Loading...
HomeMy WebLinkAboutNCG030554_MONITORING INFO_20180724STORMWATER DIVISION CODING SHEET NCG PERMITS . PERMIT NO. 0s,�4 DOC TYPE ❑ HISTORICAL. FILE �K MONITORING REPORTS DOC DATE ❑ a, O ! r)a4- YYYYM M DD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted CERTIFICATE OF COVERAGE NO. NCG03 0 FACILITY NAME rYf1ZA4& Of A /_- COUNTY a fZS PERSON COLLE ING SAMPLES 20h.1 I _A LABORATORY .* Q+t 5 Lab Cert. # _ J/ Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2() SAMPLE PERIOD Jan -June ❑ July -Dec �1��� or ❑ Monthly' -- (month) DISCHARGING TO CLASS ❑ORW ❑HQW -]Trout ❑PNA JUL 2 4 Z018 ❑Zero -flow ❑Water Supply [:]SA ❑Other CENTRAL FILES DWR SECTION PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?? Outfall No, Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmcrks =__> - 100 mg/L or 50 mg/L4 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 65 l7 ? 31 loos` .0.79, .t S -- Z o ► /2 56­ .00 .4.00 , 'S — S 7 / 3 /� 13, la 9S , Q I L -e , 006 1 < S ' 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. 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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. for purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1of3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." �Nc5 Name (Print name) ..- 4-±T Title (Print title) (Signature) (Date) Note. Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable. limits, they must be re orted in the format "<XX m L" where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inche53 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date. 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART AAND 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 ll SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES R NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: _Mail an original and one copy of this DMR, including all "No Discharge" reports within 30 days -of receipt of the lab results or at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attm DWQ Central Files 1617 Maii Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." {Signature of Perm 7 /b (Date) Permit Date: 11/1/2012.10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 N+CDENR Stormwater Discharge OutfaIl (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http: //nortal.ncdenr.oro/web/w ws/su/npdessw#tab-4 Permit No.: Facility Na e: T Ei?A4(f9AFT County: a-S Inspector: eAj dNc 5 Date of Inspection: 5' /7 _11 Time of Inspection: - 0:30 PtM or Certificate of Coverage No.: N/C/G/Q//v/S/.�5// Phone No. Total Event Precipitation (inches): 3 Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "treasurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter I interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. i By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: r Outfall No. _� Structure (pipe, ditch, etc.) �N Receiving Stream: __ '/> _&►— Describe the industrial activi . s that occur within the outfall drainage area: 1fl2Kitg6 Zrr 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: CLtAiL 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): A%D/Ur 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 0 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes oNo S. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes ED 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, -high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. putfall Description: Outfall No. � Structure ipe, ditch, etc.) l�C Receiving Stream: ?0 VT/f F612 K Describe the industrial activities that occur within the putfall drainage area: 2. Color: Describe the color of the dischar a using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: �E�7 /L- 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): NOAIr 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 � 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is nos ds and 5 is the surface covered with Floating solids: 1 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, wh oz sno solids and 5 is extremely muddy: 1 3 4 5 7. Is there any foam in the stormwater discharge? Yes No 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: how clarity, -high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/2s/2012 1. Outfall Description: Outfall No. 1 Structure (pipe, ditch, etc.) Receiving Stream: JQLI I yf— Foa-1 Describe the industrial activities that occur within the outfall drainage area. 2. Color: Describe the color of the disch�rgu$ing basi olors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: +�A� 3. Odor: Describe any distinct odors that he discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): v 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and S is very cloudy: 1 2 /3 ) 4 S 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 O 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 3 4 5 7. is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? 10. Other Obvious Indicators of Stormwater Pollution: List and describe D nNo G Yes Note: Low clarity, -high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 ►l I 'T", RESEARCh & ANAlyTiCAL LAbORATORiESr INC. For: Thermcraft, Inc. 3950 Overdale Road Winston-Salem, NC 27107 Attn: John Widener Report of Analysis 5/25/2018 t4stutrilttt o•Coz NC 434 NC 437701 FO +tl� `1161 0 ASP' Client Sample ID: Outfall #1 Lab Sample ID: 50756-01 Site: Thermcraft Collection Date: 5/17/2018 8:00 Parameter Method Result Units Rep Limit An_ alyst Analysis Date/Time Copper, Total EPA 200.7 0,013 mg/L 0,005 KL 5/23/2018 Hydrocarbon O&G EPA 1664 Revision S/Silica Gel <5 mg/L 5 AW 5/18/2018 Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 5/23/2018 pH SM 4500 H+B-2000 7.12 Std. Units AP 5/18/2018 Total Suspended Solids (TSS) SM 2540 D-1997 19.8 mg/L 5 AA 5/21/2018 1500 Zinc, Total EPA 200.7 0.024 mg/L 0.01 KL 5/23/2018 Client Sample ID: Outfall #2 Lab Sample ID: 50756-02 Site: Thermcraft Collection Date: 5/17/2018 8:30 Parameter Method Result Units Rep Limit Analyst Analysis DatelTime Copper, Total EPA 200.7 0.009 mg/L 0.005 KL 5/2312018 Hydrocarbon O&G EPA 1664 Revision B/Silica Gel <5 mg/L 5 AW 5/18/2018 Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 5/23/2018 pH SM 4500 H+B-2000 6.95 Std. Units AP 5/18/2018 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 AA 5/21/2018 1500 Zinc, Total EPA 20G.7 0,015 mg1L 0.01 KL 5/23/2018 Client Sample ID: Outfall #3 Lab Sample ID: 50756-03 Site: Thermcraft Collection Date: 5/17/2018 9:00 Parameter Method Result Units Rep Limit An_ alyst Analysis DatelTime P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 tal coa t:asic v1d RESEARCH & ANA1YTOCA1 Report of Analysis Q LA b O RATO R I ESr INC. 5/25/2018 Client Sample ID: Lab Sample ID: Site: Collection Date: 9:00 Parameter Method Result Units Rep Limit Analyst Analysis DatelTime Copper, Total EPA 200.7 0.012 mg/L 0.005 KL 5/23/2018 Hydrocarbon O&G EPA 1664 Revision B/Silica Gel <5 mg/L 5 AW 5/18/2018 Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 5/23/2018 pH SM 4500 H+13-2000 6.95 Std, Units AP 5/18/2018 Total Suspended Solids (TSS) SM 2540 D-1997 13.2 mg/L 5 AA 5/21/2018 1500 Zinc, Total EPA 200.7 0.019 mg1L 0.01 KL 5/23/2018 NA = not analyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www,randelabs.com Page 2 ral coa basic 0d ! �' s i + � � E i I i.. .� ...__ .. _ _. __ ... - i .� � � _� r �.. �y - �� '.� - „y. _ "' � • .. � ., .. .. _ - _. ._ ... .. �. .r d RESEARCh & ANA[yTICA1 LABORATORIES, INC. Analytical / Process Consultations Phone (336) 996-2641 CHAIN OF CUSTODY RECORD I WATER / WASTEWATER I MISC. I Compmy JOB NO. o z va• Z Z= �Q Z gyp' Jc G 1 _�• ���Ok�p� Op �co Op0 0`a �F " ao pF F Q• C9 Q' Q' ti ti ti� ti� ^`� �" �" REQUESTED ANALYSIS STREET ADDRESS,' PROJECT CITY, STATE, ZIP SAMPLER NAME PLEASE PRINT) CONTACT PHONE Lbel 331. `7�Y`��C� ;PL RSIGNATURE� SAMPLE NUMBER (LAB USE ONLY) DATE TIME COMP GRAB TEMP °C HE5 ca I�, CHLORINE REMOVED (YpN) SAMPLE MATRIX ISMM SAMPLE LOCATION I I.D. (c -v I ~17 -� 2� = l i bZn -17-13 91ix) z� 1 -r - ilvo 1 21 rC f -r7-2. 0a I jZ11, p I v'2- Z `l7 V z-. 36 vtt UT F t'I 2 A fl ' -rd 2130 1 l 24 o : oL 2-1 o v— tt 3 A l 7•-13 2-1l I 121 RELINQUISHED BY DATEITIME RECEIVED BY REMARKS; �jG`f1 Vim- _ SAMPLE TEMPERATURE AT RECEIPT ..I_ °C RELINQUISHED BY DATEITlME RECEIVED BY Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qua ity eneral Permit No. NCG030000 Date submitted / CERTIFICATE OF COVERAGE NO. NCG03-L S 15' �J_ SAMPLE COLLECTION YEAR __ 619 (Z FACILITY NAME _ 7b E bk O RA F'I SAMPLE PERIOD &I'an-June ❑ July -Dec COUNTY e 5 C or ❑ Monthly' month PERSON COLLECTING SAMPLES JDtAP 10160&k- _ RECCIVEI0HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY_ P 5 P, &-& b S lab Cert. # -3 �_ — _ ❑Zero -flow ❑Water Supply ESA Comments on sample collection or analysis: AUG 0 7 1017 ❑Other CENTRAL FILES PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i DWR SECTION Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period: Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons , TotalToxic Organics Benchmarks 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 1 ob 1 -i l .3 for 3 c 00 S 02- 4 S r— r o a oS 0;z-0 ` 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. 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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date'. 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." _/e�,ly '✓�' S Name (Print name) Title (Print title) (Signature) (Dot Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G/TPH by EPA 1G64 (SGT-HEM) Total Suspended Solids pH Benchmarks =_=> _ 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B # See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-24S, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 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 DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Moil an oriainal and one cape of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case_of No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of law, that this document and all attachments were prepared under my direction or 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 possibltity of fines and imprisonment for knowing violations." c (Signature of Pe x,, (❑ te) Permit Date•, 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 �d r NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit: http://-poEta l.ncdennor /�,, web jwq/ws/su/npdesswwgtab-4 Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/C/G//3/4?/5// Facility Name: 7-RE-Pe'ke to FT f K1 C County: I nspector: Date of Ins Time of In; FoR.GgTH Phone No. _---5-11, 7q'i-�f5600 Total Event Precipitation (inches): 3 b Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ["Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter I interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: D Outfall No. .__�_ Structure (pipe, ditch, etc.) Receiving Stream: 60u TiA F:69-K Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: �CLEAk 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): N119Pj 10r, 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 tP 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 0 3 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, -high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. .2-_ Structure (pipe, ditch, etc.) _ l//ate Receiving Stream: EDP-< Describe the industrial activities that occur within the outfall drainage area: lage—rNG 1-0"T 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: "tVQ k L_ 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): ^lad6 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 9 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 m 3 4 S 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 i/ 3 4 5 7. Is there any foam in the stormwater discharge? Yes B. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes IS 10. Other Obvious Indicators of Stormwater Pollution: List and describe [Vote: how ciarity,.high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. `3 Structure (pipe, ditch, etc.) Receiving Stream: _ _ 581A7—/-( fBCK _ Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (fed, brown, blue, etc.) and tint (light, medium, dark) as descriptors: cMZ& 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): pt4x% 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and S is the surface covered with floating solids: 1 0 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely 'Muddy: 1 XL 3 4 5 7. is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe tj It A J u-�T- 4:SLp F ps _ DA,4 �5F Dp—!E. Note: Low clarity,.high solids, and/or the presence of foain, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 RESEARCh & ANAlyTICAI LABORATORIES, INC. For: Thermcraft, Inc. 3950 Overdale Road Winston-Salem, NC 27107 Attn: Mike Jones RECEIVED JUN Z 9 2017 Report of Analysis 6/27/2017 1+11%111611ras4 ,`•�• G�b:WALYj� r r {y 0 NC #34 Z. Cn NC 437701 sir rrr, «tty� Client Sample ID: Outfall #1 Lab Sample ID: 36148-01 Site: Thermcraft Collection Date: 6/19/2017 8:30 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time Copper, Total EPA 200.7 0.013 mg/L 0.005 SK 6/21/2017 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 JF 6/22/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 SK 6/21/2017 pH SM 4500 H+13-2000 7.34 Std. Units AP 6/19/2017 1655 Total Suspended Solids (TSS) SM 2540 D-1997 9.4 mg/L 5 AA 6/20/2017 1230 Zinc, Total EPA 200.7 0.021 mg1L 0.01 SK 6/21/2017 Client Sample ID: Outfall #2 Lab Sample ID: 36148-02 Site: Thermcraft Collection Date: 6/19/2017 9:00 Parameter Method Result Units Rep Limit An_ alyst Analysis Date/Time Copper, Total EPA 200.7 0.014 mg/L 0.005 SK 6/21/2017 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 JF 6/22/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 SK 6/21/2017 pH SM 4500 H+13-2000 7.32 Std. Units AP 6/19/2017 1658 Total Suspended Solids (TSS) SM 2540 D-1997 6.6 mg/L 5 AA 6/20/2017 1230 Zinc, Total EPA 200.7 0.020 mg/L 0.01 SK 6/21/2017 P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.corn Page i ra! coa hasic v1d RECEIVED JUN 1 9 1017 RESEARCh & ANA1yTICA1 Report p of Anal sis Y LAbORATORiESF INC. 6/27/2017 .QQO D Client Sample ID: Outfall #3 Lab Sample ID: 36148-03 Site: Thermcraft Collection Date: 6/19/2017 9:30 Parameter Method Result Units Rep Limit Analy Analysis DatelTime Copper, Total EPA 2003 0.006 mg1L 0.005 SK 6/21/2017 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 JF 6/22/2017 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 SK 6/21/2017 pH SM 4500 H+B-2000 7.05 Std. Units AP 6/19/2017 1700 Total Suspended Solids (TSS) SM 2540 D-1997 5.4 mg/L 5 AA 6/20/2017 1230 Zinc, Total EPA 200.7 0.019 mg/L 0.01 SK 6/21/2017 NA = not analyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 2 raI coa basic v1d RESEARCh & ANA1yTICA1 LABORATORIES, INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD kECE1VED JUN 2 9 2011 WATER I WASTEWATER I MISC, CO ANY 8-1 — JOB NO. y i i 'ALL' o _ tea, m� `V ry ryh ti� y v v v v �� REQUESTED ANALYSIS ST E D ES5 PROJECT CITY, STATE, ZIP 1 -2 �!� SAMPLER NAME (PLF,ASE PRINT) J O �fnl l /1C CONT/A�(C/T�/ 2 PHD f,E MRSIGNATi1RE SAMPLE NUMBER (LAB USE ONLY), DATE TIME COMP GRAB TEMP "C ees { gk c�oRwE �( Nfl aE (SMRW) SAMPLE LOCATION I I.D. L : ,ZY 1,0 kZ FPru--#' A S k a: 3d 1 v r v t 11 y r — k 2q 1 9�70 ly t� RELINQUISHED BY DATEITIME RECEIVED BY REMARKS: 1 SAMPLE TEMPERATURE AT RECEIPT jg�J6 °C RELINQUISHED BY DAT RECEIVED BY RECEIVED NCDENR Stormwater Discharge Outfall (SDO) CENTRAL FILES DNIR SECTION 1 Qualitative Monitoring Report For guidance on filling out this form, please. visit: httpy//12ortal.ncdenr.orahveb/svgfws/su/npdessw4tah-4 Permit No.: N/c/_/_/_/_/_/_/ Facility Name: _ � /YCi2A County: F7R-5YTH Inspector: Date of Inspection: oA Time of Inspection: Total Event Precipitation (inches): d Was this a "Representative Storm Event" or "Measureab a rn afn s!tlebjnpthe permit? See information below. [?Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no i precipitation. j A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee ' obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SM-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. / Structure (pipe, ditch, etc.) 14001/49 e Receiving Stream: c`3sPAp-e e Describe the industrial activities that occur within the outfall drainage area: )0/qk C /-14- L01� 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: CBS 02 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _L114PAl-F T 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (V 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 7 1 � 3 Is there any foam in the stormwater discharge? 4 5 Yes Is there an oil sheen in the stormwater discharge? Yes fo 9. Is there evidence of erosion or deposition at the outfall? Yes 0 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foain, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No. �2- Structur�pipe, ditch, etc.} RAOF Receiving Stream: 29WVW p—eC Describe the industrial activities that occur within the outfall drainage area: �'ry A-- 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: e� R 3. Odor: Describe any distinct odors that the charge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 0 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and S is the surface covered with Floating solids: 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: C% 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 4 9. Is there evidence of erosion or deposition at the outfall? Yes oNo 10. Other Obvious Indicators of Stormwater Pollution: List and describe Dote: Low clarity, -high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/20 f 2 1. Outfall Description: Outfall No. _�_ Structure (pipe, ditch, etc.) i!�eI'W Receiving Stream: Fr9,t_° C Describe the industrial activities th at � cur within the outfall drainage area: q 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint L (light, medium, dark) as descriptors: /�%%L� �d A 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ /i/�A�c 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 (215 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 6) 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 V 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Dote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may he indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 RESEARCh NA-YTiCA1 LAb-ORATORIES, ING For:. Thermcraft, Ind. 3950 Ovefdale Road Winston-Salem, NC 27107 Attn. Mike. Janes Repvr of. Analysis .1 /30/2017 .•'� �� � err. . h : M 'tp NC 934 - NC fS37701: Cllenf s.grnple b: Oudall 1 Lab Sample ID: 28660-01: Site: TherTrmcraft Collection Date: 1211912016. 8.00 :Parantgter :'° Method Resui 6nalvs Analysis Datefi Ime Copper, Total EPA 2001 0.016 mg1L 0:00. KL 1212012016 1-iydrocarbgn C&G EPA 1664 Revision Wgilics <5 mgiL 5 DN:- :.: 12121/2016 . Gel Lead, Total EPA 200.7 0:006' rnglL . 0:005 KL 12/20/2016 - PH SM.4$00 Hf8-2000 5,74 Std. Units 'AP 12W2016 . 1526 Total Suspended Solids (fSS) SM.2540 D-1997 23,2 mg1L 5 JB 1212012016 Zinc, Total EPA 200.7 0-041 mg1L .0.01 KL 12120/2016 '28660-02 Client Sample ID-.- Outfall.2 Lab.Sampte ID: site: Ther:mcraft Collection Rate: 12)1912016. `8:30 Pdrarneter -;.- Method .; :: Result Unrts. , itep:LiWt:Anaf st.•Anai slibatefl'irne Copper. Total EPA 200.7 .. _ 0:01:7 mg/L. 0:006 KL 12120/2016. Flydrocarbon O&G EPA 1664.Revision BMiica <5 mg,'L 5 Dist '1212112016 Gel Lead, Total EPA 200.7 0.006 mgiL. 6.065 KL 12l2012016 PH SM 4500 H+. -2000 8:78. Std. Units RP . 12120/2016 1528: Total Suspended Solids (TSS) SM. 2540 D-1997 .23..4 mg/L. 5 JS 1212012016 :. Zinc. Total EPA 200.7 0.053. mgll 0.0.1 KL 12120120/6 ............................................................................................................................ ......._ P.a, BOX 473 106 Short Street Kernersvilte, Nortti Carolina 27284 Tel, 336-�6 2841 Fax 336 996 4328 wviw.raridalabs 6 n Page 1 ESEARCh . NAIyTiCA . Deport of Analysis LA ORATORiIES! INS. 4-Ail 1f3f3f2017 Client Sample ID: WWI 3 Lab Sarrrple lD., 286E0-03 Site: Therrncraft Collection Date: 12119/2016 9:00 { era Teter, . Method :: : Resbl :' i .. Rea ��r�ai rail :�ialvsis DatePF�me Copper, Total EPA 260:7 M12 rng1L 0:005: KL 1212012016 Hydrocarbon O&G EPA 1664 Revision BlSilica. :<5 niglL. 5: DN "1212112016 Gel Load, Total EPA 200J <0.005 mgrl 0.605- KL 9212012016 PH SM 4566.H+13-200'0 5-a9. Sid -Units AP 1212012016. .1530 Total Suspended Solids (TSS). SM 2540 D-1997 36:8 rrg/t . ' S JB 1212012016 Zinc, Total EPA 200,7 0,063 mg1L .. 0.01 KL 12120i2016 -NLA = not analyzed P.Q. BO.X G73 106 Short Street Kemersville, North Carolina. 27284 Tel:33fi=99S-2841 .._.._. Fax 33E �55-0329 wA4 randalaLs dam Page 2 :RESEARCh & ANAI)rfiCAI LAb.ORATORIES, INC. :1n..Analytical Consultations Consoltation Phnnp r.q.qRl QqP,-PAAl CHAIN OF CUSTODY RECORD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qua 'ty Ge eral Permit No. NCG030000 Date submitted / CERTIFICATE OF COVERAGE NO. N0003 O � �f FACILITY NAME 7 eeAF� COUNTY F S> s YTN PERSON COLLECTING SAMPLES 24�7 LABORATORYkf Ar L A,135 Lab Cert. a Y Comments on sample collection or analysis: CFIyTRAL FILES -- _ O, SECTION Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR ciZ0I 4F SAMPLE PERIOD ❑ Jan -June [c}J•aly-Dec or ❑ Monthly' month DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply [:]SA []Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper. Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons . Total Toxic Organics Benchmarks 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 5.7 2 0 -z 3 �( 017 0o L L S 3 s, e69 3 c 5 -- ' 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. '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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date. 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name} el= _�&i- e Title (Print title) Az /'Z� / 1�Z711 (Signature) (Da Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, 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. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. L_J No discharge this period?` Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one cony of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date:11/1/2012-10/31/2017 (D e) SWU-245, last revised 10/25/2012 Page 3 of 3 ter.. -ter NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit, Up://p- rtal.ncdenr orb/iveb/wq/rvsjsti/nodessw4tab-4 Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage Na.: Facility Name: - .eel 4&,C,41=7- County: Phone No. 3 3G=0 Inspector: r--,-- r.4— Ix IC: n Date of Inspection: G ��� /G•rrs, " .� Time of Inspection: _ R-! C, aQ N�. Hilt 3. 1 Total Event Precipitation (inches): —=tom— CENTRAL FILES DWR SECTION Was this a "Representative Storm Event" or "Nleasureable Storm Event" as defined bythe permit? (See information below.) Z'Yes ❑ No Please verify whether Qualitative Monitoring- must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. ]Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. i I i l A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no i i precipitation. I i A "measurable storm event" is a storm event that results in an actual discharge from the jpermitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Page 1 of 2 SWU-242, Last modified 10/25/7012 1. Outfall Description: Outfall No. _.- Structure (pipe, ditch, etc.) Receiving Stream: _ 56 tr Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: el--�714 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: S) 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 f 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1i 3 4 5 7. Is there any foam in the stormwater discharge? Yes o B. Is there an oil sheen in the stormwater discharge? Yes D 9. is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Dote: Low clarity, high solids, and/or the presence of foam, oil sheen, 'or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242. Last modified 10/25/2012 1. Outfall Description: Outfall No. ? Structure (pipe, ditch, etc.) Receiving Stream: :5"q'-t TH 14r--0"Z,e Describe the industrial activities that occur within the o}itfall drainage area: .2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors:. (_',- /;, e 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.); //) I✓ 4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1` 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6. . Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 0 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes G1 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 Swtj•242. Last modified 10/25/2012 1. Outfall Description: Outfall No. 3,- Structure (pipe, ditch, etc.) Receiving Stream: �f. it % F-(f7�'�C` Describe the industrial activities that occur within the outfall drainage area: � /9iti±til 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: e�r"t4 e 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 (�> 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 k 3 4 5 7. Is there any foam in the stormwater discharge? Yes Vo 8. Is there an oil sheen in the stormwater discharge? Yes 9. is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last mollified 10/25/2012 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality. General Permit No. NCG030000 Date submitted :zS" e, r'� CERTIFICATE OF COVERAGE NO. NCG03 0 S .5' y SAMPLE COLLECTION YEAR . 6901 Z FACILITY NAME e, Ci?,4 ,,r— _ _ _ AUG 3 SAMPLE PERIOD Elan -June ❑ July -Dec ...^ or Monthly month COUNTY , o ,� s y T-I _ CENTRAL FILE S PERSON COLLECTING SAMPLES /j> =,/� L=s DWR SrYION DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY 4 4 /5 S Lab Cert. ft ❑Zero -flow [:]WaterSupply ❑SA Comments on sample collection or analysis: ❑Other Part A-. Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?' Outfail No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons - Total Toxic s Organics Benchmarks 100 mg/L or 50 mg/L° 6,0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 2 S, ;��� �roa v il S 3 Ci DvS `Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. `Far 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. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469,31). Permit Date: 11/1/2012-10/31/2017 SWU-245, fast revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the 5torrnwater Pollution Prevention Plan may so certify, and the requirement forTTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the 5tormwater Pollution prevention Plan." Name (Print name) Title (Print title) (Signature)Q te) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format. "<XX mp/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B. Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period: Outfall No. Date Sample , Collected (mo/dd/yr) 24-hour rainfall amount, Inches; Nan -polar 0&GJTPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =-_> - - 15 mg/L 100 mg/L or 50 mgJL* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART S MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART it 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 EXCEEDANCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an on final and one copy of this DMR including_all "No Discharge" re orts within 30 days ot receipt ot the lab results or at end of monitoring period in the case of "No Discharge" reports] to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27G99-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "i certify, under penalty of taw, 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 Perm (D to Perrnit D<1rr: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 RESEARCh ANAtyTICA[ LA ORATORIES, INC. For: Thermcraft, Inc. 3950 Overdale Road Winston-Salem, NC 27107 Attn: Mike Jones Report of Analysis 7/7/2016 01,1481rrp� pNAL 'r i� NC#34 Z.- NC tt37701 w � Client Sample ID: 1 Lab Sample ID: 21105-01 Site: Thermcraft Collection Date: 6/28/2016 14:00 Parameter Method Result Units Rep Limit Analyst Anai sis DatelTime Copper, Total EPA 200.7 0.008 mg/L 0.005 KL 6/30/2016 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 DN 7/1/2016 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 6/30/2016 pH SM 4500 H+13-2000 5.16 Std. Units AP 6/29/2016 1625 Total Suspended Solids (TSS) SM 2540 D-1997 8.2 mg/L 5 JB 7/1/2016 Zinc, Total EPA 200.7 0.154 mg/L 0.01 KL 6/30/2016 Client Sample 1D: 2 Lab Sample ID: 21105-02 Site: Thermcraft Collection Date: 6/28/2016 14:15 Parameter Method Result Units Rep Limit Analyst Analysis DatelTime Copper, Total EPA 200.7 0,006 mg1L 0,005 KL 6/30/2016 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg1L 5 DN 7/1/2016 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 6/30/2016 pH SM 4500 H+13-2000 5.15 Std. Units AP 6/29/2016 1628 Total Suspended Solids (TSS) SM 2540 D-1997 5.4 mg/L 5 JB 7/1/2016 Zinc, Total EPA 200.7 0.086 mg/L 0.01 KL 6/30/2016 P.O. Box 473 106 Short Street Kernersvitle, North Carolina 27284 TeL 336-996-2841 Fax: 336-996-0326 www.raridatabs.corn Page l RESEARCh & ANALyTiCAI Report of Analysis LAORATORBES, INC. 7/7/2016 Client Sample ID: 3 Lab Sample ID: 21105-03 Site: Thermcraft Collection Date: 6/28/2016 14:30 Parameter Method Result Units Rep Limit Analyst Analysis Dategim_e Copper, Total EPA 200.7 0.007 mg/L 0.005 KL 6/30/2016 Hydrocarbon O&G EPA 1664 Revision B/Silica <5 mg/L 5 DN 7/1/2016 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 KL 6/30/2016 pH SM 4500 H+13-2000 5.13 Std, Units AP 6/29/2016 1629 Total Suspended Solids (TSS) SM 2540 D-1997 5.4 mg/L 5 JS 7/1/2016 Zinc, Total EPA 200.7 0.092 mg/L 0.01 KL 6/30/2016 NA = not analyzed P.O. Box 473 106 Short Street KernersvWe, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 2 'd1J RESEARCh & ANAIY CAI LAbORATWES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER ! WASTEWATER MISC. COMPANY ac— JOB NO, _ my Uv Q `gym Z-M1 cmy m � �Q gyp. m2 Ok�OV�Op��co 1z ¢ {9 C9 C, Q ry" p h� ., v v .. .. �m ry ry ry REQUESTED ANALYSIS ST EETADDRESSq /� PROJECT CITY, STATE, ZIP tJ 5TOt�)-' rALE0'1 fJQ a? SAMPLER NAME (PLEASE PRINT) aA)E CONTACT PHONE IIK� pNF-S LOD SAMPLER SIGN T E SAMPLE NUMBER (LASUSE ONLY) DATE TIME COMP GRAB TEMP C Rc g I 7 REMOVED (Yo N) MCWORINE ATRIX (Saw} .D. SAMPLE LOCATION I I.D. tLmIlt, /b LoD ✓ .9 C O - 1 It, ?4:V" ✓ ID! �l <t Ga o ✓ e� �! 7-,10 ' a c7 3 RELINQUISHED BY A-ITIME RECEIVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT J? °C RELIND61SHED BY DATEITIME RECEIVED BY 00 t, !,"Z_ Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quapty eneral Permit No. NCG030000 Date submitted /a �a CERTIFICATE OF COVERAGE NO. NCG03 D S 5' q FACILITY NAME 7f/Fk/i CeWrr COUNTY Ed e=!6 Y T" PERSON COLLECTING SAMPLES y�'t t k1F J6I) i�_r-Jr LABORATORY I' A 6 Lab Cert. tt 3 Al Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR ©f' SAMPLE PERIOD ❑ Jan -June [L-July-Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ❑Other RECEIVED PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) DEC 2 9 2015 CENTRAL FILES ❑ No discharge this period?' Outfall No. Date Sample 1 Collected (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids DWR SEC pH, Standard units. ION Copper .... . Lead ` : Zinc Non -Polar O&6/ ' Total'Petroleum Hydrocarbons Total Toxic`: s Organics,-i: Benchmarks =__> 100 mg/L or 50 mg/0 6.0 — 9.0 ;. , 0.007 mg/L,- 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L',`'if: �S D S 3 n .51 �o 0 0 i �o , too 5 p 3� .� ,✓ Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. A See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11, for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). i i i Permit Date: 11/1/2012 10/31/2017 SWU-245, last revised 10/25/2012 E Page 1 of 3 Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic.organic compounds used and the other elements listed in the General Permit. For those facilities electing t i employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "[lased upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the hest of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred 'since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the 5tormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) ate} Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the aipplicable limits, they must be reported in the format. "<XX mP/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value iniexcess 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. i No discharge this period?' Outfall No. I Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&G/TPH by EPA 1664 (SGT-HE:Mj' Total Suspended Solids pH Benchmarks ===> _ 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU i { rootnotes from Part A also apply to this Part B i See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in, excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCFEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B, • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy --of this DMR, including all "No Discharrr e" reports, within _30 days of receipt of the lob results (or at end of monitoring period in the case o "No Discharge" re orts to: Division of Water Quality Attn: DWQ Central Files 1G17 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 NCDENR Stormwater Discliarge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: hn://portal.ncdenr.org/tiv�Lv-aws/�5Li/ripde�swrtab- Permit No.:_/ or Certificate of Coverage No.: Facility Name: '7A6eM eIejjF 7- County: Fpg,;YT8 Phone No. 3310-7,`r'00 I nspector: /'1 I K F Jd n�-I~ 5 W - Date of Inspection: 14 /� $5 Time of Inspection: /0 , e) ad tt Total Event Precipitation (inches): 3 �� Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below.) ff'Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative Storm event" or "measureable storm event" (requirements vary, depending on the permit), Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative For local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Design Page 1 of? 5WU-242, LastmodiFed 10/25/2012 1. Outfall Description: n Outfall No. �Structure(,Pipe, ditch, etc.) Receiving Stream: d u-THE02K Describe the industrial activities that ccur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the dischar e may have (i.e., smells strongiy of oil, weak chlorine odor, etc.): ®LS' 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 6) 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 0 4 5 G. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 C2) 3 4 5 7. Is there any foam in the stormwater discharge? Yes dp S. Is there an oil sheen in the stormwater discharge? Yes NN 9. Is there evidence of erosion or deposition at the outfall? Yes o 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description:/QF Outfall No. �- Structure (pipe, ditch, etc.) Receiving Strewn: i5e41 0P— -- - DcscribL the industrial activities that occur within th outfall drainage area: 2, Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: G'Ll�� 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): %1-161r/j� 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: ( 2 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: I) 2 3 4 5 5. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: l./ 2 3 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 6D 10. Other Obvious Indicators of Stormwater Pollution: List and describe Dote: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last inodifed 10/25/2012 1. Outfall Description: Outfall No. ---3Structure (pipe, ditch, etc.) Receiving Stream: !E�6cc lrw Aep- e _ Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Vf.5 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ _ L✓ A46' 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy; 1 6) 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 '—&) 4 5 6. Suspended Solids: Choose the number which hest describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 'N 3 4 5 7. is there any foam in the stormwater discharge? Yes 8. is there an oil sheen in the stormwater discharge? Yes C9 9. Is there evidence of erosion or deposition at the outfall? Yes No 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 RESEARCh & ANAlyT9CAL _-- LAbORATORIES, INC. For: Thermcraft, Inc. 3950 Overdale Road Winston-Salem, NC 27107 Attn: Mike Jones Report of Analysis 11 /6/2015 `�i�eirrry�� �,.� Gib �crT'�•.,, t"C'•.` err CC ' 07 NC #34 Z S NC 437701 Client Sample ID: Outfall 1 Lab Sample ID: 10894-01 Site: Thermcraft Collection Date: 10/28/2015 10:00 Parameter 'Method - Result Units Rep Limit Analyst Analysis DatetLtme Copper, Total EPA200.7 0.011 mg/L 0.005 AA 11/312015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 10/30/2015 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 11/3/2015 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg1L 5 YJ 11/2/2015 Zinc, Total EPA 200.7 0.032 mg/L 0.01 AA 11/3/2015 Client Sample ID: Outfall 2 Lab Sample ID: 10894-02 Site: Thermcraft Collection Date: 10/28/2015 10:30 Parameter: Method Result Units Rep Limit An_ alyst Analysis Daterrime Copper, Total EPA 200.7 0.011 mg/L 0.005 AA 11/3/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 10/30/2015 Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 11/3/2015 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 YJ 11/212015 Zinc, Total EPA 200.7 0.034 mg/L 0.01 AA 11/3/2015 Client Sample ID: Outfall 3 Lab Sample ID: 10894-03 Site: Thermcraft Collection Date: 10/28/2015 11:00 Parameter Method - Result Units Rep Limit Analyst Analysis DatelTime Copper, Total EPA 200.7 0,009 mg/L 0,005 AA 11/3/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 11/212015 P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral, coa basic v1d RESEARCh & ANA[yT9CA1 Report of Analysis UboRATORIES, INC. 11/6/2015 Client Sample ID: Outfall 3 Lab Sample ID: 10894-03 Site: Thermcraft Collection Date: 10/28/2015 11:00 Parameter Method .' . . Result Units Rep Limit An^ alyst Analysis Date/Time Gel Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 11/3/2015 Total Suspended Solids (TSS) SM 2540 D-1997 15 mg/L 5 Y,f 11/2/2015 Zinc, Total EPA 200.7 0.032 mg/L 0.01 AA NA = not analyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 2 sal coa basic vld RESEARCh & ANAIYACAI LAbORATORIES, INC. Analytical 7 Process Consultations Phone 1336) 996-2841 CHAIN OF CUSTODY RECORD WATER I WASTEWATER I MISC. COMPANY F kr-T JOS NO. z a _ C" 00 o� �eD' ��I r� y �m coo.y,os \Qm ZV ��wQ� ace �a J o� R• \� `O� 00 p co• Op L� ' ? m C O C� 0 C' o� F F Q• Co Q' Q' Q' c `v ti� �`o ry`'o �" �" �z REQU ESTED ANALYSES STREET ADDRESS 3 o0 R� PROJECT CITY, STATE, ZIP 0 SAMPLER NAME (PLEASE PRINT) CONTACT PHONE SAMPLER SI NA URE SAMPLE NUMBER (LAB USE ONLY) DATE TIME COMP GRAB TEMP C Ref imyq ROCICCRNE VED n Q N) M�ATwz Is -M SAMPLE LOCATION I IA. 0:ov Aso f1 0•00 2- o /0-3 - r; r ! :&o I to RELINQUI ED Y DATEITIME RECEIVED BY REMARKS: ; SAMPLE TEMPERATURE AT RECEIPT "� DC RELINQUISHOb BY DATEmME RECEIVE B >b Semi-annual Stormwater Discharge Monitoring Report RECEAVED ` for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted AUG 10 2010 CENTRAL PILES �� SAMPLE COLLECTION YEAR o2D/� CERTIFICATE OF COVERAGE NO. NCG03 S DWR SECTION FACILITY NAME SAMPLE PERIOD [Jan -June ❑ July -Dec COUNTY 62f-6YZW or ❑ Monthly' (month) PERSON COLLECTING SAMPLES G oNs DISCHARGING TO CLASS ❑ORW ❑HQW [—]Trout ❑PNA LABORATORY__ � 5 Lab Cert. h _ 3 ''{ /� ❑Zero -flow [:]WaterSupply ❑SA Comments on sarriple collection or analysis: r' � []Other - PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 / r� Part A: Stormwater Benchmarks and Monitoring Results No discharge this period? - Outfall No Date Sample , Collected " mo/dd/yr) 24=hour rainfall amount " Inches 3 Total Suspend4Solids :. . .... pH, Standard units _ Copper Lead '' Zinc Non -Polar O&G Total'�Petroleum Hyd bons Hydrocarbons Total Toxic- s Organics Benchmarks ===> ,- - 100 mg/L or 50 mg/L'._ 6.0 — 9.0 0.007 mg/L ? 0.03 mg/L 0.057 mg/L'1. 15 mg/L 1 mg/L 1 D (v 3 3,7 m al i— 6, S 3 6� 91ML_ 4 0 6 L D 0 L— S' •eJ,4 io00 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance far 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, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring maybe waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (iTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) 0i �ar,.� Title (Print title) .r6 (Signature) Date) Note: Results must be reported in numerical format. Do not rem 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 m L", where XX is the numerical value of the detection limit, reporting lirnit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period ?2 Footnotes from Part A also apply to this Part B * See General Permit text, Tabie 5, identifying the especially sensitive receiving water ciassifications where the more protective benchmark applies. Permit Date; 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 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 11 SECTION B. • TIER I HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO [] IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one coj2y of this DMR, including all "No Discharge" reports, within 30 _days of -receipt of the lab results tor at end of monitoring period in the case o "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. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Per,nyftee) Permit Date: 11/1/2012-10/31/2017 ate) SWU-245, last revised 10/25/2012 Page 3 of 3 NCDE Storm -water Discharge Outfall (SDO) Qualitative Monitoring Deport Forguidance on filling out this form, please visit: i W:L/p rt�l.ncdenr.n�a/five /3_vq /ova/su/nDclessr,i�tab-,} Permit No.: or Certificate of Coverage No.: N/QG/O /3/ Facility dame: 7_�F�/'%C',P�fr_ 1f✓C' County: F,065%T`% —Phone No. Inspector: ,E holy �-5 Date of Inspection: 4v 7 S Time of Inspection: gl,SDWCt Total Event Precipitation (inches): Was this a "Representative Storm Event" or "ivieasureable Storm Event" as defined by the permit? (See information below.) Q Yes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. yNlost permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event" However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours C3 days) in which no storm event measuring greater than O.J. inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the perrnittee is able to document that a shorter interval is representative For local storm events during the sampling period, and the permittee obtains approval from the local DWO Regional Office, By this signature, i certify that this report is accurate and complete to the best of my know:edge: [Signature of Permittee or D/signee) Page 1 oF2 SWU-242, Last modified 10/2s/20 i2 1. Outfall Description: p Outfall No. - —� Structure (pipe, ditch, etc.) Receiving Stream: SDu 7R- G�Jt Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: rie'4e 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /���✓F 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 CD 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 � 3 4 S 7. is there any foam in the stormwater discharge? Yes 8. is there an oil sheen in the stormwater discharge? Yes LiV ) 9. is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: Outfall No.. 2Z - Structure (pipe, ditch, etc.) //�� Receiving Stream: _fi Describe the industrial ctivities that 9ccur within the outfall drainage area: XWJ� e/A�- /AP 9 11'� 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): _ /��✓� _ _ _ _ _ 4. Clarity: Choose the number which hest describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: d) 2 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: LD 2 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: V 2 3 4 5 7. is there any foam in the stormwater discharge? Yes No 8. is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes r�g) 10. Other Obvious indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5wU-242, Last modified 10/25/2012 1. Outfall Description: Outfal€ No. 3� Structure (pipe, ditch, etc.) '/ 4_ Receiving Stream: 'S6 C." )C2)R Describe the industrial activities that occur within the outfall drainage area: �� /� 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: eiojo S 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): I"VNC 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: � a 3 4 5 S. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 (� 3 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 2 5 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes No 9. Is there evidence of erosion or deposition at the outfall? Yes ON 10. Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242,Last modhfied 10/25/2012 RESEARCh & ANA[yTiCAL LAboRATORIES, INC. For: Thermcraft, Inc. 3950 Overdale Road Winston-Salem, NC 27107 Attn: Mike Jones Report of Analysis 7/14/2015 ►al►IIIIIiI're ��►►��&A104 �4 .'� L Clye'•,��y�i .Q ' ov NC 434 Z' NC 037701 ���rrl I ►t N►► Client Sample ID: 1 Site: Thermcraft Lab Sample ID: Collection Date: 5904-01 6/27/2015 8:50 Parameter Method Result Units Rep Limit Analyst Analysis Datefflme Copper, Total EPA 200.7 0.027 mg/L 0.005 AA 7/8/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 7/8/2015 Gel Lead, Total EPA 2003 0.008 mg/L 0.005 AA 7/8/2015 PH SM 4500 H+B-2000 Total Suspended Solids (TSS) SM 2540 D-1997 Zinc, Total EPA 200.7 5.70 Std. Units AP 6/29/2015 31.1 mg/L 5 JB 6/30/2015 0.047 mg1L 0.01 AA 7/8/2015 Client Sample ID: 2 Site: Thermcraft Lab Sample ID: Collection Date: 5904-02 6/27/2015 8:40 Parameter Method Result Units Rep Limit Analyst Analysis DatelTime Copper, Total EPA 200.7 0.022 mg/L 0.005 AA 7/9/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 7/812015 Gel Lead, Total EPA 200.7 0.006 mg/L 0.005 AA 7/9/2015 PH SM 4500 H+13-2000 5.83 Std, Units AP 6/29/2015 Total Suspended Solids (TSS) SM 2540 D-1997 33.7 mg/L 5 J8 6/30/2015 Zinc, Total EPA 200.7 0.040 mg/L 0.01 AA 7/9/2015 P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.corn Page 1 raI coa 'basic v1d RESEARCH & ANA1yTiCA1 LA ®RAT®RiES, INC. Report of Analysis 7/14/2015 Client Sample 1D: 3 Lab Sample ID: 5904-03 Site: Thermcraft Collection Date: 6/27/2015 8:30 Parameter Method Result Units Rep Limit AnalVst Analysis Date[Time Copper, Total EPA 200.7 0.012 mg/L 0.005 AA 7/9/2015 Hydrocarbons, Oil & Grease EPA 1664 Revision A/Silica <5 mg/L 5 JB 7/8/2015 Gel Lead, Total EPA 200.7 <0.005 mg1L 0.005 AA 7/9/2015 pH SM 4500 H+13-2000 5.56 Std. Units AP 6/29/2015 Total Suspended Solids (TSS) SM 2540 D-1997 18.3 mg/L 5 JB 6/30/2015 Zinc, Total EPA 200.7 0.043 mg/L 0.01 AA 7I912015 NA = not onolyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 2 ral coa basic v1d RESEARCh & ANAIYACAI LABORATORIES, INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD I WATER 1 WASTEWATER 1 MISC. I COMPANY JOB NO. w z o = � �� � Q~ �,�� 1 ti /�y� • Ok OO op �ca'`p0�� , 0 Q C9� Qr C C ` C` C o� F F Q• C Q' tiv ti� ry�o R`'o " ^" �" y REQUESTED ANALYSIS STREET ADDRESS 3g5b b l Ffe PROJECT CITY, STATE, ZIP J � SAMPLER NAME S_E/PRI� V G� /� CONTACTPHONE // r �Df� / ! �� SAMPLER SI TLI `•� SAMPLE NUMBER (LAB USE ONLY) DATE TIME COMP GRAB TEMP c REs CI 1�1 CLawue REMOVED �aN1 $AMp1E MATRIX (sorw SAMPLE LOCATION f I.D. '7'`] Fes— �"" i! 01 r t/�} RELINQUISHED BY /tL7,4 DATElTI E RECEIVED BY ARKS: SAMPLE TEMPERATURE AT RECEIPT , a' A °C RE I ISHED BY ATElf E R CEIVED BY ROJ RESEARCh & ANA1yTICA1 LABORATORIES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER I WASTEWATER IMISC_ COMPANY dd _ JOB NO. ra � 'z � \Qm r0 �O1 y O� 00 ., a� o� of Q' O Q' Q' Q' m� `� ry R6v � �" � � �" � REQUESTED ANALYSIS STREET�A^ DRESS (� PROJECT CITY, STATE, ZIP y SAMPLER NAME (PLEA E PRINT) CONTACT PHONE SAMPLER Si NAT E SAMPLE NUMBER (LAB USE ONLY) DATE TIME CDMP GRAB TEMP 'C RES ImGy CHLORINE R�aN}U SAMPLE M oTRIX SAMPLE LOCATION I.D. D a--7 q�lf 0 Zri / ff W S o RELINQUISHED BY DATEITIVE RECEIVED BY REMARKS: �� SAMPLE TEMPERATURE AT RECEIPT. Lb °C RELINQUISWD BY DATEITI E I RECEIVED Y RESEARCh & ANA[yTICA[ LAbORATORIES, INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD I WATER I WASTEWATER 1 M1SC. I COMPANY Q Q JOB NO, u, LS i O Vj �Q r �O' Jc C9 `D o�F ? 0' `OV p co• Op �� c�G ap Q Q ry�h�oa74"pf v � 0 REQUESTrED ANALYSIS STREETAIDDRESS PROJECT CITY, STATE, ZIP SAMPLER NAME (PL SE PRI CONTACT PHONE SAMPLER SIGN UR SAMPLE NUMBER USE ONLY) DATE TIME COMP GRAB TEMP 1 I CWQRN� REoVED SAME MAl aw SAMPLE LOCATION I I.U.(LAB r�7 TI! -2r� -V7 W5 0 S f a5 I RELINQUISHED BY DATEITIME G'� v N RECEIVED BY REMARKS: �t1V� —7 7 SAMPLE TEMPERATURE AT RECEIPT j • i °C IrL QUISHED BY ATEnVt 1 R CEkD Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Qua ity General Permit No. NCG030000 Date submitted 7 /j CERTIFICATE OF COVERAGE NO. NCG030' 5 5 41 FACILITY NAME TWFP%'l e1Wr-7J COUNTY PERSON COLLECTING SAMPLES i f®rf 'j LABORATORY A J—A A, 5 Lab Cert. # 3 �f Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR o7el# SAMPLE PERIOD ❑ Jan -June �-Dec C� or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout❑PI &:/ RECEWED ❑Zero -flow ❑Water Supply ❑SA I�C�.r ❑Other JAI 4 9 2015 CENTRAL FILESP LEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3" 4 DWR SECTION ❑ No discharge this period?z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organlcs5 Benchmarks =__> _ 100 mg/L or 50 mg/L 6.0 — 9.0 0.007 mg/L 0.033 mg/L 0.067 mg/L 15 mg/L 1 mg/L pa7 OQL p ,0Fe�L L- i -a e G ym a^f I a ,' i o [P G o 7'] 4 z— Z_ �G I f o` �0 �s �(.0.00S L_ l / I� L_ ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition fount! in 40 CFR 469,31). Permit Date: 11/1/2012-10/31/2017 5WU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the 5tormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: ' "Based upon my inquiry of the person or persons directly responsible for managing compliance With the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan,° Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, 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. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. ❑ No discharge this period?2 Outfall No, Date Sample Collected' (mo/dd/yr) 24-hour rainfall amaiJnt, Inches3 Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 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 OLITFALL? YES ❑ NO r-1 IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this_DMR, including all "No Discharge' reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case o "No Discharge"' re orts 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. I 3m aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." ;Signature of / 7 5- ( at 'ermit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 n.._ Chemi (A Tht LAbORATORIESi INC. =motN°"`3'' Analytical/Process Consultations S j r -'- `°'Rec .. Chemical Analysis far Selected Parameters and Water Sample Identifled as Outfall 1 (A Thermeraft Project, collected 06 December 2014) 11, Volatile Organics Quantitation Outfall V. Semi -volatile Organics Quantitation Outfall EPA Method 624 Limit 1 Method 625 Limit 1 Parameter (me/U (mg/L} Parameter (m21L) (mm/L) Methylene Chloride Trichlorofl uoromethane �• l,l-Dichloroethene 1,1-Dichloroethane Chloroform Carbon Tetrachloride 1,2-Dichloropropane Trichloroethene D i br a m oc h l o rome thane 1,1,2-Trichloroethane Tetrachloroethene f Chlorobenzene Trans-1,2-Dichloroethene 1,2-Dichloroethane 1,1,1-Trichloroethane B ro m odi c hl oro m eth an e Cis-1,3-Dichloropropene Benzene Trans-1 3-Dichloropropene Bromofortn 1,1,2,2-Tetrachioroethane Toluene Ethyl Benzene Chloromethane Bromomethane Vinyl Chloride Chloroethane Total Xvienes Acrolein Acrylonitrile 2-Chloraethyl vinyl ether Ill- Miscellaneous Parameters Total Suspended Solids (fSS) Total Lead Total Copper Total Zinc Total Oil & Grease IV. Miscellaneous Parameters PH Sample Number Sample Date Sample Time (hrs) 0.010 BQL 0,010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0,010 BQL 0,010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0,010 BQL 0.010 SQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 SQL 0.010 BQL 0.010 SQL 0.100 BQL 0A00 BQL 0.010 BQL Quantitation Outfall Limit 1 (me/L) (m2IL1 5.0 14.0 0.005 BQL 0.005 0.007 0.010 0.041 5.0 BQL Quantitation Outfall Limit 1 (M21L) (me/L) N/A 6.31 BQL = Below Quantitation Limits mg/L = milligrams per Liter -parts per million (ppm) 800947 12/06/14 0800 4-Chloro-3-methylphenol 0,010 2-Chlorophenol 0.010 2,4-Dichlorophenol 0.010 2,4-Ditrtethylphenol 0.010 2,4-Dinitrophenol 0.050 2-Methy]4,6-di nitrophenol 0.050 2-Nitrophenol 0.010 4-Nitrophenol 0.050 Pentachlorophenol 0.050 Phenol 0,010 2,4,6-Trichlorophenol 0.010 Acenaphthene 0.010 Acenaphthylene 0.010 Anthracene 0.010 Benzidine 0.050 Benzo(a)anthracene 0.010 Bernzo(a)pyrene 0.010 Benzo(b)fluoranthene 0.010 Benzo(ghi)perylene 0.010 Benzo(k)flUDranthene 0.010 Benzyl butyl phthalate 0.010 Bis(2-chloroethoxy)methane 0.010 Bis(2-chloroethyl)ether 0.010 Bis(2-chloroisopropyl)ether 0.010 Bis(2-ethyl-hexyl)ph1hala1e 0.010 4-Bromophenyl phenyl ether 0.010 2-Chloronaphthalene 0.010 4-Chlorophenyl phenyl ether 0.010 Chrysene 0.010 Dibenzo(a,h)anthracene 0.010 1,2-Dichlorobenzene 0.010 1,3-Dichlorobenzene 0,010 - 1,4-Dichlorobenzene 0.010 3,3-Dichlorobenzidine 0.020 Diethyl phthalate 0,010 Dimethyl phthalate 0.010 Di-N-Butyl phthalate 0.010 2,4-Dinitrotoluene 0.010 2,6-Dinitrotoluene 0.010 Di-N-Octyl phthalate 0.010 1,2-Dipheny1hydrazine 0.050 Huoranthene 0.010 Fluorene 0.010 Hexachlorobenzene 0.010 Hexachlorobutadiene 0,010 Hexachlorocyclopenmdiene 0.010 Hexachloroethane 0.010 IndenD(1,2,3-cd) pyrene 0.010 lsophorone 0.010 Naphthalene 0.010 Nitrobenzene 0.010 N-Nitrosodimethylamine 0.010 N-nitrosodi-rn-propylamine 0.010 N-Nitrosodiphenylarnine 0.010 Phenanthrene 0.010 P}Tene 0.010 1,2,4-Trichlorobenzene 0.010 Diiution Factor Sample Number Sample Date Sample Time (hrs) 800947 12/06/14 0800 RESEARCh & ANA[yTICAi LABORATORIES, INC. Analytical / Process Consultations Phone (336) 996-3841 CHAIN OF CUSTODY RECORD WATER I WASTEWATER MISC. COMPANY �vt 1e 1c JOB NO. x 0 z 'z" ? �Ok tea' UpJ �7 ofF FQ. Q a•Q ti� tip �� rY� ^ REQUESTED ANALYSIS STREET DDRESS PROJECT CITY, STATE, ZIP S 1N C .2-0 SAMPLER NAME (PLEASE PRINT) /7"111(l�-J&A) IF5 CONTACT PHONE SAMPLER SIGNA LIRE SAMPLE NUMBER (LAB USE ONLY) DATE TIME COUP GRAB TEMP �C RES cl R[M0 D RImE raNl SAMPLE isa�n SAMPLE LOCATION ! I.D. t � r I 0 1 / 1 � I � 1 I r I RELINQUISHED BY DAT I E IVED BY REMARKS: SAMPLE TEMPERATURE AT RECEIPT c�2 6C RELIN HED BY DATElTIME REC IVED BY MU)LAltUH CY ANALyTICAI a0 LAbORATORiES, INC. NC#34 x Qua Analytical/Process Consultations ••��'�•�D ANC ��•'��, Chemical Analysis for Selected Parameters and Water Sample Identified as Outfall 2 (A Thermcraft Project, collected 06 December 2014) II. Volatile Organics Quantitation Outfall V. Semi -volatile Organics Quantitation Outfall EPA Method 624 Limit 2 Method 625 Limit 2 Parameter fmQ/L) (me/L) Parameter (me/L) (me/L) Methylene Chloride 0,010 SQL Trichlorofluommethane 0.010 BQL 1,1-Dichloroethene 0.010 BQL I,1-Dichloroethane 0.010 BQL Chloroform 0.010 BQL Carbon Tetrachloride 0.010 BQL 1,2-Dichloropropane 0.010 BQL Trichloroethene 0.010 BQL Dibromochloromethane 0.010 BQL 1.1,2-Trichloroethane 0.010 BQL Tetrachlaroethene 0.010 BQL Chlorobenzene 0.010 BQL Trans-1,2-Dichloroethene 0.010 BQL 1,2-Dichloroethane 0.010 BQL 1,1,1-Trichloroethane 0.010 BQL Bromodichloromethane 0.010 BQL Cis-1,3-Dichloropropene 0.010 BQL Benzene 0.010 BQL Trans-1,3-Dichloropropene 0.010 BQL Bromoform 0.010 BQL 1,1,2,2-TetrachlOroethane 0.010 BQL Toluene 0.010 BQL Ethyl Benzene 0,010 BQL Chloromethane 0.010 BQL Bromomethane 0.010 BQL Vinyl Chloride 0.010 BQL Chloroedwe 0.010 BQL Total Xylenes 0.010 BQL Acrolein 0.100 BQL Acrylonitrile 0.100 BQL 2-Chloroethyl vinyl ether 0.010 BQL III. Miscellaneous Quantitation Outfall Limit 2 Parameters (me/L) (me/L) Total Suspended Solids (TSS) 5.0 14.2 Total Lead 0005 BQL Total Copper 0005 0.006 Total Zinc 0010 0.037 Total Oil & Grease 5-0 BQL IV, Miscellaneous Ouantitation Outfall Limit 2 Parameters (me/L) (mg/L) PH N/A 6.78 Sample Number 800949 Sample Date 12/06/14 Sample Time Mrs) 0830 BQL - Below Quantitation Limits mglL -milligrams per Liter - parts per million (ppm) 4-Chlorc-3-methylphenol 0.010 BQL 2-Chlorophenol 0.010 BQL 2,4-Dichlorophenol 0-010 BQL 2,4-Dimethylphenel 0,010 BQL 2,4-Dinitrophenol 0.050 BQL 2-Methyl4,6-dinitrophenol 0,050 BQL 2-Nittophenol 0.010 BQL 4-Nitrophenol 0.050 BQL Pentachlorophenol 0.050 BQL Phenol 0,010 BQL 2,4,6-Trich)orophenol 0.010 BQL Acenaphthene 0.010 BQL Acensphthylene 0.010 BQL Anthraeene 0.010 BQL Benzidine 0.050 BQL Benzo(a)anthraeene 0.010 BQL Benzo(a)pyrene 0,010 BQL Benzo(b)fluoranthene 0.010 BQL Benzo(ghi)perylene 0.010 BQL Benzo(k)fluoranthene 0,010 BQL Benzyl butyl phthalate 0.010 BQL Bis(2-chloroethoxy)methane 0.010 BQL Bis(2-chloroethyl)ether 0.010 BQL BiS(2-chl0r0is0prapy1)ether 0.010 BQL Bis(2-ethyl-hexyl)phthalate 0,010 BQL 4-Bromophenyl phenyl ether 0.01D BQL 2-Chloronaphthalene 0.010 BQL 4-ChlOrophenyl phenyl ether 0.010 BQL Chrysene 0.010 BQL Drbenzo(a,h)anthracene 0.010 BQL 1,2-Dichlorobenzene 0.010 BQL 1,3-Dichlorobenzene 0.010 BQL 1,4-Dichlorobenzene 0.010 BQL 3,3-Dichlorobenzidine 0.020 BQL Diethyl phthalate 0.010 BQL Dimethyl phthalate 0.010 BQL Di-N-Butyl phthalate 0.010 BQL 2,4-Dinitrotoluene 0.010 BQL 2,6-Dinitrotoluene 0DID BQL Di-N-Octyl phthalate 0.010 BQL 1,2-Diphenylhydrazine 0.050 BQL Fluoranthene 0.010 BQL Fluorene 0.010 BQL Hexachlorobenzene 0.010 BQL Hexachlorobutadiene 0.010 BQL Hexachlorocyclopentadiene 0.010 BQL Hexachloroetl ane 0.010 BQL Indeno(1,2,3-cd) pyTene 0.010 SQL Isophorone 0.010 BQL Naphthalene 0.010 BQL Nitrobenzene 0,010 BQL N-Nitrosodimethylamine 0.010 SQL N-nitrosodi-n-propylamine 0.010 BQL N-Nitrosodiphenylamine 0.010 BQL Phenanthrene 0.010 BQL Pyrene 0.010 BQL 1,2,4-Trichlorobenzene 0.010 BQL Dilution Factor 1 Sample Number 800949 Sample Date 12/06/14 Sample Time (hrs) 0830 1XIESEARCH OL /ANAIYTICAI �yk};��'1 C �rrrr i'� []Q LAbORATORIES� INC. iicr rp � i Z� Uf _: MC #3a z: - Analytical/Process Consultations ~.�c+�,` :°!R�c�?; �5••'= Chemical Analysis for Selected Parameters and Water Sample Identified as Outfall 2 (A Tlrerincraft Project, collected 06 Decentbet 1014) I. Pesticides/PCB's Quantitation Outfall EPA Method 608 Limit 2 Parameter (mg/L) (mefL) Aldrin 0.001 BQL Alpha,BHC 0,001 BQL Beta,BHC 0.001 BQL ❑elta,BHC 0.001 BQL Gamma,BHC 0.001 BQL Chlordane 0.010 BQL 4-4'-DDD 0.001 BQL 4-4'-DDE 0.001 BQL 4-4'-DDT 0.001 BQL Dieldrin 0.001 BQL Endosulfan 1 0.001 BQL Endosulfan 11 0.001 BQL Endosulfan Sulfate 0.001 BQL Endrin 0.001 BQL Endrin Aldehyde 0.001 BQL Heptachlor 0.001 BQL Heptachlor epoxide 0.001 BQL Methoxychlor 0.001 BQL Toxaphene 0.020 BQL PCB 1016 0.005 BQL PCB 1221 0.005 BQL PCB 1232 0.005 BQL PCB 1242 0.005 BQL PCB 1248 0.005 BQL PCB 1254 0.005 BQL PCB 1260 0.005 BQL Sample Number 800949 Sample Date 12/06/14 Sample Time 0830 PCB = Polychlorinated Biphenyl rn&L — mlli�yrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits RESEARCh & ANA1yTICA1 LAbORATO&S, INC. Analytical 1 Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER I WASTEWATER I MISC. COMPANY JOB NO. o LL i ��' 1 S= ti hm Oy �y Cv `�5 �m� ZCD my O ??a COOO�C� m o Q A REQUESTED ANALYSIS STREET ADDRESS ,t°jo PROJECT 0 U7 " A- j oZ CITY, STATE, TIP G�J. S IJ G SAMPLER NAME (PLEASE PRINT) i✓5 CONTACT PHONE / Jd �✓� 5 3 Flo ' %l-ti�_ `l5� Dd SAMPLER S N TURE �� SAMPLE NUMBER (LAB USE ONLY} DATE TIME CO1fP GRAB TEM C RES C1 CKORSNE REMOVED IYtrN) SAMPLE MFTRV IS a" SAMPLE LOCATION 11.0. & sr7 a i 02 1 b I4 f e6 2 f TSS � 2 r Z � f � 2 I CISD r RELINQUISHED BY DATEITIME JIVED BY EMAEZKS: ) j �A SAMPLE TEMPERATURE AT RECEIPT OC RELINQUI ED BY �ITIME \ \\\7 REC VED BY MINIM dMeffla f[ESEARCH OL /ANAIyTICA! `�'iti •q •S I..AbORATORiESP INC. �`° "'�* Analyilcal/Process Consultations Chemical Analysis for Selected Parameters and Water Sample Identified as Outfall 3 (A Thermcraft Project, collected 06 December 2014) 11. Volatile Organics EPA Method 624 Parameter Metbylene Chloride Trichlorolluororncthane 1,1-Dichloroethcne 1,1-Dichloroethane Chloroform Carbon Tetrachloride 1,2-Dichloroprapane Trichlomethene Di b rom ochl oro me than e 1,1,2-Trichloroethane Tetrachloroethene Chlorobenzene Trans-1,2-Dichlorcethene 1 2-Diehloroethane I . I ,1-Trichlotoethane Bromodichloromethane Cis-1,3-Dichloropropene Benzene Trans-1,3-Dichloropropene Bromoforrn 1,1,2,2-Tetrachlomethane Toluene Ethyl Benzene Chloromethane Bromomethane Vinyl Chloride Chloroethane Total Xylenes Acrolein Acrylonitrile 2-Chloroethyl vinyl ether 111. Miscellaneous Parameters Total Suspended Solids (TSS) Total I..cad Total Copper Total Zinc Total Oil & Grease Quantitation Outfall Limit 3 (mg/Ll m /L 0.010 BQL 0.010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0.010 BQL 0,010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.010 BQL 0.100 BQL 0.100 BQL 0.010 BQL Quantitation Outfall Limit 3 (rnp/L) (me/L.) 5.0 I5.8 0.005 BQL 0-005 0.008 0.010 0.037 5.0 BQL IV. Miscellaneous Quantitation Outfall Limit 3 Parameters (me/L) (mg/L) pH NIA 6.65 Sample Number 800951 Sample Date 12/06/14 Sample Time Mrs) 0900 BQL = Below Quantitation Limits tng/L = milligrams per Liter = pamper million (ppm) V. Semi -volatile Organics Quantitation Outfall Method 625 Umit 3 Parameter (mE/L (mp/L} 4-Chloro-3-methylphenol 0.010 BQL 2-Chl0rophenol 0010 BQL 2,4-Dichlorophenol 0.010 BQL 2 4-Dimethylphenol 0.010 BQL 2,4-Dinitrophenol 0.050 BQL 2-Methyl4,6-dinitrophenol 0,050 BQL 2-Nitrophenol 0.010 SQL 4-Nitrophenol 0.050 BQL Pentachloraphenol 0.050 BQL Phenol 0.010 BQL 2,4,6-Trichlarophenol 0.010 BQL Acenaphthene 0.010 BQL Acenaphthylene 0,010 BQL Anthracene 0.010 BQL Benzidine 0,050 BQL Benzo(a)anthracene 0.010 SQL Benzo(a)pyrene 0,010 BQL Benzo(b)flunmahcne H10 BQL Benzo(ghi)perylene 0,010 BQL Benzo(k)fluoranthene 0.010 BQL Benzyl butyl phthalate 0.010 SQL Bis(2-chloroethoxy)methane 0.010 BQL Bis(2-chloroethyl)ether 0,010 BQL Bis(2-chloroisopropyl)ether 0.010 BQL Bis{2-ethyl-hexyl)phthalate 0.010 BQL 4-Bromophenyl phenyl ether 0.010 BQL 2-Chloronaphthalene 0,010 BQL 4-Chlomphenyl phenyl ether 0.010 BQL Chrysene 0,010 BQL Dibenzo(a,h)anthracene 0,010 BQL 1,2-Dichlorobenzene 0.010 BQL 1,3-Dichlorobenzcne 0.010 BQL 1,4-Dichlorobenzene 0.010 SQL 3,3-Dichlorobenzidine 0.020 BQL Diethyl phthalate 0.010 BQL Dimethyl phthalate 0.010 BQL Di-N-Butyl phthalate 0.010 BQL 2,4-Dinitrotoluene 0.010 BQL 2,6-Dinitrotoluene 0.010 BQL Di-N-Octyl phthalate 0,010 BQL 1,2-Diphenylhydrazine 0.050 BQL Fluoranthene 0.010 BQL Fluorene 0.010 BQL Hexachlorobenzene 0.010 BQL Hexachlorobutadiene 0.010 BQL Hexachlorocyc[opentadiene 0,010 BQL Hexachlorocthane 0.010 BQL Indeno(1,2,3-cd)pyrene 0.010 BQL lsophorane 0.010 BQL Naphthalene 0.010 BQL Nitrobenzene 0,010 BQL N-Nitrosodimethylamine 0.010 BQL N-nitrasodi-n-propylamine o.010 BQL N-Nitrosodiphenylamine 0.010 BQL Phenanthrene 0,010 BQL Pyrene 0010 BQL 1,2,4-Trichlarobenzene 0.010 BQL Dilution Factor 1 Sample Number 800951 Sample Date 12106Y14 Sample Time (brs) 0900 LAbORATORIES INC. Analytical/Process Consultations e i All :heroical Analysis for Selected Parameters acid Water Sample Idetitified as Out/all 3 A Thernrcraft Project, collected 06 December 2014) I. Pestieides/PCB's Quantitation Outfall EPA Method 608 Limit 3 Parameter fmQ/L1 (mp-/L) Aldrin 0.001 BQL Alpha,BHC 0.001 BQL Beta,BHC 0.001 BQL Delta,BHC 0.001 BQL Gamma,BHC 0.001 BQL Chlordane 0.010 BQL 4-4'-DDD 0.001 BQL 4-4'-DDE 0.001 BQL 4-4'-DDT 0.001 BQL Dieldrin 0,001 BQL Endosulfan 1 0.001 BQL Endosulfan 11 0,001 BQL Endosulfan Sulfate 0.001 BQL Endrin 0.001 BQL Endrin Aldehyde 0.001 BQL Heptachlor 0,001 BQL Heptachlor epoxide 0.001 BQL Methoxychlor 0.001 BQL Toxaphene 0,020 BQL PCB 1016 0,005 BQL PCB 1221 0.005 BQL PCB 1232 0.005 BQL PCB 1242 0.005 BQL PCB 1248 0.005 BQL PCB 1254 0.005 BQL PCB 1260 0,005 BQL Sample Number 800951 Sample Hate 12/06/14 Sample Time 0900 PCB = Polychlorinated Biphenyl nWL = nilli-rams per Liter = parts per million (ppin) BQL = Below Quantitation Limits RESEARCh & ANAIYTICAI LkoRATO&S, INC. Analytical / Process Consultations Phone 13361 996-2841 CHAIN OF CUSTODY RECORD' WATER ! WASTEWATER I mist. COMPANY JOB N0. a o p ry T= y v \Qm,G 5p' M1 \ 2� `O �O c�0 Crp ry" a REQUESTED ANALYSIS STREET ADDRE55 a 01KE40,4kE R PROJECT ©���� 3 CITY, STATE, ZIP Lit . NC' 7 0 7 SAMPLER NAME (PLEASE PRINT) O s CONTACT PHONE g� 33H Dp SAMPLER SIGNATURE 5 PLE NUMBER (LAB USE ONLY) DATE TIME COMP Gtt46 TEMP ,C RES CI ECHLORINEVED REMOVED (Y °N° MATRIXSAMPLE (SnW) SAMPLE LOCATION I I.D. �S 3 r 3 / L l 3 0NZ3 � o ' 1 l T RELII`NQUI� BY DATE1 lME EC IVED 8k RE ARKS: SAMPLE TEMPERATURE AT RECEIPT °C RELINQUISH .BY DATEMME IVED BY NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: btti)://poi-ral.jiudL!ni-.oro/web/v%,q/ws/sLi/iipdel,;Sw#tab-4 Permit No.: N/C/_/_/_/_/_/_/_/ or Certificate of Coverage No.: N/-c/G/D /.3/O/S/ / / Facility Name 222�&— /7(-" eA County: i'`'Oo5y7W Phone No. 3 3ee - 7"— �500 _ _T inspector: /7146 ✓e,✓FS Date of Inspection: bl.� Time of Inspection: `rr A o r1 Total Event Precipitation (inches): /b Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information e ow.) Eryes ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter i interval is representative for local storm events during the sampling period, and the permittee j obtains approval from the local DWQ Regional Office. By this signature, 1 certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Pagel of 2 SWU-242, Last modified 10/25/2012 1. Outfall Description: outfall No. _ 3 Structure (pipe, ditch, etc.) ,0/7-Crf-i Receiving Stream: Sd_t(7-d /4MK _ Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: �OJLO t1 Al el- 16-% 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): 0n'l 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 3 Q4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 & 4 5 7. Is there any foam in the stormwater discharge? Yes Mai' 8. Is there an oil sheen in the stormwater discharge? Yes (Z) 9. Is there evidence of erosion or deposition at the outfall? Yes 00 10. Other Obvious indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 5WU-242, Last modified 10/25/2012 NCDENR Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidancc on filling out this form, please visit: rt il.n d r. r the to w u i de tv# ab-4 Permit No.: N/C/_/_/�/_/_/�/_/ or Certificate of Coverage No.: Facility Name: 7Wif,6170442FT A -le County: FA? t Phone No. 3 Inspector: _ lt?hC' Date of Inspection: Time of Inspection: %"1 Total Event Precipitation (inches): Was this a 'Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See information below. Ej---Y�s ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than GA inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall: The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: {Signature of Permittee or Desi Pagel of 2 SWU-242, Last modified 10/25/2012 I. Outfail Description: Outfall No. OZ Structure (pipe, ditch, etc.) Receiving Stream: uP� Describe the industrial activJ'ties that occur within the outfall drainage area: &riZ7 / o 2. Color: Describe the color of the discharge using ba c colors (red, grown, blue, etc.) and tint (light, medium, dark) as descriptors: 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /a �aJ� 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 0 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 ils) 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 dD 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes y 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of Stormwater pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012 ewe � NCDEN� Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: httpi//saortal.�lcdenr.orgfwebf wc{f wsf su(nodessw#ta4z 4 Permit No.: FacilityName: County: _ rVe-6YZY Inspector: ! Date of Inspection: Time of Inspection: ?d 4 Total Event Precipitation (inches): or Certificate of Coverage No.: N/C/G/D/Y/�2/S/5Z/-�11 Phone No. Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit? (See i n f o r anon e ow.) �es ❑ No Please verify whether Qualitative Monitoring must be performed during a "representative storm event" or "measureable storm event" (requirements vary, depending on the permit). Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be performed during a "representative storm event" or during a "measureable storm event." However, some permits do not have this requirement. Please refer to these definitions, if applicable. i i 1 A "representative storm event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no precipitation. A "measurable storm event" is a storm event that results in an actual discharge from the permitted site outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm interval does not apply if the permittee is able to document that a shorter interval is representative for local storm events during the sampling period, and the permittee obtains approval from the local DWQ Regional Office. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Desi Page 1 of 2 SWU-242, Last modified 10/2512012 I. Outfall Description: _ Outfall No. l Structure (pipe, ditch, etc.) Receiving Stream: S 6" r d 156 eK. _ Describe the industrial activities that occur within the outfall drainage area: 2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: teo�W 3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): /✓drl4C 4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 67) 3 4 5 5. Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: 1 2 4 5 6. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where 1 is no solids and 5 is extremely muddy: 1 2 6� 4 5 7. Is there any foam in the stormwater discharge? Yes 8. Is there an oil sheen in the stormwater discharge? Yes 9. Is there evidence of erosion or deposition at the outfall? Yes 10. Other Obvious Indicators of stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2 of 2 SWU-242, Last modified 10/25/2012