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HomeMy WebLinkAboutNCG210111_MONITORING INFO_20190520STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. /v O It DOC TYPE ❑HISTORICAL FILE �KI MONITORING REPORTS DOC DATE ❑ ol Ol q Q'� a0 YYYYMMDD Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO. NCG210111 FACILITY NAME Blue Ridge Fiberboard COUNTY Caswell PERSON COLLECTING SAMPLES _Christie Kueneman LABORATORY PACE Lab Cert. # _633 Comments on sample collection or analysis: High TSS for outfall 001 due to construction activity underway near out fall. Scheduled to be complete early summer SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly' (month) RECLDLSCCHAIGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA Cr- f�..�.ii ❑Zero -flow ®Water Supply ❑SA MAY 2 0 2019 ❑other C1=hri=�� �ILtr� PLEASE REMEMBER TO SIGN ON THE REVERSE G�`/R S CFILF Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?z Outfall No. Date Sample Collected) (mo/dd/Yr) .: 24-hour rainfall amount, Inches a Chemical Oxygen, Demand Total Suspended Solids Benchmarks ==_> _ - 120 mg/L 100 mg/L or 50 mg/L° NCO01 4-19-2019 .75 95.7 mg/L 6910 mg/L NCO02 4-19-2019 .75 136.0 mg/L 100 Nlg/L 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. 'The 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, etc. in mg/L. Permit Date: 8/l/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2. 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. ❑ No discharge this period?' ::. - ;: Outfall No. .•: mple '. • Date Sa Cbllectedl (mo/dd/yr) , -hour rainfall 24 amount, Inches' Non -polar O&G by EPA 1664 (SGT-HEM) Total Suspended Solids Benchmarks15.mg/L ,100 mg/L or 50 mg/La 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 1, or Tier 3 responses. See General Permit text FOR PART A AND PART B MONITORING RESULTS: + A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one cove of this DMR. includina all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or 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." //l., aXwe C/. ,W 5/13/2019 (Signature of Permittee) (Date) Permit Date:8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 1�5a'oAnalyfical" uavw.pacefabs.wm f April 26, 2019 David Gillespie RE: Project: TSS / COD Pace Project No.: 92426327 Dear David Gillespie: Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on April 22, 2019. 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, Clayton McCrickard clayton.mccrickard@pacelabs.com (336)623-8921 Project Manager Enclosures cc: Christina Kueneman, Blue Ridge Fiberboard Regina Raines, Blue Ridge Fiberboard MIKE VEIHL, Blue Ridge Fiberboard Mike Veihl, Blue Ridge Fiberboard Tammy Yeatts, Blue Ridge Fiberboard pCCRg�� �Q�EAro�yc 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 i 1 ace Analytical wtim%pacefabs.cem Project: TSS / COD Pace Project No.: 92426327 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Asheville Certification 1Ds 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification Ills 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 Virginia/VELAP Certification #: 460025 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 11 e acmnalytical w�v+epacelabsaom SAMPLE ANALYTE COUNT Project: TSS I COD Pace Project No.: 92426327 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92426327001 OUTFALL 001 SM 2540D-2011 SOB 1 PASI-E SM 5220D-2011 GC 1 PAS1-A 92426327002 OUTFALL 002 SM 2540D-2011 SOB 1 PASI-E SM 5220D-2011 GC 1 PASI-A 92426327003 OUTFALL 003 SM 2540D-2011 SOB 1 PASI-E SM 5220D-2011 GC 1 PASi-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 11 acmnalytical. wwwpacefabs.wn ANALYTICAL RESULTS Project: TSS 1 COD Pace Project No.: 92426327 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Sample: OUTFALL 001 Lab ID: 92426327001 Collected: 04/19/19 15:50 Received: 04/22/19 15:53 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D TSS, Low -Level, Eden Analytical Method: SM 254OD-2011 Total Suspended Solids 6910 mglL 15.4 1 04/23/19 10:33 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 95.7 mg1L 25.0 1 04/25/19 17:43 04/26/19 04:31 Sample: OUTFALL 002 Lab ID: 924263270D2 Collected: 04119/19 1610 Received; 041M19 15:53 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D TSS, Low -Level, Eden Analytical Method: SM 254OD-2011 Total Suspended Solids 136 mg1L 3.8 1 04/23/19 10:33 6220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 100 mg1L 25.0 1 04/25/19 17:43 04/26/19 04:32 Sample: OUTFALL 003 Lab ID: 92426327003 Collected: 04/19/19 16:20 Received: 04/22/19 15:53 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 254DO TSS, Low -Level, Eden Analytical Method: SM 2540D-2011 Total Suspended Solids 76.2 mg1L 2.7 1 04/23/19 10:33 6220D COD Analytical Method: SM 5220D-2011 Preparation Method. SM 5220D-2011 Chemical Oxygen Demand 47.5 mg/L 25.0 1 04/25/19 17:43 04/26/19 04:32 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date; 04/26/2019 11:37 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 11 aceAnalytica1" www,pacsiab3.COM i QUALITY CONTROL DATA Project: TSS ! COD Pace Project No.: 92426327 QC Batch: 470969 Analysis Method: SM 2540D-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D TSS, Low Level, Eden Associated Lab Samples: 92426327001, 92426327002, 92426327003 METHOD BLANK: 2556153 Matrix: Water Associated Lab Samples: 92426327001, 92426327002, 92426327003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 1.0 04/23/19 10:30 Pace Analytical Services, LLC 205 East Meadow Road - Suits Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2556154 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 246 98 90-110 SAMPLE DUPLICATE: 2556155 92426266001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 104 122 16 D6 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: 04/26/2019 11:37 AM without the written consent of Pace Analytical Services, LLC. Page 5 of 11 ace Analytical www.pacelabs.mm QUALITY CONTROL DATA Project: TSS I COD Pace Project No.: 92426327 QC Batch: 471594 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92426327001, 92426327002, 92426327003 METHOD BLANK: 2558938 Matrix: Water Associated Lab Samples: 92426327001, 92426327002, 92426327003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mglL NO 25.0 04126/1904:28 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 LABORATORY CONTROL SAMPLE: 2558939 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 773 103 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2558940 2558941 MS MSD 92426597001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Cone. Result Result % Rec % Rec Limits RPD Qua[ Chemical Oxygen Demand mg/L 1960 100 100 2060 2040 96 77 90-110 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2558942 2558943 MS MSD 92426583004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 59.5 100 100 173 170 113 111 90-110 1 M1 Resutts 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, Dale: 04/26/2019 11:37 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 11 e aceAnalytical wMw.pscereDs.Com Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALIFIERS Project: TSS / COD Pace Project No.: 92426327 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. POL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. S - Surrogate 1,2-Diphenyihydrazine 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 TNl accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 04/26/2019 11:37 AM without the written consent of Pace Analytical Services, LLC. Page 7 of 11 aceAnalytical' wwwpacedabs.cam QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: TSS I COD Pace Project No.: 92426327 Pace Ana lytical Services, LLC 205 East Meadow Road -Suite A Eden, NC 27288 (336)623-8921 Lab ID Sample ID QC Batch Method QC Batch Analytical Method 92426327001 OUTFALL 001 SM 254OD-2011 470969 92426327002 OUTFALL 002 SM 254OD-2011 470969 92426327003 OUTFALL 003 SM 25400-2011 470969 92426327001 OUTFALL 001 SM 5220D-2011 471594 SM 5220D-2011 92426327002 OUTFALL 002 SM 5220D-2011 471594 SM 5220D-2011 92426327003 OUTFALL 003 SM 5220D-2011 471594 SM 5220D-2011 Date: 04/26/2019 11:37 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Analytical Batch 471677 471677 471677 Page 8 of 11 Name: I.DOQdMMt Laboratory receMng stmttplos: Asheville ❑ EdenA Greenwood ❑ Nunt+ Client Name: Pro L Wurt4r: fed l x UPS ent Commerctlfl ce H0116Z, Custody Seal f►rasemt? QYes No leads Inman? aes QNo Document Revised: February T, 11[a ❑ �alrrlahC] Meeltanlcstr!(la;l0_„_- W012 26327 924263277,s . . Dm/dnitlada Pwron Eimml&" faattath�� Patddng AAaterdal: QBubble Wrap ❑Bubble gags arse Other llalogUl If" Fr fiermmmer. Des QNo /A ❑fn Gun tYW� efflee: ei QBfua QFme Cooler Temp j'C}: j — Carrectlon Factor: Add/Subtract (T) Ofp Temp ihoutd be above freezing to IN Caoler Temp Corrected j'n: d •3 j)smpks out of temp criteria. Samptas anice, coAg Proem habsgtm USD? Regutated Sail j� water sample} Did s sampfes ar ooa a quarantine zone wtthln the Uniled States: CA, W. or SC jcheck maps)? Old ugies orfllnate fmm a foreign source eo indudat Hawo and Auerfa faro)? ❑Yes stad Present? a Np fw/a L - rived within Hold rime? ea Oil. OW, I Time Analysis (0Z hr.)? o WA 3. Around Time ftaquestec17 FTwa Ye luo []MIA a. ofume7 No ❑tvlad.inersUsed7 >�inersUsed? Yes QNo CINa QN/A (firIA Contalntrstntact? 04 ONO OJYJA 7. Dfssahred analysas: Samples Field Fstered? QY o QRLA 9. Sample labels Match cOC7 •frrcfud2sDate/7ime/fD/Analysis Matrnc: of. YV / ON. QN/A 9. Heads ace in VOA Vials 55-6mm}7 QNo /6 ID. Trip BlaniPrmnt? Trfp SlankCaitody Scam Present? QYej ayes QNa Na WA ;IV/IA 11. COMNUMIfAMPti 0fSCREPAf$C1t Field DM Requin d? QYej ❑10 Lot,0 of r R contalners: .......—iI27�fTrIQTiirTQ7fDlt%�30il1FlDW - __. �-- - . Person contacted: Prajett Menaggr SCURF Ravlaw: Project Manager SU Rovfaw: Oate�me: Data: Cate: t. U Page 9 of 11 /� Analytical tnna.aacetses.com CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. E Section A Section B Section C Page' of it Required Client information: _ Rngotrad Project Infomiahorr: t Irtvoicq Infprmatipn: Company: RaportTO: Attention: Q 16 3 2 5 6 f>: �. f V Address: I Copy To: f Company Name: REGULATQRY AGENCY i. Address: NPDES I— 'GROUND WATER ' r" DRINKING WATER`~ j- UST T RCRA •'. `OTHER Ema9 To'. Purchase Order No.: Palm 0u0to Itefmance: . Phase: Fax Project Name: aCn - Site Loc`atinn - - i '-'STATE:- - , ReguttettxibueDate/TAT: - Project Number:: - -� - .. -.. - > Pe®t'eorlatr:. - - - ,. .. j.RequestedAnalys,s`Filtered'(YINj' "t '• : ^`' Section D Matrix Gases ' � z - 1 A��.•-�� Rega,.vdCGent,ntemMm 'MATRIX r CODE � COLLECTED Preservatives �a: Drinking water DW Wdlor WT 9 U zz Wastewater WW �tisolid uct sL o m °°TAFT'TE e Ig Z /\ r \ SAMPLE ID OL Wipe WP {A-Z, 679 l , 1. . AIr .AR.. g' ' ' O �. �? ~ p- y w z 00 N; l } C: C p �1T _ _ Sample IDS MUST BEUNIQUE Tissue TS -O' w - a t . �r ' L W J0 :cc so V i f= N Z) S 2 2 Z z O , '; .[iaTE'i TIME DATE TIME �_ Pace Project NoJ Lab LID, t 11 17 l I�t R 3. j, I AI) 001 r fh1 R ` r M I. t4; I �;� �i = �� I; ri7� Tl� } . 8, g, -.-K. 1t .72 +1 f- I •�- '• ADDI7TONAL COMMENTS •• *: REUNGUISHED BY! AFF7LlAT1ON; - DATE TfME - - ACCEPTED 9Y;I AFFILIATION - . DATE -', TIME 'SAMPLE CONDITIONS SAMPLER NAMEAND SIGNATLIRE� -' Z• ORIGINAL.--- PRINT Name of SAMPLER; � a n ? _ DATE StGNATURE of SAMPLER: �� �/ .= x _ U n (MM<aDIlW); cy rEn rtnponnm rota: ay vu-19 eme roan you ma acoem p Pace's NET 3o day payment terms mw agreeing to later ChWgft of ,.s%Air ngNA for any invoion not paid rrlthin 30 days. F-ALL4)-020rev.07. 15•May-2407 OaCtrrrtent Nama *Chock mans top half of bow if PH and/or dechlarinatiort is ver(W and wittttn the acceptance range far presartration samples. 6impdm - VOA, Calliurm, TCW, 011 and Grease, OW/901S (water] Dar [1Hg 0*Bottom half of ban is to fist number of battle it ReAwd: February Ptge 1 of fstmring Audit tyt - WOC92426307, 0 PM : CHM' � ; ' , Oue' Ante ,; OVOS/ 19 CLIEIt4T._ 95 B1ueiRFibe i C c 3 $ p t Q i p Sy d j 7 n � v _ _ z 2 qq �. ,a a d Q O d w a 4 I A M: _ y N n e V e Q O Y E S ] r ar r e. L a 9l z ` p t] 4 t Q J ec d A a E E E E E E c n E. E £ E E E E E E E E � � 4a7 kI pH Adjustment Los for Preserved Sagfes 34rtrpfa ID Tw of ft"riolVa PJf uport recoipt Cato Preft►r vdM rdjtutad VM pfulatthm ad(uawd Amauat of PreaertWtn tat to z ed Nate: Whertwr tharo b a dscmpancy affecting North Carolina compllance sample, a copy of this farm win Ite xnt to the North Carolina OEHNR Certlratlen ORi[e [i.a. Page 11 of 11 Out of hold, Iruprrectpnesemltus out of temp, incorrect containers. Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMER General Permit No. NCG210000 Date submitted CERTIFICATE OF COVERAGE NO. NCG210111 SAMPLE COLLECTION YEAR 2018 AMPLE PERIOD tan -June Jul Dec FACILITY NAME Blue Ridge Fiberboard �` ���'��� or Monthly' July COUNTY Caswell ❑ y (month) PERSON COLLECTING SAMPLES Christie Kueneman JAN 0 3 2019 DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA . LABORATORY PACE Lab Cert. # 633 CENTRAL FILES ❑Zero -flow ®Water supply [:]SA Comments on sample collection or analysis: DVVR SECT10SECTION❑Other PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) . ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall: amount, Inches 3 Chemical Oxygen Demand Total Suspended'.5olids , Benchmarks =__> _ - 120 mg/L 100 mg/L or 50 mg/L° NCO01 12-14-2018 1.76 0 mg/L 208 mg/L NCO02 12-14-2018 1.76 54.3 mg/L 14.0 Mg/L tead of semi-annual must be in with the second consecutive b n hm rk f h i Monthly sampling (ins) ) g e c a exceedn r s ce a 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. a 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, 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: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 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?' Outfalf No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G by EPA 1664 (SGT-HEMS 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 valve 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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coov of this DMR. includina all "No Discharae" reports. within 30 days of receipt of the lab results for at end of monitorina period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 12/27/2018 (5gnature of Permittee) (Date) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 aceAnalylflcal. ff www..p&celabs.com I December 21, 2018 David Gillespie RE: Project: COD/TSSIPH Pace Project No.: 92410977 Dear David Gillespie: Pace Analytical Services, LLC 205 East Meadow Road -;;Suite A Eden, NC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on December 17, 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, Clayton McCrickard clayton.mccrickard@pacelabs,com (336)623-8921 Project Manager Enclosures cc: Christina Kueneman, Blue Ridge Fiberboard Regina Raines, Blue Ridge Fiberboard MIKE VEIHL, Blue Ridge Fiberboard Mike Veihl, Blue Ridge Fiberboard Tammy Yeatts, Blue Ridge Fiberboard ��Q pCCR�CO�� f gep��o 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 11 aceAnalytrcal www.mWaft = Project: CODlTSSIPH Pace Project No.: 92410977 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 FloridalNELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 Eden Certification IDs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certification #: 37738 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 Virginia/VELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 Virginia/VELAP Certification #: 460025 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, 1-LC- Page 2 of 11 aceAnalytical" www.pscNebs cam SAMPLE ANALYTE COUNT Project: CODfTSSlPH Pace Project No.: 92410977 Pace Analytical Services, LLC 205 East Meadow Road-SuiteA Eden, NC 27288 (336)623-8921 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92410977001 Outfall 001 Grab SM 2540D-2011 SOB 1 PASI-E SM 5220D-2011 GC 1 PASI-A 92410977002 Outfall 002 Grab SM 254OD-2011 SOB 1 PASI-E SM 5220D-2011 GC 1 PASI-A 92410977003 Outfall 003 Grab SM 254OD-2011 SOB 1 PASI-E SM 5220D-2011 GC 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC, Page 3 of 11 aceAnalytical o www.patefalrs.oxtt ANALYTICAL RESULTS Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: CODTFSSIPH Pace Project No.: 92410977 Sample: Outfall 001 Grab Lab ID: 92410977001 Collected: 12/14118 08:20 Received: 12117/18 12:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qual 2540D TSS, Low -Level, Eden Total Suspended Solids 5220D COD Chemical Oxygen Demand Analytical Method: SM 254OD-2011 208 mg1L 11.1 1 12/17/1814:28 Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 ND mg1L 25.0 1 1211811816:40 12/1911817:32 Sample: Outfall 002 Grab Lab ID: 92410977002 Collected: 12/14118 08:50 Received: 12I17/18 12:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D TSS, Low -Level, Eden Analytical Method: SM 2540D-2011 Total Suspended Solids 14.0 mg1L 1.1 1 12/17/18 14:29 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand 54.3 mg1L 25.0 1 12/18/18 16:40 12/19/18 17:32 Sample: Outfall 003 Grab Lab ID: 92410977003 Collected: 12/14/18 09:10 Received: 12/17/18 12:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D TSS, Low -Leval, Eden Analytical Method: SM 25400-2011 Total Suspended Solids 4.8 mg/L 1.0 1 12/17/18 14:28 5220D COD Analytical Method: SM 5220D-2011 Preparation Method: SM 5220D-2011 Chemical Oxygen Demand ND mg/L 25,0 1 12/18/18 16A0 12/19/18 17:32 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 12121/2018 01:13 PM without the written consent of Pace Analytical Services, LLC, Page 4 of 11 1�5a'ne-Analyfical www.pacelabs.com QUALITY CONTROL DATA Project: CODITSSIPH Pace Project No.: 92410977 QC Batch: 447687 Analysis Method: SM 254OD-2011 QC Batch Method: SM 2540D-2011 Analysis Description: 2540D TSS, Low Level, Eden Associated Lab Samples: 92410977001, 92410977002, 92410977003 METHOD BLANK: 2452987 Matrix: Water Associated Lab Samples: 92410977001, 92410977002, 92410977003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 1.0 12/17/18 14:22 Pace Analytical Services, LLC 205 East Meadow Road -.,Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2452988 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 274 110 90-110 SAMPLE DUPLICATE: 2452989 92410614001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 5.0 5.8 15 D6 SAMPLE DUPLICATE: 2452990 92410646001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 2.2 ND Results presented on this page are In the unite Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not W reproduced, except in full, Date: 12/21/2018 01:13 PM without the written consent of Pace Analytical Services, LLC. Page 5 of 11 aceAnalytical wmxpacelaGs.lxun QUALITY CONTROL DATA Project: CODITSS1PH Pace Project No.: 92410977 QC Batch: 448379 Analysis Method: SM 5220D-2011 QC Batch Method: SM 5220D-2011 Analysis Description: 5220D COD Associated Lab Samples: 92410977001, 92410977002, 92410977003 METHOD BLANK: 2456067 Matrix: Water Associated Lab Samples: 92410977001, 92410977002, 92410977003 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg1L ND 25.0 12/19/18 17:29 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2456068 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 755 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2455069 2456070 MS MSD 92411059001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 1260 100 100 1330 1330 79 79 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2456071 2456072 MS MSD 92411082001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 705 100 100 825 861 120 156 90-110 4 M1,131 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: 12/21/2018 01:13 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 11 aceAnalytical " WW-pacelab = f QUALIFIERS Project: CODTFSSIPH Pace Project No.: 92410977 DEFINITIONS OF - 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. Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27266 (336)623-6921 POL - Practical Quantitation Limit. RL - Reporting Limit - The lowest concentration value that meets project requirements for quantitative data with known precision and bias for a specific analyte in a specific matrix. 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. TNI -The NELAC Institute. LA130RATORIES PASI-A Pace Analytical Services -Asheville PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS D6 The precision between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. R1 RPD value was outside control limits. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 12/21/2018 01 A 3 PM without the written consent of Pace Analytical Services, I.I.C. Page 7 of 11 acmnalytical www.pacelabs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: CODITSSIPH Pace Project No.: 92410977 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92410977001 Outfall 001 Grab SM 254OD-2011 447687 92410977002 Outfall 002 Grab SM 254OD-2011 447687 92410977003 Outfall 003 Grab SM 254OD-2011 447687 92410977001 Outfall 001 Grab SM 522OD-2011 448379 SM 5220D-2011 92410977002 Outfall 002 Grab SM 5220D-2011 448379 SM 5220D-2011 92410977003 Outfall 003 Grab SM 5220D-2011 448379 SM 52200-2011 Date: 12/21/2018 01:13 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. 448602 448602 448602 Page 8 of 11 'i F, Document Name: Document Revised: February 7, ID18 nditkm Upw Repel t(SCtM Pa 1 of I Document No.: Issuing Autlmrity: :iWCS•t733-Rosr.o6 Pace Caroarm Uuatity wee lafwMc.ry recelvfng sempfes: AshavIle ❑ Eden Greenwood ❑ Huntersvifls❑ Ref®lgh❑ MecltanlavAfE❑ Client Name: Project ; .1J® J24 1®97? fe I Courlor: Fed Ex UP5 U5P5 Cltent Cl Commercial face other: — 9Z410977' Custody Saul Present? [Dyes Of�o Sealslntact? ❑Yes ❑No Date/lnitioh Person Examhrina Content[: h AA1 z ,>>6 i Packing Material: ❑Bubble Wrap ❑Hubble gags ZNone ❑ Other Biological Tissue froten? rlrerrnorttettlr. 5T D S f type of Ice: I;Kdt []Blue []Name Oyes ❑No N/A ❑fR Gun Cooler rein -1. t p J*Q: Correction Factor: Add/5ubtract (*Q �� Temp ihoutd be above freezing to VC Cooler Temp Corrected {'C}: Damples out a(trmp criteria, Samples an Ice, cpallnd process has begun USDA Re:guland Sail: to/N/A, water sample) Did samples or hate in a quarantine zone wfthfn the United States: CA, NY, or SC (check maps)? Ord u*es arigfnate from a foreign source (lnternattonafiy, aes Na Incluft Hawall and Puerto RIro)? nes RNo Chain of Custody Present? rs []No QNJA 1. Samples Arrived within Hold TIME? es ❑Na ❑N/A L Short Hofd Time Ana) is (02 hr.)? Yes ❑No DIVIA I /i Rush Tufn Around rime Requested? Yes No ❑N/A 4. Sufficient volume? Yes No ❑N/A 5. Correct Containers Used? =Pace Containers Used? Ya ❑No UND ❑N/A CINJA 6. Containers intact? es N/A 7. Dissolved analysts: Samples Field Filtered? ❑Yes ,,.,.NNO P,,a j]N/A R. Sample ubeis Match COC? fneilides DateMme/1D/Analysis Matrix: ❑% VV7 00 QN/A 9. 090,05 y.. 4.54r f Heads ace in VOA Vials OS-6mm)? []Yes QNo N/A 10. Trip 9lankPresent? Trip Blank Custody Seals Present? j]Yci ❑Y0 ❑Np Nv N/A N/A 11. COMMENTS/SAMPLE DISCREPANCY Fleld oats Requfred? ❑Yes ❑No Lot 10 of split contalners: CH ENT NOTIFtunONf RISOLUTiaN Person contacted: Date/Time: Project Maru tar SCURF Review-. Dote ' i -1,3 Project Manager SRF peviow: Date: olk e) ke� Page 9 of 11 / J �' ,.•PaceAna1X cal riwiw AMMAhs_mm CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT, All relevant fields must be completed accurately. o Q Section A Section B Section C Page: of Required Client Information: Required Project information: IOVOiM fnformation: - COmpany: n i• • '�• • jj ReportTo: Attention: Address: Cepy To: - Company Name: - - - REGULATORY AGENCY Address: F NPDES. F' GROUND WATER ( DRINKING WATER F- UST j` RCRA {" OTHER Email To: Purchase Order No.: Porn Ouom Phone: Fax: ProjectNarhe: PamPrWct .Site Loeatipri " s`• - - Manager- $TA TF: Roquostod Duo DatorTAT: - - Project Nurnwr: Pow Prori5e d: Recitiested Analysis Filtered (YIN► Section D Matrix Codes z Roquired Qlant lnlonnailon MATRIX! -CQf , COLLECTED PiL$erVBiiVEs Drinking Water DW m V Water WT wastewOSnE ater WW 2yS v m _ `STPRiI E oZ 0 ' Product P aN�/m ui .� 2 SoiiiSofid SL g �' - p SAMPLE ID Or OL " (n C a�L{ (A-Z• 0-9 r; ) Aires wP AR Ld w F a t1i z 4 j Sample IDS MUST BE UNIQUE Tissue � TS p L) a - - � w .� � Other OT x m to O a, L9 a a a EQ ^ z� ec ~ r4 .DATE TIME DATE ' TIME��yyttyy a) � � T 2 S z z 2 O �� � Pace Project Nod Lab I.D. {{ `` R.r I j (� f �11 ]. %�I T1r t 1 f y s 9' .10, I 11 ' IJAL '12 ADDITIONAL COMMENTS' RELINQUISHED BY,l AFRUATION� , . DATE TIME -, ACCEPTED BY I FELLATION DATE =- TIME SAMPLE CONDITIONS 1 / k2 Pn7f, Z-30 h 2-- Y✓ }C SAMPLER NAME AND SIGNATURE ,: ` ORIGINAL p Z 8 C z PRINT Noma of SAMPLER: DATE Signed )� ER: SIGNATURE of SAMPLr '! Z. I ~ tr ��- ityt�yYY] pD7: I '7 rn 'enpon; l NOW By sigrdrq 9w roan you are aompfing P:rcc's NET 311 day payment tens and ogreeig to Iato chargos of 1.5% per month for any in-aioes not Pali wthin 30 days. F-ALL-"20rev.07. 15-May-2007 Document Name: Document ruo_ 'Check rnark top haft of bon If pH and/or dechfarination is verified &W within the acceptance range for preservation samples. E=eptlmu- VC}A, CaUfwm, TDG Oil and Grease, ORD/=5 (water) occ, cLNg "BaCom half of bait is to list number of bottle Oawment Hesdsad: Fepruary 7, 2039 _fte I of 2 issuing Authorfty: Pro e z 097? PM �;<CHft Due' CL IEfVi a1'/O3 / 19 BIueRFlbe- a x ° 2 '� z N n r4 E N 3 a a CL :3 4 2 Q E jljj 7 VL4 m 2 r 2 qq 4 p a 2 m C < Z 4n em a a c pC e u a u 4 j = " Y ` z rw y 2 0 t G r a _ a`r _ c G Y z a T } a z M q p 7 u d n R a a a E a o a a ti w w A a < �J Q�+ - E J J C_ JCa d •J G �• (y ei Vo9� ry a CQ� L!1 M 7 JJ� N Ar N i'J J3, ,y 4 ff//�1 [�.Qj� E ~ 4 i r �In n( jyp CL q ed .TInV n 67 N F di I 2 3 4 5 b 8 9 t0 11 I2 pH Adjustment Log for Preserved Samples Sample_ 10 tyPa of Proservative PH upon receipt Oate presarvallan sdJuited I 3tme pseseratiert adjusted I Mount of Preservative added Lat.p NOW Whenever there Is a c[Nuepancy affecting Nartf•i Caroll na complfance samoi et, a copy of this farm will he Pant to the Nartn Csraiina atrtNK Cersllioadri Office li.a. Out of hold, tncprrsct preservative, out of ttmp, Incorrect containers. Page 11 of 11 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 5'.— zy - /,? CERTIFICATE OF COVERAGE NO. NCG21 0111 FACILITY NAME Blue Ridge Fiberboard COUNTY Caswell PERSON COLLECTING SAMPLES Mike Veihl LABORATORY_ PACE Lab Cert. # _633 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR,2018 SAMPLE PERIOD ® Jan -June ❑ July -Dec �P�t7—i% orr El Monthly' (month) DISCHARGING;T0_,,CLASS ❑ORW ❑HQW ❑Trout ❑PNA MAY 3 2p�g ❑Zero -flow Water Supply ESA ❑Other CENTRAL F11 C:S CIAIR SECT1 l\i PLEASE REMEMBER TO SIGN ON THE REVERSE 4 Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?' OutalLNo .. • Date Sample Collected) `_. •` {mo/dd/yr]; 24=hour rainfall .'amount, inches3 Chemical Oxygen Demand Yg oP Ttal Sus ended Solids Benchmarks =__> . _ � � - 120 mg/L 100 mg/L or 50 mg/L° NC001 4-24-18 .72" 0 mg/L 14 mg/I NCO02 4-24-18 .72" 90 mg/L 17.2 mg/1 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 may be eligible for a waiver of the rain gauge requirement. a 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, 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: 8/1/2013-7/31/2018 5WU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. U No discharge this period?' Outf all No Date Sample 24 hour rainfall Collectedl amount; . Non -polar O&G by EPA (mo/dd/y`r) - I'nchesl:'. 1664 (SGT-HE'M`) Total Suspended Solids° Benchmarks -__>. - 15 mg/L 100 mg/I.-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 BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: - Mail an oriainal and one copy of this DMR, including all "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." re of Permittee) 5-,O / - /, (Date) Perm it'Gate: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2of2 aceAnalytical" 7 www.pacefab&c= May 04, 2018 Mike Veihl Blue Ridge Fiberboard 250 Celotex Way Danville, VA 24541 RE: Project: Storm Water Testing Pace Project No.: 92382017 Dear Mike Veihl: Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on April 24, 2018. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNIINELAC 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, � w-r4� Clayton McCrickard clayton.mccrickard@pacelabs.com (336)623-8921 Project Manager Enclosures cc: Joe Hundley, Blue Ridge Fiberboard Regina Raines, Blue Ridge Fiberboard Ricky Scott, Blue Ridge Fiberboard pCCltf0 9g�A�O�j. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 9 of 13 Pace Analytical Services, LLC aceAnalyilcal • 205 East Meadow Road - Suite A Eden, NC 27288 wwwpacelabs.com (336)623-8921 CERTIFICATIONS Project: Storm Water Testing Pace Project No.: 92382017 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 Eden Certification IDs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Drinking Water Certificalion #: 37738 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaIVELAP Certification #: 460222 North Carolina Wastewater Certification #: 633 Virginia/VEL4P Certification #: 460025 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 13 s acmnalytical w+vrvpacefabs.mm l SAMPLE ANALYTB COUNT Project: Storm Water Testing Pace Project No.: 92382017 Pace Analytical Services, LLC 205 East Meadow Road - Suita'A Eden, NC 27288 (336)623-8921 Lab ID Sample ID Method Analysts Analyte8 Reported Laboratory 92382017001 OUTFALL 001 VA GRAB SM 2540D SAM 1 1 PASI-E EPA9040 NMH 1 PASI-E 92382017002 OUTFALL 002 VA GRAB SM 2540D SAM1 1 PASI-E EPA9040 NMH 1 PASI-E 92382017003 OUTFALL 003 VA GRAB SM 2540D SAM1 1 PASI-E EPA 9040 NMH 1 PASI-E 92382017004 OUTFALL 001 NC GRAB SM 2540D SAM1 1 PASI-E SM 5220D DMN 1 PASI-A 92382017005 OUTFALL 002 NC GRAB SM 2540D SAM1 1 PASI-E SM 5220D DMN 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except 4; full, without the written consent of Pace Analytical Services, LLC Page 3 of 13 aceAnalytical w MM..pacelabs.= ANALYTICAL RESULTS Project: Storm Water Testing Pace Project No.: 92382017 Pate Analytical Services, LLC 20$ East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Sample: OUTFALL 001 VA GRAB Lab ID: 92382017001 Collected: 04/24118 07:10 Received: 04/24/18 11:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 13.4 mglL 1.3 1 04/24/18 14:33 9040 pH Analytical Method: EPA 9040 pH 6.6 Sid. Units 0.10 1 04/25/18 13:22 H1,H6 Sample: OUTFALL 002 VA GRAB Lab ID: 92382017002 Collected: 04/24/18 07:46 Received: 04/24/18 11:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D TSS, Low-Lovel, Eden Analytical Method: SM 2540D Total Suspended Solids "A mg1L 2.3 1 04/24/18 14:33 9040 pH Analytical Method: EPA 9040 pH 6.8 Std, Units 0A0 1 04/25/18 13:22 H1,H6 Sample: OUTFALL 003 VA GRAB Lab ID: 92382017003 Collected: 04/24/18 08:00 Received: 04/24/18 11:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2540D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 4.3 mglL 1.1 1 04/24/18 14:33 9040 pH Analytical Method: EPA 9040 pH 6.7 Std. Units 0,10 1 04/25/18 13:22 H1,H6 Sample: OUTFALL 001 NC GRAB Lab ID: 923820117004 Collected: 04/24/18 07:10 Received: 04/24/18 11:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 14.0 mg1L 1.2 1 04/24/18 14:34 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg1L 25.0 1 05/02118 20:25 Sample: OUTFALL 002 NC GRAB tab ID: 92382017005 Collected: 04124/18 07:46 Received: 04/24/18 11:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 26400 TSS, Low-Lovel, Eden Analytical Method: SM 2540D Total Suspended Solids 17.2 mg1L 1.0 1 04124/18 14:34 REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in full, Dale: 05/04/2018 10:42 AM without the written consent of Pace Analytical Services, LLC. Page 4 of 13 e 1�5.a'cmnalytical www.pacwaft con f ANALYTICAL RESULTS Project: Storm Water Testing Pace Project No.: 92382017 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 r Sample: OUTFALL 002 NC GRAB Lab ID: 92382017005 Collected: 04/24/18 07:46 Received: 04/24118 11:20 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 90.0 mg/L 25.0 1 05/02/18 20:25 Date: 05/04/2018 10:42 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 5 of 13 aceAnalytical tm�wpaci3labs.aam r QUALITY CONTROL DATA Project: Storm Water Testing Pace Project No.: 92382017 QC Batch: 407680 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D TSS, Low Level, Eden Associated Lab Samples: 92382017001, 92382017002, 92382017003, 92382017004, 92382017005 METHOD BLANK: 2262067 Matrix: Water Associated Lab Samples: 92382017001, 92382017002, 92382017003, 92382017004, 92382017005 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 1.0 04/24/18 14:28 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2262068 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 244 98 90-110 SAMPLE DUPLICATE: 2262069 92381889001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 1350 1360 1 SAMPLE DUPLICATE: 2262070 92382004001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg1L 16.8 15.6 7 D6 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 shalt not be reproduced, except in full, Date: 05/04/2018 10:42 AM without the written consent of Pace Analytical Services, LLC. Page 6 of 13 aceAnalytrcal wawp"abs_com i QUALITY CONTROL DATA Project: Storm Water Testing Pace Project No.: 92382017 OC Batch: 407934 Analysis Method: EPA 9040 OC Batch Method: EPA 9040 Analysis Description: 9040 pH EDEN Associated Lab Samples: 92382017001, 92382017002, 92382017003 SAMPLE DUPLICATE: 2263477 92382017002 Dup Parameter Units Result Result RPD Qualifiers pH Std. Units 6.8 6.9 1 H1,H6 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 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: 05/04/2018 10:42 AM without the written consent of Pace Analytical Services, LLC. Page 7of13 aceAnalytical %%WpacQbs eom Project: Storm Water Testing Pace Project No.: 92382017 QC Batch: 408810 QC Batch Method: SM 5220D Associated Lab Samples: 92382017004, 92382017005 METHOD BLANK: 2268122 Associated Lab Samples: 92382017004, 92382017005 Parameter Units Chemical Oxygen Demand mg1L QUALITY CONTROL DATA Analysis Method: SM 5220D Analysis Description: 5220D COD Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 25.0 05/02/18 20:25 Pace Analytical Services. LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2268123 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg1L 750 773 103 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2268124 2268125 MS MSD 92382657003 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 168 100 100 256 253 88 85 90-110 1 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2268126 2268127 MS MSD 92382657004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg1L 157 100 100 126 123 -31 -34 90-110 2 M1 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: 05/04/2018 10:42 AM without the written consent of Pace Analytical Services, LLC. Page 8 of 13 1�.5aneAnalyficals www.pacafaha.com QUALIFIERS Project: Storm Water Testing Pace Project No.: 92382017 DEFINITIONS Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 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. S - Surrogate 1,2-Diphenylhydrazine 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. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS 06 The precision between the sample and sample duplicate exceeded laboratory control limits. H1 Analysis conducted outside the EPA method holding time. H6 Analysis initiated outside of the 15 minute EPA required holding time. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 05/04/2018 10:42 AM without the written consent of Pace Analytical Services, LLC. Page 9 of 13 Pace Analytical Services, LLC aceAnalytical 205 East Meadow Road - SuiteA Eden, NC 27288 www.Asolahs.wn (336)623-8921 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Storm Water Testing Pace Project No.: 92382017 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92382017001 OUTFALL 001 VA GRAB SM 2540D 407680 92382017002 OUTFALL 002 VA GRAB SM 25400 407680 92382017003 OUTFALL 003 VA GRAB SM 25400 407680 92382017004 OUTFALL 001 NC GRAB SM 2540D 407680 92382017005 OUTFALL 002 NC GRAB SM 2540D 407680 92382017001 OUTFALL 001 VA GRAB EPA9040 407934 92382017002 OUTFALL 002 VA GRAB EPA9040 407934 92382017003 OUTFALL 003 VA GRAB EPA 9040 407934 92382017004 OUTFALL 001 NC GRAB SM 5220D 408810 92382017005 OUTFALL 002 NC GRAB SM 5220D 408810 Date: 05/04/2018 10:42 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 10 of 13 Document Name: aocum--nt Revised: February 7, 2019 Sample Condition U on Receipt(SCUR) Pa e 1 of 1 Ge,- alytr�a! QocumentNo.: IssuingAutho►ity. F-CAA-CS-033-Rev.06 Pace Carolinas Quality Office laboratory receiving samples; Asheville ❑ Eden Greenwood[] Nuntersville ❑ lialelgh❑ Mechanicsville❑ Client Name:��r``` W, `:-92382017 Project 9kk (Il -, Courier: ❑F ix CUPS 4[]iJ5P5 all ❑Client �� ��� f.>� �� �� �•���'. �,� r ❑ Commercial 16Pace ❑Other; 92382017 : Cu5tody5eaf Present? T]Yes BIN, Sealslntact? []Yes ❑40 ..w. r--1� !)ate/InitiafsPerson ExamiriingContents: •y /! Packing Material- ❑Bubble Wrap ❑bubble Bags Vane ❑ other Biological Tissue Frozen? Thermometer: Fl Type of Ice: �et [jRfue [],Pone [JYes ❑No ❑N/A , 1J ❑IR Gun I -01 Cooler Temp ('c): Correction Factor: Add/Subtract (°C) Temp should be above freezing to b'C Cooler Temp Corrected ('C): ❑Samples out of temp criteria. Samples en ice, coaling process h;s begun USDA Regulated Soil f 0 N/A, crater sample) Cid samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate Gam a foreign source (internationally, ❑Ys ❑No inclu&gftvaff and PuertoRico)? []Yes ❑No Chain of Custody Present? Yes ON- ❑N/A 1. 5aino1es Arrived •within Hofd Time? [2r. ON. ❑N/A 2. Short Hold Time Analyss (<72 hr.)? ❑Yes (at o ❑N/A 3. Rush Turn around riimeRequested? [ayes 13No ON/A 4. Sufficient Volume? es ❑No ON/A 5. Correct Containers Used? -P3ce Containers Used? es yes ❑No ONO [aN/A ON/A 6, Containers Intact? Yes ❑No ❑N/ 7. Cissoived analysis. Samp;es Field Fiftered? ❑Y ©No NIA 8. Sample Labels Match COC? -lndudes Datefrlme/EO/,trtalysis Nfatruc: Yes �! 6 ❑No QN/A 9. Headspace In VQA Vials ❑Yes ❑Na /A Bfank?resent? ETr,r,'PpCustody Seats Present? ❑Yes Qyds ❑No UNO /A8lank 4/A CQ6t6tENTS/SAAIPLP CISGREPANCY Field Data Required? []Yes ❑No Lot ID afsditcontainers: CLl ENT NOTIFICATION/RESOLUTION Person contacted: Project Manager SCURF Review: DO Project Manager SRF Review: Date/,rime: Date: Dater Page 11 of 13 P� -Pace Analytical' wrrw.pacelab.ccm Section A Required Client Information: C—Nrly: n., h ! i. CHAIN -OF -CUSTODY I Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. Section B Section C Required Projod Information: - Invoice Info -mail Ta: Purchase Order No.: Paca Refs+ ?hone: Fax: Project Name: Pau Man. 2aquestod Due DatofTAT: Project Number. Pace Section D Matrix Codes -- RogWmdCBentInform%Lo MATRIX I CODE o COLLECTED Drinking wafer OW S o zz Water WT y5 U wasiewaler WW 12 m co�tTE COR�� w Product P q START ENWGAn6 Uj SoiVSolid St. (9 O SAMPLE ID ape OL w (AZ. 0.9 1;) Air AR Lu a ? Sanwa IDS MUST BE UNIOUE Tissue TS O c w F Other - OT 0 r Oz M J Ld J V W } LL ~ S r7rat �T� N OATS TIME OATS ' TIME 0 >�%li oc! CMS to 6' T c, 1 z Fa Z t 2 b c� G r tVp o. V e b 07 G i G 12 1ii 1 4f ?a ![�� A TIOkAL COMMENTS .'RELINQUISHED BY I AFFILIATION . DATE.-. TIME 1 t• Alf�c Page: al nnatiort= . 2177.739 no: R£GULATORYtAGENCY• NPDES r- GROUNDWATER r DRINKING WATER i UST r RCRA (` OTHER Site Location sTATEr Requested Analysis Fiitered z Preservatives ! i " '2 Z CCD °1 _ (fll +`n r a 61: p =O 'n t r c fy�fil L 4 S 2 z z O .:y, T- I O Pace Project NoJ Lab I.D. eii■ii■■■■ii�i ■■■■■■■■■■■■■ rlawlmml Wffffll ORIGINAL SAMPLER NAIVE AND SIGNATURE yPRINT h1 Name of SAMPLER: VV 4.1~&S'pi - n DATE Signed SIGNATURE of SAMPLER: ; ) r- M IMMIDOlYY). to -mrporlam Note: By SKYing this bee you are acm-pang Pa 's NET 30 day paynwet iatms and agracuV to tote crarges of.1.5% per ft"o for ary r m ces rmt pnrd w itmn 30 days. F-ALL-0-020rev,07, 15-May-2007 E G ie E abed Document Name: oocument Revised: February 7, 2018 CSSam_ pfe Condition Upon Receit�sCURJ Pagel of 2 f�3l£a�� { DocumentNo.:plssufngAuthority: 'Check mark top half of box if pH and/or dechlorination is verified and within the acceptance range for preservation samples. Exceptions:'/DA, Caliform, TOC, Oil and Grease, 0RD/8015 (water) CCC, t1Hg **Mtorn half of box is to list number of bottle WO 23*2®7 , PM:',cHlh Due Date 03/08/18 cLIENT 95�-B1tiiff1be S Z al zu c ] 9 Q J ry�ny rr a Co Z �! diR c II a. J a N i a 2 air c ] S -J a fl i m = 9 a a a a:, 7. r1 i .n u V ry s A. J rq >y V .=S. m r Q .J o N i m o m 2' b u ¢ ,v d J iAn n rl IV i m N A R z 06 a o. J n U i n 0. ] q, a a C •. p 7i u Z Y7 nr a s E Q p1 .y p < _ N _� n ¢ r� t7 d z � v a E d J ' N m l7 ¢ y 2 4 a N � E Q r• p ¢ n V -=a- 9 E Q ta7 CJ m L7 ¢ z v 2 e Q o 1V Q m C7 Q : z _ < O o s i7 O M a ,n < 0 f J E Q T p ] d z d Q E m t7 7 a O d l7 % E b d Z 1 a ut y` S $ } �' O 7 z w y u 0. A a i ] 9 � u w N J E n rr s cn @ 6 Z a N E yua] {V N s vt a1 0 r :a d E N m > m z S u c E 4 J E 8 ~~ a (7 Q ¢ a o c h ^J E o N 7 7 d [ E Q J E Q O 11 pH Adjustment Log for Preserved Samples Sample ID Type of Preservative pH upon receipt Date preservation idjusted Time preservation :djusttrf amount of Preservative Lot x added Note: Whenever tt-ere Is a discrepancy aNiMng North Carolina compliance samples, a copy of this form will be tent to the North Carolina DEHNR Certffinllan pffice (1•e- 0ut of hold, incorrect oreser awe, out of temp, incorrect containers. 0 Semi-annual Stormwater Discharge Monitoring Report for North Carolina DEMLR General Permit No. NCG210000 Date submitted 'R - Z J ~ 7 4 / 7 CERTIFICATE OF COVERAGE NO. NCG210 / FACILITY NAME '_MUC_ _)Z: dC-t Fh�i L� Qarc� C COUNTY C4: 5 WC / / PERSON COLLECTING SAMPLES L)e- L LABORATORY i�-4ef Lab Cert. tl G3� Comments on sample collection or analysis: SAMPLE COLLECTION YEAR Za / 7 SAMPLE PERIOD ❑ Jan -June ® July -Dec RECEIVED or ❑ Monthly) (month) DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA AUG 2 5 2017 ❑Zero -flow ©Water Supply ❑SA ❑Other CENTIRWL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON THE REVERSE Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips, hark, mulch, or other similar material on site for longer than seven (7) days.) ❑ No discharge this period?z Outfall No. Date Sample Collected" (mo/dd/yr) 24-hour rainfall amount, Inches3 Chemical Oxygen Demand Total Suspended Solids Benchmarks ===> - - 120 mg/L 100 mg/L or 50 mg/O 1 09 7 -7 370 5 L. /D �s/[ '10C 00 Z_ S z ' 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 outfail, you must still submit this discharge monitoring report with a checkmark here- 3 The 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 resort 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 ma/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 1 of 2 Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. n 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/1_4 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 Z or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including off "No Discharae" reports, within 30 days of receipt of the lab results for at end of monitorina period in the case of "No Discharae" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) Permit Date: 8/1/2013-7/31/2018 SWU-245, last revised 7/31/2013 Page 2 of 2 aceAnalytical wwMpacelab&o= August 18, 2017 Mike Veihl Blue Ridge Fiberboard 250 Celotex Way Danville, VA 24541 RE: Project: WW Testing Pace Project No.: 92350403 Dear Mike Veihl: Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, INC 27288 (336)623-8921 Enclosed are the analytical results for sample(s) received by the laboratory on August 07, 2017. The results relate only to the samples included in this report. Results reported herein conform to the most current, applicable TNI/NELAC standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, Clayton McCrickard clayton.mccrickard@pacelabs.com (336)623-8921 Project Manager Enclosures cc: Joe Hundley, Blue Ridge Fiberboard Regina Raines, Blue Ridge Fiberboard Ricky Scott, Blue Ridge Fiberboard PCCA� 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 22 acmnalytical wwwpacelabs.com CERTIFICATIONS Project: WW Testing Pace Project No.: 92350403 Pace Analytical 3ervlces, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Wuntersville, NC 28078 South Carolina Certification #: 99006001 North Carolina Drinking Water Certification #. 37706 FloddalNELAP Certification #: E87627 North Carolina Field Services Certification #: 5342 Kentucky UST Certification #: 84 North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221 Asheville Certification IDs 2225 Riverside Drive, Asheville, NC 28804 Florida/NELAP Certification #: E87646 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 VirginiaNELAP Certification #: 460222 Eden Certification IDs 205 East Meadow Road Suite A, Eden, NC 27288 North Carolina Wastewater Certification #: 633 North Carolina Drinking Water Certification #: 37738 VirginiaNELAP Certification #: 460025 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 22 aceAnalytical www.pacelabs.com QUALITY CONTROL DATA Project WW Testing Pace Project No.: 92350403 QC Batch: 372572 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D TSS, Low Level, Eden Associated Lab Samples: 92350403002, 92350403003, 92350403004 METHOD BLANK: 2064151 Matrix: Water Associated Lab Samples: 92350403002, 92350403003, 92350403004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 1.0 08/09/17 13:27 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2064152 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 250 100 90-110 SAMPLE DUPLICATE: 2064153 92350403002 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 74.9 78.9 5 SAMPLE DUPLICATE: 2064154 92350568001 Dup Parameter Units Result Result RPD Qualifiers Total Suspended Solids mg/L 34.0 31.0 9 D6 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 fuiI, Date: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 6 of 22 laneAnalyfical" www.pacelahxaun ANALYTICAL RESULTS Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: WW Testing Pace Project No.: 92350403 Sample: Outfall #1 Lab ID: 92360403003 Collected: 08/07/17 08:00 Received: 08/07/17 09:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 10 mg/L 1.0 1 08/09/17 13:30 6210E BOD, 6 day EDN Analytical Method: SM 5210B BOD, 5 day 8.3 mg/L 2.0 1 08/08/17 15:06 08/13/17 09:38 133 9040 pH Analytical Method: EPA 9040 PH 6.6 Std. Units 0.10 1 08/08/17 09:32 H1,H6 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 62.0 mg/L 25.0 1 08/14/17 19:25 Sample: Outfall #2 Lab ID: 92360403004 Collected: 08/07/17 08:10 Received: 08/07/17 09:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, tow -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 20.3 mg/L 1.6 1 06/09/17 13:30 621013 BOD, 5 day EON Analytical Method: SM 5210B BOD, 5 day 38.0 mg/L 2.0 1 08/08/17 15:08 OBl13117 09:38 B3 9040 pH Analytical Method: EPA 9040 PH 7.0 Std. Units 0.10 1 08/0811709:32 H1,H6 5220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 192 mg/L 25.0 1 08/14/17 19:25 Date: 08/18/2017 02:38 PM REPORT OF LABORATORY ANALYSIS This report shall riot be reproduced, except in full, without the wntten consent of Pace Analytical Services, LLC. Page 5 of 22 aceAnalytical w wpacelabs.wm SAMPLE ANALYTE COUNT Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-6921 Project: Pace Project No.: VWV Testing 92350403 A nalytes Lab ID Sample ID Method Analysts Reported Laboratory 92360403001 Wet Well EPA 16648 JMS 1 PASI-C SM 4500-CN-E BRJ 1 PASI-A 92360403002 Wet Well SM 2540D CTB 1 PASI-E SM 5210B SAM1 1 PASI-E EPA200.7 SH1 10 PASI-A EPA 245.1 KAL 1 PASI-A EPA 350A 1993 Rev 2.0 BRJ 1 PASI-A EPA 351.2 BRJ 1 PASI-A EPA 365.1 CJH1 1 PASI-A SM 5220D NAL 1 PASI-A 92360403003 OuNall #1 SM 2540D CTB 1 PASI-E SM 5210B SAM1 1 PASI-E EPA9040 SAM1 1 PASI-E SM 5220D NAL 1 PASI-A 92360403004 Outfall #2 SM 2540D CTB 1 PASI-E SM 5210B SAM1 1 PASI-E EPA 9040 SAM1 1 PASI-E SM 5220D NAL 1 PASI-A REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 3 of 22 aceAnalytical ANALYTICAL RESULTS Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: WWTesting Pace Project No.: 92350403 Sample: Wet Well Lab ID: 92360403001 Collected: 08/07/17 08:15 Received: 08/07/17 09:20 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Oual HEM, Oil and Grease Oil and Grease 460OCNE Cyanide, Total Cyanide Analytical Method: EPA 1664B 6.2 mglL Analytical Method: SM 4500-CN-E NO mglL 5.0 0.0080 1 1 08/18/17 05:31 08/10/1710:26 57-12-5 Sample: Wet Well Lab ID: 92360403002 Collected: 08/07/17 08:21 Received: 08/07/17 09:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 74.9 mg1L 4.7 1 08/09/17 13:29 5210B BOD, 6 day EDN Analytical Method: SM 5210B BOO, 5 day 207 mglL 2.0 1 08/08/17 15:08 08/13/17 09:38 B3 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Arsenic ND mglL 0.010 1 08/14/17 23:30 08/16/17 03:43 7440-38-2 Cadmium NO mglL 0.0010 1 08/14117 23:30 08/16/17 03:43 7440-43-9 Chromium NO mglL 0.0050 1 08/14/17 23:30 08/16/17 03:43 7440-47-3 Copper 0.0078 mglL 0.0050 1 08/14117 23:30 08/16/17 03:43 7440-50-8 Lead 0.0081 mglL 0.0050 1 08/14/17 23:30 08/16/17 03:43 7439-92-1 Molybdenum NO mglL 0.0050 1 08/14/17 23:30 08/16/17 03:43 7439-98-7 Nickel 0.0098 mglL 0.0050 1 08/14117 23:30 08116/17 03:43 7440-02-0 Selenium NO mglL 0.010 1 08/14/17 23:30 08/16/17 03:43 7782-49-2 Silver NO mglL 0.0050 1 08/14117 23:30 08/16/17 03:43 7440-22-4 Zinc 0.032 mglL 0.010 1 08/14/17 23:30 08/16/17 03:43 7440-66-6 246.1 Mercury Analytical Method: EPA 245.1 Preparation Method: EPA 245.1 Mercury NO ug1L 0.20 1 08/16117 03:05 08/16/17 06:36 7439-97-6 360.1 Ammonia Analytical Method: EPA 350.1 1993 Rev 2.0 Nitrogen, Ammonia 3A mg1L 0.10 1 08/11/17 03.49 7664-41-7 361.2 Total Kjeldahl Nitrogen Analytical Method: EPA 351.2 Nitrogen, Kjeldahl, Total 16.3 mg1L 0.50 1 08/15/17 01:57 7727-37-9 366.1 Phosphorus, Total Analytical Method: EPA 365.1 Phosphorus 0.69 mg1L 0.050 1 08/17/17 04:13 7723-14-0 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 926 mglL 125 5 08/14/17 19:25 M1 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 4 of 22 laneAnalytical wwNPltrefebs,cam QUALITY CONTROL DATA Project: WW Testing Pace Project No.: 92350403 QC Batch: 372366 Analysis Method: SM 5210B QC Batch Method: SM 5210B Analysis Description: 5210B BOD, 5 day EDN Associated Lab Samples: 92350403002, 92350403003, 92350403004 METHOD BLANK: 2062898 Matrix: Water Associated Lab Samples: 92350403002, 92350403003, 92350403004 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers BOD, 5 day mg/L ND 2.0 08/13/17 09:38 B3 LABORATORY CONTROL SAMPLE: 2062899 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers BOD, 5 day mg1L 198 192 97 84.6-115.4 B3 SAMPLE DUPLICATE: 2062900 92350426001 Dup Parameter Units Result Result RPD Qualifiers BOD, 5 day mg/L 43.0 40.6 6 B1,B3 Results presented an 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: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 7 of 22 aceAnalytical www.pace1abacom Project: WW Testing Pace Project No.: 92350403 QC Batch: 372307 QC Batch Method: EPA 9040 Associated Lab Samples: 92350403003, 92350403004 SAMPLE DUPLICATE: 2062408 Parameter Units pH Std. Units QUALITY CONTROL DATA Analysis Method: EPA 9040 Analysis Description: 9040 pH EDEN 92350405001 Dup Result Result RPD Qualifiers 5.6 5.6 1 H6 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Resuhs 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 shWl not be reproduced, except in full, Date: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 8 of 22 aceAnalytical Iwwwpacelabscom I Project: WW Testing Pace Project No.: 92350403 QC Batch: 373991 QC Batch Method: EPA 1664E Associated Lab Samples: 92350403001 METHOD BLANK: 2072149 Associated Lab Samples: 92350403001 Parameter Units Oil and Grease mg/L LABORATORY CONTROL SAMPLE: 2072150 Parameter Units Oil and Grease mg/L Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 08/18/17 05:28 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 40 37.7 94 78-114 MATRIX SPIKE SAMPLE: 2072151 92350452003 Spike MS MS % Rec Parameter Units Result Conc. Result % Rec Limits Qualifiers Oil and Grease mg/L ND 40 41.6 98 78-114 Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 9 of 22 aceAnalytical SYwe:Pe��fJ3.00rn QUALITY CONTROL DATA Project: WW Testing Pace Project No.: 92350403 QC Batch: 373326 Analysis Method: EPA 245.1 QC Batch Method: EPA 245.1 Analysis Description: 245.1 Mercury Associated Lab Samples: 92350403002 METHOD BLANK: 2068434 Matrix: Water Associated Lab Samples: 92350403002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Mercury ug1L ND 0.20 08/16/17 06:08 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2068435 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Mercury ug/L 2.5 2.5 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2068436 2068437 MS MSD 92350258001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc Result Result % Rec % Rec Limits RPD Qual Mercury ug/L ND 2.5 2.5 2.1 2.2 81 86 70-130 6 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2068438 2068439 MS MSD 92351046006 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RPD Qual Mercury ug1L ND 2.5 2.5 2.2 2.1 84 83 70-130 2 Rosults 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: 08/18/2017 02:38 PM w thout the written consent of Pace Analytical services, LLC, Page 10 of 22 aceAnalytical www.Pecomftcom QUALITY CONTROL DATA Project: WW Testing Pace Project No.: 92350403 QC Batch: 372828 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92350403002 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 METHOD BLANK: 2065710 Matrix: Water Associated Lab Samples: 92350403002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Arsenic mg1L ND 0.010 08/16/17 02:33 Cadmium mg1L ND 0.0010 08/16/17 02:33 Chromium mg1L ND 0,0050 08/16/17 02:33 Copper mg/L ND 0.0050 08/16/17 02:33 Lead mg/L ND 0.0050 08/16/17 02:33 Molybdenum mglL ND 0.0050 08/16/17 02:33 Nickel mg/L ND 0,0050 08/16/17 02:33 Selenium mg/L ND 0.010 08/16/17 02:33 Silver mg/L ND 0.0050 08/16/17 02:33 Zinc mg/L ND 0.010 08/16/17 02:33 LABORATORY CONTROL SAMPLE: 2065711 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Arsenic mg1L 5 0.47 94 85-115 Cadmium mg1L 5 0.50 100 85-115 Chromium mg1L 5 0.50 99 85-115 Copper mg/L .5 0.48 97 85-115 Lead mg/L 5 0.48 96 85-115 Molybdenum mg/L .5 0.51 102 85-115 Nickel mg/L .5 0.48 96 85-115 Selenium mg1L .5 0.49 98 85-115 Silver mg/L 25 0,25 101 85-115 Zinc mg/L .5 0.50 101 85-115 MATRIX SPIKE R MATRIX SPIKE DUPLICATE: 2065712 2065713 MS MSD 92350660004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Arsenic mg/L ND .5 .5 0.48 0,50 97 101 70-130 4 Cadmium mg/L ND .5 .5 0.49 0.50 97 100 70-130 3 Chromium mg/L ND .5 .5 0.49 0.50 97 100 70-130 3 Copper mg/L 46.4 .5 .5 054 0.56 99 102 70-130 3 ug1L Lead mg/L ND .5 .5 0.47 0.48 93 96 70-130 4 Molybdenum mg/L 67 ug1L 5 5 0.52 0.54 103 106 70-130 4 Nickel mg/L ND .5 .5 0.46 0.48 92 96 70-430 3 Selenium mg/L ND .5 .5 0.51 0.52 101 103 70-130 2 Results presented on this page are In the units Indicated by the "Units" column except whore 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: 0811812017 02:38 P M without the written consent of Pace Analytical Services, t LC Qual Page 11 of 22 aceAnalytical e www.pscolabs.com QUALITY CONTROL DATA Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: WW Testing Pace Project No.: 92350403 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2065712 2065713 MS MSD 92350660004 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Silver mg1L NO .25 .25 0.25 0.26 99 102 70-130 3 Zinc mg1L 161 .5 .5 0.66 0.68 101 104 70-130 2 ug/L MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2065714 MS 92350744001 Spike Parameter Units Result Conc. MSD Spike Conc. 2065715 MS Result MSD Result MS % Rec MSD % Rec % Rec Limits RPD Qual Arsenic mg1L ND .5 .5 0.47 0.48 95 95 70-130 1 Cadmium mg1L ND .5 .5 0.49 0.49 97 98 70-130 0 Chromium mg1L NO .5 .5 0.48 0.49 97 97 70-130 0 Copper mg1L 235 .5 .5 0.69 0.70 91 94 70-130 2 ug1L Lead mg1L 21.0 .5 .5 0.49 0.49 93 94 70-130 1 ug1L Molybdenum mg/L NO .5 .5 0.50 0.51 101 102 70-130 1 Nickel mg1L NO .5 .5 0.47 0A7 93 93 70-130 0 Selenium mg1L NO .5 .5 0.49 0.48 98 97 70-130 1 Silver mg1L ND 25 .25 0,25 0.25 98 99 70-130 0 Zinc mg/L 227 .5 .5 0.70 0.72 94 98 70-130 3 ug1L 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: 08118/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 12 of 22 aceAnalytical® www.perelabs.com QUALITY CONTROL DATA Project: WW Testing Pace Project No.: 92350403 QC Batch: 372755 Analysis Method: EPA 350.1 1993 Rev 2.0 QC Batch Method: EPA 3501 1993 Rev 2.0 Analysis Description: 350.1 Ammonia Associated Lab Samples: 92350403002 METHOD BLANK: 2065250 Associated Lab Samples: 92350403002 Parameter Units Nitrogen, Ammonia mg/L LABORATORY CONTROL SAMPLE: 2065251 Parameter Units Nitrogen, Ammonia mg/L Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.10 08111117 03:06 Spike LCS LCS % Rec Cone. Result % Rec Limits Qualifiers 5 5.1 101 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2065252 2065253 MS MSD 92350641002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Ammonia mg1L ND 5 5 5.1 5.1 100 100 90-110 0 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2065254 2065255 MS MSD 92350297001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone, Cone. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Ammonia mg/L 57.4 5 5 62.4 61.8 100 87 90-110 1 M6 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: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 13 of 22 aceAnalytical. www.pacauftc m QUALITY CONTROL DATA Project: WW Testing Pace Project No.: 92350403 QC Batch: 372889 Analysis Method: EPA 351.2 QC Batch Method: EPA 351.2 Analysis Description: 351.2 TKN Associated Lab Samples: 92350403002 METHOD BLANK: 2066177 Associated Lab Samples: 92350403002 Parameter Units Nitrogen, Kjeldahl, Total mg/L LABORATORY CONTROL SAMPLE: 2066178 Parameter Units Nitrogen, Kjeldahl, Total mg/L Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.50 08/15/17 01:45 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers 10 9.2 92 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2066179 2066180 MS MSD 92350581002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Nitrogen, Kjeldahl, Total mg/L 1.3 10 10 10.5 10.2 91 88 90-110 3 M1 Results presented on this page are In the units Indicated by the "Units" column except where an altamato unit Is presented to the right ofthe rasuh. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full. Date: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 14 of 22 aceAnalytical *wpscelabs.carn QUALITY CONTROL DATA Project: VVvV Testing Pace Project No.: 92350403 QC Batch: 373746 Analysis Method: EPA 365,1 QC Batch Method: EPA 365.1 Analysis Description: 3651 Phosphorus, Total Associated Lab Samples: 92350403002 METHOD BLANK: 2070921 Associated Lab Samples: 92350403002 Parameter Units Phosphorus mg/L Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.050 08/17/17 04:03 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE: 2070922 Spike LCS LCS % Rec Parameter Units Cone. Result % Rec Limits Qualifiers Phosphorus mg/L 2.5 2.5 99 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2070923 2070924 MS MSD 92351237002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone Cone Result Result % Rec % Rec Limits RPD Qual Phosphorus mg/L 0.13 2.5 2.5 2.6 2.6 97 99 90-110 2 MATRIX SPIKE & MATRIX SPIKE DUPLICATE; 2070925 2070926 MS MSD 92350622001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Cone. Cone. Result Result % Rec % Rec Limits RPD Qual Phosphorus mg/L 1.4 2.5 2.5 3.5 3.7 88 94 90-110 4 M1 Resuhs presented on this page are in the units indicated by the "Units" column except wherein alternate unit Is presented to the right of the result. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 15 of 22 aceAnalytical e ~pacelab&oom Project: VWV Testing Pace Project No,; 92350403 QC Batch: 372479 QC Batch Method: SM 4500-CN-E Associated Lab Samples: 92350403001 METHOD BLANK: 2063610 Associated Lab Samples: 92350403001 Parameter Units Cyanide mg/L LABORATORY CONTROL SAMPLE: 2063611 Parameter Units Cyanide mg/L Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eder, NC 27288 (336)623-8921 QUALITY CONTROL DATA Analysis Method: SM 4500-CN-E Analysis Description: 450OCNE Cyanide, Total Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 0.0080 08/10/17 09:38 Spike LCS LCS % Rec Conc. Result % Rec Limits Qualifiers .1 0,11 109 80-120 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2063612 2063613 MS MSD 92350177001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc Conc, Result Result % Rec % Rec Limits RPD Qual Cyanide mg/L 0.34 A .1 0.34 0.35 4 19 80-120 4 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2063614 2063615 MS MSD 92350704001 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Cyanide mg/L ND .1 .1 0.11 0.10 104 97 80-120 7 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: 0811812017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 16 of 22 aceAnalyiical www.pecelaUcam QUALITY CONTROL DATA Project: WW Testing Pace Project No.: 92350403 QC Batch. 373265 Analysis Method: SM 5220D QC Batch Method: SM 5220D Analysis Description: 5220D COD Associated Lab Samples: 92350403002, 92350403003, 92350403004 METHOD BLANK: 2068148 Matrix: Water Associated Lab Samples: 92350403002, 92350403003, 92350403004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Chemical Oxygen Demand mg/L ND 25.0 08/14/17 19:25 Pace AnalytiCal Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORAtORY CONTROL SAMPLE: 2068149 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Chemical Oxygen Demand mg/L 750 714 95 90-110 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2068150 2068151 MS MSD 92350403002 Spike Spike MS MSD MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 925 750 750 1760 1760 111 11i 90-110 0 M1 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 2068152 2068153 MS MSD 92351359004 Spike Spike MS i MS MSD % Rec Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD Qual Chemical Oxygen Demand mg/L 110 750 750 864 872 101 102 90-110 1 Results presented on this page are In the units indicated by tho " Unas" 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: 08/18/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 17 of 22 Pace Analytical Services, LLC aceArlalytical ® 205 East Meadow Road - Suite A Eden, NC 27288 www.pacdabsoom (338)623-8921 QUALIFIERS Project: WW Testing Pace Project No.: 92350403 DEFINITIONS DF - Dilution Factor, if reported, represents the factor applied to the reported data due to dilution of the sample aliquot, NO - 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. S - Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated fromAzobenzene using Method 8270. The result for each analyte is a combined concentration. Consistent with EPAguidelines, 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. TNI - The NEL.AC Institute. LABORATORIES PASI-A face Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte PASI-E Pace Analytical Services - Eden ANALYTE QUALIFIERS B1 Less than 1.0 mg/L DO remained for all dilutions set. The reported value is an estimated greater than value and is calculated for the dilution using the least amount of sample. B3 The dissolved oxygen depletion of the dilution water blank exceeded 0.2 mg/L. D6 The precision between the sample and sample duplicate exceeded laboratory control limits. H1 Analysis conducted outside the EPA method holding time. H6 Analysis initiated outside of the 15 minute EPA required holding time. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. M6 Matrix spike and Matrix spike duplicate recovery not evaluated against control limits due to sample dilution. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 08116/2017 02:38 PM without the written consent of Pace Analytical Services, LLC. Page 18 of 22 aceAnalytical **W..pao"Sa com QUALITY CONTROL DATA CROSS REFERENCE TABLE PacoAnalytioal Services, LLC 205 East Meadow Road - Suite A Eden, NC 27285 (336)623-8921 Project; WW Testing Pace Project No.: 92350403 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92360403002 Wet Well SM 2540D 372572 92360403003 Outfall #1 SM 2540D 372572 92360403004 Outfall #2 SM 2540D 372572 92360403002 Wet Well SM 5210B 372366 SM 5210B 372419 92360403003 Outfall #1 SM 5210B 372366 SM 5210B 372419 92350403004 Outfall #2 SM 5210B 372366 SM 5210B 372419 92350403003 Outfall #1 EPA 9040 372307 92360403004 Outfall #2 EPA 9040 372307 92360403001 Wet Well EPA 1664B 373991 92360403002 Wet Well EPA 200.7 372828 EPA 200.7 373501 92360403002 Wet Well EPA 245.1 373326 EPA 245.1 373543 92360403002 Wet Well EPA 350.1 1993 Rev 2.0 372755 92360403002 Wet Well EPA 351.2 372889 92360403002 Wet Well EPA 365.1 373746 92360403001 Wet Well SM 4500-CN-E 372479 92360403002 Wet Well SM 5220D 373265 92360403003 Outfall #1 SM 5220D 373265 92360403004 Outfall 42 SM 5220D 373265 Date: 08/18/2017 02:38 PM REPORT OF LABORATORY ANALYSIS This report shall rot he reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 19 of 22 �,l_Document Name: Document Revised: July 25, 2017 /. Sample Condition Upon Recelpt(SCUR) Page 1 of 2 !'dGBAl1d�tlCd� - y' Document No.: Issuing Authority: F-CAR-CS-033-Rev.03 Pace quality Office Laboratory receiving samples: Asheville ❑ Eden❑ Greenwood ❑ Huntersville ❑ Raleigh[] Mechanicsvillpl MWRRG�Clie t Name: Project #: Courier: Fed Ex []UPSLISPS ❑Client ❑ Commercial Pace ❑Other: Custody Seal Present? ❑Yes ©tfo Seals intact? ❑Yes ❑No CA _ 9235® Ali. �1�" ,r92350403 Dete/I� niti�rsvn Examining Contents: Packing Material: [—]Bubble Wrap ❑Bubble Bags ❑one ❑ Other Biological Tissue Frozen? Thermometer: / Dyes ❑No ❑N/A [wet ❑Blue ❑None IR Gun ID: Type of Ice: Correction Factor: Cooler Temp Corrected ('C): Temp should be above freezing to 6'C []Samples out of temp criteria. Samples on ice, cooling process hasbegun USDA Regulated Soil (❑ N/A, water sample] Did samples originate in a quarantine zone within the United States: CA, NY, or SC (check maps)? Did samples originate from a foreign source (internationally, MYes MNo including Hawaii and Puerto Rico)? rlYes F INo Comments/Dlscre anc : Chain of Custody Present? f.7fYes No N/A 1. Samples Arrived within Hold Time? Yes No EINJA 2. Short Hold Time Analysis (c72 hr.)? es 61 ❑N/A 3. Rush Turn Around Time Requested? ❑Yes o ONIA 4. Sufficient Volume? es No ❑N/A 5. Correct Containers Used? -Pace Containers used? et ges []No C1 No ❑NIA NIA 6. Containers Intact? Yes []NO N/A 7. Dissolved analysis: Samples Field Filtered? Yes QN0 N/A 8, Sample Labels MatchCOC7 -includes Date/Time/ID/Analysis Matrix: nYes ❑No ❑N/A 9. 0`1\ 12cJcM,,t` i.(— f Headspace in VOA Vials (>5-6mm)? [--]Yes ❑No f41A 10. Trip Blank Present? Trip Blank Custody Seals Present? ❑Yes ❑Yes [:]No No N/A NIA 11. CLIENT NOTIFICATION/RESOLUTION Person Contacted: Comments/Sampie Discrepancy: Date/flime: Field Data Required? ❑Yes ❑No Protect Manager SCURF Review: I Date: () - 7 Project Manager SRF Review: , ``� Dater, fS Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office (i.e. Out of hold, incorrect preservative, out of temp, incorrect containers) Page 20 of 22 PkMnalytical xwMM •nrx CHAIN -OF -CUSTODY I Analytical Request Document The Chainof-Custody is a LEGAL DOCUMENT, All relevant fields must be completed accurately. N Page: of Section A Section B Section C Cn Required Client Information: Required Project tnforsnation: Invoice Information: d Report To: Attention: 1954171 Ia�� � �' Address: Copy To: Company Name: REGULATORY AGENCY Address; F NPDES F GROUND WATER I DRINKING WATER F UST (•` RGRA r- OTHER Emad To: Purchase Order No.: Pam ouutu Rolcrorhon: Phone: Fax: Project Name: P—i Piwct Site Location hllarh.�rr: - STATE: Requested Duo DaterTAT: Project Number: pace Prone N': Requested Analysis Filtered (YIN) Section D Matrix Codes z Requirod Chun) Intcumnlbn M1tKk7 l rnn, COLLECTED PfeServafives `3 Drink I g Water DW ^ z Water WT Wastewater WW m COMPD111TE START COMPOSITE Eh3PhCRAE V1 Product P ZZohd SL c q 1 ~ - SAMPLE ID '°P wpe a t m (A•Z.0.9l,-) Air AR U.]- a Lu { `o L Snnhpie ios MUST BE UNIOUE Tissue TS O V a Z rA U Other OT X W ut 0 4) c, C y ,� 5 �v—i a LL a� U O r L 7= `t Yt Yl ya ~ z DATE TIME DATE TIME T = = Z Z a y Q d Kj d' Pace Project No./ Lab I.D. 2 aid a -7 r7 x 3 �cf W-irt -7 9:0 -r I X 4 L �! - -rz -7- 5 �6( +af - - B:a s7-r je- 1 C-- L! ro -7-rT ( c,f -7 7 9 } 10 11 12 ADDITIONAL COMMENTS RELINQUISHED BY I AFFILIATION DATE TIMEACCEPTE FtLIATI DATE TIME SAMPLE CONDITIONS I SAMPLER NAME AND SIGNATURE `o m ORIGINAL v z 4 �� PRINT Name of SAMPLER: =_ '� 3 > > U z H v a } E w — a U E — SIGNATURE of SAMPLER DATE 51 ned /J �MM7DDm}- — f hn 'Inhuortart NhYn: 9y sgn'unj lhi,% lamb you ara a�pliig Puce's NE T 30 day payment ICfRlS and nlVocin9 to laic Gv gca of 1,5.4 W --/I- any in/ o:s na paid -ntm 3a days. FALL-O-020rev,07. 's 5-May N ea 0 M r` -t --1 v N n d x c v + p r � n 12. a c H m s n fG + � 3 ttQv m a e o � m n � � w S � a cw - CA n ^ � o tp 1 D C r w w n v ea n a d m 0 R Item# 9P4U-125 mL Plastic Unpreserved (N/A) (0-) MU-250mL Plastic Unpreserved (N/A) BPZU-500 mL Plastic Unpreserved (N/A) SPIU-1 liter Plastic Unpreserved (N/A) - BP45-125 mL Plastic H2504 (pH < 2) (Cl.) BP3N-250 mL plastic HNO3 (pH < 2) BP32-250 mL plastic ZN Acetate & NaOH (>9) BP3C-250 ml Plastic NaOH (pH > 12) (CI-) WGFU-Wide-mouthed Glass jar Unpreserved AG1U-1 liter Amber Unpreserved (N/A) (CI-) AGIH-1 liter Amber HCI (pH < 21 AG3U-250 mL Amber Unpreserved (N/A) (Ct-) AG1S-1 liter Amber H2504 (pH < 2) A. AG3S-250 Mt. Amber H2SO4 (pH < 2) AG3A(DG3A)-250 mL Amber NH4Cl (N/A)(CI-) DG9H-40 mL VOA HCI (N/A) VG9T-40 mL VOA Na2S203 (N/A) VG9U-40 mL VOA Unp (N/A) DG9P-40 mL VOA H3PO4 (N/A) VOAK 16 vials per kit)-5035 kit (N/A) V/GK (3 vials per kit)-VPH/Gas kit (N/A) SPST-125 mL Sterile Plastic (N/A— lab) SPZT-250 mL Sterile Plastic (N/A —lab) MA-250 mL Plastic (NH2)2SO4 (9-3.9.7) Cubitainer VSGU-ZO mL Scintillation vials (N/A) GN w 0 � Q 3 =. a Z n � S G a,Cu Z 3 j� 'Z KCLr' } Q Cr M S =r N ? O M ~' a Cr N 0 Q Ntr x 3 4r 7 M m a O Cr on rD tz 0 M m .* 0 ? rD _ m N r 0 1n 3 ro � w a w 5 o Z CDZ u N o aC ro K fG fj R � W 9 O n M 3 0 (D 'A ' c Cr M..T ® N Q7 0 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE NO. NCG21®[E0❑ FACILITY NAME 6 w-Z PERSON COLLECTING SAMPLES CERTIFIED LABORATORY �"AC- — _ Lab # Cq3 Lab # Part A- Specific Monitoring Requirements[ SAMPLES COLLECTED DURING CALENDAR YEAR- Z ar' L (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY PHONF, NO. ( ) 7 7'7 I PLEASF Slf:h ( N 'I HE ItEV la RSE 4 Outfall No. Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 00400 00340 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand (COD), m Benchmark* - 100 Within 6.0 — 9.0 120 c7i) Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. if the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall also record and maintain a log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. 0 LU, cr, O LL F L 1 -4 /i�- Q W r ti r�c3 *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other sini lar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident pf ecipitation or to stormwater run on) for I nger than seven (7) days before removal since filing the last discharge monitoring port."o'i t 77 Name (Print name) � If-6 1�t. Title (Print title) (Signs ur) (Date) S W L1-245-072908 D- 7 'F 1 DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes 4No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr 00400 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gal/mo pH, Standard units Oil and Grease, mg/L Total Suspended Solids, mg/L Benchmark* - - - 6.0 — 9.0 30 100 *Note If you report a value in excess of the benchmark Value; or outside the bencfunark range (for"pH)-you-must implement Tier 1 or Tier 2-responses in -the General -Permit:-- - Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU NIUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED IN PARTS A AND/OR B.- "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, accurat and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and impriso e" fpr wing violations." (Signature of Permittee) (Date) SWU-245-072808 Page 2 of 2 aceAnalytical e www.pacelabs.com ANALYTICAL RESULTS Project: Blue Ridge Fiberboard Pace Project No.: 92314216 Pace Analytical Services, LLC 205 East Meadow Road - Suite A Eden, NC 27288 (336)823-8921 Sample: Wet Well Lab ID: 92314216001 Collected: 09/29/15 07:32 Received: 09/29/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 6210E BOD, 5 day EDN Analytical Method: SM 5210B BOD, 5 day 16B mg1L 2.0 1 09130/16 10:58 10705/16 09:30 Sample: Wet Well Lab ID: 92314216002 Collected: 09129/16 07:32 Received: 09/29/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 6210E BOD, 6 day EDN Analytical Method: SM 5210B BOD, 5 day 228 mg/L 2.0 1 09/30/16 10:58 10105/16 09:30 Sample: #2 Lagoon Lab ID: 92314216003 Collected: 09/29/16 07:21 Received: 09/29/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 5210B BOD, 6 day EDN Analytical Method: SM 5210B BOD, 5 day 1240 mg/L 2.0 1 09/30/16 10:58 10105/16 09:30 Sample: Clairfier Lab ID: 92314216004 Collected: 09/29/16 07:10 Received: 09/29/16 13:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 6210B BOD, 5 day EDN Analytical Method: SM 52108 BOD, 5 day 1640 mi 2.0 1 09/30/16 10:58 10/05/16 09:30 Sample: Outfall #2 Lab ID: 92314216006 Collected: 09/28/16 07:15 Received: 09129t16 13.00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 9.6 mg/L 1.0 1 09/30/16 09:33 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 91.0 mg/L 25.0 1 10/14/16 02:35 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 10/14/2016 09:41 AM without the written consent of Pace Analytical Services, LLC, Page 4 of 11 ,/ ,�PaceAnalytical' erxw.eaee lshs cnm CHAIN -OF -CUSTODY 1 Analytical Request Document The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed a ocurately. Section A Section B Section C Page. of Required Client Information: Required Project Information: Invoice lnfprmpVon: ny Report To: Attention'. 1954126 Address: Copy To: company Name: REGULATORY AGENCY Address: F NPDES F GROUND WATER r I)RINKJMG WATER r LIST f RCRA OTHER Email To: Purchase Order NO.: Pale Quote �ate<e Phone: Fax: Project Name: Raw Pr*ct Site Location Macao — STATE: Requested Due DateITAT: Project Number: Pape Prone Requested Analysis FilteretE (YINj .::. - Section D Matrix Codes ie Required CkrtlnfonnoWn MATRIX 1 coDE COLLECTED Pres©rvatives Drinking Water DW 9 - oxo U' Water WT acsd Water WW r5 m CCMPOsrrE START COMPOSITE ENZVORAa uJ 2 P So lSaFd SL $ 0 e-1 r SAMPLE ID O1l OL 0 X — Wipe WP (A-Z. as 1: ) Air AR o w a z U Sample IDS MUST BE UNIQUE Tissue TS O U w ZO N Other OT H _ta a a ¢ LL O a O p_ m vOni 'Ca v W = m DATE TIME DATE TIME 0 1, c Z Y U = Z Z '7 y Pace Project Na.t Lab I.D. 1 - t y �I Jr� 4 2 �(► i,�i 3' v TY.4 z5 .7' 9. t� ft 12 ADDITIONALCOMMENTB -;. _:.: ,.- ,RELINQVIS BYI.AFFiLU►TlON -' -DATE .. TNNE •..ACCEPTEDBYti"UATION'- .DATE , - '. TIME . 3AMPLECONDITiONS SAMPLER NAME "r) SI13NATF1RE._ ..'-- c ORIGINAL _ PRINT NameofSAMPLER: f m q o E " 1 U DArESIgned SIGNATURE of SAMPLER: ;MMr4Drm 'Important Nora: ey eignisi this tam you are acc epthg pace's NET 30 day palmrom terms and agreeing to tare dlarge: of 1.5% per montfforkny Inwci not paid wlhh 30 days. F-ALL-Q-020rev.07, 15-May-2007 STORMWA`l'ER DISCHARGE OUTFALL (SDO) MONITORING REPORT . GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE NO. NCG21[]D [j1EQ FACILITY NAME Nr L-E PERSON COLLECTING SAMPLES 77 S. CERTIFIED LABORATORY A G Lab # Cc 3 Lab # Part A: Specific Monitoring Requirements' i SAMPLES COLLECTED DURING CALENDAR YEAR: Za r ,.-(This monitoring report is due at the Division no later than 30 days front the date the facility receives the sampling results from the laboratory.) COUNTY /_.4 i •= �! PHONE NO. (_�) i'1 EASF; SIGN f)\NT"F Ri,''VF RSE 4- Outfall No. Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 ,_ 00400 00340 Total Suspended Solids, pH, Standard units Chemical Oxygen Demand (COD), Benchmark* - - 100 Within 6.0 — 9.0 120 �G an( co oa f7 c�.7 7 C�.1 on) !l!3 F of C O oZ 'Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, Bark, mulch, or other similar material on site for longer than seven (7) days. If the facility elects not to monitor because accumulzted material is removed within seven (7).days or less; the certification below must be signed. 'The facility shall also record and maintain a log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. Rec /1 0— VED JAN 8 2Q11 CEwrp,A L pl DWR SECTIc *Note: If you report a value in excess of the benchmark'value, or outside the benchmark range (for pH), you must implement'Fier 1 or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, anc. the requirement for analytical rntonitoring may be waived: ,For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring jreport." Name (Print name) Title (Print (Signature) (Date) S W IJ-245-072808 Is / DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr 00400 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gal/mo pH, Standard units Oil and Grease, m Total Suspended Solids, m Benchmark* - - - 6.0'— 9.0 30 100 *Note: If you report a value in excess of the benchinark value, of oatside the benclin ark rang"e-(f6r'pH);-you must implement Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 VOLT MUST SIGN THIS CERTIFICATION FOR ANY 1NFORMATION REPORTED I1ti PARTS A AND/OR B: "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 fpr knowing violations." (Signature of Permittee) (Date) S W U-245-072808 paoP 7 of') STORM WATER DISCHARGE OU`I'FALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: �, or .6 CERTIFICATE OF COVERAGE NO. NCG2 i®t_'J�(M (This monitoring report is due at the Division no later than 30 days from the date the facilit receives the sampling results from the laboratory.) FACILITY NAM E��� /�jdGE`�3+gR4 _ R E G'E COUNTY PERSON COLLECTING SAMPLES^ JAN 1 0 4 L) i 1 PHONT; N0. CERTIFIED LABORATORY _ Lab # Lab # CENTRAL FILEq-'L1:AS SlG'K ON THE lZEVF RSE -3� DVIM SECTION Part A: Specific Monitoring Requirements' C, — < e / ( Outfall No. Date Sample Collected_, mo/dd/ r Total Rainfall, inches 00530 00400 00340 .Total Suspended Solids, pH, Standard units Chemical Oxygen Demand (COD), . Mai- Bencju-nark* - , 100 Within 6.0 - 9.0 120 A It G evoZ. ivlorutonng is required only if the facility stores wposed piles of sawdust, wood chips, bark, mulch, or other similar maternal on site for longer than seven (7) days. If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification blow must be signed. The facility shall also record and maintain a log in its' SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier I or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdut.t, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those fa,:ilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statament; "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chaps,. bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) ,� E ! o days before removal since filing the last discharge monitoring report." h/t„� '• (,t n (413 /E i o bs 7' A �' '`t A r - vim. I� �Roc�GrF 7 �.56�Y�a.�S 4 5;�2.K rT-^4A Name (Print name) Title (Print 7 title (Signature) (D�Ite) t) EaTF l 7 �i- I C, p4dt-4A',r-A 47- A Ij SW U-2A5-W 2808 y DID THIS FAILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes X No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr i 1 00400 1 00556 00530 Total itainfall, inr-hes New Motor Oil Usage, Annual average gal/mo pH, Standard units Oil and Grease, mg Total Suspended Solids, m Benchmark* - - - 6.0 — 9.0 30 100 *Note: If you report a value in excess of the beneiirnark value, or outside the benchiriarkrange (for pil), you must implement Tier I or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: Central Piles 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORA•IATION REPORTED IN PARTS A AND/OR B: "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 frr knPwing violations." (Signature of zor7 (Date) SWU-245-072808 0.-11_r� L91 GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE NO. NCG21©M N STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT FACILITY NAME /It[A E I PERSON COLLECTING SAMPLES —7► 4 +� f CERTIFIED LABORATORY— Nc_4 Lab # G3,1 Lab # Part A: Specific Monitoring Requirements' SAMPLES COLLECTED DURING CALENDAR YEAR: zo iC: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) R C /VUHONE NO. ( 727 0 L (, - C J'A 2 `� ZU�� {'lal ASF SK,N O;� TFIE REVERSE � L EN S CTILES N Outfall No. Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 00400 00340 Total Suspended Solids, m F& pH, Standard units Chemical Oxygen Demand (COD), Tzi Benchmark* - - 100 Within 6.0 - 9.0 120 e— ao�,p Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall also record and maintain a log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring report." Name (Print name) Title (Print title (Signature) (Date) S W U-245-072808 Page I of 2 o 0 0 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: �o�S CERTIFICATE OF COVERAGE NO. NCG21Eq_f U0E0 (This monitoring report is due at the Division no later than 30 days from p the date the facility receives the sampling results from the. laboratory.) FACILITY NAME �r�E aC�-r„cv4•� ! RECEEVEENT�, L" PERSON COLLECTING SAMPLES —rbm 4 ' �R,e L 4 PHONE NO. i`f3+t i 7 Y7- r 3Z 1 CERTIFIED LABORATORY AFL Lab# Ck,3 3 JAN 0 8 ZU16 Lab # PLEASE SIGN ON THE REVERSE � CENTRAL FILES Part A: Specific Monitoring Requirements' DWR SECTION Outfall No. Date Sample Collected, motdd! r Total Rainfall, inches 00530 00400 00340 Total Suspended Solids, pH, Standard units Chemical Oxygen Demand (COD), Benchmark* - - 100 Within 6.0 - 9.0 120 Ne-00i /x 17 t5 0.5' o A/6n! - 6 75Lcr a1E el a 02 1 2. f 7 115 D-. 5 3.7 Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall also record and maintain a log in its SPPP (Stonnwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring report." V; s . V15 Name (Print name) Title (Print tit �yz/�j (Signature) (Date) S W U-245-072808 Page 1 of 2 0 0 0 DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes K No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr 00400 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gal/mo pH, Standard units Oil and Grease, mg/L, Total Suspended Solids, mg/L Benchmark* - - - 6.0 — 9.0 30 100 *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH); you -must implement Tier -I -or Tier 2 responses in -the General -Permit - Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN TIIIS CI'',RTIFICATION FOR ANY 1NFORNIATION REPORTED IN P:�RTS A ANDIOR B: "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 f�rowinviolations." (Signature of (Date) S W U-245-072808 Page 2 of 2 • aceAnalyircal wwwpacalabs.mm ANALYTICAL RESULTS Pace Anaiytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: Stormwater Testing Pace Project No.: 92280261 Sample: OUTFALL #1 Lab ID: 92280261001 Collected: 12/17/15 07:30 Received: 12/17/45 12:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 8.2 mg/L 1.0 1 12/18115 10:28 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand ND mg1L 25.0 1 12/29/15 15:00 Sample: OUTFALL #2 Lab ID: 92280261002 Collected: 12/17/15 07:50 Received: 12/17/15 12:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 26400 TSS, Low -Level, Eden Analytical Method: SM 2540D Total Suspended Solids 43.7 mg/L 2.9 1 12/18/15 10:2B 6220D COD Analytical Method: SM 5220D Chemical Oxygen Demand 67.0 mg/L 25.0 1 12/29/15 15:00 Sample: OUTFALL #3 Lab ID: 92280261003 Collected: 12/17/15 07:40 Received: 12/17/15 12:20 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 2640D TSS, Low -Lave], Eden Analytical Method: SM 2540D Total Suspended Solids 11.6 mg/L 1.0 1 12/18/15 10:29 Date: 01/0412016 09:32AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 9 Cb am u s o CTY - co Report Results to: Bill Results to: ❑ Standard Report Delivery - -.. Requested Due Date: Project Re erence: Annual Priority P011utant AT►N- Tom Verrill ATiN: Phone: 434-797-1321 ��a-,-;(Irlhir r�rF�c¢rh�rhnard.com Purchase Order #: Sampled By: Composite Sample Description or Grab Start Date StoQ Date tLM pyy; syi Gw etc Analysis Regeiested 5tartTime Stop Tme 0750 (�v , I 0740 S 'v I Relinquished by (sgnature) j J iJn �1 ReceN 'oy (sign :e} Da;e _ !a'17-li Time ��Uo For Lab use Only Temperature at receipt: `l Temp: ��.�_____—C. Relinquished by (signature) R ad ign ,,re) 'i tkA�ba-- Date - -rime Relinquished by (signature) Received by {signature] Date irnc • STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE NO. NCG21®© / ] 1] FACILITY NAME Qr!u E /e S A G E P,54C SCA,4b PERSON COLLECTING SAMPLES r *--I hS 2R,� i 4- CERTIFIED LABORATORY PA E Lab # _. Lab # Part A: Specific Monitoring Requirements' SAMPLES COLLECTED DURING CALENDAR YEAR: Zo[ 5 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY C.4 i 411 PHONE NO. ( ) 7 ? 7 _(3 2 1 PLEA51,, SIGN ON THE RI?VF-RSL --> Outfall No. Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 00400 00340 Total Suspended Solids, pH, Standard units Chemical Oxygen Demand (COD), m Benchmark* - - 100 Within 6.0 — 9.0 120 Ale— Do G ao 2 dCp /� mod/ e) 1570 Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall also record and maintain a log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. RECEIVED JUN 2 5 2015 CENTRAL FILES DWR SECTION *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier I or Tier 2 responses in the General Permit. _Mimi Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring irepp t." / f Name (Print name) G 4A Title (Print ti (Signature) (Date) S W U-245-072808 Page 1 of 2 • DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes A, No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr 00400 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gal/mo pH, Standard units Oil and Grease, m Total Suspended Solids, mg/L Benchmark* = - - 6.0'— 9.0 30 100 *Note: If you report a value in excess of the benc19 ark value, or outside the benchmark range (fog pH),-you-must'implementTier-l-or Tier2-responses in -the General -Permit. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS C1;RTIFICATION'' FOR ANY INFORMATION R iTORTED IN PARTS A AND/OR B: "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 viglations." (Signature of Permittee) (Date) S W U-245-072808 Page 2 of 2 I� -�acekialytical � vrn�r.pncelnhs.crm ANALYTICAL RESULTS Project: ANNUAL PRIORITY POLLUTANT Pace Pro}ect No.: 92254409 Pace Analytical Services, Inc. 205 East Meadow Road - SuiieA Eden, NC 27286 (336)623-8921 Sample: OUTFALL 91 Parameters Lab ID: 92254409001 CoRecled: 06/14/15 18:15 Results Units Report Limit DF Received: 06/15/15 16:10 Matrix: Water Prepared Analyzed CAS No. Qual 9040 pH Analytical Method: EPA 9040 1)11 6.0 Sid, Units 0.10 1 06/16115 10:50 H1.H6 2540D TSS, Low -Level Analytical Method: SM 2540D Total Suspended Solids 28.7 mg1L 2.6 1 061l9/15 13:10 5220D COD Analytical Method: SM 52206 Chemical Oxygen Dcmand 41.0 mg1L 25.0 1 06/17/15 16:40 Sample: OUTFALL 42 Parr3mclers Lab ID: 92254409002 Collected: 06/14/15 18:30 Results Units Report Limit DF Received', ) 115115 16:10 Matrix: Water Prepared Analyzed CAS No. Oual 9040 pH Analytical Method: EPA 9040 pH 6.8 Sid. Units 0.10 1 06116/15 10:50 H1,H6 2540D TSS. Low -Level Analytical Method: SM 2540D Total Suspended Solids 64.7 mglL 1 1 06/19/15 13-12 5220D GOD Analytical Method: SM 5220D Chemical Oxygen Demand 116 ni 25.0 1 06/17/15 16:40 Sample: OUTFALL #3 Lab ID: 92254409003 Collected: 06/14115 18:40 Received: 06/15/15 16-10 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 9040 pH Analytical Method: EPA 9040 pH 5.1 Std- Units 0.10 1 06/16/15 10:50 H1,H6 2540D TSS, Low -Level Analytical Method: SM 2540D Total Suspended Solids 47.1 mg1L 14.3 1 06/19/15 13:17 Dale: 06/21/2015 10: i 6 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of PaceAnalylieal Services, Inc., Page 3 of 10 m 0 0 r r. � n � r - Cha of Custody r _ - Report Results to: Bill Results to: ❑ Standard Report Delivery Blue Ridge Fiberboard, Inc. ❑ Rush Report Delivery (w/ surcharge) Requested Due Date: Project Reference: Annual Priority Pollutant ATfN: Torn Verrill ATTN: Purchase Order#: Phone: 434-797-1321 Sampled By: f Cf tverrillr@blueridl=efiberboard_com Sample Description Composite' or Grab Start Date Stop Aate Matnx wwv, p�j Sinr, Gw etC. . Analysis Requested start Time Stop ime. " Ismi ►-,; � � C OD H G-1til-►� J S, C c/D., Y-r Relinquished by (signature) ��r L f ` Received by (signature) Date ' L, -` 3,-/ Time A0 For Lab Use Only Temperature at receipt: Temp: IC. Relinquished by (signature) Re d oy (Signature) r Date r/ Time Relinquished by (signature)6)Received by (signature) Date Time ANNAG&Ik BLUE RIDGE, F I B E R B O A R D September 22, 2014 Division of eater Quality Attention: Central Files State of North Carolina Department of Environment and Natural Resources 1617 Mail Service Center Raliegh, NC 27699-1617 Re: Stormwater Reporting, General Permit No. NCG210000, Tier 1 Response Dear Madam/Sir. RECEIVED SEP 26 2014 CENTRAL FILES DWR SECTION Blue Ridge Fiberboard, Inc. is required to conduct Stormwater Analytical Monitoring Requirements according to General Permit No. NCG210000. Following a COD value in excess of the COD benchmark value, a Tier I response was implemented. A subsequent sampling has tested at a result below the COD benchmark value. Discharge Characteristic Benchmark Value Outfall #002 Result On August 9. 2014 Outfall #002 Result On Sept 8. 2014 Chemical Oxygen Demand 120 mg/L 145 mg/L I 1 1 mg/L w Regard Thomas Verrill Technical Manager tverriil@blueridgel'iberboard.com cc. Dave Carey, Mark Custer Blue Ridge Fiberboard, Inc. 250 Celotex Drive • Danville, VA 24541 • 800-596-9699 • Fax 434-799-5714 www.blueridgefiberboard.com STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO. NCG210[fl00 (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME fD(LIL� `- t'► B �"q'�d COUNTY 4!::5_ oz- f� PERSON COLLECTING SAMPLES - 6&"4A V4,eedr PHONE; NO. (,If�) 7?7- 134r _ CERTIFIED LABORATORY -: Lab # Z S9 -- Lab# I'L11-1ASE SI(IN i NN TI-I1: Part A. Specific Monitoring Requirements' Outfall No. Date Sample Collected, mo/dd/ r Total Rainfall, inches 00530 00400 00340 Total Suspended Solids, pH, Standard units Chemical Oxygen Demand (COD), m Benchmark* - - 100 Within 6.0 - 9.0 120 1-4 e- oa o Q o $ xo( '7 'Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall also record and maintain a log in its SPPP (stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring report." Nance (Print name) f ELI#NiG'�� /414144Cs" Title (Print title) (Signan�rc) (Dale) S W 4;-2,15-072808 Page 1 42 DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes A No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr 00400 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gal/mo pH, Standard units Oil and Grease, mg1L Total Suspended Solids, In Benchmark* - - - 6.0 -- 9.0 30 100 *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Pernut. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU Y[E)ST SIGN'I'llIS CERTIFICATION FOR ANY INFORMATION REPORTED [N PARTS A AND/Olt li: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) (Date) SWU-'? 15-072808 ;e2of2 I _ PORTr,'pANALYS -� CLIENT: Blue Ridge Fiberboard, Inc. SAMPLE COLLECTED BY: CLIENT ATTN: Ivlalthew Walker GRAB COLLECTION: ADDRESS: 250 Celotex Drive Date: 9/8/2014 Time: 1530 REED y Danville, VA 24541 PHONE: (434) 797-1321 Ext.2228 FAX: (434) 793-9124 Special Notes: `�socrr+�w COMPOSITE COLLECTION: Start Date: Time: End Date: Time: PICK UP BY: UPS SAMPLE RECEIPT: Date: 9/11/2014 Time: 1040 NUMBER OF CONTAINERS: I SAMPLE CONDITION: Good ❑ Other (See C-O-C) REPORT NO: 14-13 814 13:59 SAMPLE ID: OUTFALL 4002 SAMPLE NO: 14-13814 Method JRA Parameter Number QL Result Unit Analyst Date Time COD HAC8000 10 111 mg/L AME 09/16/14 1502 NOTES: IRA Quantification Level is the concentration of the lowest calibration standard above zero with a reliable signal. Reproduction of this report is not permitled, except in full, without written approval from James R Reed & Associates The results on this report relate only to the sample(s) provided for analysis. Results conform to NELAC standards, where applicable, unless otherwise indicated. COD-HACH James R. Reed & Associates 770 Pilot House Drive, Newport News, VA 23606 (757) 873-4703 0 Fax: (757) 873-1498 Page 1 of 1 Authorized By:�,� ne Elaine Claiborne, Laboratory Director Date: 17-Sep-14 VELAP# 460013 EPA# VA00015 C•%T:i ��oE6A h CHAIN OF CUSTODY Contact: rY404-it Telephone yV-�-7y7-13a1 C(�aO Preserv. ,suits To: '4 t' ►..�r- Fax: y3L1-7y?�`�k�4 Address: Ap, Ui'� a ` 7ti I u Sample Location ANALYSES REQUESTED I A •WW= Wastewater, GW = Groundwater, DW - Drinking Water, HW - Hazardous Waste, OTHER i Preservatives: Sampled By: _ Un l Datemme: -1 u -1 y 9 �Q 1 - <B°C 6 = Na�O, + HCI 1 Ascorbic Acid + HCl Relinquishetl By: Datemme: [U -I `# o y�o 2 = HNO, 7 - NaOH + ZnOAc 11=HCI Receiyed'N.. DateMme: 3 = HzSO, 8 = FzSO,+ FAS 12=Zinc Acetate + NaOH Relinquished By: Daterrime: 4 = NaOH 9 = NH,CI 13=Na,SO,+ HCI Received By: Dalemme:-11-11/ a rD ya 5 = NaAO, 14-Na2SO, * HrSO, . for Compliance VOA Chlorine Check: POS_NEG_ By: CN Interference Checks Positive Negative —Not for Compliance Dechlorinated: Yes Suffide: Oxdizing Agent" Phenolic Interference Check: Positive Negative 1 r� Oxidizing Agent: Arrival Temp: I ! °C JAMES R. REED & ASSOCIATES (757) 873-4703 • FAX (757) 873-1498 770 Pilot House Drive, Newport News, VA 23606 STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE NO. NCG210❑©©0 FACILITY NAME A (,^ -, e4 �-4 GC !4� FAA eA kA PERSON COLLECTING SAMPLES E-4 - A CERTIFIED LABORATORY 4t. E1.4 Lab # XP Lab# Part A: Specific Monitoring Requirementsi SAMPLES COLLECTED DURING CALENDAR YEAR: z°(`f (This monitoring report is due at the Division no later than 30 days from the date the facility, receives the sampling results from the laboratory.) COUNTY Cols W1 3PRWE NO. (I34F.)_ T P-7 f P 45F S1[;N ONN THE' REVERSE � CE�p BQ ti Outfall No. Date Sample Collected, mo-, yr Total Rainfall, inches 00530 00400 00340 Total Suspended Solids, m pH, Standard units Chemical Oxygen Demand (COD), m Benchmark* - - -100 Within 6.0 -- 9.0 120 A(e- 4a t a nq a.--r'f ' �•4 r �1 G co Z o3 0 9 air s z G, `Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. If the facility elects not to monitor because accumulated material is removed within seven (7) days or less, the certification below must be signed. The facility shall also record and maintain a log in its SPPP (Stormwater Pollution Prevention Plan) of dates when material is generated and removed, how, and by whom. *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Facilities that do not store exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch, or other similar material for longer than seven (7) days on site may so certify, and the requirement for analytical monitoring may be waived. For those facilities that qualify for the analytical monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief, no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring report " -;[n�.-s i)&_-,,v Name (Print name) F_GIY•�►r`hd Title (Print title) (Signature) (Date) S W U-245-072808 Page I of 2 DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes No (If yes, complete Part B) Part B. Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, ino/dWy"r 00400. 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual averse allmo pH, Standard units Oil and Grease, m Total Suspended Solids, M91L Benchmark* _ - - 6.0 — 9.0 30 100 *Note: If you report a, value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU �INIUS I' SIGN THIS CERTIFICATION FOR ANY INP(}ItiMATION IIEPOItTED 1[N PARTS A AND/OR B: "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 imprisontmntPr knowing violations." (Signature of Permittee) a (Date) S W U-1 45-072808 ;e2of2 REPORT OFc-ANALYSIS a r r CLIENT: Blue Ridge Fiberboard, Inc. SAMPLE COLLECTED BY: CLIENT ATTN: Matthew Walker GRAB COLLECTION:dc pq ADDRESS: 250 Celotex Drive Date: 8/9/2014 Time: 0830 'kRE�ED3 Danville, VA 24541 COMPOSITE COLLECTION: roc,K PHONE: (434) 797-1321 Ext.2228 Start Date: Time: FAX: (434) 793-9124 End Date: Time: Special Notes: PICK UP BY: UPS NORTH CAROLINA STORMWATER SAMPLE RECEIPT: North Carolina Certification #289 Date: 8/12/2014 Time: 1005 NUMBER OF CONTAINERS: 2 SAMPLE CONDITION:,'�� Good ❑ Other (See C-O-C) REPORT NO: 14-1 1994 15:30 SAMPLE ID: OUTFALL 002 SAMPLE NO: 14-1 1994 Method JRA Parameter Number QL Result Unit Analyst Date Time TSS *2540D 1.0 26 mg/L JMS 08/12/14 1730 COD HAC8000 10 145 mg/L AME 08/13/14 1445 NOTES, JRA Quantification Level is the concentration of the lowest calibration standard above zero with a reliable signal. Reproduction of this report is not permitted, except in full, without written approval from James R Reed R Associates The results on this report relate only to the sample(s) provided far analysis. Results conform to NELAC standards, where applicable, unless otherwise indicated. *SN1 1997, COD - HACI1 James R. Reed & Associates 770 Pilot House Drive, Newport News, VA 23606 (757)873-4703 0 Fax: (757) 873-1498 Authorized By:r, Q� Elaine Claiborne, Laboratory Director Date: l 8-Aug-14 VELAP# 460013 EPA# VA00015 Y NCCRtrO Page 1 of 1 q a .. .. _ s REPORT'OF ANALYS Gr ,_ IS. =, CLIENT: Blue Ridge Fiberboard, Inc. SAMPLE COLLECTED BY: CLIENT ATTN: Matthew Walker GRAB COLLECTION: ADDRESS: 250 Celotex Drive Date: 8/9/2014 Time: 0900 REED� Danville, VA 24541 COMPOSITE COLLECTION: S00l+4 PHONE: (434) 797-1321 Ext.2228 Start Date: Time: FAX: (434) 793-9124 End Date: Time: Special Notes: NORTH CAROUNA STORM WATER North Carolina Certification 9289 PICK UP BY: UPS SAMPLE RECEIPT: Date: 8/12/2014 Time: 1005 NUMBER OF CONTAINERS: 2 SAMPLE CONDITION: Good ❑ Other (See C-O-C) REPORT NO: 14-1 1993 15:30 SAMPLE ID: SAMPLE NO: OUTFALL 001 14-1 1993 Method JRA Parameter Number QL Result Unit Analyst Date Time CSS *2540D 1.0 3.5 mg/L JMS 08/12/14 1730 COD HAC8000 10 18 mg/L AME 09/13/14 1515 NOTES. JRA Quantification Level is the concentration of the lowest calibration standard above zero with a reliable signal. Reproduction of this report is not pennitted, except in full, without written approval from Jantes R Reed & Associates. The results on this report relate only to the sample(s) provided for analysis. Results conform to NELAC standards. Where applicable, unless ollwm ise indicated, *Stvl 1997, COD - HACFI James R. Reed & Associates 770 Pilot House Drive, Newport News, VA 23606 (757)873-4703 0 Fax: (757) 873-1498 Authorized By: Elaine Claiborne, Laboratory Director Date: 18-Aug-14 VELAP4 460013 EPA# VA000 15 Page I of I CO CHAIN OF CUSTODY ANALYSES REQUESTED Bottle I.D A I b Company Name: Blue Ridge Fiberboard, Inc. lPreserv. 1 11,31 Company Contact: Matt Walker Telephone: 434-797-1321 Results To: Matt Walker Fax: 434-793-9124 Address: 250 Celotex Drive, Danville, VA 24541 d Project ID: North Carolina Stormwater PO# x State of Origin:^ nC_ Composite Grab JRA Sample Sample Location Start Start End End Date Time Total # ID # N— Type` Date Time Date Time of cant. ° 1199-3 G W 6)"T1';k11 0.01 S "i + D9oo 2 X X It Of4 4/ 6 w 6 W7/:;40 0 0 :t $ SQ 2 X X "WW= Wastewater, GW = Groundwater, DW - Drinking Water, HW - Hazardous Waste, OTHERS Sampled By: f—A—e.4s 0,V,, n Date/Time: OQp,b_ Relinquished By: Date/Time: // / b �00 Received By: Date/Time: Relinquished By: Date/Time: Received By: DatefTime: _for Compliance _Not for Compliance P:aservatives: 1 = <6°C 6 = Na2S2O,+ HCI 10=Ascorbic Acid + HCI 2 = HNO3 7 = NaOH + ZnOAc 11=HCI 3 = H2SO4 8 = H,SO, + FAS 12=Zinc Acetate + NaOH 4 = NaOH 9 = NH4Cl 5 = Na2S203 CN Interference Check- Positive Negative Sulfide: Oxidizing Agent: Arrival Temp: °C JAMES R. REED and ASSOCIATES (757) 873-4703; FAX (757) 873-1498 770 Pilot House Drive, Newport News, VA 23606 STORMWATER DISCHARGE, OUTFALL (SDO) MONITORING REPORT GENERAL PERMIT NO. NCG210000 CERTIFICATE OF COVERAGE NO. NCG21 ] :][ ❑t FACILITY NAME Ot"E ocf,%GE F-ektoA2-4 PERSON COLLECTING SAMPLES -- CERTIFIED LABORATORY Lab # Lan # Part A: Specific Monitoring Requirements' . SAMPLES COLLECTED DURING CALENDAR YEAR: (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) COUNTY CA s 01-8 PHONE NO. (Y-3- ) _ 7 9 7 — /3 Z / PLEASE SIGN ON ThiE REVERSE 4 Outfall No. Date Sample Collected, mo/dd/vr Total Rainfall, inches 00530 00400 00340 Total Suspended -Solids',-, m g/L .' pH., Standard units Chemical Oxygen Demand (COI));. m Benchmark* 100 ? Within 6.0 - 9.0 120 CGQI cE-IV1 JUL 10 2014 CENTRAL ALES TWO/BOG *Note: if a value is in excess of the benchmark, or outside the benchmark range (for pH). -you must implement the Tier l or Tier 2 responses in the General Permit. 'Monitoring is required only if the facility stores exposed piles of sawdust, wood chips; bark, mulch, or other similar material on site for longer than seven (7) days. A facility that does not retain exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch; or other similar material on site for more than seven (7) days before removing the material is not required to monitor for•the parameters in Table I of the General Permit. If at any time the material is not removed within this time frame, the facility must begin analytical monitoring immediately.. (Reinijider:. This condition doer not e_teifrltt any facility from yrealitatiiye monitoring of SDOs.) If the facility removes such materials within seven days to meet the monitoring exemption; the Permittee shall record and maintain in the facility's SPPP a log:which documents. at a minimum, the dates when material is generated and rcnioved, how removed, and by whom._sThe.log must be sufficient to establisli that no materials were exposed,for,longer than seven days. For record -keeping purposes, the Permittee may also maintain in the SPPP this form with the sinned certification below: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, I certify that to the best of my knowledge and belief. no piles of sawdust, wood chips, bark, mulch or other similar materials were stored exposed (either to incident precipitation or to , stormwater run on) for longer than seven (7) days before removal since filing the last discharge monitoring report." A Name (Print name) ( Title (Print title) 7- (Signature) (Date) SWU-245-1 10408 Page I of 2 DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes K No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date 100400 Sample Collected, mo/dd/yr 00356 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gaVmo pH, Standard units Oil and Grease, mt,IL Total Suspended Solids, mg/L Benchmark* - - - 6.0 - 9.0 30 100 *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU 1IUST SIGN `I`IIIS CERTIFICATION FOR ANY INFORMATION RE;POR' I-1) IN PARTS A :AND/OR B: "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 fit' knowing violations." �l �� �, A (Signature of Permittee) {Date} -�— S W U-245 -1 l 0408 Page 2 of 7 " �r+f STORMWATER DISCHARGE OUTFALL (SDO) PCp'IbA MONITORING REPORT GENERAL PERMIT NO. NCG210000 SAMPLES COLLECTED DURING CALENDAR YEAR: CERTIFICATE OF COVERAGE NO- NCG21®EOQQ (This monitoring report is due at the Division no later than 30 days from the date the facility receives the sampling results from the laboratory.) FACILITY NAME rd/ t" /��`e G � tg �� COUNTY 657'� PERSON COLLECTING SAMPLES PHONE NO. (-!'t�4) T -� Z CERTIFIED LABORATORY Lab # Lai) # l'l.F,-\SE Sl(;N 0NL '1'l4I It1:VI;RSF 4 Part A: Specific Monitoring Requirements Outfall No. Date Sample Collected, motdd/ r 1 Total Rainfall. inches 00530 00400 00340 Total Suspended Solids, mg/L 1)l1, Standard units Chemical Oxygen Demand (COD), m =/l, Be chmark* 100 Within 6.0 — 9.0 120 60 t. *Note: If a value is in excess of the benchmark, or outside the benchmark range (for pH), you must implement the Tier I or Tier 2 responses in the General Permit. Monitoring is required only if the facility stores exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days. A facility that does not retain exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, hark, mulch, or other similar material on site for more than seven (7) days before removing the material is not required to monitor for the parameters in Table l of the General Permit, [fat any time the material is not removed within this time frame, the facility must begin analytical monitoring immediately. (Reminder: This condition does not e.eempt om fcu ility front grurJilcrtir e monitoring of SDDs. ) If the facility removes such materials within seven days to meet the monitoring exemption, the Permittee shall record and maintain in the facility's SPPP a log which (Jocuments, at a minimum, the dates when material is generated and removed, how removed, and by whom. The log must be sufficient to establish that no materials were exposed for longer than seven days. For record -keeping purposes, the Permittee may also maintain in the SPPP this form with the signed certification below: "Fused upon my inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring, 1 certify that to the best of my knowledge and belief, no piles of sawdust, wood chips. bark, mulch or other similar materials were Stored exposed (either to incident precipitation or to stormwater run on) for Inger than seven M days before removal since filing the last ischarge monitoring report." Name (Print name) S t ate1-4.,) R G J _ Title (Print title) 5 p [ �t [ 1L 1A j hate) 1 (s;4�natnre) ( �� t? p �: ^� i S W U-245-1 10408 r �` Page I of 2 on. , 1 � � i •r _. 1:.. � _... "f.(}. � _ -."3�! a .� .. -_:,e _F. - ♦ - .r... k•a .... ... - il- .-a_. .,r•.J ire �r51� :: El". ' ". ^.n+e n..s -f .. ruo. DID THIS FACILITY PERFORM VEHICLE MAINTENANCE ACTIVIES USING MORE THAN 55 GALLONS OF NEW MOTOR OIL PER MONTH, ON AVERAGE, IN THE CALENDAR YEAR? ❑ Yes [N- No (If yes, complete Part B) Part B: Vehicle Maintenance Activity Monitoring Requirements Outfall No. Date Sample Collected, mo/dd/yr 00400 00556 00530 Total Rainfall, inches New Motor Oil Usage, Annual average gallmo pH, Standard units Oil and Grease, mglL Total Suspended Solids, mg/L Benchmark* - - 6.0 - 9.0 30 100 *Note: If you report a value in excess of the benchmark value, or outside the benchmark range (for pH), you must implement Tier 1 or Tier 2 responses in the General Permit. Mail original and one copy to: Division of Water Quality Attn: Central Files 1617 Mail Service Center Raleith, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFO RyIATION REPORTED IN PARTS A AND/OR R: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) 7_�-tea/ (Date) SWU-245-1 10405 Page 2 of 2