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HomeMy WebLinkAboutNCG030595_COMPLETE FILE - HISTORICAL_20140327STORMWATER DIVISION CODING SHEET RESCISSIONS � PERMIT NO. DOC TYPE ' ❑ COMPLETE FILE - HISTORICAL DATE OF ❑ 50mo3al RESCISSION YYYYMMDD W'A NCDENR North Carolina Department of Environment and Natural Resources Division of Energy, Mineral and Land Resources Land Quality Section Tracy E. Davis, PE, CPM Director Jose Concepcion Lydall Thermal Acoustical, Inc. 601 East Main Street Yadkinville, NC 27055 Dear Mr. Concepcion: Pat McCrory, Govenor John Skvarla, III Secretary March 27,2014 RECEIVE® MAR 2 7 Z014 CENTRAL FILES DWQ13OG Subject: Rescission of NPDES Stormwater Permit Certificate of Coverage Number NCG030595 Lydall Thermal Acoustical, Inc.-Hamptonville Yadkin County On March 4, 2014, the Division of Energy, Mineral and Land Resources received your request to rescind your coverage under Certificate of Coverage Number NCG030595. In accordance with your request, Certificate of Coverage Number NCGO30595 is rescinded effective immediately. A certificate of coverage (COC) to discharge under NPDES general permit NCG050000 has been issued for this facility. You will receive your new permit under separate cover. If you have questions about this matter, please contact Julie Ventaloro at 919-807-6370, or the Stormwater staff in our Winston-Salem Regional Office at 336-771-5000. Sincerely, for Tracy E. Davis, P.E., CPM cc: Winston-Salem Regional Office — Aana-Taylor-Smith Stormwater Permitting Program Central Files - w/attachments 1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 I FAX: 919-715-8801 512 North Salisbury Street, Raleigh, North Carolina 27604 - Internet: http:tlportal.ncdenr.org/webtlr/ An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper W. WATERS EDGE ENVIRONMENTAL, LLC 4901 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 . PHONE 919.859.9987 • FAX 919,859.9930 February 28, 2014 SW NPDES Permit Coverage Rescission Stormwater Permitting Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Reference: Stormwater Permit Rescission Lydall Thermal/Acoustical, Inc. 601 East Main Street Yadkinville, NC 27055 General Permit NCG03000 and NCG05000 Waters Edge Job No R13-49 To Whom It May Concern: FS �D VAR 0 4 c0i4 ! a W.41�h Based on a recent Email from Ms. Aana Taylor Smith representing NCDENR, we are submitting a copy of a SW Permit Rescission Request Form to this office for the above mentioned facility located at 601 East Main Street in Yadkinville, NC. This Lydall facility is covered under an existing Stormwater Certificate of Coverage NCG030595. We have recently submitted a Stormwater NOI and Ms. Taylor responded that the facility should be covered under a NCB permit -requirements since this is the predominate manufacturingactivity ctivity at the facility_.fI'o allow the NOI to process, she requested that we submit the attached NCDENR Rescission Request orm. If you have any questions, or if we may be of�further assistance, please contact me at a,w prahn atersedaeenv.com or 919.859.9987. Sincerely, Waters Edge Environmental, LLC Phillip L. Rahn President Cc: Mr. Jose Concepcion- Lydall Thermal Acoustical, Inc. Ms. Aana Taylor Smith- NCDENR WS Regional Office 14-023 I OH ACiiNCY USE= ONLY I'My AA, DIVISioli 4 il'tllcr Qmtli(y / Silrfo-uc. 1i'ntCr 1'rolrcliutr _ Dato Rocolvad -- fY4ar ` Nutionnl'Poiluiiutl l]isclrnrgc lilin?inntiort 5}.�leln .......'ort' NCD'Eu"R . CyCp 1� 1� /�t1CL�T /��yp� .l rrrr Ci.w.,m>mrm¢n.o- f�ESCISSION"REQUES FORM Please fill out and return this fortn'if you no longer need to maintain your NPDFS storrnwater permit. 1) Enter the permit number to which this request ajilAes: Individual Permit (Oi) Certificate of Coverage N. -C ' S �rl - I I N C I G C 3 0 5 9; 2) owner/Faculty Inforim' tion: ' Awl corresponder?Ce M11be mcrlled to the undress rrotedbelaty 1 ll d Lya. ']'hcrrnal l�couoca, Zy 0A Owner/Facility Name til :Cnc �� 6v �' Facility Contact Mr...'Jose 'Concepcion t f� Street Addiess 601 last Ma:Ln Street City Yadki:nville lair r, .. State NC ZIP Codc 27055 County Yadkin ' E-mall Address colicepcionol.yda),I . coln'" Telephone No. 336 .1468 : 8507. Fax: 336 . 468 . 8555 3) Reason for re'kission Verluest (This is reguilred information. Attach separate sheet if necessary): ' ❑ Facility closed or is closing on ' All industrial aclivilies have ceased sucil that no discharges of stormwater are contarninated'by exposure to industrial activilies or materials. ❑ Facility sold to 1 on ' If the facility will continue operations under the new.owner it may be more appropriale to request an ownership change to reissue to permit to the new owner. M Other: We".are"submitting a NOI for a new permit type (NCG05 versus--NCG03')-•. 4) Certification-. 1, 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.actur•ate. Date ___14110 11 1 - '1•itle', SW NPDES Permit Coverage Rescission Stormwater Permitting Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Signature Print or type name'of person signing above Please return this completed resciss'lar7 request form to: 16 17 }Sall sCEvlte ct-rsler, I01e6;11, Nolth (Mdioli 276994617 Locallon:512 N. Ga!sburyM, Itale4gl+, Nolth Uiohna M04 011e Phone: fli9 A07 G3001 i'Fl ; 919.807•G49?.1(',uslc?nrerSrrvi : 1-fl17•G73 Glg i No1'dl Carolina loterncl:t�:::r.nttrdleutlrahly.or� , An L'qusl OPlnrlun�l l Al fmiali: e kl"an Lrnp;z�v 11 V NC }_ 0 30 5- WATERS�ED��GE/^'ENVIRONMENTAL,LLC e 4yQ1 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 • PHONE 919.859.9987 • FAX 919,859.9930 February 8, 2014 Mr. Bradley Bennett NCDENR Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report, Stormwater Discharge Outfall Monitoring Report and Tier I Response Lydall Thermal/Acoustical, Inc. 601 East Main Street RECEIVED Yadkinville, NC 27055 General Permit No NCG030000 and NCGO50 00 FEB 2 0 2014 Year 1- Period 1 CENTRAL FILES Waters Edge Job No R l 3-49 DWQI$QG Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 1- Period I (January -June 2014) 2014 forms for the January 10, 2014 site inspections and discharge sampling at the Lydall facility located in Yadkinville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report and DMR are included in Appendix A with analytical results included in Appendix B. Based on the results, we had the following exceedances at Outfall-001 and Outfall 002: Outfall 001 • Zinc detected at 0.0963 mg/L versus a benchmark at 0.067 mg/L Outfall 002 • Zinc detected at 0.108 mg/L versus a benchmark at 0.067 mg/L Based on the permit conditions, we conducted a Tier I response and determined that there was considerable galvanized materials exposed to precipitation (process -related materials, storage, and scrap piles). We will take measure to better cover these materials in an effort to minimize exposed surfaces. This Tier I response was recorded in the SPPP including the date and value of the benchmark exceedance, the inspection date, personnel conducted the inspection, the selected actions and the date the selected actions were implemented. Stormwater Discharge January-Ane 2014 Sampling Report a17d Tier 1 Response Lydall Thermal/Acoustical, Inc. 601 East Main Street Yadkim,ille. NC Page 2 of 2 February 8, 2014 If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC F-0=0�10 W"M 2t, Phillip L. Rahn President cc: Jose Concepcion, Lydall and NCDENR Stormwater Central Files (two copies) 14-0131PLR Job No Topo Arend afte l'rtlr �ITRSGE ENVIRONMENTAL, LLC Rl3r{9 1 Il'rnstonSalem 1211212VI3 Pr+i�ectLui;alinn Map File Name Figure Seale Projecl Isdall SWPT' Plan R13- 9 xis I unknown Yadkinville, North Carolina UIn of , - r rI '71 *- *73 f - � OWN s till 46. l AA wilding B �' •.. r _ `I ' - - e •�� r� 1 LL A Building A •, F-ems- , t16 IV o: _ - :1: J 1 - _ w WATERS EDGE ENVIRONMENTAL, LLC K13-49 12/121-10 3 �� File Name Figure Scale Proy K 13-49.xis 2 unknown Outfall location Map l_ydall SWPP Plan Yadkinville, North Carolina aceAnalytical° www.pac0ab&=n February 11, 2014 Mr. Phil Rahn Waters Edge Environmental 4901 Water's Edge Drive Suite 201 Raleigh, NC 27606 RE: Project: Lydalll Yadkinville Pace Project No.: 92186094 Dear Mr. Rahn: Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (330)623-8e21 Enclosed are the analytical results for sample(s) received by the laboratory on January 13, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TN standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sinc�erely, ` , Terri Page terri.page@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of race Analytical Services, tnc.. Page f of 13 Pace Analytical Services, Inc. aceAna�ytical a 205 East Meadow Road - Suits A Eden, NC 27288 WWWPsoelabscam (336)823-8921 CERTIFICATIONS Project: Lydall! Yadkinville Pace Project No.: 92186094 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 FloridalNELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #. 5342 West Virginia Certification #� 357 North Carolina Wastewater Certification #: 12 VirginiaNEL4P Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification iDs 2225 Riverside Dr., Asheville, NC 28804 Flodda/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification * 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 13 aceAnalytical WMpacelabs.com Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 SAMPLE SUMMARY Project: LydalIt Yadkinville Pace Project No.: 92186094 Lab ID Sample ID Matrix Date Collected Date Recelved 92186094001 Outfall 002 Water 01/10/14 14:00 01/13/14 09:10 92186094002 Outfall 001 Water 01/10/14 14:30 01/13/14 09:10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 13 aceAnaIXical www.pxdebscom SAMPLE ANALYTE COUNT Project Lydall! Yadkinville Pace Project No.: 92186094 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Lab ID Sample ID Method Analysts Analytes Reported Laboratory 92186094001 Outfall 002 EPA 1664E CLW 1 PASI-C EPA200.7 3MW 3 PASI-A SM 25400 DAS 1 PASI-A 92186094002 Outfall 001 EPA 1664E CLW 1 PASI-C EPA200.7 JMW 3 PASI-A SM 2540D DAS 1 PAS1-A 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 13 ace .Analytical www'PaDOWa.cem ANALYTICAL RESULTS Project: Lydalll Yadkinville Pace Project No.: 92186094 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Sample: Outfall 002 Lab ID: 92186094001 Collected: 01/10/14 14:00 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MOIL OF Prepared Analyzed CAS No, Qual HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mglL 5.0 1.1 1 01/15/14 10:16 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper NO ug1L 5.0 0.30 1 01/15/14 09:10 01/16/14 20:52 7440-50-8 Lead NO uglL 5.0 4.0 1 01/15/14 09:10 01116/14 20:52 7439-92-1 Zinc 108 uglL 10.0 0.40 1 01/15/14 09:10 01/16/14 20:52 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 14.7 mg/L 2.5 2.5 1 01/15/14 21:04 Sample. Outtall 001 Lab iD: 92186094002 Collected: 01/10/14 14:30 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MDL OF Prepared Analyzed CAS No. Clue! HEM, Oil and Grease Analytical Method: EPA 1664B Oil and Grease NO mg1L 5.0 1.1 1 01/15/14 10:16 200.7MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA200.7 Copper NO ug1L 5.0 0.30 1 01/15/14 0910 01116l14 20:55 7440-50-8 Lead NO ug1L 5.0 4.0 1 01115/14 09:10 01/16/14 20:55 7439-92-1 Zinc 98.3 ug1L 10.0 0.40 1 01/15/1409:10 01/1611420:55 7440-66-6 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 8.1 mglL 2.7 2.7 1 01/15/14 21:04 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/11/2014 12:27 PM without the written consent of Pace Analytical Services, Inc., Page 5 of 13 aceAnalyilcal o www.pacelabs.corn QUALITY CONTROL DATA Project: Lydall/ Yadkinville Pace Project No.: 92186094 QC Batch: GCSV116435 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92186094001. 92186094002 METHOD BLANK: 1121262 Matrix: Water Associated Lab Samples: 92186094001, 92186094002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 01/15/14 10:09 Pace Analytical Services, Inc.J 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE 8 LCSD: 1121263 1121264 ' Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Oil and Grease mg/L 40 33.0 37.9 82 95 78-114 14 30 Date: 02/11/2014 1227 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Ina. Page 6 of 13 Pace Analytical Services, Inc. aceAnalytrcal a 205 East Meadow Edena NC 27288 www.Peaef8h&o0m (336)623-8921 QUALITY CONTROL DATA Project: Lydalit Yadkinville Pace Project No.: 92186094 QC Batch: MPRP/15045 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 A lalysis Description: 200.7 MET Associated Lab Samples: 92186094001, 92186094002 METHOD BLANK: 1121240 f Matrix: Water Associated Lab Samples: 92186094001, 92186094002 1 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ugJL ND 5.0 01/16/14 20:05 Lead ug/L ND 5.0 01/16/14 20:05 Zinc ug/L ND 10.0 01/16/14 20.05 LABORATORY CONTROL SAMPLE: 1121241 S ike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper ug/L 500 495 99 85-115 Lead ug/L 500 491 98 85-115 Zinc ug/L 500 496 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121242 1121243 MS MSD 92185976009 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Cbnc. Conc. Result Result % Rec % Rec Limits RPD RPD Quai Copper ug/L 23.9 500 500 628 526 101 100 70-130 0 20 Lead uglL ND 500 500 482 482 96 96 70-130 0 20 Zinc ug/L 173 500 500 678 670 101 99 70-130 1 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121244 1121245 IMS MSD 92186114003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc, Conc. Result Result % Rec % Rec Limits RPD RPD Qual Copper ug1L 0.16 500 500 655 639 99 96 70-130 2 20 mg/L Lead ug/L ND 500 600 476 470 95 94 70-130 1 20 Zinc ug/L 7.5 500 500 7820 7560 66 13 70-130 3 20 M1 mg/L REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/11/2014 12:27 PM witho i1 the written consent of Pace Analytical Services, Inc.. Page 7 of 13 aceAnalytical www.pacefebscan QUALITY CONTROL DATA Project: Lydall/ Yadkinville Pace Project No.: 92186094 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 QC Batch: WET129102 Analysis Method: SM 2540D QC Batch Method: SM 25400 Analysis Description: 2540D Tota! Suspended Solids Associated Lab Samples: 92186094001, 92186094002 METHOD BLANK: 1122068 Matrix: Water Associated Lab Samples: 92186094001, 92186094002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mglL ND 2.5 01/15/14 20:57 LABORATORY CONTROL SAMPLE: 1122069 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mglL 250 248 99 80-120 SAMPLE DUPLICATE: 1122070 92186360001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mglL 33.0 47.5 36 10 D6 SAMPLE DUPLICATE: 1122071 92186079002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L 18.0 17.1 5 10 Date: 02l11I2014 12:27 PM REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc,. Page 8 of 13 aceAnalytical wwwpac*bs.=n QUALIFIERS Project: Lydall/ Yadkinville Pace Project No.: 92186094 DEFINITIONS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Edon, NC 27288 (336)623-8921 DF - Dilution Factor, if reported, represents the factor appli'd 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. PRL - Pace Reporting Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenythydrazine (8270 listed analyte) decomposeslto 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. SG - Silica Gel - Clean -Up 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. f Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TN accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LA130RATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) M1 Matrix spike recovery exceeded QC li Date: 02111I2014 12:27 PM sen the sample and sample duplicate exceeded laboratory control limits. Batch accepted based on laboratory control sample (LCS) recovery. iRT OF LABORATORY ANALYSIS This report shalt not be reproduced, except in ft A, without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalXical wwwpec &b&cwn QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: Lydali! Yadkinville Pace Project No.: 92186094 Analytical Lab 10 Sample ID QC Batch Method QC Batch Analytical Method Batch 92186094001 Outfall 002 EPA 1664E GCSV116435 92186094002 Outfall 001 EPA 1664B GCSV116435 92186094001 Outfall 002 EPA200.7 MPRP115045 EPA200.7 92186094002 Outfall 001 EPA 200.7 MPRP115045 EPA 200.7 92186094001 Outfall 002 SM 2540D WET129102 92186094002 Outfall 001 SM 2540D WET129102 Date: 02/11/2014 12:27 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. ICP113663 ICP113663 Page 10 of 13 Gf3.M lYG2�° Document Name: Sample Condition Upon Recef t SCUR Document Revised: March 13,.2013 Page 1.of.2 'Document No,: ; F-EDN-CS-003-re'V.09 .. Issuing AuthOrlties: Pace Eden Qualt Office Client -Name:_ Where Received: ❑ Huntersvllle n Ash7vlfle e' Eden ❑ Raleigh Courfer(circle)- Fed Ex UPS USPS C lient Commercial Pace Other Custody Seal on Cooled8ox Present: ❑yes Sealsintact: ❑ yes ❑ no Packing Material: [bubble Wrap ❑Bubble Baone ❑ Other :...... _ sed........ _ . Yp. lue.:. _ orie _..... SatnRles_on ice, pooling. process has begun ..... . Tllermometer, Used,. IR Gun ,.. . .... ."pT � of Ice: et . ,8 TemD Correction Factor! Ad! Subtract si f C " 1__� ''Z". 3C I Blologleaf Tissue Is Froien: Yes No Date and Initials otperso ex p ining . Corrected Cooler Teinp.: _N/A contents: Temp should be above freezing to 610 Comments: Chain of Custody Present: Q�Yels ONo ©NrA i.' ' Chain of Custody Filled Out: ONo ©NIA 2. Chain of Custody Reftri uished: P1Yels ONo. OWA 3. . Sampler Name & Signature on COC: ZYels. ONo, 1JN/ti 4. Sam Les Arrived within bold Time: ' OYes I.7No OWA 5. Short Hold Time Analysis <72hr : ']Yes - o E WA 6. Mush Turn Around. Time Requested: OY;s.IZNo' ©NIA 7. SuffidentVolume- . yt" ONo -OWA 8: Correct Contalners Used: OYbs ONo OWA 9. -Pace Conta€hers Used:. e e s ON. • ON/A' Containers Intact: ,]Yes ONO - OWA 10, Filtered volume received for Dissolved tests 'OYes ONo A 11, Sample Labels match C06: 2 q, [IN, ONIA 12. -Includes date/time/ID/Analysis ' Matrix: All containers needing preservation have been oheoked. 6CNo OWA IS, All oontainom needing preservation are found to be in Ios OYO$ ONo OWA cornpllagce with EPA recommendation. !M! ns: VOA, ooliform, TOC, OSM, W -DRO (Wateo 13Yos ONo lnrtfal when leted . Samples checked for dechlorinatlon: Oyes Onto . PrWA 14. Heads ace In VOA;Vials >Brrlm : OY@s. ONo IIWA 15. Trip Blank Present: Of ee ONo EIWA 16. dWA Trip Blank Custody Seafs Present Dives QNo Pace TrIe Blank Lot # If urchased : 1 Client Notlflcation/ Resolution: Fleid Data Requlred7" Y 1 • N Person Contacted: DateMme: Comments/ Resolution: iAi SCURF Review: Oate: ' I Place label here SRF Review: Date: 1 OR, Note: Whenever there is a discrepancy affecting North CafoUna compliance samples, a copy of this form will be sent to the North Carolina DEHNFt Handwrite project number Certlitcatlon Office (La out of hold, incorrect preservative, out, of temp, (It no label available) Incorrect containers) _-- Page 11 of 13 CHAIN -OF -CUSTODY 1 Analytical Request Document 1!The Chain -of -Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately: aceAnalytical' � ' . � . ... • .. - . . ww.pacehbs.wm ' Sedion A - .. Section i3 Section C IPA' 1 ! °t ' Required Client information: Required Project Information: Invoice Information: - =1700133 Company. Report To: . - AM4AJAttention: Address: �Copy To: CompaName; - . � ny REGULATORY_ AGENCY' Address: - )" NPDES r GROUND WATER f DRINKING WRIER cequasrea sue ua*er ria r : rrolecc ryurrwc . .- � I J w r,o„a . Section D Matrix Codes Required Client Information MATRIx1 C4 F s -COLLECTED - Preservatives '3;'' Drinking Waxer DW Water WT II - Waste Water Ww ro cowmrrr ComposiTE 0 Product P 4 sTntt[ rr+cRr`a SdifSOGd SL SAMPLE ID Oil °L V O W Wipe WP B' Lu ~ Z 'g .[A-Z, 0.9 ! r) Air AR. q _ - a m Sample IDs MUST BE UNIQUE Tissue TS F ap _ Other . OT U TQ F t� F` Z- O Z 2 - - .Q C O c •T - E O� a. ~ _ DATE ' TIME DATE : TIME co #.' Z Y i x z z: O ,.j j 3. :4 - - 8, SAMPL_Ei2 NAfNE'AIlD,.SIGNATUPJ PRINT None of SAMPLER: ra ORIGINAL SIGNATURE of SAMPLf=R- W 'tmpur ant NOW By ai©nkng "s torm you are accepUng Paces NET 30 day payment terns and agreeing to late charges of 1.5% per .Q V .p Pace Proiect NoJ Lab I.D. AGGEPT;D BY I AFFOATION 'DATE TIME ,;, SAMPI-E CONDITIONS L� �10 -Z•3 %. a U m DATE 5lgnod p I° — m E (MMfDDNY): %4>' - rc rn m nal paid F-ALL-0-020rev.07, 1"ay-2007 .+ ' .-CHAIN-OF CUSTOD% CAnaiytical Request Dociiitierit i aceAnal}itical The C�iain-of-Custody is a LEGAL DOCCIMFNT. AD rele raM heft must be compiete aodiratety_ :....,. Section A - Section B- . - '-' - 'Section C. _ .. - .. ... -. -Required CDeal Information: • . Roqutred Project Irr(arrnalldn: Inwloo Intom�fbn: , .' CmPa ' Rep_, ro AItw1k.: .... 17.0 0 -3 3'. address: copy To: I r ComaenY Nam: - iEGIJLATORY AGENCY x < x `a. ' .< i ? � • . 'Purchase R _. NPDES' r .)` :. GROUND WATERAdd j DRINKING WATER ' Emall To - Order No ) - Pate Qwte ! I' UST' .RCRA' .OTHER Phone: _ Fare Project Name:.=Slte t.ocalbn ! f "�`r`STAT£ , - ' y Sr�.� f =� r r •�- Requested DipDitarfAT:-' ProjdclNumber:.. �} j^�� Pacavivs�fe:.-:.-:: °. r.- : - - K. l.i r., . - SBctfon D' Maw. Codes " '' ;' ns r 4 e.y„r;:ecrenrufoneuae MATF D(! COOE COLLEGTEfl '• Pre's©rvatiies }_ , -, r - Drirdciry Water • -DW- _ .. - Water, WT .. Lj D - - : Rasta Water .WWSTART t P -o'. OOMPOOTE �M StrE- �. ., �.. ' - �. �SaBSofid � '.SL r�i : � .. c• o. � w ;. � : OL ..-' (A-2r) I . . .Ak.' _Z — _ y Sample IDs MUST 8E UNIQUE ' Tissue' -'TS d a' 4- m . W - — L '- - Other - OT O., _ N mOO m - - -LL ' ¢ O c _. Z- U m w l m :. TIME rare TIME' � � �_ x 7C z z M O ' . 'Pate Project No:! Lab I.D. �ff tt� vZFA /DATE - 2'ID 1 i _,.3•_ a 9\' r 92 -..�.-; v' i AbDfT10NAL COMMENTS & - - iiELg1QU1SHEEl:BY f AFFII-44FION - PAFE. 1ME -0..ACGEP'IED $Y1 AFFILU4TION�+.' 3 4�' I�AAlI= €' s E .. . - &f1MPLE GONDMON5 .. .. _ i y- c , d _ riles 13� � �. SATd�.Ei3.NAMf✓ AND SIGNATURE' �- ,�� . ,j y {' ^{ � ' �' ';:'1„ 5 v_ r � � m _ � _ . oreo � - - mom' W O . -E a .- m U m..- .. E ? E - - - .. _ SIGNATURE SAMPLER: ' DATE Signed: _ / of (:Q - a" y ziJ - 'ImpariaN N We; 8Y s9rkk9 thb brrir you am i9 Paces NET 30 day. paymerK tenai and agreeirp b Fa6a'deaiges of LS% � rt+onrh far am nrbic is +n! paiC days.' .. '' Y F-AI.L-Q-02fty 07 i 5-May 2007 . Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 1.31.14 CERTIFICATE OF COVERAGE NO. FACILITY NAME _Lydall Thermal Acoustical COUNTY Yadkin PERSON COLLECTING SAMPLES T. Haynes LABORATORY Pace_ Lab Cert. # �37706_ Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD ® Jan -June ❑ July -Dec or ❑ Monthly) January(month) DISCHARGING TO CLASS ®ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [_]SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 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/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 1/10/14 0.73 8.1 6.21 ND ND 0.0963 ND NA 002 1/10/14 0.73 14.7 6.49 NO ND 0.108 ND NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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 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." Jose R. Concemion Name (Print name) E n N, i ro n nA tat and SafeRna t, er Title (Pri t - e) 2/7/2013 (Signature) (Date) Note: Results must fie reported -in numerical format. Do not retort 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 miz/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, 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 OUTFALI_ TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO REGIONAL OFFICE CONTACT NAME: Tom Yocum (Email) 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 Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designe tc�o 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 pers s direct r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am award erU`aF4� significantppn ties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of 2/7/2014 (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 0 Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: 1 Permit No.: IN! C I G 10 1 3 1 0 1 0 1 0 1 01 Facility Name: Lydall Thermal/Acou, County: Yadkin Inspector: Thomas Haynes Date of Inspection: 1.10.14 Time of Inspection: 2:00 PM Total Event Precipitation (inches): 0.73 or Certificate of Coverage No.: ? l il, Inc. Phone No. 336.485.8522 Was this a Representative Storm Event? (S�e information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (reyuirentents vary). A "Representative Storm Event" is a storml 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 un to 10 consecutive hours of no precipitation. By this signature, I certify that this report is (Signature of Permittee or Designee) 1 Outfall Description: urate and complete to the best of my knowledge: Outfall No. 001/002 Structure (pipe, ditch, etc.) Drainage Swale Receiving Stream: Unnamed Tributary of Town Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Light brown Page 1 of 2 S WU-242-112608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 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: 0 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: lO 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 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: 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 S WU-242-112608 aceAnalytical www.pscefaha.com February 11, 2014 Mr. Phil Rahn Waters Edge Environmental 4901 Water's Edge Drive Suite 201 Raleigh, NC 27606 RE: Project: Lydalll Yadkinville Pace Project No.: 92186094 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Dear Mr. Rahn: Enclosed are the analytical results for sample(s) received by the laboratory on January 13, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincherely, ` , Terri Page terri.page@pacelabs.com Project Manager Enclosures REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 1 of 13 (�IaciemalXimlo www.pecerabs.com Paco Analytical Services, Inc. 205 East Meadow Road - Suite Eden, NC 27288 (336)823-8921 CERTIFICATIONS Project: Lydali! Yadkinville Pace Project No.: 92186094 Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huntersville, NC 28078 Florida/NELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification #: 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 Virginia/VELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification I0s 2225 Riverside Dr„ Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginialVELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 13 aceAnalytical ..pecelabs.com SAMPLE SUMMARY Project: Lydall! Yadkinville Pace Project No.: 92188094 Lab tD Sample ID Matrix Date Collected Date Received 92186094001 Outfall 002 Water 01/10/14 14:00 01/13/14 09:10 92186094002 Outfall 001 Water 01/10/14 14730 01/13/14 0910 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Pace Analyf}cal Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (338)823.8921 Page 3 of 13 IeAnalytical www.pacelaftcom SAMPLE ANALYTE COUNT Project: Lydall/ Yadkinville Pace Project No.: 92186094 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92186094001 Outfall 002 EPA 1664E CLW 1 PASI-C EPA200.7 JMW 3 PASI-A SM 2540D DAS 1 PASI-A 92186094002 Outfall 001 EPA 1664E CLW 1 PASI-C EPA200.7 JMW 3 PASI-A SM 2540D DAS 1 PASI-A 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 13 aceAnalyNo WWW pacalabacom ANALYTICAL RESULTS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NO 27288 (336)623.8921 Project: Lydalt/ Yadkinville Pace Project No.: 92186094 Sample: Outfall 002 Lab ID: 92186094001 Collected: 01/10/14 14:00 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MDL OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease NO mg1L 5.0 1.1 1 01/15/14 10:16 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper NO ug/L 5.0 0.30 1 01/15/14 09:10 01/16/14 20:52 7440-50-8 Lead NO ug/L 5.0 4.0 1 01/15/14 09:10 01/16/14 20:52 7439-92-1 Zinc 108 ug/L 10.0 0.40 1 01/15/14 09:10 01/16/14 20:52 7440-66-6 2640D Total Suspended Soilds Analytical Method: SM 2540D Total Suspended Solids 14.7 mg/1- 2.5 2.5 1 01/15/14 21:04 Sample: Outfall 001 Lab ID: 92186094002 Collected: 01/10/14 14:30 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MDL OF Prepared Analyzed CAS No. Qual HEM, Oil and Grease Analytical Method: EPA 1664E Oil and Grease ND mg/L 5.0 1.1 1 01/15/14 10:16 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper NO ug/L 5.0 0.30 1 01/15/14 09:10 01/16/14 20:55 7440-50-8 Lead NO ug/L 5.0 4.0 1 01/15/14 09:10 01/16/14 20:55 7439-92-1 Zinc 96.3 ug1L 10.0 0.40 1 01/15/14 09:10 01/16/14 20:55 7440-66-6 2640D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 8.1 mg1L 2.7 2.7 1 01/15/14 21:04 REPORT OF LABORATORY ANALYSIS This report shali not be reproduced, except in fuel, Date: 02/11/2014 12:27 PM without the written consent of Pace Analytical Services, lnc.. Page 5 of 13 aceAnalytrca! www.paoslaba cam QUALITY CONTROL DATA Project: Lydall! Yadkinville Pace Project No.: 92186094 QC Batch: GCSVII6435 Analysis Method: EPA 1664B QC Batch Method: EPA 1664B Analysis Description: 1664 HEM, Oil and Grease Associated Lab Samples: 92186094001. 92186094002 METHOD BLANK: 1121262 Matrix: Water Associated Lab Samples: 92186094001, 92186094002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Oil and Grease mg/L ND 5.0 01/15/14 10:09 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 LABORATORY CONTROL SAMPLE & LCSD: 1121263 1121264 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc. Result Result % Rec % Rec Limits RPD RPD Qualifiers Oil and Grease mg1L 40 33.0 37.9 82 95 78-114 14 30 Date: 02/11/2014 12:27 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc.. Page 6 of 13 acemalytical wwwpaoNahaaom QUALITY CONTROL DATA Project: Lydalll Yadkinville Pace Project No.: 92186094 OC Batch: MPRP115045 Analysis Method: EPA200.7 QC Batch Method: EPA200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92186094001, 92186094002 METHOD BLANK: 1121240 Associated Lab Samples: 92186094001, 92185094002 Parameter Units Copper ug/L Lead ug/L Zinc ug/L Matrix: Water Blank Reporting Result Limit Analyzed ND 5.0 01/16/1420:05 ND 5.0 01/1611420:05 ND 10.0 01/15/14 20:05 Qualifiers Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (338)623-8921 LABORATORY CONTROL SAMPLE: 1121241 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper ug/L 500 495 99 85-115 Lead ug1L 500 491 98 85-115 Zinc ug1L 500 496 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121242 1121243 MS MSD 92185976009 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Copper ug1L 23.9 500 500 528 526 101 100 70-130 0 20 Lead ug1L NO 500 500 482 482 96 96 70-130 0 20 Zinc ug/L 173 500 500 678 670 101 99 70-130 1 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121244 1121245 MS MSD 92186114003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Copper ug1L 0.16 500 500 655 639 99 96 70-130 2 20 mg1L Lead ug1L ND 500 500 476 470 95 94 70.130 1 20 Zinc ug/L 7.5 500 500 7820 7560 66 13 70-130 3 20 M1 mg/L REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in fuli, Date: 02111/2014 12:27 PM without tine written consent of Pace Analytical Services, Inc.. Page 7 of.13 aceAnalytical wtrwpeowabs.com QUALITY CONTROL DATA Project: . Lydall/ Yadkinville Pace Project No.: 92186094 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623.8921 QC Batch: WET129102 Analysis Method: SM 2540D QC Batch Method: SM 2540❑ Analysis ❑escription: 2540D Total Suspended Solids Associated Lab Samples: 92186094001, 92186094002 METHOD BLANK: 1122068 Matrix: Water Associated Lab Samples: 92186094001, 92186094002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 01/15/14 20:57 LABORATORY CONTROL SAMPLE: 1122069 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg/L 250 248 99 80-120 SAMPLE DUPLICATE: 1122070 92186360001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L 33.0 47.5 36 10 D6 SAMPLE DUPLICATE: 1122071 92186079002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 18.0 17.1 5 10 IeFit'L�Y7fi►f��iiiC3lYtl��il REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 8 of 13 Pace Analytical Services, Inc. Ce� r, 11r71 a 205 East Meadow Road - Suite A G rY� liC[r Eden, NC 27268 WWW.p"db&aom (336)623-6921 QUALIFIERS Project, Lydatll Yadkinville Pace Project No.: 92186094 DEFINITIONS 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. PRL - Pace Reporting Limit. RL - Reporfing Limit. S - Surrogate 1,2-Diphenylhydrazine (8270listed 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. SG - Silica Gel - Clean -Up 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. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TIN - The NELAC Institute, LABORATORIES PASI-A Pace Analytical Services - Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/11/2014 12!27 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 acamaly iiml. W*W.pfta1ah&oom QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: Lydall/ Yadkinville Pace Project No.: 92186094 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92186094001 Outfall 002 EPA 1664B GCSVI16435 92186094002 Outfall 001 EPA 1664B GCSV116435 92186094001 Outfall002 EPA200.7 MPRP115045 EPA200.7 92186094002 Outfall001 EPA200.7 MPRP115045 EPA200.7 92186094001 Outfall 002 SM 2540D WET129102 92186094002 Outfall 001 SM 2540D WET129102 Date: 02/11/2014 12:27 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services. Inc.. ICP113663 ICPl13663 Page 10of13 ,ment DocuName: Sample Condition Upon Document ReAsed: March 13, 2013 lIt Receipt SCUR .. Page 1 of 2 Document No.: Issuing Authorities: F-EDN-CS-003-re'v.09 Pace Eden QualL Office Client -Name:--�-J� c t Where Received: ❑ Huntersviile 0 Asheville 0' Eden ❑ Raleigh. Courier (circle),: Fed Ex .UPS USP5 Client Commercial Pace Other Custody Seal on CoolerlSox Proseriti ❑yes ❑ no Seals Intact: ❑ yes ❑ no Packing Material; [bubble Wrap []Bubble Bags ❑ None ❑ Other,____- _ Thermometer Used-, A Gun ED007 „ •... ,Type. of ice: _ , et , .8iue. Nape _..._ .. _ Salnplas•on Ice, cooling process has begun „ . Temn COir=606 Factor•! Adi/Subtract 0, l C Corrected Cooler Temp.~ Z 3 C Temp should be above freezing to 6*0 Biological Tissue Is Frozen: Yes No N!A Comments: pate and initials of perso > e� ining . contents: Chain of Custody Present: lfYes QNo DN/A 1. ' Chain of Custody Filled Out: 0s (]No QN/A 2. Chain of Custody Reilri ulshed: YIYes -ONo. DNIA 3. . Sampler Name & Signature on COO: ,❑yes. ©No• QN/A 4. Sam les Arrived within Hold Time: i�Yes ONO 13WA 5. Short Hold Time Anal is <72hr : BYes o ©NIA 6, Rush Turn Around .Time Requested: ❑Yes , idNo ' ❑WA 7. Sufficient Volume: ZYes ONO -CIN/A 8: Correct Containers Used: -Pace Containers Used:. 12fYes ONO eyes []NO DIVA DNA 9. ' Containers Intact: 47Yes ONO .13wA 10, Filtered volume received.for Dissolved tests '❑Yes ONo %1A 11. Sample Labels match COO: -includes dateltimelID/Anal sis Matrix: lBYes 13No C1 WX 12, All containers needing preservation have been oheoked. All containers needing preservation are found to be in oompilance with EPA recommendation. mepuans.VO coliform,TOO, O&Q,WI-DRO to JTYes [IN, B,B9 ©Na 12yes ONO ❑NIA ©NIA 1$ initial when oom ated. Samples checked for dechlorination: Oyes ONO . ;TWA 14, Heads ace In VOA'.Vials >6mm : ❑Yes. ONO &A 15, Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # if purobaso €]Yes DNo DYos ONO &A 10X/A 16, Client Notification/ Resolution: Field Data Required? Person Contacted: DateTme: Comments/ Resolution: SCURF Review: oats: LTZ11 11 Place label here SRF Review: Gate: OR Note: Whenever there is a discrepancy of€ecling North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Handwrite project number Certification Office ( l.& out of hold, incorrect preservative, out•of temp, i Incorrect containers) f no label available Y 1. N Page 11 of 13 2 CHAIN -OF -CUSTODY I Analytical Request Document V eAwlyfical' The Chain -of -Custody Is a LEGAL DOCUMENT. All relevant fields must be completed accurately:a, Section A Section B Section C Riq4ilred Client information: Required Proput won -nation : Invoice Information: Company: Report To: Attention: 1 700133 re Addss: . 0 Dmpany amw Address' - r NPDES r GROUNDWATER LIST r RCPA DRINKING WATER OTHER Ema01 4 To: p Puruh2se Order No.: All Pa.. OuOt. Rafwwce; JK Phone: Fax: Project Name: Pace PM)w Manager: Site LOcakaati Requested 13oe DatefrAT: Project Number. r P.- �N. #: -d ?khaPjs;hs Filte66d (YIN) a Section D Watrix Codes 1!1 t RequiradClienk Information MAN / gODE P COLLECTED Preservatives -37-. Drinking Water DW 2 0 L) Water WT 0 composrm Waste Water Ww COW03rTE Product P ST01" SoillSolid SL SAMPLE (D 011 OL V L) WIDe WP Lu w (A-Z, 0-9 Air AR 0 w Q Sample IDs MUST BE UNIQUE Ttssua TS 0 z Ottw ()T 'w- 0 C Co n. .2 CL 0) S 0 M DATE TIME DATE TIME w Z> 2 M 2: z Z. 2 0 Pace Project NoJ Lab LD. 3 111 il I P14,-j 171 '3 il 1 trfA art 11 3 .34 .6 7. LL -11A -ADPA COMMENTS RELINQUISHED BYIAFFILIATION' lilti­"ilmE .M-6. BYIAFFILATION EA :Timt SAMPLE CONDMONS SAMkJEk'"ME . A . Nb '546NATtJiiE-,-- C) PPJNT Nam of SAMPLER: nr ORIGINAL MnE;Pli;kz aw" DATESIgned SIGNATURE of SAMPLER, 4or (NUWI3DNY): MW 6 'Important Note: By Gky" Inks lDrm you aro accepting Pace's NET 30 day payment terms and agree" to late Charges of 1.5% W morlh for any kmflces not Pefd days. F-ALL-4020rov.07, 15-May-2007 CHAIN -OF -CUSTODY 1'Analyiical Request Document2 aceAnalytrcal • The Chao -dustody Is a LEGAL DOCUMENT. An m vanl flof t: mvstbe completed eowrately. Section A .:.: - Section B Section C - p� Of . Re plred bllnt knfmriation: • • Raqulred Project.lnfonnallort: -. : htformation - invoice - - - �pa� Report To- - : ' . Attention: address To; I r Company name: l2EGULATQ�iY ACrERCYis�' t 5 az - _ %r address: � NP©ES r .''GROUND WATER [. DRINKINGWATER Email Ta Purchaset3rder No / - ouoga UST i� k OTHER ' . f Reference: ..RCRA Phate: - ' Fax: -. ' - - Project Name:- ;» Maw. .. 5lta Loeation w 2 " Requested o" DabarrAT:' - -. Project NumMx . .. "Race Piot>la X: i .. l' STA TiF. apt ; ' - - x- sled ADalystsrFil {Y!N -,r;:_ , s ' - Section D' - . - .. Nabix Code! : n. - ' . , ,. .. - - .. - - - f k. - .ems Rt v.rsdCsantIota s11pn MATRIX i cDOE s' COLLFGTED AreseivaM es r � x . - - DrIrd snV Water. -OW WT g O U - o - - Water. - PrOdllCt WastoWater. -_WW $ U m - —SAMPLE ID .. al oL - of. _ Wipe WP '^ - Q _ Air... AIR -'TS .B. u, .. a. - Samplo k[)s MUST BE t1NiQUE issue' O - U a- - �. ar Z - - Otlter - OT .. - t= - - ° �: a vi a o. nr0 tl 2 2 Z- rn Z m . DATE TIME'. DATE.-.- - =TIME' O :y, -., tG', Pace project NoJLa6I.D..:. - z= / - a0 :r --.=r `` + tt e; -R CIUISHF�'SYrAFF7L1ATlOf! -"-.. iE a,-Z1AlER'� `` c°-*ACCEPTE�BYIAFFILL4TttSN�r.PA7�`E '^--� SAMPLEC&k6mJONS:- .,-i.s-ADtk]•i0llAiC,OARMENTS i;,-.:,:�.,,_3._1,:: t _�r. :'�_ .......-�-�... �, -�' i ., rs:..� ...• _n e=sue .-�-. :., -- L-�-�•-, iZ �-a _ ,� ' .5sa .���. :z`:...-�tia _ L ` '-4, ��:�-.x r'�„� _ y✓ Cry z -- r J w PRINT Name of SAMPLER:.- ...'m m a O - SIGNATURE SAMPLER: ' DATE Signed./ {./1 m U di .. .` - - .... - -. of fn t''� -. 'ImponaN Nate: By ognng"form you are eareplinp Pace's NET 30 day:psya flt terrrm and - - - . - - aaiaeirq m laffi barges d 1.5% pei month Gx any isvaices nd paid days.- - F-ALL1 S-Nfay-2()07 ,' M�-0496TE ENVIRONMENTAL, LLC 11 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 + PHONE 919.859.9987 • FAx 919.859.9930 February 5, 2014 Mr. Bradley Bennett NCDENR Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 ,. RECEIVE® FEB 0 7 2014 CENTRAL FILES DWQlBOG R�ECEIVED" ,l 7 2014 C04 t KAL FILES DtNQ130G Reference: January 2014 Monthly Stormwater Discharge Sampling Report, Stormwater Discharge Outfall Monitoring Report and Tier I Response Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG030000, Certificate of Coverage No. NCG030595 Year 2- Period 1 Waters Edge Job No R1-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period 1 (.January 2014) 2014 forms for the January 10, 2014 monthly site inspections and discharge sampling at the Lydall facility located in Hamptonville, North Carolina (see Figures 1- 2). The Discharge Outfall Qualitative Monitoring Report and DMR are included in Appendix A with analytical results included in Appendix B. This Tier 2 monthly sampling is due to three consecutive benchmark exceedances at the facility. Based on the results, we had the following exceedances at Outfall-001 and Outfall 002: Outfall 001 • Copper detected at 0.0129 mg/L versus a benchmark at 0.007 mg/L • Lead detected at 0.0438 mg/L versus a benchmark at 0.03 mg/L • Zinc detected at 0.0976 mg/L versus a benchmark at 0.067 mg/L Outfall 002 • Copper detected at 0.0101 mg/L versus a benchmark at 0.007 mg/ We have conducted a Tier 1 inspection and saw no unusual or visual indicators that would contribute to these benchmark exceedances. As previously reported, we have conducted soil sampling and detected naturally occurring levels of copper in the soil which could be a contributing factor. However in an effort to examine the source of these exceedances, we are proposing the following: Slornnvater Discharge .lanuary 2014 Monthly Sompling Report and Tier I Response Lydcill Thermal/Acoustical, Inc. Hamptonville. NC Page 2 of 2 Fehruary 5, 2014 1. We will test some of the rainfall downspouts to determine if they are a potential source of the exceedances for both outfalls. 2. During the next rain event, we will examine whether there is any runoff emanating from the air compressor area at Fibers West and if so, what measures could be implemented to contain this discharge. 3. During the next sampling event, we will collect additional samples which will be filtered to determine whether that would be a successful means of mechanical treatment for the past exceedances of TSS and metals. 4. During the next sampling event, we will conduct both upgradient and downgradient surface water sampling of the receiving stream to determine if the Outfall discharges are contributing in any measurable impact. Based on the permit conditions, this Tier 1 response was recorded in the SPPP including the date and value of the benchmark exceedance, the inspection date, personnel conducted the inspection, the selected actions and the date the selected actions were implemented. We understand that the facility is required to conduct an additional monthly sampling and proceed to Tier 3 permit requirements. This correspondence has been copied to the NCDENR Winston- Salem Regional Office to determine if there are other recommended ameliorative measures to consider. It is our belief that with the measures described above, we will be able to identify a potential source and be better able to reduce these benchmark exceedances. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President cc:Jose Concepcion, Lydalll NCDENR W-S Office/NCDENR Stormwater Central Files (two copies) l 4-0 l 21PLR Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 1.31.14 CERTIFICATE OF COVERAGE NO. NCG030595 SAMPLE COLLECTION YEAR _2014_ FACILITY NAME —Lydall Thermal Acoustical SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Yadkin or © Monthly' January (month) PERSON COLLECTING SAMPLES T. Haynes DISCHARGING TO CLASS ®ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace_ Lab Cert. # _37706— Comments on sample ❑Zero -flow [:]waterSupply ❑SA collection or analysis: None ❑Other Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 3 No discharge this period?2 Outiall No. Date Sample Collected' (mo/dd/yr) 24•hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead tint Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss 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 001 1/10/14 0.73 26.4 6.59 0,0129 0.0438 0.0976 ND NA 002 1/10/14 0.73 56.7 6.36 0.0101 ND 0.0461 ND NA ' 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. '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. s 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/l/2012-10/31/2017 SW U-245, last revised 10/2S/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 far 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." Jose R. Concepcion Name (print name) Environmental Ifealth and Safety Tana er Title (Print title) ..,,, 2131 ] a (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 rer 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 DutfaEl No. 0ate Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches' 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/l/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 1, or Tier 3 responses. see General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER ATTHE SAME OUTFALLTRiGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ® NO ❑ If YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Tom Yocum Mail an odainal and one copv of this DMR. includina all "No Discharae"reports. within 30 dovs of receipt of the lab results for at end of manitorina 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 V M T 51gN THI§ 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 ls, to the best of my knowledge and belief, true, accurate, and complete. am aware tW th igni enalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." 2/3/2014 (Signature of Permi ee (Date) Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 a Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this form, please visit: http://h2o.enr.state.nc.us/su/Forms Documents.htm#miscforms Permit No.: I N; C I G; 0 1310 1010 10 ; or Certificate of Coverage No.: 1 N I C I G 10 13 14 15 19 _1_5 Facility Name: Lydall Thermal/Acoustical, Inc. County: Yadkin Inspector: Thomas Haynes Date of Inspection: 1.10.14 Time of Inspection: 10.30 AM Total Event Precipitation (inches): 0.73 Phone No. 336,485.8522 Was this a Representative Storm Event? (See information below) -® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must he performed during a representative storm event (requirements vary). 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_ By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) ] Outfall Description: Outfall No. 001/002 Structure (pipe, ditch, etc.) Drainage Swale Receiving Stream: Unnamed Tributary of Rocky Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Liaht brown Page 1 of 2 SWU-242-112608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 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 I is no solids and 5 is the surface covered with floating solids: 0 2 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: O 2 3 4 5 7 Is there any foam in the stormwater discharge? Yes No S 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: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition maybe indicative of pollutant exposure. These conditions warrant further investigation. Page 2of2 S WU-242-112608 , F IceMai lcalwww.pacelabs.crom I I , February 03, 2014 Mr. Phil Rahn Waters Edge Environmental 4901 Water's Edge Drive ' Suite 201 Raleigh, NC 27606 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (335)623-8921 RE: Project: Lydall Pace Project No.: 92186095 Pace Analytical Services, Inc. 2225 Riverside Dr, Asheville, NC 28804 (828)254-7176 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092, Dear Mr. Rahn: Enclosed are the analytical results for sample(s) received by the laboratory on January 13, 2014. The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless otherwise noted in the body of the report. Analyses were performed at the Pace Analytical Services location indicated on the sample analyte page for analysis unless otherwise footnoted. If you have any questions concerning this report, please feel free to contact me. Sincerely, \-iu� Terri Page terri.page@pacelabs.com Project Manager Enclosures P Pc�f0,� jN I „ Cge�At0�1: REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc., Page 1 of 12 (4 _ 2ce A nalytica I ! www.pacslatrs.tom i I Project: Lydall Pace Project No.: 92186095 Pace Analytical Services, Inc. 205 East Meadow (toad - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Or, Asheville, NC 28804 (828)254-7176 CERTIFICATIONS Charlotte Certification IDs 9800 Kincey Ave. Ste 100, Huniersville, NC 28078 FloridalNELAP Certification #: E87627 North Carolina Drinking Water Certification #: 37706 Kentucky UST Certification M 84 North Carolina Field Services Certification #: 5342 West Virginia Certification #: 357 North Carolina Wastewater Certification #: 12 VirginiaNELAP Certification #: 460221 South Carolina Certification #: 99006001 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NCO30 North Carolina Drinking Water Certification #: 37712 North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 VirginiaNELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS Pace Analytical Services, Inc. 9800 Kincey Ave, Suite 100 Huntersville, NC 28078 (704)875.9092 This report Shall not be reproduced, except In full, without the written consent of Pace Analytical Services, Inc., Page 2 of 12 aceAnalyticaI wi paWaftmrn I Project: Lydell Pace Project No.: 92180095 Lab ID Sample ID 92186095001 O u tfa 11001 92186095002 Outfall002 Pace Analytical Services, Inc. Pace Analytical Services, Inc. Pace Analytical Services, Inc. 205 East Meadow Road - Suite 2225 Riverside ❑r, 9800 KinceyAve. Suite 100 Eden, NC 27288 Asheville, NC 28804. Huntersville, NC 28078 (336)623-8921 (828)254-7176 (704)875-9092 SAMPLE SUMMARY Matrix Date Collected Date Received Water Water 01/10/14 12:30 01/10/14 12:00 01/13/14 09:10 01/13/14 09:10 REPORT OF LABORATORY ANALYSES This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 3 of 12 1�2ce A nalyficaI i wvn�,pacefa6s.cnm I Project: Lydall Pace Project No.: 92186095 Lab ID Sample ID 92186095001 0 utfal 1001 92186095002 Outfall002 Pace Analytical Services, Inc, 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 Analytes Method Analysts Reported Laboratory EPA 1664B CLW 1 PASI-C EPA 200.7 JMW 3 PASI-A SM 2540D OAS 1 PASI-A EPA 1664B CLW 1 PASI-C EPA 200.7 JMW 3 PASI-A SM 2540D DAS 1 PASI-A 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 12 1 4+ _ aeeAnalytical www,pacelabs.com i I Project: Lydall Pace Project No.: 92186095 Sample: Outfall 001 Parameters HEM, Oil and Grease Oil and Grease 200.7 MET ICP Copper Lead Zinc 2540D Total Suspended Solids Total Suspended Solids Pace Analytical Services, Inc, 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 288o4 (828)254.7176 ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 10o Huniersville, NC 28078 (704)875.9092 Lab ID: 92186095001 Collected: 01/10/14 12:30 Received: 01/13/14 09:10 Matrix: Water Report Results Units Limit MDL DF Prepared Analyzed CAS No. Qua! Analytical Method: EPA 1664E ND mg1L 5.0 1.1 1 0111511410:17 Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 12.9 ug1L 5.0 0.30 1 01/15/14 0910 01/16/14 20'.58 7440-50-8 43.8 ug/L 5.0 4.0 1 01/15/14 09:10 01116/14 20:58 7439-92-1 97.6 uglL 10.0 0.40 1 01/15/14 09:10 01/16/14 20:58 7440-66-6 Analytical Method: SM 2540D 26.4 mg1L 5.0 5.0 1 01115/14 21:04 Sample: Outfall 002 Lab ID: 92186095002 Collected: 01/10/14 12:00 Received: 01/13/14 09:10 Matrix: Water Report Parameters Results Units Limit MDL DF Prepared Analyzed GAS No. Qual HEM, Oil and Grease Analytical Method: EPA 16646 Oil and Grease NO mglL 5.0 1.1 1 01/16/14 10:17 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper 10.1 ug1L 5.0 0.30 1 01/15/14 09:10 01116/14 21:21 7440-50-8 Lead ND ug1L 5.0 4.0 1 01/15/14 09:10 01/16/14 21:21 7439-92-1 Zinc 46.1 ug1L 10.0 0.40 1 01/15/14 09:10 01/16/14 21:21 7440-66-6 2540D Total Suspended Solids Analytical Method: SM 2540D Total Suspended Solids 56.7 mg1L 8.3 8.3 1 01/15/14 21:04 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/03/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 5 of 12 aceAnalytical" ww�a.pecelaGs.com 1 Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Project: Lydall Pace Project No.: 92186095 QC Batch: GCSVII6435 QC Batch Method: EPA 1664E Associated Lab Samples: 92186095001, 92186095002 METHOD BLANK: 1121262 Associated Lab Samples: 92186095001, 92186095002 Parameter Units Oil and Grease mg& Pace Analytical Services, Inc. 2225 Riverside Or. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA Analysis Method: EPA 1664E Analysis Description: 1664 HEM, Oil and Grease Matrix: Water Blank Reporting Result Limit Analyzed Qualifiers ND 5.0 01/15/1410:09 Pace Analytical Services, Inc. 9800 KinceyAve. Suite 100 Huntersville, NC 28078 (704)875-9092 LABORATORY CONTROL SAMPLE & LCSD: 1121263 1121264 Spike LCS LCSD LCS LCSD % Rec Max Parameter Units Conc, Result Result % Rec % Rec Limits RPD RPD Qualifiers Oil and Grease mg/L 40 33.0 37.9 82 95 78-114 14 30 Date: 02/03/2014 10:31 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the wntten consent of Pace Analytical Services, Inc.. Page 6 of 12 aceAnalytical � � www.pacelabs.com i Project: Lydall Pace Project No.: 92186095 Pace Analytical Sorvices, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336)623-8921 Pace Analytical Services, Inc. 2225 Riverside Dr, Asheville, NC 28804 (828)2$4-7176 QUALITY CONTROL DATA QC Batch: MPRP115045 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92186095001. 92186095002 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 METHOD BLANK: 1121240 Matrix: Water Associated Lab Samples: 92186095001, 92186095002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug1L ND 5.0 01/16/14 20:05 Lead uglL ND 5.0 01/15/14 20:05 Zinc uglL ND 10.0 01/16/14 20:05 LABORATORY CONTROL SAMPLE: 1121241 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper uglL 500 495 99 85-115 Lead ug1L 500 491 98 85-115 Zinc uglL 500 496 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121242 1121243 MS MSD 92185976009 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD RPD Qual Copper ug/L 23.9 500 500 528 526 101 100 70-130 0 20 Lead uglL ND 500 500 482 482 96 96 70-130 0 20 Zinc ug/L 173 500 500 678 670 101 99 70-130 1 20 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1121244 1121245 MS MSD 92186114003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc, Result Result % Rec % Rec Limits RPD RPD Qual Copper uglL 0.16 500 500 655 639 99 96 70-130 2 20 mg1L Lead ug1L ND 500 500 476 470 95 94 70-130 1 20 Zinc ug1L 7.5 500 500 7820 7560 66 13 70-130 3 20 MI mglL REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/03/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 7 of 12 Pace Analytical Services, Inc. Paco Analytical Services, Inc. aeeAnalXical" 205 East Meadow Road - Suite 2225 Riverside Dr. Eden, NC 27288 Asheville, NC 28804 wiwr.pac&bs.com (336)623-8921 r (828)254-7176 i I QUALITY CONTROL DATA Project: Lydali Pace Project No.: 92186095 QC Batch: WET129102 Analysis Method: SM 25400 QC Batch Method: SM 2540D Analysis Description; 2540D Total Suspended Solids Associated Lab Samples: 92186095001, 92186095002 METHOD BLANK: 1122068 Matrix: Water Associated Lab Samples: 92186095001, 92186095002 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L ND 2.5 01/15/14 20:57 Pace Analytical Services, Inc.." 9806 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875.9092 LABORATORY CONTROL SAMPLE: 1122069 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Total Suspended Solids mg1L 250 248 99 80-120 SAMPLE DUPLICATE: 1122070 92186360001 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg1L 33.0 47.5 36 10 D6 SAMPLE DUPLICATE: 1122071 92186079002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 18.0 17.1 5 10 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/03/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 12 aceAnalytical r � wwvr.psc@lalrs.rnar i i Project: Lydall Pace Project No.: 92186095 DEFINITIONS Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336 )623-8921 QUALIFIERS Pace Analytical Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (62a)254-7176 Pace Analytical Services, Inc. 9800 KiinceyAve, Suite 100 Huntersviile', NC 28078 (704)875-9092 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. PRL - Pace Reporting Limit. RL - Reporting Limit. S - Surrogate 1,2-Diphenylhydrazine (8270listed analyte) decomposes toAzabenzene. 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 INC - Not Calculable. SG - Silica Gel - Clean -Up U - Indicates the compound was analyzed for, but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylemine using Method 8270. The result reported for each analyte is a combined concentration. Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride. Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes. TNI - The NELAC Institute. LABORATORIES PAST -A Pace Analytical Services -Asheville PASI-C Pace Analytical Services - Charlotte ANALYTE QUALIFIERS D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits. M1 Matrix spike recovery exceeded QC limits. Batch accepted based on laboratory control sample (LCS) recovery. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/03/2014 10:31 AM without the written consent of Pace Analytical Services, Inc.. Page 9 of 12 aceAnalytical" ww.pacelabs.c= i i Pace Analytical Services, Inc. 205 East Meadow Road - Suite A Eden, NC 27288 (336 )623-6921 Pace AnalyticaI Services, Inc. 2225 Riverside Dr. Asheville, NC 28804 (828)254-7176 QUALITY CONTROL DATA CROSS REFERENCE TABLE J^ �i Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersvilie, NC 28078 (704)875-9092 Project: Lydall Pace Project No.: 92186096 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92186095001 Outfall 001 EPA 1664B GCSV116435 92186096002 Outfall 002 EPA 1664B GCSV116435 92186095001 Outfall 001 EPA 200.7 MPRP115045 EPA 200.7 ICP113663 92186095002 Outfall 002 EPA200.7 MPRP115045 EPA 200.7 ICP113663 92186095001 Outfall 001 SM 2540D WET129102 92186095002 Outfall 002 SM 2540D WET129102 Date: 02/03/2014 10:31 AM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, inc.. Page 10 of 12 Document Name: Sample. Condition Upon Document ReVIsed: March 13,.2013 ,4f1 Gc?1" Receipt (SCUR) Page 1 of.•2.: ' Document No.: lssu'ing Authorltles„' , !=-EDN-CS-003-rev.09 ... Pace Eden Quality Office Client -Name: �� c Where Received: ❑ Huntersv€Ile L) Asheville B' Eden ❑ Ralelgh Courier (circle): Fed Ex ,UPS LISPS C l n Commercial. Pace Other Custody Seal on Cool er/8ox Prfasent: ❑yes ❑ no Seals Intact: ❑ yes ❑ no Packing Material: [Bubble Wrap ❑•bubble Bags ❑ None ❑ Other Thermometer Used:. I>3 Gun0007 „'type ag Ice: �..,.. Blue.:.None - f(�Samples.an Ece, 000ling.procgsshas begun . Temp Cofrrectl'oti Factor6d 1 Subtract 0, _C _ Corrected Gooier Temp.: C Temp should be above freezing to 0#0 Biological Tissue is Froien: Yea Na WA Comments: Hate and Initials of persg ex nfng . contents: Chain of Custody Present: 126es. ❑No ONIA 1: . Gha€ri of CujtoqX Filled Out: Yes ❑No ONIA 2. Chain of Custody Relinquished: G?Yes ❑No. [IL 3. Sampler Name & Signature on COC: 4Yes. ONo • ONIA 4, Sam lesArrived within Hold Tfine: 4Yes ❑No ON/A 5. Short Hold Tlme Analysis 02hr : - QYes 1Z1No EIN/A 6. Rush' urn,Around.Time Requested: (Dyes No' ONIA 7, Sufficient Volume; .. OYes ❑No -❑NIA g; Correct Containers Used: -Pace Containers Used; izryes ON" ❑NIA ]Yes ❑No . ❑WA 9, Containers Intact: € rYes ONO . CIN/A 10. Filtered volume received for Dissolved tests '❑Yes ONO ONIA 1'1. Sample Labels match COC: -Includes date/timeAD/Anal sis Matrix: 13Yes ONo ❑WAk 12. All oontainers needing preservation have been checked, All containers needing preservation are found to be in compliance with EPA recommendation. exce ones VOA, coflfafm,TOC,O&a, WI-DRO (wat BYes ❑No 0Yes ❑No ❑Yes 'ONO ❑NIA ❑WA 13. C— Initiaf when oem loted . Samples checked for dechiodnatfon: Dyes ONO : m'WA 14, Heads ace in VOA:Vials >6mm : 17Yes ❑No . 16WA 15. Trip Blank Present: Trip Blank Custody Seals Present Pace Trip Blank Lot # (if urchased): ❑Yes ❑No, ❑Yes QNo CZNIA -PA 16. Client Notification/ Resolution; Field Data Required? Y 1 N Person Contacted: Date/Time: - Comments/ Resolution: SCURF Review: Aate: Place label here SRF Review: Rate: OR. Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to•the North Carolina DEHNR Handwrite project number Cordficatlon Office (I.e out of hold, Incorrect presenradve, out of temp, _ (If no label anal/able) Incorrect contalners) Page 11 of 12 CHAIN -OF -CUSTODY I Analytical Request Document' The Chah-of-Custody is a LEGAL DOCUMENT. An relevant fields must be Completed acmi-ately, 1�2ceAnalyfical*-.1! WWW.patiubs.com Section A Section B Section C. Page: of Required ClIanil informal on: Required Project Info . f . madon: Invoice Information: Compan Attention-', Y: Report To 1700157 Address: Copy To: ConVanyNarne: Addraw NPDES f GROUNDWATER F. DRINKN.G.WATER UST RCPA OTHER Fmail To: j Purchase OrdorNo,: P— Owle . Refere Phone: Fax: P(ojecfNamo: Pece pmfw Manager. Requested Due DatefrAT: lProject Number. Pace Pmfilo #-F,ijterbd (YIN) 'V -z Section D Matrhi 1�. UZ I I 2 COLLECTED COLL�C Preservathe T 0 Drinking Water DW a z Water VVT Waste Water VAV compos!"TE OWPOSITE Product P STA RT rNOIGRAR w z SoIVSolid SL 0 SAMPLE ID Oil OL L) W a) Wipe WP w z Air AR < Sample IDs MUST BE UNIQUE TIssue TS 0 Q. Other OT w — 0 0 W < DATE TIME DATE TIME z X U CU I z cis , z 2 0 CD Pace Project No./ Lab I.D. FL All—) L 7 C0 SAMPLE CONDITIONS 42M 1 Y S 68 PRINT Name of SAMPLER: ORIGINAL Z!g� -0- ATEell SIGNATURE of SAMPLER: fM E rl) -rrnpartard Note: By &V*V this farm you are ac ptqV Face's NET 30 day payment fauns and a9wekV to Late charges of 1.5% per nos for arty invoices not Z:5plO d ays or F-ALL-0-020rev.07, lb-May-ZUU 7 F— Semi-annual Stormwater Discharge Monitoring Report )VC6 0305-q,6 for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted 1.31.14 CERTIFICATE OF COVERAGE NO. FACILITY NAME _Lydall Thermal Acoustical COUNTY Yadkin PERSON COLLECTING SAMPLES T. Haynes LABORATORY Pace_ Lab Cert. # _37706_ Comments on sample collection or analysis: None Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR _2014 SAMPLE PERIOD ® Jan -June ❑July -Dec or ❑ Monthly' January (month DISCHARGING TO CLASS ®ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ❑Other PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 c� ❑ No discharge this period?2 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 Total Petroleum Hydrocarbons Toxic Organicss 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 001 1/10/14 0.73 8.1 6.21 NO NO 0.0963 NO NA 002 1/10/14 0.73 14.7 6.49 NO NO 0.108 NO NA 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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 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." Jose R. Concepcion Name (Print name) Environ ital and Sae naQer Title (Prrc,, P� , (Q2/7/2013 (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?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inchesa 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 ANY ONE OUTFALL? YES ❑ NO Eg IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Tom Yocum (Email) Mail an on final and one copy 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 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 pers s direct r gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am awar eTlr significant�n ties for submitting false information, including the possibility of fines and imprisonment for knowing violations." &7 i. %� +� (Signature of Pe Permit Date:11/1/2012-10/31/2017 2/7/2014 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3