NCG020301_MONITORING INFO_20161130

STORMWATER-DIVISION CODING -SHEET-
RESCISSIONS
PERMIT NO.
N C &DaD 3 0
DOC TYPE
U COMPLETE.FILE -HISTORICAL
DATE OF
RESCISSION
❑ (/lV I to I 13�i
YYYYMMDD

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Division of Energy. Mineral Sr iLand Resources
Land Quality SectionfSlormwater Permitting Program
National Pollutant Discharge Elimination System
RESCISSION REQUEST FORM
FpR AGENCY USE ONLY
Date Received
Year
I Month i Da
Please fill out and return this form if you no longer need to maintain your NPDES stormwater permit.
1) Enter the permit number to which this request applies: "` `
Individual Permit (or) Certificate of Coverage
2) Owner/Facility Information: ' Final correspondence will be mailed to the address noted below
Owner/Facility Na
Facility Contact
Street Address
City
County
Telephone No.
3) Reason for rescission request (This is Le uir information. Attach separate sheet if necessary):
52 /Facility closed or is closing on t 3J All industrial activities have ceased such that no discharges of
stormwater are contaminated by exposure to industrial activities or materials.
z �Lzgp
Facility sold to I,�P rkS onL. If the facility will continue operations under the new owner it
may be more appropriate to request an jga!r hip chance to reissue to permit to the new owner.
❑ Other:
Fbb—a-d 5 -(z2 -
4) Certification:
I, as an authorized representative, hereby request rescission of coverage under the NPDES Stormwater Permit for the
subject facility. I am familiar with the information contained in this request and to the best of my knowledge and belief
such information is true, complete and accurate.
Signature —G,,, L2 i A& .-"� �:. Date _ Ii11 r f
Print or type name of person signthg above Title
Please return this Completed rescission request form to: NPDES Permit Coverage Rescission
stormwater Permitting Program
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
1612 W1 Service Center, Raleigh, North Carolina 27699.1612
Phone: [phone] i FAX: [phone]
An Equal Opportunity 1 Affirmative Action Employer

RECEIVED
N.C, aeot. of ENR
JUL i22010
Numerous attempts were made to collect discharge samples from the requested discharge RNionaristan Sal
Office
points, located at the bottom of the draw between the pond entrance on the East side aril -the
pond exit to the stream on the West side. During numerous, separate rain events there were no
discharges adequate enough so that I could take readings and samples. As a result, it has taken
a long while to get readings and samples from both discharge points during a rainfall event.
None of the rainfall events that occurred from February 7, 2010 through May 13, 2010 were
significant enough to produce a discharge 1 could take readings and samples from. None of the
rainfall events until the one beginning on May 14, 2010 and ending on May 17, 2010, produced
a noticeable discharge change. This rainfall event that began on May 14, 2010 produced a point
on May 16, 2010 at which the rainfall event created an adequate enough increase in discharge
to take readings and samples, within the first 30 minutes of the change in discharge levels, at
both discharge locations. Samples and readings were taken on Sunday May 16, 2010 at 3:15
pm at the upper location, at the bottom of the draw between the pond entrance on the East side,
and readings and samples were also taken on May 16, 2010 at 3:27 pm at the lower discharge
location out of the pond to the receiving stream.
So samples were obtained from the upper location of all runoff coming out of the upper area, at
the discharge point into the main lower pond, at the flared end section, and also a sample was
taken at the stream at the discharge location from the pond, into the receiving stream.
It should be noted that there are underground springs that feed these ponds starting with the
west side of the borrow pit on the upper side of the property leading down to the main pond on
the west side. These springs never cease, even in the driest of seasons. However there are
times, in very dry periods, when the discharge flow reaches points to where it's flow can't be
tested. The main pond on the west side is the main and final collection point for most all of the
storm water runoff from the entire site. The discharge never ceases and is continuous because
of these springs. Because of this, during the storm event, I waited for a change in the water
flow and volume to be noted. Once it was noted, samples were taken from both locations,
within 12 minutes of each other on May 16, 2010 between 3:15 pm and 3:27 pm. It was at
approximately 1.0" of rainfall that this change in runoff was noted as increasing in flow and
volume into the spill in point into the main pond on the west side. An increase was also noted
on the discharge side of the west pond into the receiving stream. The entire storm event lasted
for approximately 69 hours (4140 minutes) long.
Regards, ,
David L Brumbeloe, Jr.
r
f
r
Sam W Smith, Inc.
Eden, NC

ace Analytical
www. pacefaba, mm
ANALYTICAL RESULTS
Project: Sam Smith Stormwater
Pace Project No.: 9269584
Pace Analytical Services, Inc.
370 West Meadow Road
Eden, NC 27288
[phone]
Sample: Upper
Lab ID: 9269584001 Collected: 05/16/10 15:15
Received: 05/18/10 11:20 Matrix: Water
Parameters
Results Units
Report Limit DF
Prepared Analyzed CAS No. Qua]
2130E Turbidity EDN
Analytical Method: SM 2130B
Turbidity
136 NTU
1.0 1
05/18/1012:40
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
95.3 mg/L
16.7 1
05/19/10 13:02
2540F Total Settleable Solids
Analytical Method: SM 2540F
Total Settleable Solids
0.40 mUUhr
0.10 1
05/18/10 11:55
Sample: Lower Lab ID-. 9269584002 Collected: 05/15/10 15:27 Received: 05/18/10 11:20 Matrix: Water
Parameters Results units Report Limit DF Prepared Analyzed CAS No. Qual
21308 Turbidity EDN Analytical Method: SM 21308
Turbidity 143 NTU 1.0 1 05/18/10 12:40
2540D Total Suspended Solids Analytical Method: SM 2540D
Total Suspended Solids 128 mg/L 25.0 1 05/19/10 13:02
254OF Total Settleable Solids Analytical Method: SM 254OF
Total Settleable Solids 0.20 mUUhr 0.10 1 05/1a/10 11:55
=06/18/2010AM
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc„
Page 4 of 8

-.—!ace Analytical
wrrw.pacelabs.c"
Project: Sam Smith Stormwater
Pace Project No.: 9269584
QC Batch: EDEN/5202
QC Batch Method: SM 2130B
Associated Lab Samples: 9269584001, 9269584002
METHOD BLANK: 443768
Associated Lab Samples: 9269584001, 9269584002
Parameter Units
Turbidity NTU
SAMPLE DUPLICATE: 443769
Parameter
Turbidity
QUALITY CONTROL DATA
Analysis Method: SM 21308
Analysis Description: 2130E Turbidity EDN
Matrix: Water
Blank Reporting
Result Limit Analyzed
ND 1.0 05/18/1012:40
9269584001 Dup
Units Result Result
NTU 136 140
RPD
3
Qualifiers
Qualifiers
Pace Analytical Services, Inc.
370 West Meadow Road
Eden, NC 27288
[phone]
Date: 06/18/2010 07:42 AM REPORT OF LABORATORY ANALYSIS Page 5 of 8
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

ace Analytical
www.p8CGAdi1 0"
DUALITY CONTROL DATA
Project: Sam Smith Stormwater
Pace Project No.: 9269584
QC Batch: EDEN/5215 Analysis Method: SM 2540D
OC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 9269584001, 9269584002
METHOD BLANK: 444440 Matrix: Water
Associated Lab Samples: 9269584001, 9269584002
Blank Reporting
Parameter Units Result Limit Analyzed Qualifiers
Total Suspended Solids mg/L ND 2.5 05/19/10 13:01
Pace Analytical Services, Inc.
370 West Meadow Road
Eden, NC 27288
[phone]
LABORATORY CONTROL SAMPLE: 444441
Spike LCS LCS % Rec
Parameter Units Conc. Result % Rec Limits Qualifiers
Total Suspended Solids mg/L 250 226 90 80-120
SAMPLE DUPLICATE: 444442
Parameter
Total Suspended Solids
9269585001 Dup
Units Result Result
mg/L 52.7 41.3
RPD Qualifiers
24 R2
Date: 06/18/2010 07:42 AM REPORT OF LABORATORY ANALYSIS Page 6 of 8
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services. Inc..

ti
aceAnalytical'
www.p&c&tabs.com
QUALITY CONTROL DATA
Project: Sam Smith Stormwater
Pace Project No.: 9269584
QC Batch: EDEN/5201 Analysis Method: SM 2540F
QC Batch Method: SM 254OF Analysis Description: 2540F Total Settable Solids
Associated Lab Samples: 9269584001, 9269584002
METHOD BLANK: 443757
Associated Lab Samples: 9269584001, 9269584002
Parameter Units
Total Settleable Solids mUUhr
Matrix: Water
Blank Reporting
Result Limit Analyzed
NO 0.10 05/18/1011:55
Qualifiers
Pace Analytical Services, Inc.
370 West Meadow Road
Eden, NC 27288
[phone]
Date: 06/18/2010 07:42 AM REPORT OF LABORATORY ANALYSIS Page 7 of 8
This report shall not be reproduced, except in full,
without the wntien consent of Pace Analytical Services. Inc..

ace Analytical
w 'Paceia"Wm
QUALIFIERS
Project: Sam Smith Stormwater
Pace Project No.: 92E95a4
DEFINITIONS
Pace Analytical Services, Inc.
370 West Meadow Road
Eden, NC 27288
[phone]
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
ND - Not Detected at or above adjusted reporting limit.
J - Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
S - Surrogate
1,2-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
MS(D) - Matrix Spike (Duplicate)
DUP - Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for
each analyte is a combined concentration.
LABORATORIES
PASI-E Pace Analytical Services - Eden
ANALYTE QUALIFIERS
R2 RFD value was outside control limits due to matrix interference
Date: 06/18/2010 07:A2 AM REPORT OF LABORATORY ANALYSIS Page 8 of 8
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

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www.Dacela4s.com
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The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately.
Section A Section B Section C
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Required Client Information: Required Project Informaton: Invoice Information:
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Report To: Atlention:
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Address: Copy
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Company Name:
REGULATORY AGENCY
Address:
NPDES F- GROUND WATER ( DRINKING WATER
UST r RCRA j OTHER
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Order No.:
Face Quote
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Pace Analytical Services, Inc.
370 West Meadow Road
Eden, NC 27288
March 31, 2009
Sam Smith
Eden One Time Only Customers
1733 NC Highway 135
Eden, NC 27288
RE: Project: Storm Water Testing 03/26/09
Pace Project No.: 9240874
Dear Sam Smith:
RECEIVED
N.C. Dept. of ENR
APR 99 2009
Winston-Salern
Regional Office
[phone]
Enclosed are the analytical results for sample(s) received by the laboratory on March 26, 2009. The
results relate only to the samples included in this report.
Inorganic Wet Chemistry and Metals analyses were performed at our Pace Asheville laboratory and
Organic testing was performed at our Pace Huntersville laboratory unless otherwise footnoted. All
Microbiological analyses were performed at the laboratory where the samples were received.
If you have any questions concerning this report, please feel free to contact me.
rely,
Tammie Easter
[e-mail]
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
Page 1 of 8
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services. Inc..

RECEIVED
N.C. L1ept of ENR
CHAIN -OF -CUSTODY 1 Analytical Request Document
aceAnal�tica!' APR 0 9 2009 The Chain -of -Custody is a LEGAL DOCUMENT. An relevant fields must be completed accurately.
rwe.pceivh.com S rr€nsTon-5alem
Regional Office
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Company Name:
REGULATORY AGENCY
Address:
I- NPDES r GROUND WATER j- DRINKING WATER
r UST iy RCRA (- OTHER
Finail To:
Purchase Order No.:
Pace Quote
441
Reteronce:
Phona:
Fax: Project
Name:
Pace Project
Site LOcatl6n
Manager:
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Requested Due Date/TAT: Project
Number,
Pace Preflle N:
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Pace Analytical Servtces, Inc.
�;a'ceAnalytical
370 West Meadow Road
Eden. NC 27288
' w pacelabs.ccm
[phone]
RECEIVED
N.C. Dept of ENR
ANALYTICAL RESULTS
APR 0 9 2009
Winston-Satem
Project: Storm Water Testing 03/26/09
Reglonat Office
Pace Project No.: 9240874
Sample: Site 1 - upper
Lab ID: 9240874001 Collected: 03/26/09 12:30
Received: 03/26/09 13:40 Matrix: Water
Parameters
Results Units .
Report Limit
OF
Prepared Analyzed CAS No. Qual
2130B Turbidity EDN
Analytical Method: SM 21308
Turbidity
22.0 NTU
1.0
1
03/27/09 09:30
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
12.3 mglL
1.7
1
03/30/09 13:35
2540F Total Settleable Solids
Analytical Method: SM 2540F
Total Settleable Solids
0.10 mULlhr
0.10
1
03/27/09 08:34
Sample: Site 2 - lower
Lab ID: 9240874002 Collected: 03/26/09 12:45
Received: 03/26/09 13:40 Matrix: Water
Parameters
Results Units
Report Limit
OF
Prepared Analyzed CAS No. Qual
21308 Turbidity EDN
Analytical Method: SM 21308
Turbidity
43.9 NTU
1.0
1
03/27/09 09:30
2540D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
33.0 mg/L
5.0
1
03/30/09 13:35
2540F Total Settleable Solids
Analytical Method: SM 2540F
Total Settleable Solids
ND mULlhr
0.10
1
03/27/09 08:34
Date: 03/31/2009 08:48 AM REPORT OF LABORATORY ANALYSIS Page 4 of 8
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..

Several attempts were made to collect a discharge sample from the requested discharge point,
located at the bottom of the draw between the mulch pile and the borrow pit (east side), as
noted by Ron Boone. During two separate rain events this pond did not discharge, so that I
could take samples. As a result no samples have been obtained from this point and it is my
belief that it would take a major storm event, possibly in excess of 5 inches to make this point
discharge. The first rain event was approximately 90 hours long and started March 25, 2009
and ended March 28, 2009. The storm produced 1.4" of rainfall. The second event happened a
few days later on April 2, 2009. A sample was attempted to be collected during this event that
lasted approximately 16 hours, which produced 1.1" of rainfall and this event didn't produce
enough rainfall to make the pond discharge. So neither event produced enough rainfall to fill
the pond or cause it to discharge. Thus no samples were taken from this requested location.
Because of this a sample was additionally obtained and tested, from a non -requested point, that
I call "upper" discharge point, at the discharge point going into the main pond, located on the
west side of the property. Also there was a sample taken, from the one other requested location,
at the discharge of that same pond, on the west side of the property.
So samples were obtained from the upper location of all runoff coming out of the upper ponds,
at the discharge point into the main lower pond on the west side, at the flared end section, and
also a sample was taken at the stream at the discharge location from the pond, into the
receiving stream, as requested in the letter from Ron Boone. No sample was obtained from the
pond between the mulch pile and borrow pit, because it never discharged, during either of the
storm events.
It should be noted that there are underground springs that feed these ponds starting with the
west side of the borrow pit on the upper side of the property leading down to the main pond on
the west side. These springs never cease. This main pond on the west side appears to be the
main and final collection point for almost all of the storm water runoff from the entire site. The
discharge never ceases and is continuous because of these springs. Because of this, during the
storm event, I waited for a change in the water flow and volume to be noted. Once it was noted,
samples were taken from both locations, within 15 minutes of each other on March 26, 2009
between 12:30 pm and 12.45 pm. It was at approximately 0.6" of rainfall that this change in
runoff was noted as increasing in flow and volume into the spill in point into the main pond on
the west side. An increase was also noted on the discharge side of the west pond into the
receiving stream.
RECEIVED
Regards, N.C. Dept of ENR
Da 'd L Brumbeloe, Jr. APR 0 9 20M
Winston-Salem
Regional OPFce
Sam W Smith, Inc.
Eden, NC

RECEIVED
N.C. Dept of ENR
NC®ENR
North Carolina Department of Environment ai
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
16 March 2009
Mr. Sam W. Smith, Owner
Sam W. Smith, Incorporated
P.O. Box 428
Eden, NC 27288
Subject: Compliance Evaluation Inspection
NPDES General Stormwater Permit NCG020000
Certificate of Coverage NCG020301
Sam W. Smith, Incorporated
Rockingham County
Dear Mr. Smith:
1. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ)
conducted a compliance evaluation inspection (CEI) at the subject facility on 12 March 2009.
Your assistance and cooperation during the inspection was greatly appreciated. An inspection
checklist is attached for your records and the inspection findings are summarized below.
2. The facility is located on the south side of NC Hwy 770, approximately 2.4 miles east of the
intersection of NC Hwy 770 and Gant Road, in Eden, Rockingham County, North Carolina.
Stormwater related to industrial activity is discharged to an unnamed tributary to Cascade Creek,
which is currently classified as Class C waters in the Roanoke River basin.
Documentation & Monitorinq Review
3. A SMP plan was available at the site during the inspection. The plan was found to Ue sufficient.
Inspection records for BMPs were also available and found to be complete and current.
4. Qualitative monitoring has been accomplished as required, however analytical monitoring has not
been done. Please sample, as required by the permit, as soon as possible, and notify Mr. Boone
when it has been completed. Please note that the general permit is currently being rewritten and
significant changes to the monitoring requirements are expected. If you need to obtain a copy of
the latest NCG020000 general stormwater permit, you may do so at any time at our website-
http,Hh2o.enr.state.nc.us/su/Forms Documents.htm.
Site Review
5. The site was very clean and well maintained. The majority of stormwater is conveyed to a large
pond located on the far west side of the site, which then discharges to the receiving stream.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 271G7 One
Phone: [phone] FAX: [phone] Customer Service: 1.877-623-6748 NorthCaroitna
Internet: www.ncwaterquality.org
� a l�rrr J
An Equal Opportunity 1 Affirmative Action Employer

Mr. Sam W. Smith, Owner
Sam W. Smith, Incorporated
6ompliance Evaluation Inspection, NCG020301
3/16/2009
Page 2 of 2
6. There is a significant amount of waste trees and brush being brought to the site that you told Mr.
Boone would be ground and sold for mulch. Please ensure that you continue to keep such
materials well away from State waters and minimize sediment disturbance when handling the
materials. Additionally, according to Mr. Boone, the BMPs receiving runoff from the side of the
site where the waste pile is need minor maintenance to ensure that they continue to protect the
receiving stream adequately. Please ensure the necessary maintenance is accomplished is soon
as possible.
7. Thank you for your cooperation in this matter. Should you have any questions regarding this letter
or the inspection, please feel free to contact Mr. Boone or me at [phone].
Sincerely,
(A41� Z,--
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
cc: SWP — WSRO
Central Files'
Stormwater Permitting Unit

a
Compliance Inspection Report
Permit: NCG020301 Effective: 01/19/05 Expiration: 12/31/09 Owner: Sam W Smith Inc
SOC: Effective: Expiration: Facility: Sam W Smith Incorporated
County: Rockingham NC Hwy 770
Region: Winston-Salem
Eden NC 27288
Contact Person. Sam Smith Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name Sam Smith
On -site representative Sam Smith
Related Permits:
Inspection Date: 03112/2008 Entry Time: 09:00 AM
Primary Inspector: Ron Boone
Secondary Inspector(s):
Certification: Phone:
Phone: [phone]
Phone: [phone]
Exit Time: 10:00 AM
Phone: [phone]
C , (rI Z,-vn Ext.2202
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
Storm Water
(See attachment summary)
j
Page: 1

Permit: NCG020301 Owner - Facility: Sam W Smith Inc
Inspection Date: 03/12/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Please refer to attached inspection summary letter.
Pare: 2

Permit: NCG020301 Owner - Facility: Sam W Smith Inc
Inspection Date: 03l1212008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Stormwater Pollution Prevention Plan
Yes
No
NA
NE
Does the site have a Stormwater Pollution Prevention Plan?
❑
Cl
■
❑
# Does the Plan include a General Location (USGS) map?
❑
❑
■
❑
# Does the Plan include a "Narrative Description of Practices"?
❑
❑
■
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑
❑
■
Cl
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
0
■
❑
# Has the facility evaluated feasible alternatives to current practices?
❑
❑
■
❑
# Does the facility provide all necessary secondary containment?
®
ri
n
❑
# Does the Plan include a BMP summary?
■
❑
Cl
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑
❑
■
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
❑
❑
# Does the facility provide and document Employee Training?
❑
❑
■
❑
# Does the Plan include a list of Responsible Party(s)?
Cl
Cl
■
n
# Is the Plan reviewed and updated annually?
❑
❑
■
❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑
❑
■
❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑
Cl
■
❑
Comment: Please refer to attached inspection summary letter.
Qualitative Monitoring Yes No NA NE
Has the facility conducted its Qualitative Monitoring semi-annually? ■ ❑ ❑ ❑
Comment: Please refer to attached inspection summary letter.
Analytical Monitoring
Yes
No
NA
NE
Has the facility conducted its Analytical monitoring?
❑
®
Cl
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
■
❑
❑
Comment: Please refer to attached inspection summary letter.
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
■
n
n
❑
# Were all outfalls observed during the inspection?
■
❑
❑
❑
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
■
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
fi
❑
n
Comment: Please refer to attached inspection summary letter.
Page: 3

1 `
4
k
MC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Duality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
16 March 2009
Mr. Sam W. Smith, Owner
Sam W. Smith, Incorporated
P.O. Box 428
Eden, NC 27288
Subject: Compliance Evaluation Inspection
NPDES General Stormwater Permit NCG020000
Certificate of Coverage NCG020301
Sam W. Smith, Incorporated
Rockingham County
Dear Mr. Smith:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ)
conducted a compliance evaluation inspection (CEI),at the subject facility on 12 March 2009.
Your assistance and cooperation during the inspection was greatly appreciated. An inspection
checklist is attached for your records and the inspection findings are summarized below.
2.1 The facility is located on the south side of NC Hwy 770,' approximately 2.4 miles east of the
intersection of NC Hwy 770 and Gant Road, in Eden, Rockingham County, North Carolina.
Stormwater related to industrial activity is discharged to an unnamed tributary to*Cascade Creek
which is currently classified as Class C waters in the Roanoke River basin.
Documentation & Monitorinq_Review
3. A BMP plan was available at the site during the inspection. The plan was found to be sufficient.
Inspection records for BMPs were also available and found to be complete and current.
4. Qualitative monitoring has been accomplished as required, however analytical monitoring has not
been done. Please sample, as required by the permit, as soon as possible, and notify Mr. Boone
when it has been completed. Please note that the general permit is currently being rewritten and
significant changes to the monitoring requirements are expected. If you need to obtain a copy of
the latest NCG020000 general stormwater permit, you may do so at any time at our website:
http:1/h2o.enr.state.nc.us/su/Forms�Documents.htm.
Site Review
5. The site was very clean and well maintained. The majority of stormwater is conveyed to a large
pond located on the far west side of the site, which then discharges to the receiving stream.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone•. 336-771-50001 FAX: [phone] Customer SeMce:1-877-623-6748 North C arolina
Internet www.ncwaterquality.org �/ y " atus` a lff
An Equal Opportunity 1 Affirmative Action Employer

Mr. Sam W. Smith, owner
Sam W. Smith, Incorporated
Compliance Evaluation Inspection, NCG020301
3/16/2009
Page 2of2 }
6. There is a significant amount of waste trees and brush being brought to the site that you told Mr.
Boone would be ground and sold for mulch. Please ensure that you continue to keep such
materials well away from State waters arid minimize sediment disturbance when handling the
materials. Additionally, according to Mr. Boone, the BMPs receiving runoff from the side of the
site where the waste pile is need minor, maintenance to ensure that they continue to protect the
receiving stream adequately. Please ensure the necessary maintenance is accomplished is soon
as possible.
7. Thank you for your cooperation in this matter. Should you have any questions regarding this letter
or the inspection, please feel free to contact Mr. Boone or me at [phone].
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor .
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
cc: SWP — WSRO
Central Files
Stormwater Permitting Unit

" i'
Compliance Inspection Report
Permit: NCG020301 Effective: 01/19/05 Expiration. 12/31/09. Owner: Sam W Smith Inc
SOC: Effective: Expiration: Facility: Sam W Smith Incorporated
County: Rockingham NC Hwy 770
Region: Winston-Salem
Eden NC 27288
Contact Person. Sam Smith Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name
On -site representative
Related Permits:
Certification:
Phone:
Sam
Smith
Phone:
336-623-9151
Sam
Smith
Phone:
336-623-9151
Inspection Date: 0311212008 Entry Time: 09:00 AM Exit Time: 10:00 AM
Primary Inspector. Ron Boone / Phone: [phone]
Secondary Inspector(s): f (53-/ Ext.2202
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Mining Activities Stormwater Discharge COC
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
® Storm Water
(See attachment summary)
Page: 1

Permit: NCG020301 Owner • Facility: Sam W Smith Inc
Inspection Date: 0311212008 Inspection Type: Compliance Evaluation
Inspection Summary:
Please refer to attached inspection summary letter.
Reason for Visit: Routine
Page:2 -

Permit: NCG020301 Owner • Facility: Sam W Smith Inc
Inspection Date: 03/12/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Stormwater Pollution Prevention Plan Yes No NA NE
Does the site have a Stormwater Pollution Prevention Plan?
❑
❑
■
❑
# Does the Plan include a General Location (USGS) map?
❑
❑
■
❑
# Does the Plan include a "Narrative Description of Practices"?
'❑
❑
■
❑
# Does the Plan include a detailed site map including outfall locations and drainage areas?
❑
❑
■
❑
# Does the Plan include a list of significant spills occurring during the past 3 years?
❑
❑
■
Cl
# Has the facility evaluated feasible alternatives to current practices?
❑
❑
■
❑
# Does the facility provide all necessary secondary containment?
®❑
n
❑
# Does the Plan include a BMP summary?
®❑
❑
❑
# Does the Plan include a Spill Prevention and Response Plan (SPRP)?
❑
❑
■
❑
# Does the Plan include a Preventative Maintenance and Good Housekeeping Plan?
■
❑
❑
❑
# Does the facility provide and document Employee Training?
❑
❑
■
❑
# Does the Plan include a list of Responsible Party(s)?
❑
❑
®
❑
# Is the Plan reviewed and updated annually?
❑
❑
®
❑
# Does the Plan include a Stormwater Facility Inspection Program?
❑
❑
®
❑
Has the Stormwater Pollution Prevention Plan been implemented?
❑
Q
®
❑
Comment: Please refer to attached inspection summary letter.
Qualitative Monitoring
Yes
No
NA
NE
Has the facility conducted its Qualitative Monitoring semi-annually?
®❑
❑
❑
Comment: Please refer to attached inspection summary letter.
Analytical Monitoring '
Yes
No
NA
NE
Has the facility.conducted its Analytical monitoring?
❑
■
❑
❑
# Has the facility conducted its Analytical monitoring from Vehicle Maintenance areas?
❑
■
❑
❑
Comment: Please refer to attached inspection summary letter.
Permit and Outfalls
Yes
No
NA
NE
# Is a copy of the Permit and the Certificate of Coverage available at the site?
®❑
❑
❑
# Were all outfalls observed during the inspection?
®❑
❑
D
# If the facility has representative outfall status, is it properly documented by the Division?
❑
❑
®
❑
# Has the facility evaluated all illicit (non stormwater) discharges?
■
❑
❑
0
Comment: Please refer to attached inspection summary letter.
Page: 3

file Tasks queries gdminlstration Qelp
_
....x,12 .I B f
5 ?�
1
Overflow Limit Comments History inspections Incidents Enrorcemente r Volalions
Anaypcai Umd Qualdatrve Umtl Vehicle UM4 DeWalerinq Omit WasleWater Lima
Detals
Details 1 Details 2 Billing Events Reg. ActWes AMIiabons ReNewersr Related Permits
Permit CGG2g3C7 Versions Stairs
Permit Type: Mlnlnq AcbnL•es Stormwater Discharge COC
Permit Class:6cavon: OC Primary Related Permit NCG020000
Program Category. �IPDES SW Admin Region:.Wknsion-Salem
It,
!
j
Faciby. Sam W Smith inter Grated ram-'
p Qetails..r C¢uniy: Rockingham
rrFlr nd Per'""�"
f
Owner: Sam W Smith one Details... Project Type: Renewal
- Dates--
Issued: 01119l2005 Ong Issued: 7lUf1995
-
l
❑ Liajor Permit jnctdnq Sllp
ElTecirve: PlAW2005 smvc y '1012112001
0NewFarm 0EnsdngFarm Farm
i
Expi:e: 12l I.- Inacvve: IT 1 ❑ innwa;ne Avail. Acres:
SOC; Details... ❑ Rainbrea'ner Device
❑ GiC Present
Last Updated By. ¢ims¢rcia crop Last Updtated0n: - 1Uf27! 005 1a55 AM---..--�
` <gack jgext >• finish goose i
-
Ready sio: PMD1
s
if Craw •. r.11 ter , ti n 6 MW .0 W 1-6 • .J . 6 I a _l
_-_ .
d SStart t Novel-deYv.- '6 Irb. for-W... ®Ba5h1wide ... i SWLL244N... �, Doarnentl J Q (° 1 M!' stuff " 4 aJ 4,v, *3± N 7 EIS AM
Fite Tasks Ouerf---
I
J Comments r Permits Wells incidents r Inspecb¢ns Violations BOlmq EntomementS r History
___
• Details Regulated Aeftlles Ar.iliabons Treatment Urtits SICS Tax Cenidca3¢n Numbers Classdicabons J
YYY Orerfl 'Faziliy Name: Sam W Smith Inccrp¢rtad Farm #: F7 Pretreat Plan Status -None
Ov. .der Name: Sam W Smith Inc Facility Status: Proposes
Del
- Alalla¢Ie '$eIB[I@tl ❑ Receives Pretreated Wastawale
ea e Atld. Vsa a ❑PrimaryPretreatment Facility
_
Coataminahun Source Facld ❑Non -Exposure Exemption
0Is esal Site141<j3emare ❑ Registered for eDMR
Perr� Stan DC Ong Registered: Closed Ot-O InacWe Dr
Ong CAWMP DC LatestCAWNP... I� Integrator: Find J
PI
l Location A¢tl1:NC Hwy 770 Region: Wms:en-5 afem
Ad02: County Rockingham
,Fin Cloy. Eden +
Slalel NO + Zip47283- Country
- DlroCtionsl
VSGS Map Num: ....
Decimal DD:WES Accuracy: Neares130 secondsLabWtle:
36533333 36.32.00 Method: Na,,gauon quality GPSLongltu¢e::79.65
1—w
79.39.00 Datum: NAD93
LasiUpdatadHyCOERiED LasiVpdaledOl:J
NVn_SI2001 S23Am
jjelA _Rack lie"t finish gl¢se
•grew
- Ready II BID: FLDL
,....-,..��....___�.I
Page 1 Sec 1

_
y y
- —_
---- aJ
File Tasks Queries 8dministratlenl3elR
12 BI
X
I
Oreraew Ltms Comments Hlstary inspections Incidents Enforcements Nnlations
Du'Jall AnayUcal Limil OualiSafive Limil Vehl[le Lima DBWatedng Limit
( Detalis 1 Details 2 f 9111inp Erenfs Rep, A[SMtles A1:Iliati9n5 f ReAewers
Permit NCG020301 Version: 2,9 Status: ' cClw
Waste Water Lima
Related Permits
Entity
'AfillationT a I Name
title
Phone Number
Owner
Owner ISmith, Sam Jr
fi 623.9151
t
SmhPermit Contact Person m Jr
[phone]
I
Permit
!Billing SMIM SamJr
[phone]
I4
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