1 in 30.03 in 0 in 11 68.7'F 53.2'F 37.91F 30.8'F 33'F 27.9'F 87 % 53 % 23 % Ono 2 mph 9 mph 30.19 in 30.12 in 30.06 n Din 12 77.4'F 56.9'F 36.7•F 46.1'F 41.2'F 35.5'F 99% 64% 30% 18 mph 2mph 16 mph 30ASn 30-02 in 29.98n 0n 13 81.3'F 613'F 45.7'F 51.1'F 47.3'F 41.9'F 91% 61% 32% 16 mph 2mph 16 mph 30.11 in 30.06 in 30 in Din 14 81.9'F 66.5'F S2-2'F 60'F 5C9 •F 49.1 'F 99% 71 % 39 % 14 mph 2 mph 14 mph 30.06 in 30 in 29.94 in 0 in 15 77'F 66.8'F S6.5'F 67'F 61_1'F 52.a'F Sampled Measurable Storm Event (1.19 inches on 04/15/2018) -------- >i.19n' 18 61.7 "f 48.6'F 36.1 'F 61.2 IF 37'F 21.3 'F 1re % 66 % 38 % 15 no 3 mph 15 mph 29.9 n 29.7 in 29.51 in 0.01 in 17 72 IF 53'F 34.9 •F Al 'F 28.9'F 20.4'F 76 % 47 % 18 % 18 mph 3 mph 18 no 29.93in 29.82 in 29.7 fn 0 in 18 94.6'F 63.4 'F 42.8'F 53.8 *F 41.0 T 32.8'F 95 % 51 % 27 % 12 mph 3 mph 12 mph 29.91 in 29.79 in 29.67 m 0 in 19 67A T 53.8 IF 40.6 'F 52.6'F 38.2 'F 27.1 'F 83 % 53 % 36 % 19 mph 3 mph 19 mph 30.2 in M92 in 29.65 in 0 in 20 69.5'F 40.5'F 28'F 33'F 26.4'F 16 •F 99% 50 % 14 % 10 mph 1 mph 10 mph 30.35 in 30.28 in 30.2 in O In 21 72.7 T 51.1 'f 31.1 IF 39_1 IF 31.6'F 26.3'F 97 % 63 % 23 % 13 mph 1 mph 13 mph 30.44 in 30.38 in 30.27 in 0 in 22 70.2'F 53 'F 36.S'F 50.6'F 43.6 °F 36.2 If 99 % 72 % 42 % 6 mph 1 mph Go" 30.34 in 30.25 in 30.23 in 0 in 23 56.5'F 55.7'F 52.9'F 55.6'F 49.7'F All 'F 99% 4A% 65% 14 mph 2mph 14 mph 30.31n 30.22 in 30.131m 1.05n 24 60.1'F 54.6'F 49.5'F 50.4'F 53.7'F 49.2'F 99% 99% SO% 20mph 5mph 20 mph 30.14n 29.25 in 29.77n 1,35m 25 75.2'F 64.5 'F 53.8 T $9.4 T 54.1 'F 50.9'F 99 % 83 % 49 % 8 mph 1 mph 8 mph 29.54 in 29.78 in 29.73 in 0.22 in 26 72.9'F 59.4'F 46.2'F 57.7'F 49.7'F 41.6'F 99% 78 % 35 % 6 mph 1 mph 6 mph 29.9 in 29.65 in 29.79 m 0.27 in 27 71.8'F 59.9'F 48.2'F 58'F $1.7'F ".0 T 99 % 79 % 43 % 9 mph i mph 9 mph 29.82 n 20.78 in 29.74 in Bin 28 51.5'F 60.5'F 39.7 •F SIB °F 42.9'F 35.8'F 99 % 60 % 21 % 10 mph 1 mph 10 mph 29.93 in 29.55 in 29.76 in 0 in 29 67.5'F 53.1 •F 38.8'F 37.4'F 30 IF 218'F 95 % 43 % 20 % 15 mph 2 mph 15 mph 30.22 in 30.08 in 29.93 in 0 in 30 76.5'F 54-F 31.6'F 43.2'F 3s.6'F 22.3'F 99% 59% 16% amph imph 8mph 30.31 in 30.22in 30.14n Oin Semi-annual Stormwater Discharge Monitoring Report (DMR) for North Carolina DEMLR General Permit No. NCG160000 - Asphalt Date submitted 10/12/2018 CERTIFICATE OF COVERAGE NO. NCG16 0 2 2 3 FACILITY NAME Fibercrete Preservation Technologies Inc COUNTY S u rry PERSON COLLECTING SAMPLES Ryan R. Osborne (INENCO, INC.) LABORATORY PACE Analytical Services, Inc. Lab Cert. # 40, 37712 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results 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 ❑X Other C 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 Total Suspended Solids Benchmarks =_-> _ - 100 mg/L or 50 mg/L SDO-001 09/26/2018 0.26 45.5 fR�C�1VED MAY 14 2019 CENTRAL FILE,. aWR SEC -Flop" 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. 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. Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. F-1 No discharge this period?2 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/L 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 Tier 1, Tier 2, or Tier 3 responses. 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 an original and one copy of this OMR, including all "No Discharge" reports, within 30 days of receipt of the lob 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 property 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 there are ' ifi nt penaiti For submitting false information, including the possibility of fines and imprisonment for knowing violations." !L 7 /� (Signature of Permittee) (Dat ) Permit Date: 10/1/2014-9/31/2019 SWU-252, last revised 9/17/2014 Page 2 of 2