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NCG030519_MONITORING INFO_20180313
STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. IV U& c) 3 b DOC TYPE, ❑ HISTORICAL FILE CV`MONITORING REPORTS DOC DATE ❑ YYYYMMDD Prysmian Group February 22, 2018 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, INC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 0PRYSMIAN Draka 2151 North Church Sweet Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEjvE1D MAR 0120 t3 RECFI�R� m'`NAERPERM�INC MAR 18 2018 CEN-f1<AL FILES DWR SECTION Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. We have completed a tiered response monitoring event during the month January 2018 at Outfall 001 (OF001) as required by the permit. Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results were below the BMV for copper at both the outfall and background locations but exceeded the BMV for zinc in both the outfall and background sample locations. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted February 7, 2018 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Draka Elevator, Inc. -Distribution Center SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Nash or X❑ Monthly' January (month) PERSON COLLECTING SAMPLES Charles Dickens, III DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Prism Labs, Inc. Lab Cert. # 402 ❑Zero -flow [_]Watersupply ❑SA Comments on sample collection or analysis: ❑Other Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' 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 Total Petroleum Hydrocarbons Toxic Organicss Benchmarks ===> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L < . Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 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). RECEIVED MAR 01 ?"'3 Permit Date: 11/1/2012-10/31/2017 DENR-LAND QUALITY SWU-245, last revised 10/25/2012 Page 1 of 3 STORMWATER PERMITTING 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." _ Wynne Ellis Name (Print name) Global Director of Operations Title (Print title) f L (Signature) 2/22/ 18 (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. N/A ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 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 Nore: 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 I REQUIREMENTS. 'SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER ATANY ONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES X❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of monitoring period in the case of "No Discharge' reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are sign ifican3,.penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 2/22/18 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group January 11, 2018 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, INC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. RE/,��vE� 6809 Corporation Parkway � �� 2�» Battleboro, NC 27809 Certificate of Coverage NCG030519 MAR TORMWA ERPRM'RIP!r Dear Sir/Madam: $ OPRYSMIAN Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of December 2017, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, az ,� Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted January 11, 2018 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec c�1' FD or ❑X ❑ ❑ ❑Monthly' December (month) Sr,V [ ,H GING TO CLASS ORW HQW ❑Trout PNA i 10% [_]Zero -flow ❑Water Supply []SA 10 0 ®Other N: CSW WN0 NG DV0- jjk"l p&0 ASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 STORMW ❑X No discharge this period?z 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 Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 December No Flow 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. 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Storm water 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: NA "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." Wynne Ellis Name (Print name) Global Director of Operations Title (Print title) 1/11/18 (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?2 Outfall No. Date Sample collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 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 IVate: 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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penAlties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group January 11, 2018 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, INC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAN -Q- Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVE® MAR 01 His DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. . We have completed a tiered response monitoring event during the month November 2017 at Outfall 001 (OF001) as required by the permit. Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results exceeded the BMVs for copper and zinc in both the outfall and background sample locations. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted January 11, 2038 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 W C.2 �Jk PILE COLLECTION YEAR 2017 FACILITY NAME Draka Elevator. Inc. > c N 81fPLE PERIOD ❑ Jan -June FX] July -Dec COUNTY Nash W 14 Cl CC or ❑ Monthly' November (month) PERSON COLLECTING SAMPLES Charlie Dickens, III V O Tilt RGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Prism Laboratories, Inc. Lab Cert. a 402 WN Q ❑Zero -flow ❑Water Supply ❑SA w Comments on sample collection or analysis: ME 00 ®Other N: CSW Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?z 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 Total Petroleum Hydrocarbons Toxic Organics5 Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 11/13/17 0.41 0.054 1.1 BG001 11/13/17 0.41 0.061 1.3 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 1^ 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." Wynne Ellis Name (Print name) Global Director of Operations Title (Print title) / 1/11/18 (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. N/A ❑ No discharge this period?2 Outfall No. • Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 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 M NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 1/11/18 (Date) SWU-245, last revised 10/2S/2012 Page 3 of 3 s Prysmian Group April 9, 2018 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 45PRYSMIAN -Q- Draka 2151 North Church Street Rock, \loom, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED APR 19 2018 CENTRAL FILES DWR SECTION Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of February 2018, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, e � Wynne Ellis Global Director of Ope ations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 9, 2018 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2018 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' February (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®Other N: CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 [fl 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 Organicss Benchmarks ===> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 February No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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 (far 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-24S, 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: NA "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." Wynne Ellis Name (Print name) Global Director of Operations Title (Print title) (Signature 4/9/2018 (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA No discharge this period?' Outfall No. Date Sample Collected i (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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 4 ►- 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 4/9/2018 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group April 9, 2018 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of CoverageNCG030519 RECEIVED PRYSM IAN - Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-81-13 Operations Fax: 252-446-6959 RECEIVED APR 112018 §-r6^Rm j�A1*§ ff N@. APR 19 2018 Dear sir/Madam: CENTRAL FILES QW SDOJ SEC TI�t�I Enclosed are two copies of the Storm Water Discharge Outfall (SDO Monitor Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. We have completed a tiered response monitoring event during the month March 2018 at Outfall 001 (OF001) as required by the permit. Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results were below the BMV for copper at both the outfall and background locations but exceeded the BMV for zinc in both the outfall and background sample locations. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 9, 2018 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 SAMPLE COLLECTION YEAR 2018 FACILITY NAME Draka Elevator Inc - Distribution Center SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Nash or X❑ Monthly' March (month) PERSON COLLECTING SAMPLES Charles Dickens III DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Prism Labs Inc. Lab Cert. fi 402 []Zero -flow [_]Watersupply ❑SA Comments on sample collection or analysis: []Other Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?' 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 Organicss Benchmarks ===> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 51 16.0 7.3 <0.0010 <0.005 0.30 <5.0 7.3 < <0.005 0.15 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ' 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 (TT0), 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." Wynne Ellis Name (Print name) Global Director of Operations Title (Print title) (Signature) 4/9/2018 (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. N/A ❑ No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 ATTHE 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 X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES © NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal and one coov 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of Permittee) Permit Date: 11/1/2012-10/31/2017 4/9/2018 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group April 9, 2018 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: VPRYSMIAN -Q-> Draka 2151 North Church Street Rocky N,lount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. We have completed a tiered response monitoring event during the month March 2018 at Outfall 001 (OF001) as required by the permit. Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results were below the BMV for copper at both the outfall and background locations but exceeded the BMV for zinc in both the outfall and background sample locations. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Prysmian Group November 10, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: RECEIVED DEC 18 2017 DENR-LAND QUALITY STORMWATER PERMITTING O PRYSMIAN -QN, Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED QEC 2 0 Z017 CENTRAL FILES DWR SECTION Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. We have completed a comprehensive monitoring event during the month October 2017 at Outfall 001 (OF001) as required by the permit. Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results exceeded the BMVs for copper and zinc in the both the outfall and background sample locations. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 9, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 SAMPLE COLLECTION YEAR 2017 FACILITY NAME Draka Elevator. Inc. O SAMPLE PERIOD ❑ Jan -June X❑ July -Dec COUNTY Nash `,� or ❑ Monthly' (month) PERSON COLLECTING SAMPLES Charlie Dickens, III r �v DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Prism Laboratories, Inc. Lab Cert. p G� 1�� ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: IRIZ `�� OJ�P.�G ®Other N: CSW 00�A Part A: Stormwater Benchmarks and Monitoring Results PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inche53 Total SuspendedSolids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics ' Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 01`001 10/29/17 0.25 14 7.0 0.010 <0.0050 0.16 <5.0 BG001 1 10/29/17 1 0.25 1 1 0.014 1 1 0.16 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 FaNiaes 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 Stormwaler Pollution Prevention Plan." name) Title (Print t' le) J (Sign e) (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 2, Tier 1, 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. N/A n No dischorge this period?2 Outfall No. Date 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: 11/1/2012-10/31/2017 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 F1 NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there qre significant pepalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature Permit Date:11/1/2012-10/31/2017 la (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysimian Group November 10, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, INC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 45PPYSMIAIV -Q3- Draka 2151 North Church SlreeL Rocky Nlount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED OEC 18 2017 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of September 2017, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 8, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. q Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 li MPLE PERIOD ❑Jan -June ❑ July -Dec r` or ❑X Monthly' September (month) N 51SCHARGING TO CLASS ❑ORW ❑HQW [:]Trout ❑PNA 00 o ui a ❑Zero -flow [:]WaterSupply ❑SA 1__4 z w ®Other N: CSW s�- U ¢ oIR PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 0 r— co ❑X No discharge this period?z 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 Organicss Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 September No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "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 SWU-24S, 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: NA "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." lle &7�6 Name rint name) Title (Print tit (Signat (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc, in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA No discharge this period? Outfall No. Date 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/i/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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group September 5, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSM IAN -Q, Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone. 252-446-8113 Operations Pax: 252-446-6959 RECEIVED DEC 18 2017 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of August 2017, tiered response monitoring was conducted as required at Outfall 001 (OF001). Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results exceeded the BMVs for copper and zinc in the both the outfall and background sample. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 28, 2017 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dixon LABORATORY Eurofins Lancaster Labs Lab Cart. If 521 Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results Q z (V ,� SgdiPLE COLLECTION YEAR 2017 o SAi9 F&E PERIOD ❑Jan -June -]July W� as or ❑X Monthly' August (month) V ^r HARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA Q ❑Zero -flow [_]watersupply [:]SA OU Q X❑Other N. cw O h PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?z 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 Organicss Benchmarks =__> - - 160 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 8/7/17 0.15 0.0458 1.07 B0001 8 7 17 0.15 0.0347 1.27 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. 2 For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: NA "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 Stormw ter ollution Prevention Plan." ;%e 6711 Name Ip/nt na Title (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?z Outfall No. Date Sample r 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 S, 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 dote: 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 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 X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/2S/2012 Page 3 of 3 Prysmian Group September 5, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAf V -Q* Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED SEC 18 2017 STORMWq ENDQUALITV R PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of July 2017, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, �� Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 28, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 Q SAPAPLE COLLECTION YEAR 2017 FACILITY NAME Draka Elevator, Inc. - Dist. Center W ^IPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Nash ' O Q — or ❑X Monthly' July (month) PERSON COLLECTING SAMPLES a gfSCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Lab Cert. # V —r z r ❑Zero -flow ❑Water Supply ❑SA Comments on sample collection or analysis: Lij ti SQ ®Other N: CSW NA Ai O z 3 �L Q o PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 ti Part A: Stormwater Benchmarks and Monitoring Results co Z No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, inches Total Suspended Solids 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 OF001 July No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, 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: 11/1/2012-10/31/2017 SWU-24S, 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: NA "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." Alolme 6711r Name (P mt name) Title (Print ) (Sign e) (Da Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, 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. NA ❑ No discharge this period?z Outfall No. Date Sample r 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 . � Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an oriainal and one conv 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that therQ,are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group July 19, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAIV -Q* Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEJ�ED DEC 18 2011 srVD p MWq ERFQRML/NG Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of June 2017, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures . Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted July 14, 2017 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. fi Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' June (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other N: CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 0 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 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 OF001 June No Flow ' 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: 11/1/2012-10/31/2017 RECEIVED 'IFC 18 2017 DENR-LAND QUALITY STORMWATER PERMITTING SWU-245, last revised 10/25/2012 Page 1 of 3 s 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: NA "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." �v N (P nt name) Titl Prin title) (Sign re (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA n No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 - SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional S upecyisor Mail an oriainal and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are signific)3nt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group July 19, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 45PRYSMIAfV -Q- Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED DEC 18 2017 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of May 2017, tiered response monitoring was conducted as required at Outfall 001 (OF001). Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results exceeded their BMVs for copper and zinc in the both the outfall and background samplea. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc in June 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures ,. _ Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted July 14, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dixon LABORATORY Eurofins Lancaster Labs Lab Cert. # 521 Comments on sample collection or analysis: W Part A: Stormwater Benchmarks and Monitoring Results MPLE COLLECTION YEAR 2017 �j�� SAIVPLE PERIOD ❑ Jan -June ❑July -Dec �y G or ❑X Monthly' May (month) DI t'p'�ING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA Q�G �OOOQ4✓`� ❑Zero -flow ❑Water Supply ❑SA P��� X❑Other N. c5w 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 and Standard units Copper Lead Zinc 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 OF001 1.27 0.0120 0.0788 BG001 z1.27 0.0114 0.0737 ' 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 10/25/2D12 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: NA "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." rlllJ Name Yrini name) Title (Pri t ti le) (Signal ( ate) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the 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. NA No discharge this period?z Outfall No. Date Sample Collected r (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 ,vote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: —Regional Supervisor Mail an oriainal and one copv 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law; that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that thyre are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group June 2, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAIV —Q, Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-81I3 Operations Pax: 252-446-6959 RECEIVED JUN 05 2017 DENR•LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of March 2017, comprehensive monitoring was conducted as required at Outfall 001 (OF001). Additionally, a background sample (BG001) was collected for comparison of copper and zinc. The sample results exceeded their BMVs for zinc in the outfall sample. Below are the results of the monitoring. TSS (mg/L) O&G (mg/L) Copper (mg/L): Lead (mg/L) Zinc (mg/L): Sample BMV=100 BMV=15 BMV=0.007 BMV=0.03 BMV=0.067 OF001 6.27 <1.4 <0.0041 <0.0062 *0.0747 BG001 <0.0041 0.0343 *Exceeds the BMV In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc in June 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 11, 2017 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dixon LABORATORY Eurofins Lancaster Labs Lab Cert. q 521 Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑July -Dec or ❑X Monthly' December (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA Other N. CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period:" 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 OF001 0.50 6.27 7.2 <0.0041 <0.0062 0.0747 <1.4 BG001 <0.0041 1 0,0343 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, 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). RECEIVED JUN 0 5 2017 DENR•LAND QUALITY 5 .'ORMWATER PERMITTING 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: NA "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." �7/f Nam— nt Hamel Oki' (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. NA n No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature Permit Date: 11/1/2012-10/31/2017 -�) (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group June 2, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSM I AN Draka 2151 North Church Strcet Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED JUN 0 5 2017 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of April 2017, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures - -, Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 11, 2017 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. tt Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' April (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?Z 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 Organicss Benchmarks =__> _ - 160 mg/L or 50 mg/L' 6.0 — 9.0 0.007 mg/L O.D3 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 Aril No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' 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: NA "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." a �/?/� (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: RegiQnaI5UpPryi5or 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am cyvarexhat there are significant' pe_"es for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permit Date: 11/1/2012-10/31/2017 G,Z (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group May 20, 2016 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: V RRYSMIAN -Q), Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 R'ECF10Z MAY 23 2016 STp ENR.1_4m) Igll RMWATER Ty PERMIT NG Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of February 2016, comprehensive monitoring was conducted as required at Outfall 001 (OF001) and Background 001 (BG001). No results exceeded their BMVs in the outfall or in the background samples. Below are the results of the February monitoring. TSS (mg/L): O&G (mg/L): Copper (mg/L): Lead (mg/L): Zinc (mg/L): Sample BMV=100 BMV=15 BMV=0.007 BMV=0.03 BMV=0.067 OF001 <4.2 <5.0 <0.0050 <0.0050 0.0243 BG001 NS NS <0.0050 NS 0.0192 N5= Not Sampled for this Parameter In accordance with Part Il, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc in March 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted March 7, 2016 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 fS�AMPLE COLLECTION YEAR 2016 FACILITY NAME Draka Elevator, Inc. - Dist. Center CfSpMPLE PERIOD ❑ Jan -June ❑ July -Dec F�\I COUNTY Nash Q��o ` � or ©Monthly' February (month) PERSON COLLECTING SAMPLES Charlie Dickens ` ' f 3 �tIJOISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace Analytical Lab Cert. p 40 Mai 2 0 �P�,T( G ❑ Zero -flow N, CS❑WWater Supply [:]SA Comments on sample collection or analysis: �pN \\ (tN NA �RMWP'(ERFrk GA PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 i Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?Z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids H, punits Standard Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic 5 Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 02/04/2016 0.62 <4.2 7.2 <0.0050 <0.0050 0.0243 <5.0 BG001 02/04/2016 0.62 <0.0050 0.0192 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. 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (P(nt name) title) 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 mglU' 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. NA ❑ No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 ATTHE 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 ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group February 24, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCGO30519 Dear Sir/Madam: PRYSMIAN - Draka 2151 North Chmch Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Paz: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of December 2016, comprehensive monitoring was conducted as required at Outfall 001 (OF001). Additionally, a background sample was collected for comparison (BG001). The sample results exceeded their BMVs for copper and zinc in the outfall and background samples. Below are the results of the monitoring. Copper (mg/L): Zinc (mg/L): Sample BMV=0.007 BMV=0.067 OF001 0.0225 0.0499 BG001 0.0043 0.0457 In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc in June 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted February 21, 2017 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dixon LABORATORY Eurofins Lancaster Labs Lab Cert. # 521 Comments on sample collection or analysis: SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' December (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:ISA X]Other N. rani PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --) Part A: Stormwater Benchmarks and Monitoring Results n No discharge this period?z Non -Polar O&G/ Outfall No. Date Sample - i 24-hour rainfall Total Suspended Solids PH, Copper Lead � Zinc Total Petroleum Total Toxic � s Organics Collected amount, - - Standard units bons Hydrocarbons _ (mo/dd/yr) Inches; ,Benchmarks - - 160 mg/L or So mg/L° 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 12/19/2016 0.0225 0.0499 BG001 12/19/2016 0.0043 0.0457 ..a_ u ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceebance rur ure bdnie Pd,dini n cicaL Me oa,c w. ai . z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 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 To`,tal Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing us tfie definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufactuie,use1te def nition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). c -�A 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name ( int name) 4/oh4/ Title (Print title) (Sign Are) (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 mQ/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, Tier2, 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. NA ❑ No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 I, or Tier 3 responses. See General Permit text. FOR PART 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 X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: RegionalSupe[yjsor Mail an oriainol 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group May 20, 2016 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: VEPRYSMIAN Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED MAY 0 8 CENTRAL FILES DWR SECTION Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of March 2016, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct a comprehensive monitoring event in April 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures RECEIVED MAY 0 8 2017 CENTRAL FILES DWR SECTION Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 21, 2016 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' March (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i n No discharge this period?Z 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 OF001 March No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeciance for the same parameter at the same outtall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring 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: NA "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 Stormwatef Pollution Prevention Plan." name) wd- / �//./lam /� Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?z Outfall No. Date 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: 11/1/2012-10/31/2017 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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REG ZONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permit Date: 11/1/2012-10/31/2017 (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group May 20, 2016 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 RECEIVED Re: Storm Water Discharge Monitoring Report MAY 08 2017 Draka Elevator, Inc. 6809 Corporation Parkway CENTRAL FILES Battleboro, INC 27809 DWR SECTION Certificate of Coverage NCG030519 Dear Sir/Madam: OPRYSMIAN - Draka 2151 North Church Street Rocky iMount, NC 27804 Operations Phone: 252-446-81-13 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of April 2016, tiered monitoring was conducted as required at Outfall 001 (OF001) and Background 001 (BG001). The sample results exceeded their BMVs for copper and zinc in the outfall and background samples. Below are the results of the April monitoring. Copper (mg/L): Zinc (mg/L): Sample BMV=0.007 BMV=0.067 OF001 0.0254 0.305 BG001 0.0132 0.250 In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc in May 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 3, 2016 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' April (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply ❑SA [g]other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?' 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 s 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 OF001 04/12/2016 0.75 0.0254 0.305 BG001 04/12/2016 0.75 1 1 0.0132 10.250 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: NA "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." Awe) CIN' Name rant name) Ag&�- Title,(Print title) (Sign/ ure) (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. NA n No discharge this period?Z Outfall No. Date Sample collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids P 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 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an oriainal and one copv 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group February 24, 2017 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: �PRYSMIAN —�',,,.� Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 rt� 6 r air ,ate u F c,u d gTOn6n\'JAI tR (cn"n I i Iglu Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of January 2017, no appreciable precipitation was recorded or unsafe conditions existed, preventing sample collection. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct monitoring during the next qualifying rain event. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted February 21, 2017 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2017 SAMPLE PERIOD ❑Jan -June ❑July -Dec or ❑X Monthly' January (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N- CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No dischome this period?Z Outfall No. Date Sample t 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 Or anicss g Benchmarks =__> - - 100 mg/L or 50 mg/L` 6.o —9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 January No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeoance Tor the same parameter at the same outiah. ' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the Ndefinition 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). SWU-245, last revised 10/25/2012 Permit Date: 11/1/2012-10/31/2017 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: NA "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." Nam (Print name) C-11ZI241 Title (Pri t title) (Sig VIA re) (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. NA n No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 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 X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional5upe[yisnr Mail on original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 `1, Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted July 15, 2016 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # Comments on sample collection or analysis: Is Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2016 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or 0 Monthly' May (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA T ❑Zero -flow ❑Water Supply ❑SA G X❑Other N; CSW Lr ti PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 0 2 ti ❑ No discharge this period?z 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 Organicss Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 05/29/2016 0.29 0.0180 0.1100 3G001 05/29/2016 0.29 0.0172 0.1170 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ' 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/l/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: NA "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." z gkmc�� mt name) �_ Title Pri 'tie) _2�K (Si re (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 m¢/U' 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. NA ❑ No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES 0 NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES 0 NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this OMR, 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that ti�re are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group July 28, 2016 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 42PRYSMIAN Draka 2151 North Church Sueel, Rockv NJount, NC 27804 Operations Phone: 252-446-81-13 Operations Fax: 252-446-6959, Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of May 2016, tiered monitoring was conducted as required at Outfall 001 (OF001). Additionally, a background sample was collected for comparison (BG001). The sample results exceeded their BMVs for copper and zinc in the outfall and background samples. Below are the results of the monitoring. Copper (mg/L): Zinc (mg/L): Sample BMV=0.007 BMV=0.067 OF001 0.018 0.110 BG001 0.0172 0.117 In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for copper and zinc in June 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 324-7035, Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures Prysmian Group Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, INC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 4�PPYSMIAN Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 JAN 121016 STO G,i t,, Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of December 2015, tiered monitoring was conducted as required at Outfall 001 (OF001) as well as at a background location (BG001) for comparison. Concentrations of copper and zinc were detected exceeding BMVs in OF001. The concentration of copper in BG001 exceeded the BMV, indicating that the OF001 copper exceedance may not be the result of facility activities. Below are the results of the December monitoring. Copper Zinc Sample (mg/L): (mg/L): =0.007 BMV=0.067 OF001 70.03501 0.169' BG001 0189 0.0406 I Exceeds BMV NS= Not Sampled for this Parameter In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct comprehensive monitoring for copper, zinc, lead, oil and grease, total suspended solids and pH in January 2016, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted January 7, 2016 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. q 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec ,; ) or ® Monthly' December (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW r.' ' \ " PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 12/22/2015 0.76 0.0350 0.169 BG001 12/22/2015 0.76 0.0189 0.0406 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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 Storrrlwater Pollution Prevention Plan." name) G G-C //��PCfv/' & UO)l Title (Pri t title) �ig a re) (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. NA n No discharge this period?z 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signatu of Permittee) (Dat� Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted December 10, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. q 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ® Monthly' November (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply []SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/Total Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 11/07/2015 0.17 0.0151 0.0994 BG001 11/07/2015 0.17 <0.0050 0.0606 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " 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). RECEIVED DEC 15 2015 Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 DENR•LAND QUALITY Page 1 of 3 aTQRMWATER PERMITTING �J i 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (70), 1 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." &am 0111S Name lyrint name) G(�ha I D►recRr Title (Print title) 'w/j UI� (Signat LY(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. NA ❑ No discharge this period?Z Outfall No. Date Sample i 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." I2-LN (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAN Draka 2151 North Church Street Rocky NrIount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of November 2015, tiered monitoring was conducted as required at Outfall 001 (OF001) and Background 001 (BG001). Below are the results of the November monitoring. Copper Zinc Sample (mg/L): (mg/L): BMV=0.007 BMV=0.067 OF001 0.0151 0.09941 BG001 <0.0050 0.0606 ' Exceeds BMV Ns= Not Sampled for this Parameter In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for Copper and Zinc in December, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures RECEIVED DEC 15 2015 DENR•LAND QUALITY STORMWATER PERMITTWG Prysmian Group Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: v pRYSM IAf-i -*- Draka 2151 North Church Street Rockv i\bunt, NC 27804 Operations Phone: 252-446-81 13 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of November 2015, tiered monitoring was conducted as required at Outfall 001 (OF001) and Background 001 (BG001). Below are the results of the November monitoring. Copper Zinc Sample (mg/L): (mg/L): BMV=0.007 BMV=0.067 OF001 0.01511 0.0994' BG001 <0.0050 '0.0606 ' Exceeds BMV N5= Not Sampled for this Parameter In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for Copper and Zinc in December, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures RECEIVED 19EC' 15 2015 DENR•LAND QUALITY STORMWATER PERMITTIN9 RECEIVE-D Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted December 10, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # Comments on sample collection or analysis: NA Z Part A: Stormwater Benchmarks and Monitoring Results DEC 15 2015 DENR-LARQ QtJk_; TY STORh41AIATERIP�t=,R,t 11TjTING SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' November (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No dischome this period?' 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 OF001 11/07/2015 0.17 0.0151 0.0994 BG001 11/07/2015 0.17 1 1 1 <0.0050 1 0.0606 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° 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 t Facilities that incorporate a solvent management Ian into the Stormwater Pollution Prevention Plan may so certify, p g p y 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name fYrint name) G (19ha l D► rec it Title (Print title) ylztiVL (Signat (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 mglU' 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. NA ❑ No discharge this period ?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar 0&G/TPH by EPA 1664 (5GT-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 10/2S/2012 Page 2 of 3 Note: If Xou report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." I2LN (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report ` for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 11, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cent. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Monthly' October (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X❑ No discharge this period?' y 0.w C-.3 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches;s Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 October No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outtall. 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. 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 r � Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring rtiay 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: NA "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. 1 further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." 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. NA ❑ No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional SuperviSor 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /0/J (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources North Carolina Department of Environmental Quality Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 4PRYSMIAIV -0 �- Draka 2151 North Church Street Rocky N9ount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of October 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for Copper and Zinc in November, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, (/ fly Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 11, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or 0 Monthly' October (month) DISCHARGING TO CLASS ❑ORW ❑HQW [-]Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> n No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic 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 OF001 October No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. a See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 1111/2012-10/31/2017 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: NA "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." W115— 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 m6/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. NA n No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional uperyisor Mail an oriainal 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �//j (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources North Carolina Department of Environmental Quality Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: V5PRYSMIAIV Draka 2151 North Church Street Rocky Nlount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of October 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct tiered monitoring for Copper and Zinc in November, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, �f �y Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted September 21, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: TWA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly' August (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?Z Outfall No. Outfall 7NoCollected Date Sample r (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 Or anicss g 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 OF001 08/31/2015 0.24 0.0665 0.1680 BG001 08/31/2015 0.24 1 1 1 0.0677 0.1720 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outtall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 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). RECEIVED Permit Date: il/1/2012-10/31/2017 SEP 2 8 2015 DENR-LAND QUALITY STCk AV`i,,ATER PERMITTIV3 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L', where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA 11 No discharge this period? 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervi5or Mail an oriainal and one coov 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that.qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware th ere are siR t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." zy- zor �- (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group September 24, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: ORPRYSMIAN -Q> Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-81.13 Operations Pax: 252-446-6959 DECEIVE p 0V 281015 o DENR•LAND rOF?mwggRPQUALIT NG Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of July 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Prysmian Group September 24, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 0PRYSMIAN Draka Dear Sir/Madam: Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of August 2015, monitoring was conducted as required at Outfall 001 and Background 001 locations. Samples collected from BG001 were only analyzed for parameters that had been exceeded historically. Please note that exceedances of the BMVs for Zinc were detected at Outfall 001. Sample Cu (mg/L): BMV=0.007 Zn (mg/L): BMV=0.067 OF001 0.0665 0.16801 BG001 0.0667 0.17201 1 Exceeds BMV In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct semi-annual comprehensive monitoring in September, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6029, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, amautar Glob Elevator BU OHSE Manager Draka Elevator. Inc. Attachments hl,h... E.M.4 Draka Elevator 252-446-8113 drakaep-info@draka.com 2151 North Church Street F.. I.." Rocky Mount, NC 27804 USA 252-446-6959 w .prysmiangroup.com Note to File September 21, 2015 Re: Delegation of Signatory Authority for August DMR Andrew Ramautar, Global Elevator BUQHSE Manager is hereby designated to review and sign the August DMR. This DMR has been prepared and reviewed prior to signature and is within all discharge parameters. alo Wynne Ellis Global Director of Operations Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted September 21, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Monthly' August (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Or anicss g 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 OF001 08/31/2015 0.24 0.0665 0.1680 BG001 08/31/2015 0.24 0.0677 0.1720 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Print name) Title (Print title) _ (Signature) (Date) Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -numerical format. When results are below the applicable limits, they must be reported in the format, "<XX me/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an oriainal and one coov of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware tf7 ere are sig t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Note to File September 21, 2015 Re: Delegation of Signatory Authority for August DMR Andrew Ramautar, Global Elevator BUQHSE Manager is hereby designated to review and sign the August DMR. This DMR has been prepared and reviewed prior to signature and is within all discharge parameters. Wynne Ellis Global Director of Operations Prysmian Group September 24, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 �rPRYSMIAN - Draka Dear Sir/Madam: Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. During the month of August 2015, monitoring was conducted as required at Outfall 001 and Background 001 locations. Samples collected from BG001 were only analyzed for parameters that had been exceeded historically. Please note that exceedances of the BMVs for Zinc were detected at Outfall 001. Sample Cu (mg/L): BMV=0.007 Zn (mg/L): BMV=0.067 OF001 0.0665 0.16801 BG001 0.0667 0.17201 1 Exceeds BMV In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. will conduct semi-annual comprehensive monitoring in September, as rain events allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6029, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Si4GIobEleavmatao�rBU l utar QHSE Manager Draka Elevator, Inc. Attachments hlephane F Mail Draka Elevator 252.446.8113 drakaep-info@draka.com 2151 North Church Street re. IN,.., Rocky Mount, NC 27804 USA 252-446-6959 v .prysmianeroup.com Prysmian Group September 1, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: V PPYSMIAN 4� Draka 2151 North Church Street Rocky Vfount, NC 27804 Operations Phone: 252-446-8113 Operations Far: 252-446-6959 RECEIVED SEP 0 3 2015 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a tiered response. During the month of July 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 19, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results P1Q 46C ODO SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' July (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑X No discharge this period?' 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 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 July 2015 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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: NA "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 Stormw ter Pollution Prevvention Plan." �U Nam (Print name) Title Print title) (Sign e) (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. NA n No dischorge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches 3 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 AND PART B MONITORING RESULTS: . A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. . 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. . TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significarft per gibes for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group September 1, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 10PYSMIAN -Q- Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED SEP 0 3 2015 DENR•LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of July 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures IA Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. Date submitted August 19, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' July (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑X No discharge this period?' 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 Total 5 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 July 2015 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: 11/1/2012-10/31/2017 RECEIVED SEP o 3 2015 OENR-LAAID QUALITY ST0 'VI/ATER PERP ITTiNr, SWU-245, last revised 10/25/2012 Page 1 of 3 Facilities;,hat 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: NA "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 Stormw�ter Pollution Prevention Plan." 9// (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 mg/L', where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, 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. NA ❑ No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 1, or Tier 3 responses. See General Permit text. FOR PART AND PART B MONITORING RESULTS: • A BENCHMARK EXCEE DANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: _ Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significar)t pepalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted July 6, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' June (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 X� No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&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 06/2015 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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). RECEIVED JUL 15 2015 Permit Date: 11/1/2012-10/31/2017 DFn!R_�i ND Q�ALiTY SW U-245, last revised 10/25/2012 STORMVJATER PE Page 1 of 3 RitgliTiNG 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: NA "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 Stormwate; Pollution Prevention Plan." (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA No discharge this period?Z Outfall No. Date Sample r 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: 11/1/2012-10/31/2017 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 ATTHE 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 ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Reg1011al SUherylSOr 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." A"k1i 4.lz �_� 0V/j- (Signatur f Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted July 6, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cart. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' June (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Watersupply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ) No discharge this period?Z 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 Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 06/2015 No Flow 1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, 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). RECEIVED JUL 15 2015 Permit Date: 11/1/2012-10/31/2017 D_NR-LAND QUALITY SWU-245, last revised 10/25/2012 STORE 1ViATER PER6111 TING 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: NA "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." 79/s" (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 mg/L', where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA 1-1 No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signatur f Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group July 9, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 4�PRYSMIAN -Q> Draka 2151 North Church Strect Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED JUL 15 2015 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of June 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Prysimian Group July 9, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAN --> Draka 2151 North Church Street Rockv 1%rlount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of June 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted June 1, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY NaSh PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' MaV /monthl, DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> n No discharqe this period?' Outfall No. Date Sample P Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Standard units Copper Lead Zinc 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 05/01/2015 0.33 27.9 8.7 0.0078 <0.0050 0.222 <5.0 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 RECEIVED JUN 0 9 2015 CENR-LAND QUALITY STORMWATER PERMITTING 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name int name) Title (Print title) (Signatu (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. NA ❑ 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES XQ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significapt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permit Date: 11/1/2012-10/31/2017 nxj (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group June 5, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: 45PPYSMIAN - Draka 2151 North Church Street Ricky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED JUN 09 2015 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part 11, Section B of the general permit, Draka Elevator, Inc. is required to conduct semi-annual comprehensive monitoring. During the month of May 2015, monitoring was conducted as required at Outfall 001 and Background 001 locations. Samples collected from BG001 were only analyzed for parameters that had been exceeded historically. Please note that exceedances of the BMVs for Copper and Zinc were detected at Outfall 001. Sample pH (s.u): BMV=6.0-9.0 TSS (mg/L): BMV=100 O&G (mg/L): BMV=15 Cu (mg/L): BMV=0.007 Lead (mg/L): BMV=0.03 Zn (mg/L): BMV=0.067 OF001 8.7 27.8 <5.0 0.0078 <0.0050 0 2221 BG001 8.8 INS INS <0.0050 NS 0.0670 Exceeds BMV NS= Not Sampled For this Parameter Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures 1 1\ Prysmian Group June5,2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: V PPYSMIAN Draka 2151 North Church Street RockNr Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct semi-annual comprehensive monitoring. During the month of May 2015, monitoring was conducted as required at Outfall 001 and Background 001 locations. Samples collected from BG001 were only analyzed for parameters that had been exceeded historically. Please note that exceedances of the BMVs for Copper and Zinc were detected at Outfall 001. Sample pH (s.u): BMV=6.0-9.0 TSS (mg/L): BMV=100 O&G (mg/L): BMV=15 Cu (mg/L): BMV=0.007 Lead (mg/L): BMV=0.03 Zn (mg/L): BMV=0.067 OF001 8.7 27.8 <5.0 0.0078 <0.0050 0 2221 BG001 8.8 INS INS <0.0050 INS 0.0670 Exceeds BMV NS= Not Sampled for this Parameter Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures 4 Semi-annual Stormwater Discharse Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted June 1, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Eenter COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly' May (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --) ❑ No discharge this period?z 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 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 05/01/2015 0.33 27.9 8.7 0.0078 <0.0050 0.222 <5.0 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. '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: 11/1/2012-10/31/2017 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 mbnitoring 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name int name) Title (Print title) (Signatu (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA n No discharge this period?z Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significapt penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permit Date: 11/1/2012-10/31/2017 c�/J— (Date) SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 15, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results N SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly'_ April (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No dischorae this nerindP" Outfall No. Date Sample P Collected' (mo/dd/yr)- 24-hour rainfall amount, Inches' Total Suspended Solids P H Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks ===> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 04/2015 No Flow 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. 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: 11/1/2012-10/31/2017 RECEIVED JUN 09 2015 ibl(rvq ENR P QUALITY S7OR RMI771NG 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: NA "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." Nameorint name) &h / oho Title (Pri t title) (Signatur (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 m¢/L". where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?Z 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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Superyl50r Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group June 5, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCGO30519 Dear Sir/Madam: PRYSMIAIV --*, Draka 2151 North Church Street Rot kv Mount NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED JUN 09 2015 DENR-LAND QUALITY STORMWATER PERM;17ING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of April 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures Prysmian Group June 5, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: PRYSMIAN —*- Draka 2151 North Church Street Rocky i\lount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of April 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted May 15, 2015 CERTIFICATE OF COVERAGE No. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. p Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' April (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> n No discharge this period?z Outfall No. Date Sample p Collected' (mo/dd/yr) 24-hour rainfall amount, inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks ===> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 04/2015 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "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: ll/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 AA 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: NA "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." al L/� Nam riot name) e<641 dh4 Title (��t tie) (Signatur (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 mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." -�) (Date) Permit Date:11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 8, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. q Comments on sample collection or analysis: ,N Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly' March (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?Z ram; m-4 Outfall No. Date Sample Collected i (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 s Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 03/05/2015 0.45 0.0130 <0.0050 0.290 BG001 03 OS 2015 0.45 1 1 <0.0050 I <0.0050 0.0396 ' 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 RECEIVED APR 14 2015 DENR-LAND QUALIry STORMWATER PERMITTING 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: NA "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." i .6E7//J Name Tint name) ,. (914C_ Title (Print title) (Sig e) (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?z Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional SUperVISOr Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware ��e are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �J - (Signature of P ittee) (Da e) Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group April 10, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: OPRYSMIAN -*> Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED APR 14 2015 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of March 2015, monitoring was conducted as required at Outfall 001. In addition, samples were collected at Background 001. Please note that exceedances of the BMVs for Copper and Zinc were detected at Outfall 001. Sample Cu (mg/L): BMV = 0.007 Lead (mg/L): BMV = 0.03 Zn (mg/L): BMV = 0.067 OF001 0.0130 <0.0050 0.290 BG001 <0.0050 <0.0050 0.0396 Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 8, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Charlie Dickens LABORATORY Pace Analytical Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' March (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N: CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic 5 Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L OF001 03/05/2015 0.45 0.0130 <0.0050 0.290 BG001 03 05 2015 0.45 <0.0050 <0.0050 0.0396 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 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: NA "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." ame I name) Nz , 0C� Title (Print title) (Sig e) (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. NA n No discharge this period?' 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 t 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 ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: RegIDDal Supervisor Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Signature of P ittee) (Da e) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group April 10, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 Certificate of Coverage NCG030519 Dear Sir/Madam: V PRYSMIAN - Draka 2151 North Church SLICCL Rocky Blount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED APR 14 2W DENR•LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of March 2015, monitoring was conducted as required at Outfall 001. In addition, samples were collected at Background 001. Please note that exceedances of the BMVs for Copper and Zinc were detected at Outfall 001. Sample Cu (mg/L): BMV = 0.007 Lead (mg/L): BMV = 0.03 Zn (mg/L): BMV = 0.067 OF001 0.0130 <0.0050 0.290 BG001 <0.0050 <0.0050 0.0396 Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919.' Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures Prysmian Group March 6, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: V PRYSMIAIV -0s Draka 2151 North Church client Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pas: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tiered response. During the month of February 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, RECENED Wynne Ellis Global Director of Operations nENR-`.Q o Ql1rl_)T�! Draka Elevator, Inc. STORMWATERPERNIITT)N Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted March 6, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly` February (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA ®Other N CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> 0 No discharge this period?z Outfall No. Date Sample P Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/0 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L IS mg/L 1 mg/L 001 02/2015 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ' 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). RECEIVED 10 2015 Permit Date: 11/1/2012-10/31/2017 DENR-LAND QUALITY SWU-245, last revised 10/25/2012 STORM4YATER PERMITTING 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Prvt name) Title (.rint -itle) (Signatu (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier Z 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. NA ❑ No discharge this period?' 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 ATTHE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART It SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." /� (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted February 19, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or 0 Monthly' January (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?Z 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 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 01/2015 No Flow ' 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. 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). RECEIVED I 3 20115 Permit Date: 11/1/2012-10/31/2017 DENR-LAND QUALITY SW U-245, last revised 10/25/2012 STORMWATER PERMITTING 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." name) Title (Print (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. NA n No discharge this period?2 Outfall No. Date Sample collected' (mo/dd/yr) 24-hour rainfall amount, Inches 3EPA Non -polar O&G/TPH by 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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑X NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional 5upQryl50r 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian .Group February 20, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PRYSMIAN -*- Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of January 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures RECEIVED FEB 2 3 2015 DENR-LAND QUALITY STORMWATER PERMITTING Prysmian .Group February 20, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PPYSMIAN -Q- Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of January 2015, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator. Inc. Enclosures Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted February 19, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. K Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2015 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly' January (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]WaterSupply [:]SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> n No discharge this period?' Outfall No. Date Sample r 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 s 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 01 2015 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." name) Title (Print l (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA n No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES X❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑X NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group January 17, 2015 N.C. Department of Environment and Natural Resources Washington Regional Office Attention: Regional Office Supervisor 943 Washington Square Mall Washington, NC 27889 Re: Notification of Entry into Tier III Response Action PRYSMIAIV -*. Draka 2151 North Church Sweet Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 1 � 2 JAN �r 3 ?ui� ra NC DENR Raleigh Regional Office Draka Elevator, Inc. Draka Elevator, Inc. 2151 Church Street 6809 Corporation Pkwy Rocky Mount, NC 27804 Battleboro, NC 27809 General Permit Number NCG030376 General Permit Number NCG030519 Dear Sir/Madam: In accordance with Part II, Section B of the general permit, Draka Elevator, Inc. is making written notification that during the permit term the first valid sampling results required for the permit monitoring periods have exceeded the benchmark values, or are outside of the benchmark ranges, for specific parameters at specific outfalls on four occasions. Specifically, copper and zinc. Draka Elevator, Inc. has been faithfully monitoring monthly as the two properties have progressed through the Tiered Response Action requirements required by the general permits. In addition, Draka Elevator, Inc. has been performing upstream or background monitoring at each location, which demonstrates that the source of the elevated contaminant concentrations are not a result of our industrial processes but rather are naturally occurring or being contributed from upstream of our operations. We have enclosed analytical results summaries demonstrating that the pollutant concentrations are not contributed from our operations. We respectfully request to resume semi-annual monitoring for the remainder of the permit term. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures s��� Q�`� °���i� I Draka Elevator Manufacturing Facility 2151 North Church Street Rocky Mount, NC 27804 Laboratory Analytical Results Summary: 2013 - 2017 Parameter: Total Flow pH TSS O&G Copper Lead Zinc Tiered Response Level Method: Local Rain Gaug 9040 2540D 1664A 200.7 200.7 200.7 BMV: 24-Hr. Total 6.0-9.0 100 15 0.007 0.03 0.067 Units: Inches std. mg/I mg/I mg/I mg/I mg/1 Semi -Annual Period Date Outfall Comments 5/6/2013 0F001 New Permit D.15 8.9 13.2 <5.0 0.0169 <D.005 0.228 NA 1st Half 2013 5/6/2013 0F002 None DAS 8.8 <2.5 <5.0 <0.005 <D.005 0.658 NA 5/6/2013 0F003 None 0.15 7.8 9.7 <5.0 <0.005 40.005 0.0174 NA 7/2/2013 BG001 BMV Exceedenc 0.71 NA NA NA 0.0126 NA 0.0993 NA 11/7/2013 0F001 None 0.75 8.6 <2.5 <5.0 <0.005 <0.005 0.0538 NA 2nd Half 2013 11/7/2013 0F002 BMV Exceedenc 0.75 8.4 <2.5 <5.0 <0.005 <0.005 0.155 NA 11/7/2013 0FD03 None 0.75 7.8 9.7 <5.0 0.006 <0.005 0.0476 NA 1/1/2014 OF002 None No Flow Tier I 1/1/2014 BG001 None No Flow NA 2/19/2014 0F002 None 0.50 0.105 Tier l for Zn 2/19/2014 BG001 None 0.50 0.0824 NA 3/1/2014 All - No flow 1st Half 2014 4/8/2014 0F001 Comprehensive 0.25 6.2 5.7 <S.D 0.0108 <0.005 0.0834 Tier I for Cu; Tier II for Zn 4/8/2014 0F002 Comprehensive 0.25 7.6 3.9 <5.0 <0.005 1005 0.312 Tier II for Zn 4/8/2014 0FD03 Comprehensive 0.25 7.0 <5.0 <S.0 0.0104 <0.005 0.0459 Tier I for Cu; Tier I for Zn 4/8/2014 BGO01 BG BMV Exceed 0.007 0.174 NA May All None No Flow June All None No Flow July All None NO Flow 8/1/2014 0F001 None 1.08 0.0206 0.136 Tier II for Cu & Zn 8/1/2014 OF002 None 1.08 <0.0050 _ - 0.147 Tier II for Zn 8/1/2014 OF003 None 1.08 - 0.0274 0.0926 Tier II for Cu & Zn 8/1/2014 BG001 None 1.08 0.0065 - 0.0299 NA 9/24/2014 OFO01 None 128 0.0186 0.194 Tier II for Cu & Zn 2nd Half 2014 9/24/2014 OF002 None 2.28 0.0050 0.108 Tier II for Zn 9/24/2014 OF003 None 2.28 - 0.0092 0.0555 9/24/2014 8G001 None 2.28 - 0.0233 0.176 NA 10/SS/2014 OF001 Comprehensive 0.3 8.1 5.5 <S.D 0.0070 <D.OD50 0.0966 Tier III for Cu & Zn 10/15/2014 0FD02 Comprehensive 0.3 8.2 <5.0 <5.0 <0.0050 <0.0050 0.145 Tier III for Zn 10/15/2014 0F003 Comprehensive 0.3 7.5 5.4 <5.0 <O.OD50 <O.0050 0.0540 Tier l for Zn 10/15/2014 BG001 Comprehensive 0.3 &1 <0.005 November All None NgFlow Draka Elevator Distribution Center 6809 Corporation Parkway Battleboro, NC 27809 Laboratory Analytical Results Summary: 2013 - 2017 Semi -Annual Period Date Outfall 5/6/2013 OF001 1st Half 2013 6/18/2013 BGO01 2nd Half 2013 11/7/2013 OF001 1st Half 2014 2/19/2014 BG001 3/1/2014 All 4/8/2014 OF001 4/8/2014 BG001 June All 2nd Half 2014 July All 8/1/2014 OF001 8/1/2014 BG001 9/24/2014 OF001 9/24/2014 BG001 Parameter: Total Flow pH TSS O&G Copper Lead Zinc Tiered Response Level Method: Local Rain GaUgE 9040 2540D 1664A 200.7 200.7 200.7 BMV: 24-Hr. Total 6.0-9.0 100 15 0.007 0.03 0.067 Units: Inches std. mg/I mg/I NA mg/I mg/I Comments New Permit 0.35 6.6 8.3 <5.0 0.0082 <0.005 0.140 NA BMV Exceedencf 0.81 NA NA NA 0.0126 NA 0.0556 NA BMV ExceedencE 0.5 7.3 6.7 1 <5.0 0.014 1 <0.005 0.183 NA None No Flow NA None No Flow NA BMV ExceedencE 0.55 0.0075 - 0.131 Tier I for Cu and Zn None 0.55 <0.005 0.0483 NA - No Flow Comprehensive 0.3 7.0 26.5 <5.0 0.0089 <0.005 0.161 Tier 11 for Cu and Zn BG BMV Exceed 0.3 _ <0.005 _ 0.106 NA None No Flow None No Flow None No Flow None 1.08 0.005 0.127 Tier 11 for Cu and Zn None 1.08 0.0086 0.0617 NA None 1.21 _ 0.0131 0.305 Tier II for Cu and Zn None 1.21 <0.0050 0.0759 NA 10/15/2014 OF001 Comprehensive 0.38 7.5 19.2 <5.0 <0.0050 <0.0050 0.0974 Tier II for Cu and Tier III for Zn 10/15/2014 BG001 Comprehensive 0.38 7.4 <0.0050 <0.0500 NA November I All INone I- No Flow fi a} r r T• /r, i • • _ g N — 1 P i�, t �.� �( �+ - � ,• sr I•. I ,�• y �'� .ate Rocky Mount, NC 27804 r. F! I `ram � � �-�" JA - x a(,e l r+ r 'i Background 001 QO � rI ,I rc jb 4 - r {. Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted January 15, 2015 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 SAMPLE COLLECTION YEAR 2014 17 FACILITY NAME Draka Elevator, Inc. - Dist. Center SAMPLE PERIOD ❑ Jan -June ❑ July -Dec COUNTY Nash or © Monthly' December (month) PERSON COLLECTING SAMPLES Paul Walker DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA LABORATORY Pace Analytical Lab. Lab Cert. q 40 ❑Zero -flow ❑Water Supply [:]SA C' Comments on sample collection or analysis: X❑Other N; CSW 0 NA �v PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4.ac Part A: Stormwater Benchmarks and Monitoring Results ❑ No discharge this period?' Outfall No. Date Sample i 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 5 Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L DC001 12 22 14 0.45 0.0066 0.124 DCBG 12/22/14 0.45 1 0.0061 0.0316 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. 4 See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. 5 Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469.22; and for cathode ray tube manufacture use the definition found in 40 CFR 469.31). Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 TO monitoring acilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for T 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: NA "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." %//J Name �((Pr t name) Title Print title) (Signs ) (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. NA ❑ No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 ,dote: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: Regional Supervisor 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group January 17, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: 45PRYSMIAN -Q- Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone 252-446-8113 Operations Fax: 252-446-6959 RECEIVE© BAN 2 0 2015 DFNR-LAND QUALITY STQRMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring. During the month of December 2014, the sample from Outfall 001 and Background 001 exceeded the benchmark values for lead. This suggests that the elevated concentrations of lead in the stormwater sample may not be a direct result of facility activities. Sample Cu (mg/L): BMV = 0.007 Pb (mg/L): BMV = 0.03 OF001 0.0066 0.124 BG001 0,0061 0.0316 Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures RAIN GAUGE RECORD COMPANY: Drake Elevator, Inc. ADDRESS: 5809 Corparatlon Parkway, Battleboro, NC 27809 YEAR: 2014 SAMPLING DATE: December 22, 2014 STORM EVENT TOTAL RAINFALL (Inches): 045 STARTTIME: 8.00AM STOP TIME: 9:15 AM TOTAL TIME)hre): 2.25 OUTTALL NO, PH (so) BY (initial) PH Calibration Re cord OuUall No. 001 7.8 PW Standard pH reading BY (Initial) Background 001 7,6 PW 7.0 7.0 PW DATE TIME)hrmm) RAINFALL (INCHES) MEASURED BY)InlUall 1 2 3 4 5 6 T 8 9 to 11 12 13 14 15 16 17 18 19 20 21 22 9:15 AM 045 PW 23 24 25 26 27 28 29 30 31 Prysmian Group January 17, 2015 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: 10PYSMIAN - Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED JAN 20 2015 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring. During the month of December 2014, the sample from Outfall 001 and Background 001 exceeded the benchmark values for lead. This suggests that the elevated concentrations of lead in the stormwater sample may not be a direct result of facility activities. Sample Cu (mg/L): BMV = 0.007 Pb (mg/L): BMV = 0.03 OF001 0.0066 0.124 BG001 0.0061 0.0316 Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Global Director of Operations Draka Elevator, Inc. Enclosures RAIN GAUGE RECORD COMPANY: Draka Elevator, Inc. ADDRESS: 6809 Corporation Parkway, BattleborO, NC 27809 YEAR: 2014 SAMPLING DATE: December 22, 2014 STORM EVENT TOTAL RAINFALL (Inches): OAS START TIME: 8:00AM STOP TIME: 9:15 AM TOTALTIME)hrs): 2.25 OUTFALL NO. pH (so) BY ilnillal) PH Calibration Record Oullall No. 001 7.8 PW Standard pH reading BY(Initial) Background 001 7.6 PW 7.0 7.0 PW DATE TIME)hr:mm) RAINFALL (INCHES) MEASURED BY (initial) 1 2 3 a 5 5 T 8 9 30 31 12 13 14 1s 16 17 1B 19 20 21 22 9:15 AM 0.45 PW 23 24 25 26 27 28 29 30 31 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted January 15, 2015 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cert. # 40 Comments on sample collection or analysis: 0r_1 Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly' December (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids PH,and Standard units Copper Lead Zinc 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 DC001 12 22 14 0.45 0.0066 0.124 DCBG 12/22/14 1 0.45 1 0.0061 0.0316 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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 Stormyreter Pollution Prevention Plan." name) title) l 11Y 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. NA 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ® NO ❑ REGIONAL OFFICE CONTACT NAME: _ _Regional Supervisor 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group November 13, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: 0 PRYSM IAN - Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED NOV 14 1014 DENR•LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct semi-annual monitoring. During the month of October 2014, the sample from Outfall 001 exceeded benchmark values for zinc. The background sample did not exceed the benchmark value for Zinc. Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 5, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cert. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA []Zero -flow ❑Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?' Outfall No. Date Sample Collected ' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Copper Lead Zinc Non -Polar 0&G/ Total Petroleum Hydrocarbons Total Toxic Organics s Benchmarks =__> - - 100 mg/L or 50 mg1C 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 10 15 14 0.38 19,2 7.5 <0.0050 <0.0050 0.0974 <5.0 NA BG 10/15/14 0.38 NA 7.4 <0.0050 NA 0.0500 NA NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: NA "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." zz �711J Na Print name) � of ��O i/ n L3 Title (Pri t title) Si ure) (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 m¢/U' 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 1, 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. NA n No discharge this oeriod?2 Outfall No. Date Sample Collected i (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: 11/1/2012-10/31/2017 - 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 Z, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: - Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group November 13, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: OPPYSMIAI\I -Q> Draka 2151 i\forth Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct semi-annual monitoring. During the month of October 2014, the sample from Outfall 001 exceeded benchmark values for zinc. The background sample did not exceed the benchmark value for Zinc. Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 5, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cert. q 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ® July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [_]Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No discharge this period?" Outfall No. Date Sample P Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids p H, Standard units Copper Lead Zinc 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 1015 14 0.38 19,2 7.5 <0.0050 <0.0050 0.0974 <5.0 NA BG 10/15/14 0.38 NA 7.4 <0.0050 NA 0.0500 NA NA Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (T70), 1 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 P��eveention Plan." ahZj/%�/ C7�.1 Na Print narW) (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 mglU' 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. NA n 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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group November 13, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 2151 Church Street Rocky Mount, NC 27804 General Permit Number NCG030376 Dear Sir/Madam: PPYSMIAN -Q, Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 RECEIVED Nuv 14 2W4 DENR-LAND QUgI ITy STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. facility located at 2151 North Church Street, Rocky Mount, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030376. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct semi-annual monitoring. During the month of October, monitoring was conducted as required at Outfalls 001, 002, and 003 as well as a background sampling point BG001. The table below summarizes the results above the bench mark values for this monitoring period. Please note that the background location demonstrates that storm water flowing onto the property contains Zinc at concentrations above the bench mark values. Sample Zn (mg/L): BMV = 0.067 OF001 0.0966 OF002 0.145 OF003 0.0540 BG001 0.121 Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 984-5133, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 5, 2014 CERTIFICATE OF COVERAGE NO. NCG03 0 3 7 6 FACILITY NAME Draka Elevator, Inc. COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab Lab Cert. q 40 Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June X❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [-]Watersupply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 ❑ No dischome this period?' Outfall No. Date Sample Collected r (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids PH Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 - 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 10/15/2014 0.3 5.5 8.1 0.0070 <0.0050 0.0966 <5.0 NA 002 10/15/2014 0.3 <5.0 8.2 <0.0050 <0.0050 0.145 <5.0 NA 003 10/15/2014 0.3 5.4 7.5 <0.0050 <0.0050 0.0540 <5.0 NA BG001 10/15/2014 0.3 NA NA <0.0050 NA 0.121 NA NA Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceeciance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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." I �19lyie-_ 0/k NaMY( Print name) Title (Prin itle) (Sig ure) (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 mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA n No discharge this period?Z Outfall No. Date Sample i 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: il/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 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." //, /�i (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Pry smian VPRYSMIAN Group -4*�, Draka 2151 North Church Street Rocky AMount, INC 27804 Operations Phone: 252-=446-8113 Operations Pas: 252-446-6959 November 13, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 REcEI1 ED NOV 14 20m Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 2151 Church Street STO ENR-LAND QUA RMWATER pEFf'_ 'TING Rocky Mount, NC 27804 General Permit Number NCG030376 Dear Sir/Madam: Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. facility located at 2151 North Church Street, Rocky Mount, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030376. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct semi-annual monitoring. During the month of October, monitoring was conducted as required at Outfalls 001, 002, and 003 as well as a background sampling point BG001. The table below summarizes the results above the bench mark values for this monitoring period. Please note that the background location demonstrates that storm water flowing onto the property contains Zinc at concentrations above the bench mark values. Sample Zn (mg/L): BMV = 0.067 OF001 0.0966 OF002 0.145 OF003 0.0540 BG001 0.121 Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 984-5133, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted November 5, 2014 CERTIFICATE OF COVERAGE NO. NCG03 0 3 7 6 FACILITY NAME Draka Elevator, Inc. COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab Lab Cert. n 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June X❑ July -Dec or ❑ Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No dischome this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids Standardand 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 10/15/2014 0.3 5.5 8.1 0.0070 <0.0050 0.0966 <5.0 NA 002 10/15/2014 0.3 <5.0 8.2 <O.0050 <0.0050 0.145 <5.0 NA 003 10/15/2014 0.3 5.4 7.5 <0.0050 <0.0050 0.0540 <5.0 NA BG001 10/15/2014 0.3 NA NA <0.0050 NA 0.121 NA NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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." alell f "�fri Na (Print name) ✓� ��fs� Title (Pn t title) (Si Wre) /(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. NA ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Non -polar O&G/TPH by EPA 1664 (SGT-HEM) Total Suspended Solids pH Benchmarks =__> _ - 15 mg/L 100 mg/L or 50 mg/L* 6.0 — 9.0 SU Footnotes from Part A also apply to this Part B * See General Permit text, Table 5, identifying the especially sensitive receiving water classifications where the more protective benchmark applies. Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." _ s & (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group September 4, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PPYSMIAN Draka 2151 North Church Street Rocky Mount NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct semi-annual monitoring. During the month of August 2014, the sample from Outfall 001 exceeded the benchmark value for zinc but not copper. The background sample did exceed the benchmark value for Copper, but not for zinc. Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at(704)543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 27, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cert. fi 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June X❑ July -Dec or ❑ Monthly'August (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [_]WaterSupply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -i n No dischome this period?2 Outfall No. Date Sample 24-hour rainfall Total Suspended Solids PH. Copper Lead Zinc Non -Polar O&G/ Total Petroleum Total Toxic Or anicss g Collected amount, Standard units Hydrocarbons (mo/dd/yr) Inches' 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 DC001 8/01/14 1.08 0.0087 0.127 DCBG 8/01/14 1.08 0.0086 0.0617 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive bencnmarx exceebance for the same paranieiei ni I'M >dl IIC vuudu. ' 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: 11/1/2012-10/31/2017 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: NA "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." �iiiGl&Z _�7/8 Name rint name) /Z &-r-- /V �6 Title (Print title) (Sign re) (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 mQ/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. NA n No discharge this period?Z Outfall No. Date Sample Collected (mo/dd/yr) 24-hour rainfall amoun3, 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 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an oriainal 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." C/1l�/ (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group September 4, 2014 RECEIVED SEP 0 8 2014 STORMW LAND QUALITY ATER PERMITTING Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PPYSMIAN --Q- Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct semi-annual monitoring. During the month of August 2014, the sample from Outfall 001 exceeded the benchmark value for zinc but not copper. The background sample did exceed the benchmark value for Copper, but not for zinc. Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 27, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cent. # 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June X❑ July -Dec or ❑ Monthly'August (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]Watersupply [:]SA QOther N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 -) ❑ No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall - amount, ..- Inches' Total Suspended Solids paid Standard units Copper Lead Zinc 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 DC001 8/01/14 1.08 0.0087 0.127 DCBG 1 8/01/14 1.08 0.0086 0.0617 ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. "See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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." /4l�� GJ Name (11rint name) Title (Print title) (Si ture) (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART 11 SECTION B. • TIER 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: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 S Prysmian Group September 4, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PPYSMIAN -4Z, Draka 2151 North Church SLI"eet Rocky NIrnint, NC 27804 Operations Phone: 252-446-8113 Operations Pas: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of July 2014, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator. Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 12, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Lab Cert. q Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly'July (month) DISCHARGING TO CLASS ❑ORW ❑HCtW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --> 0 No discharge this period?z 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 Total Petroleum Hydrocarbons Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 July 2014 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 3The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. `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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 1 of 3 Al 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (Vint name) Dri,_20- Title (Print title) (Sign re) (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?' Outfall No. Date 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: 11/1/2012-10/31/2017 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 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 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 FKI IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2D12-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group September 4, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: �PPRYSMIAN -4*o Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of July 2014, we were unable to collect samples due to unsafe conditions during the only appreciable flow for the month. For the remainder of the month, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted August 12, 2014 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY_ Lab Cert. # Comments on sample collection or analysis: NA Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly'July (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA ®Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No dischorae this period?" 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 July 2014 No Flow Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. See General Permit, Table 3 identifying the especially sensitive receiving water classifications where the more protective benchmark applies. ' 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: NA "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." alo �Q��/L Name Print name) Title (l5ri ttitle) (Sig re) (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 mg/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA n No discharge this period?Z Outfall No. Date 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: 11/1/2012-10/31/2017 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 EXCEEOANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permittee) Permit Date: 11/1/2012-10/31/2017 (Date) SW U-245, last revised 10/25/2012 Page 3 of 3 Prysrnian Group June 19, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, INC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, INC 27809 General Permit Number NCG030519 Dear Sir/Madam: OPRYSMIAN -Q* Draka 2151 North Church Street Rocky Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED JUN 23 2014 DENR•LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of May 2014, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted June 10, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Pace Analytical Lab. Lab Cert. # Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or ❑X Monthly'May (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this period?' 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 Total Petroleum Hydrocarbons 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 May 2014 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. ° See General Permit, 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: 11/1/2012-10/31/2017 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: NA "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name ( int name) Titl (Print title) I (Signat re) (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 m¢/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA ❑ No discharge this period?Z Outfall No. Date Sample i 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: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 2 of 3 Note: if you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES FINOFKI IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group June 19, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PRYSMIAN -Q, Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Pax: 252-446-6959 RECEIVED JUN 23 2014 DENR-LAND QUALITY STORMWATER PERMITTING Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of May 2014, there was insufficient flow in which to collect samples. Monthly monitoring will be continued in accordance with permit requirements as flow conditions allow. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, fly Wynne Ellis Director of Product Development and Quality Draka Elevator, Inc. Attachments Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted June 10, 2014 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES LABORATORY Pace Analytical Lab. Lab Cert. q 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly' May (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow [:]Watersupply ❑SA DOther N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 --) 0 No discharge this period?' 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 Total Petroleum Hydrocarbons 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 May 2014 No Flow ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: NA "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." (X h1l1l) j�,2 a((,S Name P nt name) r i Ti le Print title) / / / (Signatu ) (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. NA No discharge this period?Z Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar 0&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 AND PART B MONITORING RESULTS: • A BENCHMARK EXCEL DANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." �i (Date) Permit Date: 11/l/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 Prysmian Group May 1, 2014 Storm Water Permitting Unit Division of Energy, Mineral, and Land Resources Attention: Bradley Bennett 1612 Mail Service Center Raleigh, NC 27699-1612 Re: Storm Water Discharge Monitoring Report Draka Elevator, Inc. 6809 Corporation Parkway Battleboro, NC 27809 General Permit Number NCG030519 Dear Sir/Madam: PRYSM IAf V -*,� Draka 2151 North Church Street Rockv Mount, NC 27804 Operations Phone: 252-446-8113 Operations Fax: 252-446-6959 5;•l V140 WEStNt�s � Enclosed are two copies of the Storm Water Discharge Outfall (SDO) Monitoring Report for the Draka Elevator, Inc. Distribution Center facility located at 6809 Corporation Parkway, Battleboro, Nash County, North Carolina. This facility is permitted to discharge storm water under the National Pollution Discharge Elimination System (NPDES) general permit number NCG030519. The permit became effective on November 1, 2012 and is scheduled to expire October 31, 2017. In accordance with Part II, Section B of the permit, Draka Elevator, Inc. is required to conduct monthly monitoring as part of a Tier Two response. During the month of February 2014, the sample from Outfall 001 exceeded benchmark values for copper and zinc. The background sample did not exceed benchmark values. Monthly monitoring will be continued in accordance with permit requirements. If you have any questions or concerns, please feel free to contact me at (252) 972-6025, or our environmental consultant, Rob Duffy of Antea Group at (704) 543-3919. Sincerely, Wynne Ellis Director of Product Development and Quality Draka Elevator. Inc. Attachments RAIN GAUGE RECORD COMPANY: Drake Elevator, Inc. ADDRESS : 6809 Corporation Parkway, Battleboro, NC 22809 YEAR: 2014 SAMPLING DATE: February 19, 2014 STORM EVENTTOTAL RAINFALL (Inches): 0.55 STARTTIME: 5'.45 AM STOPTIME: 8A0 AM TOTAL TIME (hrs): 2.25 OUTFALL NO. pH (so) BY (initial) pH Calibration Record Outfall No. 001 7.2 PW Standard pH reading BY (initial) ].0 4 RL DATE TIME(hr:mm) RAINFALL (INCHES) MEASUREDBY (Initial) 1 2 3 4 5 6 8 9 10 11 12 13 14 15 16 1] 18 19 B:OOAM 055 PW 20 21 22 23 24 25 26 2] 28 29 30 31 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 2, 2014 CERTIFICATE OF COVERAGE NO. N0003 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cert. q 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or © Monthly' February (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA X❑Other N; CSW PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No dischorae this oeriod?' Outfall No. Date Sample P Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids p H, Standard units Copper Lead _ Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Toxic Total Organics Benchmarks =__> - - 100 mg/L or 50 mg/L4 6.0 — 9.0 0.007 mg/L . 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 2/19/14 0.55 NA NA 0.0075 NA 0.131 NA NA BG 2/19/14 0.55 NA NA ND NA 0.0483 NA NA Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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. 1 further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Name (P int name) AD Title (Pri title) (Sign re) 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. NA ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Non -polar C&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 1, or Tier 3 responses. See General Permit text. FOR PART A AND PART B MONITORING RESULTS: • A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B. • 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: Mail an original and one copy of this DMR including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the case of "No Discharge" reports) to: Division of Water Quality Attn: DWQ Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." A&AL (Signs a of Permittee) (Date) Permit Date: 11/1/2012-10/31/2017 SWU-245, last revised 10/25/2012 Page 3 of 3 ATTACHMENT 3 QUANTITATIVE LABORATORY ANALYTICAL REPORT ace Analytical .pacelabs.com February 24, 2014 Mr. Rob Duffy Delta Environmental Consultants 8008 Corporate Center Dr Suite 100 Charlotte, NC 28226 RE: Project: DRAKA STORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Duffy: Enclosed are the analytical results for sample(s) received by the laboratory on February 20, 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, OWL L con . Angela Baioni angela.baioni@pacelabs.com Project Manager Enclosures "cc RFO TNI ; 9g AfoP, . 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 laceAnalyticalo mrwpacelgbs.com CERTIFICATIONS Project: DRAKA STORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 North Carolina Wastewater Certification #: 40 Florida/NELAP Certification #: E87648 South Carolina Certification #: 99030001 Massachusetts Certification #: M-NCO30 West Virginia Certification #: 356 North Carolina Drinking Water Certification #: 37712 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 ace Analytical w .paoelsbs. com Project: DRAKASTORMWATER Pace Project No.: 92190321 Lab ID Sample ID 92190321001 CHURCH ST CS 002 92190321002 CHURCH ST CS BG 92190321003 DISTRIBUTION CENTER DC 001 92190321004 DISTRIBUTION CENTER DC BG SAMPLE SUMMARY Matrix Date Collected Date Received Water 02/19/14 07:15 02/20/14 09:30 Water 02/19/1407:00 02/20/1409:30 Water 02/19/14 08:15 02/20/14 09:30 Water 02/19/14 08:10 02/20/14 09:30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Page 3 of 13 laceAnalyticale w .paoelabsmm SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: DRAKASTORMWATER 92190321 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92190321001 CHURCH ST CS 002 EPA 200.7 JMW 1 PASI-A 92190321002 CHURCH ST CS BIG EPA 200.7 JMW 1 PASI-A 92190321003 DISTRIBUTION CENTER DC 001 EPA 200.7 JMW 2 PASI-A 92190321004 DISTRIBUTION CENTER DC BG EPA 200.7 JMW 2 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 ace Analytical wnwpacelebs.mm ANALYTICAL RESULTS Project: DRAKA STORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9a00 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: CHURCH ST CS 002 Lab ID: 92190321001 Collected: 02/19/14 0715 Received: 02/20/14 09:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 200.7 MET ICP Zinc Date: 02/24/2014 05:44 PM Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 105 ug/L 10.0 1 02/21114 09:05 02/22/14 02:29 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 5 of 13 (�55?eAnalyficalo a wpaccabs.mm ANALYTICAL RESULTS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DRAKA STORMWATER Pace Project No.: 92190321 Sample: CHURCH ST CS BG Lab ID: 92190321002 Collected: 02/19/14 07:00 Received: 02/20/14 09:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Zinc 82.4 ug/L 10.0 1 02/21/14 09:05 02/22/14 02:32 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 02/24/2014 05:44 PM without the written consent of Pace Analytical Services, Inc.. Page 6 of 13 laceAnalyticalo wwwpaceebs.com ANALYTICAL RESULTS Pa ce Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DRAKASTORMWATER Pace Project No.: 92190321 Sample: DISTRIBUTION CENTER Lab ID: 92190321003 Collected: 02/19/14 08:15 Received: 02/20/14 09:30 Matrix: Water DC 001 Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper 7.5 ug/L 5.0 1 02/21/14 09:05 02/22/14 02:35 7440-50-8 Zinc 131 ug/L 10.0 1 02/21/14 0905 02/22/14 02:35 7440-66-6 Date: 02/24/2014 05:44 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 7 of 13 (�IaceAnalyfical' .pacelabs.ccm ANALYTICAL RESULTS Project: DRAKA STORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kinsey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: DISTRIBUTION CENTER Lab ID: 92190321004 Collected: 02/19/14 08:10 Received: 02/20/14 09:30 Matrix: Water DC BG Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper ND ug/L 5.0 1 02/21/1409:05 02/22/1402:50 7440-50-8 Zinc 48.3 ug/L 10.0 1 02/21/14 09:05 02/22/14 02:50 7440-66-6 LF.ICA�Ya8C14.1�iC[�BICL•f �L 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 ace Analytical iwwipacele0s.com QUALITY CONTROL DATA Pace Analytical Services, Inc. Hal Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DRAKASTORMWATER Pace Project No.: 92190321 QC Batch: MPRP/15282 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92190321001, 92190321002, 92190321003, 92190321004 METHOD BLANK: 1142258 Matrix: Water Associated Lab Samples: 92190321001, 92190321002, 92190321003, 92190321004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper uglL NO 5.0 02/22114 01:00 Zinc ug/L NO 10.0 02/22/14 01:00 LABORATORY CONTROL SAMPLE: 1142259 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper uglL 500 502 100 85-115 Zinc uglL 500 493 99 85-115 - MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1142260 1142261 MS MSD 92190055003 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result %Rec %Rec Limits RED RED Qual Copper uglL 0.028 500 500 502 539 95 102 70-130 7 20 mg/L Zinc ug/L 0.082 500 500 540 575 92 98 70-130 6 20 mi MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1142262 1142263 MS MSD 92190312007 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RED RPD Qual Copper ugi ND 500 500 512 512 102 102 70-130 0 20 Zinc 1 89.9 500 500 581 582 98 98 70-130 0 20 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/24/2014 05:44 PM without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical nwxpacelabs.cam QUALIFIERS Project: DRAKA STORMWATER Pace Project No.: 92190321 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, 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 (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. 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. TNI - The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services - Asheville REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 02/24/2014 05:44 PM without the written consent of Pace Analytical Services, Inc- Page 10 of 13 ace Analytical w wpacelabscom QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)B75-9092 Project: Pace Project No.: DRAKASTORMWATER 92190321 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92190321001 CHURCH ST CS 002 EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 92190321002 CHURCH ST CS BIG EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 92190321003 DISTRIBUTION CENTER DC 001 EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 92190321004 DISTRIBUTION CENTER DC BG EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/24/2014 05:44 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 13 Sample Condition Upon Receipt SCUR Page I of 2 Document Number: Issuing Authority: .F- C H R-C S -0 3 -re v. 13 13 Pace Huntersville Quality Office Client Name: Courier: D/Fed Ex El ups[] usPsL1 ClientO CommercialO Pace Other 0 tionahV'.%.�_rr�)-. Custody Seal onCooler/Box Present: P yes e no Seals intact: El yes El no 'ro I Packing Material: F] Bubble Wrap [] Bp&le Bags 0 None F1 Other Thermometer Used: IR Gun T1102 T1 0 b Type of Ice: Blue None L. ,-ff samples on ice, cooling process has begun Temp Correction Factor T1102: No Correction T1301: No Correction Corrected Cooler Temp.: C Biological Tissue is Frozen: Yes No ,Initial Innexamning N/A Date and I n F contends: Temp should be above freezing to 6°C Comments: Chain of Custody Present: ONO ONIA 1. Chain of Custody Filled Out: -Yes es ONO ONIA 2. ��:i Ootv�'�3. Chain of Custody Re Fin—quhsh—ed— 0 Sampler Name & Signature on COC: es ONO ONIA 4. Samples Arrived within Hold Time: Q/es ONO ONIA 5. Short Hold Time Analysis (<72hr): Cyes Od. ON/A 6. Rush Turn Around Time Requested: Dyes I!I/No ON/A 7, Sufficient Volume: Q4 ONO ONIA 8. Correct Containers Used: dyes ONO 11 N/A 9. -Pace Containers Used: 9'(eS ONO ON/A Containers Intact: pes ONO ONIA 10. Filtered volume received for Dissolved tests Dyes ONO 0 41'A 11. Sample Labels match COC: Dyes No ONIA ont &Uuv� -Includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked. [<Yes ONO ON/A 13. Ll All containers needing preservation are found to be in ONO ON/A compliance with EPA recommendation. '�D�Yas exceptions: VOA, coliform, TOC, O&G, WI-DRO (water) Dyes ONO Samples checked for dechlorination: Dyes ONO 9,ttA 14. Headspace in VOA Vials (>6mm): Dyes ONO 15. .�>A Trip Blank Present: OYes ONO BINIA 16. Trip Blank Custody Seals Present Dyes ONO ON/A Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Person Contacted: Comments/ Resolution: Date[Time: SCURF Review: 1-1 AA � j Date: SRFReviewd AM-22 -]Date: cDii Note Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( Le out of hold, incorrect preservative, out of terns, incorrect containers) Field Data Requited? Y / N 90211, .921 Page 12 of 13 CHAIN -OF -CUSTODY / Analytical Request Document rF ceAnalytieal a The Chainof-Custody is a LEGAL DOCUMENT. At relevant fields must be completed accurately. ..Paceum.com Page: of m 0 m Section A Section B Section C 1791973 Required Chem lnformaJon: Required Project Informalian: Invoice Information: Compan (r Report To: rid Attention: Add.s2ISt . e/ 5't- Copy To. A company Nam laws REGULATORY AGENCY Address: X NPDES r GROUNDWATER r- DRINKING WATER x=�Z2 ki j UST r RCRA i OTHER Email To: i�<!v Purchase Order No.: Pzwe Rmaranea: Phone: Fax: Project. Name: Pau Freed Site Location 4 Manager: STATE: . x JNSC/( Requested Due DatelrAT: Projea Numhee Pace Prm'le x: Requested Analysis Filtered (YIN) Section D Matrix Codes Ragwr.deliem Wormadon MATRIX r cooE - E COLLECTED Preservatives '> Drinking Water DW O O z O Water WT Waste Water YJW a - L, G ..ITE couvasne O Z Product P - m sTMT ENVGN 0 J r" SoiUSolid St. e O m SAMPLE ID On OL = h Wpe 'WP ~ (A-Z. 49I;) Air AR p u Q 9 r Sample IDs MUST BE UNIQUE Tissue TS O a- w Z Other OT X_ w O m O 2, J a d u n 0 O OZ N orm D y= S zi O y Of Pace Project Nod Lab I.D. DATEFT,,,,T.A.w Z U b X rr� 3 A �iw Oi _ a' .`�r:h C DDL 6 T 8 9 10 11 12 ADDI'TIONALCOMMENTS RELINQUISHED BY/ DATE TIME ACCEPTED BYIAFFILIATION DATE TIME SAMPLE CONDITIONS 14 v SAMPLER NAME AND SIGNATURE az ORIGINAL = O ,. _ PRINT Name o15AMPLER: ~ - c V O ' `o E PLER: GATE SigneO SIGNATURE of SAM (MhllODlYYI: O N Impenam rvote: ey signvg mia tom, yw are acceom,g Pacti s NEi 3o eay paymam temrs and asreeinq m tale mar9es or t sx Per mona nor any inwtrss rim pea within Jo Bays. F-ALL-Q-020rev.07, 15-May-2007 RAIN GAUGE RECORD COMPANY: Drake Eleyator, Inc. ADDRESS : 5809 Corporation Parkway, Battleboro, NC 27809 YEAR: 2014 SAMPLING DATE: February 19, 2014 STORM EVENT TOTAL RAIN FALL(inches): 0.55 STARTTIME: 5:45 AM STOP TIME: B:OO AM TOTALTIME(her): 2.25 OUTFALL NO. PH (so) BY (initial) PH Calibration Record Outfall Na. 001 7.2 PW Standard pH reading BY Initial) 7.0 2,4 RL DATE TIME)hr:mm) RAINFALL (INCHES) MEASURED BY)Initlalj 1 2 3 4 5 6 2 8 9 10 11 12 13 14 15 16 12 18 19 B:OOAM 0.55 PW 20 21 22 23 24 25 26 22 28 29 30 31 Semi-annual Stormwater Discharge Monitoring Report for North Carolina Division of Water Quality General Permit No. NCG030000 Date submitted April 2, 2014 CERTIFICATE OF COVERAGE NO. NCG03 0 5 1 9 FACILITY NAME Draka Elevator, Inc. - Dist. Center COUNTY Nash PERSON COLLECTING SAMPLES Paul Walker LABORATORY Pace Analytical Lab. Lab Cert. tt 40 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2014 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or 0 Monthly'February (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply [:]SA [X]Other N; CSW 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 Standard units Copper Lead Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics Benchmarks =__> - - 100 mg/L or 50 mg1C 6.0 — 9.0 0.007 mg/L 0.03 mg/L 0.067 mg/L 15 mg/L 1 mg/L 001 2/19/14 0.55 NA NA 0.0075 NA 0.131 NA NA BG 2/19/14 0.55 NA NA ND NA 0.0483 NA NA ' Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall. z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here. 'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement. " See General Permit, 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: 11/1/2012-10/31/2017 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: NA "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." Olopn,ja Oki Name rint name) Al of IUD � f� rtle (Print title) (Si ure) (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 mg/L where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. NA [] No discharge this period?z 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 OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B. • TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑ REGIONAL OFFICE CONTACT NAME: 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 YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED: "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware tot there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." of Permitted) Permit Date: 11/1/2012-10/31/2017 (Date) SW U-245, last revised 10/25/2012 Page 3 of 3 aceAnalytical vnvwpacelabs.com February 24, 2014 Mr. Rob Duffy Delta Environmental Consultants 8008 Corporate Center Dr Suite 100 Charlotte, NC 28226 RE: Project: DRAKA STORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Dear Mr. Duffy: Enclosed are the analytical results for sample(s) received by the laboratory on February 20, 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, Angela Baioni angela.baioni@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 aceAnalytical %%wpecelabs an Project: DRAI(ASTORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Asheville Certification IDs 2225 Riverside Dr., Asheville, NC 28804 Florida/NELAP Certification #: E87648 Massachusetts Certification #: M-NC030 North Carolina Drinking Water Certification #: 37712 CERTIFICATIONS North Carolina Wastewater Certification #: 40 South Carolina Certification #: 99030001 West Virginia Certification #: 356 Virginia/VELAP Certification #: 460222 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 2 of 13 aceAnalytical mwiparelsbs wnr Project: DRAKASTORMWATER Pace Project No.: 92190321 Lab ID Sample ID 92190321001 CHURCH ST CS 002 92190321002 CHURCH ST CS BG 92190321003 DISTRIBUTION CENTER DC 001 92190321004 DISTRIBUTION CENTER DC BIG SAMPLE SUMMARY Matrix Date Collected Date Received Water 02/19/14 07:15 02/20/14 09:30 Water 02/19/14 07:00 02/20/14 09:30 Water 02/19/14 08:15 02/20/14 09:30 Water 02/19/14 08:10 02/20/14 09,30 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Hunter wille, NC 28078 (704)875-9092 Page 3 of 13 aceAnalytical w wpacelabs.rom SAMPLE ANALYTE COUNT Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: DRAKA STORMWATER 92190321 Analytes Lab ID Sample ID Method Analysts Reported Laboratory 92190321001 CHURCH ST CS 002 EPA 200.7 JMW 1 PASI-A 92190321002 CHURCH ST CS BIG EPA 200.7 JMW 1 PASI-A 92190321003 DISTRIBUTION CENTER DC 001 EPA 200.7 JMW 2 PASI-A 92190321004 DISTRIBUTION CENTER DC BIG EPA 200.7 JMW 2 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 aceAnalj6cal W pare1Bbs=rn ANALYTICAL RESULTS Project: DRAKASTORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: CHURCH ST CS 002 Lab ID: 92190321001 Collected: 02/19/14 07:15 Received: 02/20/14 09:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Oual 200.7 MET ICP Zinc �ia[�YaCZfI'iiiC[�B1CL•1C7� I Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 105 ug/L 10.0 1 02/21/1409:05 02/22/1402:29 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 5 of 13 aceAnalytical x»wpacelebs.mm ANALYTICAL RESULTS Project: DRAKASTORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: CHURCH ST CS BG Lab ID: 92190321002 Collected: 02/19/14 07:00 Received: 02/20/14 09:30 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Ouat 200.7 MET ICP Zinc Date: 02/24/2014 05:44 PM Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 82.4 ug/L 10.0 1 02/21/1409:05 02122/1402:32 7440-66-6 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 aceAnalytical mvxpacelebscom Project: DRAKASTORMWATER Pace Project No.: 92190321 Sample: DISTRIBUTION CENTER DC 001 Parameters 200.7 MET ICP Copper Zinc Date: 02/24/2014 05:44 PM Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, 128078 (704)875-9092 ANALYTICAL RESULTS Lab ID: 92190321003 Collected: 02/19/14 08:15 Received: 02/20/14 09:30 Matrix: Water Results Units Report Limit DF Prepared Analyzed CAS No. Oual Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 7.5 ug/L 5.0 1 02/21/14 09:05 02/22/14 02:35 7440-50-8 131 ug/L 10.0 1 02/21/14 09:05 02/22/14 02:35 7440-66-6 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 7 of 13 aceAnalytical wwwpacelebs.rom ANALYTICAL RESULTS Project: DRAKASTORMWATER Pace Project No.: 92190321 Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Sample: DISTRIBUTION CENTER Lab ID: 92190321004 Collected: 02/19/14 08:10 Received: 02/20/14 09:30 Matrix: Water DC BG Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Oual 200.7 MET ICP Analytical Method: EPA 200.7 Preparation Method: EPA 200.7 Copper ND ug/L 5.0 1 02/21/14 09:05 02/22/14 02:50 7440-50-8 Zinc 48.3 ug/L 10.0 1 02/21/14 0905 02/22/14 02:50 7440-66-6 Date: 02/24/2014 05:44 PM 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 aceAnalytical www.pacelabs.cen QUALITY CONTROL DATA Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: DRAKASTORMWATER Pace Project No.: 92190321 QC Batch: MPRP/15282 Analysis Method: EPA 200.7 QC Batch Method: EPA 200.7 Analysis Description: 200.7 MET Associated Lab Samples: 92190321001, 92190321002, 92190321003, 92190321004 METHOD BLANK: 1142258 Matrix: Water Associated Lab Samples: 92190321001, 92190321002, 92190321003, 92190321004 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Copper ug/L ND 5.0 02/22/1401:00 Zinc ug/L ND 10.0 02/22/14 01:00 LABORATORY CONTROL SAMPLE: 1142259 Spike LCS LCS % Rec Parameter Units Conc. Result % Rec Limits Qualifiers Copper ug/L 500 502 100 85-115 Zinc ug/L 500 493 99 85-115 MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1142260 1142261 MS MSD 92190055003 Spike Spike MS MSD MS MSD %Rec Max Parameter Units Result Conc Conc. Result Result % Rec % Rec Limits RPD RPD Qual Copper ug/L 0.028 500 500 502 539 95 102 70-130 7 20 mg/L Zinc ug/L 0.082 500 500 540 575 92 98 70-130 6 20 mg/L MATRIX SPIKE & MATRIX SPIKE DUPLICATE: 1142262 1142263 MS MSD 92190312007 Spike Spike MS MSD MS MSD % Rec Max Parameter Units Result Conc. Conc. Result Result % Rec % Rec Limits RPD RPD Qual Copper ug/L ND 500 500 512 512 102 102 70-130 0 20 Zinc ug/L 89.9 500 500 581 582 98 98 70-130 0 20 Date: 02/24/2014 05:44 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, Inc.. Page 9 of 13 aceAnalytical w paceleb&oaci QUALIFIERS Project: DRAKASTORMWATER Pace Project No.: 92190321 DEFINITIONS Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, 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 (8270 listed analyle) 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. TNI -The NELAC Institute. LABORATORIES PASI-A Pace Analytical Services -Asheville REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Dale: 02/24/2014 05:44 PM without the written consent of Pace Analytical Services, Inc.. Page 10 of 13 aceAnalytical m psoelebs.com QUALITY CONTROL DATA CROSS REFERENCE TABLE Pace Analytical Services, Inc. 9800 Kincey Ave. Suite 100 Huntersville, NC 28078 (704)875-9092 Project: Pace Project No.: DRAKA STORMWATER 92190321 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 92190321001 CHURCH ST CS 002 EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 92190321002 CHURCH ST CS BG EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 92190321003 DISTRIBUTION CENTER DC 001 EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 92190321004 DISTRIBUTION CENTER DC BIG EPA 200.7 MPRP/15282 EPA 200.7 ICP/13863 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, Date: 02/24/2014 05:44 PM without the written consent of Pace Analytical Services, Inc.. Page 11 of 13 /° Sample Condition Upon Receipt (SCUR) Page 1 of 2 Document Number: Issuing Authority: areAnaly6k'al F-CHR-CS-03-rev.13 Pace Hu_ntersville Quality Office Client Name: Courier: Fed Ex ❑ UPS❑ USPS❑ Client❑ Commercial❑ Pace Other 0 tio'nal�.°7i""1 'f3't I"tt'c Custody Seal on Cooler/Box Present: ❑ yes 2� no Seals intact: ❑ yes ❑ Prot Due�Date r ,; tl0 .x..,1.;r.,, Packing Material: ❑ Bubble Wrap ❑ Bubble Bags ❑ None ❑ Other Thermometer Used: IR Gun T1102 T1(so'lt Type of Ice: 6 Blue None ,IJ samples on ice, cooling process has begun Temp Correction Factor T1102: No Correction T1301: No Correction rn� Corrected Cooler Temp.:_J� .0 Biological Tissue is Frozen: Yes No N/A D to tendsatial t r n examining q Temp should be above freezing to VC Comments: Chain of Custody Present: Yes ONO ❑NIA 1. Chain of Custody Filled Out: 'Gres ONO ❑NIA 2. Chain of Custody Relinquished: ❑Yes No ❑NTA 3. Sampler Name & Signature on CDC: es ONO ❑NIA 4. Samples Arrived within Hold Time: Q) es ONO ❑N/A 5. Short Hold Time Analysis (Q2hr): ❑Yes Old ❑NIA 6. Rush Turn Around Time Requested: Dyes ENo ❑N/A 7. Sufficient Volume: QZ ONO ❑NIA 8. Correct Containers Used: Yes ONO ❑N/A 9. -Pace Containers Used: Res ONO ❑NIA Containers Intact: es ONO ❑N/A 10. Filtered volume received for Dissolved tests ❑Yes ONO 09//A 111.�.I/ Sample Labels match COC: ❑Yes No ❑NIA 1K. o -Includes date/time/ID/Analysis Matrix: All containers needing preservation have been checked. 11Yes LINO ❑NIA 13. 0 J found to be in (� All containers needing preservation are rn,,s ONO ❑NIA compliance with EPA recommendation. exceptions: VOA, coliform, TOC, O&G, WI-DRO(water) ❑Yes ONO Samples checked for dechlorination: Dyes ONO Obm 14. Headspace in VOA Vials ( >6mm): Dyes ONO +A 15, Trip Blank Present: Dyes ONO OIN/A 16. Trip Blank Custody Seals Present Dyes ❑No ❑N/A Pace Trip Blank Lot # (if purchased): Client Notification/ Resolution: Person Contacted: Comments/ Resolution: Date/Time: SCURF Review: `-1 8A 9.1 j Date: 30-1 SRF Review: Date: 'X' Note: Whenever there is a discrepancy affecting North Carolina compliance samples, a copy of this form will be sent to the North Carolina DEHNR Certification Office ( i.e out of hold, incorrect preservative, out of temp, incorrect containers) Field Data Required? Y / N ' ®3221 Page 12 of 13 .CHAIN -OF -CUSTODY If Analytical Request Document The Chainof-Custody is a LEGAL DOCUMENT. All relevant fields must be completed accurately. 16 �PiceAnalyticai M www.pacela0x.cam Page: of w v Section A Section B Section C m A /� 911 VJ 3 Required Client Information: Required Project Information: Invoice Information: Compan r iGcEoc (L:lt. Report To: rod t-�- Attention: AddrassZ C^^pa^r Nam REGULATORY AGENCY Poo k' X-A�� Address: F NPDES F- GROUNDWATER r DRINKING WATER UST RCRA OTHER Email To: Purchase Order No.: Pare Ouae if",! Reference Phone: ifax: Project Name: Pore PfOlas Site Location -� 72 -q ManaPer; STATE: A / (fJ �— Requested Due Date)TAT: Project Number Pare Flnfile K: Requested Analysis Filtered (YIN) Section D Matrix Codes — RequireECliemInformation MATRIX / OODE g COLLECTED Preservatives 5-1 Dnakirg Water DW oQ Ware! Wi Waste Water iNN § — U oa COa1f+O5nE STTRi COMVOSRE E 'D4RPB — La _ z Prodod P U }' soiusolid SL e O '� SAMPLE ID On OL = o o rr w w E Wipe WP wp ¢ w (A-Z, 0-9 /:) Al' AR w o Q Sample lDs M UST BE UN QUE Tissue TS O r da Oyler OT X w T.AT.,'n w O w O c is '�` no �` ` (lj�'j., < < ¢ O c N Z U to m c Q m w t 2 m DATE TUAE = = x M Z Z O r Pace Project No./ Lab I.D. v 2 ✓ T S 3 d r:h �:'�a,.a t �L s e 6 T 8 9 10 11 12 ADDRIONALCOMMENTS RELINQUISHED BY I AFFILIATION DATE TIME ACCEPTED BY I AFFILIATION DATE TIME SAMPLE CONDITIONS rn A o I SAMPLER NAME AND SIGNATURE - a z PRINT Name o15AMPLER: R ORIGINAL a o ti is oY U n v N SAMPLER % DATE Signetl SIGNATURE of �/ (MMIODIYYI: O -Imtvnam Note: By sgning Nis form you are a=,al Pnoys OCT 30 a, paymem terms and agreeing to late oiames of 1 5%Par natant la any Invoices not Paid mthin 30 pays. F-ALL-0-020Rv.07, 15-May-2007