NCG510528_COMPLETE FILE - HISTORICAL_20090319

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STORMWATER-DIVISION CODING SHEET
RESCISSIONS.
PERMIT NO.
DOC TYPE
COMPLETE FILE - HISTORICAL
DATE OF
RESCISSION
❑
YYYYMMDD

North Carolina
Beverly Eaves Perdue
Governor
AMA&
NC®ENR
Department of Environment
Division of Water Quality
Colleen H. Sullins
Director
BRAD WEINISCHKE
ENVIRONMENTAL COMPLIANCE
MANAGER
MURPHY USA
PO BOX 7300
)
EL DORADO AR 71731
rr
Dear Mr. Weinischke:
March 19, 2009
N
BY:
MAR .2 0 2009
Dee Freeman
Secretary
T3
Subject: Acknowlc�dgizement of New Permit Application
�w Permit #: NCG510528)
© Facility: Murphy USA 916912 2w.r
Columbus County
The Division of Water Quality NPDES acknowledges receipt of your permit application, with payment and supporting
materials on March 17, 2009. This application package has been assigned the number listed above and will be reviewed by
Ron Berry. By copy of this letter, we are also requesting a Staff Report from the Wilmington Regional Office.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure
the maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and
complete response to any additional information requests.
Please note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete application.
To check on the status of an application, please visit http://h2o.enr.state.nc.us/biros/Reports/reportsPermits.litm].
If you have any questions, please contact Ron Berry-at,919-807-6403, or via e-mail at ron.berry@ncmai[.net. If the reviewer
is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
.�4n
Dina Sprinkle
Point Source Branch
cc: Wilmington Regional Office, Surface Water Protection Section
Central Files
Permit Application File NCG510528
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 9IM07-63001 FAX: [phone] Customer Service: 1-877-623-6748
Internet vmv.nmaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
ni5cl�l Key
Muir"mks cz-rP
NorthCarolina
Naturally

Musw�Y
NPDES Permit Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NCG510000 Notice of Intent
Facility ID # 0-036553
Murphy USA #6912
102 Columbus Corners Drive
Whiteville, NC 28472
To Whom It May Concern,
Brad Weinischke
Environmental Compliance Manager
422 North Washington, El Dorado, AR 71730
P.O. Box 7300, El Dorado, AR 71731
Phone: [phone] Fax: [phone]
March 9, 2009
RELrll' .� ec ICE®
I . - "09
DENP `�'.'''•i`i.ii QUALITY
p
Pin'.ANC
Per NCG510000 Murphy USA, Inc. is submitting the attached Notice of Intent for a pending
construction project that requires the dewatering of the tank pit at Murphy USA #6912 in
Whiteville, North Carolina. We wish to discharge this tank pit water into the local storm
drain system in order to lower the groundwater table enough to make repairs to several sump
penetration boots. It will take us approximately 24 hours to dewater the tank pit. Repairs will
be completed in 2 to 3 days. Any additional dewatering will only take place as needed. Upon
completion of these repairs we do not need any further dewatering to take place. Please note
that we are not discharging from a remediation system. There is no record of contamination
on the premises.
Attached please find in triplicate:
• The completed Notice of Intent
Site Maps
Analytical Results
A check for $100.00
We appreciate your attention to this matter-lfyouu=should require any additional information,
please contact�Br<t� chke 75-7610.
S' cerely,
Brad Weinischke
Environmental Compliance Manager
Murphy Oil USA
P.O. Box 3700
El Dorado, AR 71730

'A&WmA
NCDENR
RWm cwoE�.. oEP.A,ME�+, of
ENVIRONMENT Me NnUI RESouRCES
Division of Water Quality ) Water Quality Section
National Pollutant Discharge Elimination System
NCG510000
FOR AGENCY OSE ONLY
Date Received
Year
Month
Do
Certificate
of Coverage
N
52 10
Check N
I Amount
mo47.i.11
Perna Assigned Io
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG510000 and Authorization to Construct groundwater remediation projects designed to treat
petroleum -contaminated groundwater.
1)
(Please print or type)
Mailing address of owner/operator (address to which all permit correspondence will be mailed):
Company Name:
Company Contact:
Street Address:
City:
Telephone No.:
2) Location of facility producing discharge:
Facility Name:
Facility Contact:
Street Address:
City:
County:
Telephone No.:
3) Physical location i
Please provide a narrative description of how to get to the facility (use street names, slate road numbers,
and distance and direction from a roadway intersection):
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required
to be submitted with this application.)
4) This NPDES permit application applies to which of the following:
New or Proposed -F
Does the facility have an approved CAP? ❑Yes �No [4 PA
If yes, date approved:
If no, please contact the Regional Office Groundwater Section to determine the status of CAP
approval and/or authorization to proceed if immediate remediation is recommended.
Regional Office contact person: NIA
Site Ranking (A - E): GW incident #:
❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
Page 1 of 4 04/05

102 Columbus Corners Drive, Whiteville, NC - Google Maps Page I of I
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102 Columbus Corners Drive, Whiteville, NC - Google Maps
Page I of I
,(� Address 102 Columbus Corners Dr Get Google Maps on your phone
Goo
Whiteville, NC 28472 Text the word "GMAPS"to46645 3
p
Use
http://maps. google. comhnaps?f=q&source=s_q&hl=cn&gcocodc=&q=102+Columbus+Cor... 3/9/2009

LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
�'00 R) SCOTT, LA 70583
[phone]
Case Narrative for:
MURPHY EXPLORATION
Certificate of Analysis Number:
09021068
Report To:
Protect Name:
WHITEVILLE, NC
GROUNDWATER AND ENVIRONMENTAL SERVICES
Site:
MURPHY OIL-WHITEVILLE, NC
HILLARY SHORELAND
Site Address:
33" HILLSBOROGH STREET
SUITE 150
PO Number:
RALEIGH
NC
State:
North Carolina
27607-
State Cert. No.:
487
ph: [phone] fax:
Date Reported:
31512009
Matrix spike (MS) and matrix spike duplicate (MSD) samples are chosen and tested at random from an analytical batch of "like' matrix to check for
possible matrix effect. The MS and MSD will provide site specific matrix data for those samples spiked by the laboratory and may be applicable to
other samples of similar matrix from the site. Since the MS and MSD are chosen at random from an analytical batch, the sample chosen for spike
purposes may or may not have been a sample submitted in this sample delivery group.
The validity of the analytical procedures for which data is reported in this analytical report is determined by the Laboratory Control Sample (LCS)
and the Method Blank (MB). The Laboratory Control Sample (LCS) and the Method Blank (MB) are processed with the samples and the MS/MSD
to ensure method criteria are achieved throughout the entire analytical process. If insufficient sample is supplied for MS/MSD, a Laboratory
Control Sample (LCS) and a Laboratory Control Sample Duplicate (LCSD) are reported with the analytical batch and serve as the batch quality
contrd (QC).
Results are reported on a Wet Weight Basis unless otherwise noted in the sample unit field as -dry.
The colection of samples using encores, terracores or other field collection devices may result in inconsistent initial sample weights for the parent
sample and MS/MSD samples.
The MS/MSD recovery and precision data are calculated based on detected spike concentrations that are adjusted for initial sample weights. As a
result of the variability between initial sample weights, the calculated RPD may have increased bias.
Any other exceptions associated with this report will be footnoted in the analytical result page(s) or the quality control summary page(s).
Please do not hesitate to contact us if you have any questions a comments pertaining to this data report. Please reference the above Certificate of
Analysis Number.
This report shall not be reproduced except in full, without the written approval of the laboratory. The reported results are only representative of the
samples submitted for testing.
SPL, Inc. is pleased to be of service to you. We anticipate working with you in fulfilling all your current and future analytical needs.
TOTAL NUMBER OF PAGES IN THIS REPORT: PAGES
09021068 Page 1
I I I I I I I I I I I I I I I I I I I I I I1r767C�rbF'7
Amy K. Jackson Dale
Project Manager Test results meet all requirements of NELAC, unless specified in the narrative.

LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
MURPHY EXPLORATION
Certificate of Analysis Number:
09021068
Report To: GROUNDWATER AND ENVIRONMENTAL SERVICES Project Name:
WHITEVILLE, NC
HILLARY SHORELAND
Site:
MURPHY OIL-WHITEVILLE, NC
3344 HILLSBOROGH STREET
Site Address:
SUITE 150
RALEIGH
NC
PO Number:
27607-
State:
North Carolina
ph: [phone] fax:
(919) 8993682
State Cert. No.:
487
Fax To:
Date Reported:
315/2009
Client Sample ID
Lab Sample ID
Matrix
Date Collected
Date Received
OCID
HOLD
TP-1
09021068-01
Water
2I26I2009 12:45:00 PM
2I27I2009 10:0000 AM
278454
❑
TP-2
09021068-02
Water
2I26I2009 1:00:00 PM
2I27I2009 10:00:00 AM
278454
I ❑
Amy K. Jackson
Project Manager
Ron Benjamin
Laboratory Director
Tristan Davis
Quality Assurance Officer
3/512009
Date
09021068 Page 2
31512009 1:55', 30 PM

LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
�® SCOTT, LA 70583
[phone]
Client Sample ID:TP-1 Collected: 02/26/2009 12:45 SPL Sample ID: 09021068-01
Site: MURPHY OIL-WHITEVILLE, NC
Analyses/Method Result DUAL Rep.Limit Dil. Factor Date Analyzed Analyst Seq. #
METALS BY METHOD 6020 (ICP/MS), TOTAL MCL SW6020 Units: ug/L
Lead NO 1 1 03/04/0916:12 RJD 2997773
Prep Method
Prep Date
Prep Initials
Prep Factor
M3030-C
02/27/200916:00
JRJD
1.00
PHENOLICS,TOTAL RECOVERABLE
MCL
E420.1 Units: mg/L
Phenolics,Total Recoverable
ND
0.01
1
03/05/09 11:00
JZ
2998037
TOTAL SUSPENDED SOLIDS
MCL
M2540 D Units: mg/L
Total Suspended Solids
4
4
1
03/03/09 13:00
OB
2995383
VOLATILE ORGANICS BY METHOD 624
MCL
E624 Units: ug/L
Benzene
NO
5
1
03/03/091,12
DN
2994051
Ethylbenzene
ND
5
1
03103/091:12
ON
2994051
Methyl lert-butyl ether
ND
5
1
03/03/09 1:12
ON
2994051
Naphthalene
NO
5
1
03/03/091:12
DN
2994051
Toluene
NO
5
1
03/0T091:12
DN
2994051
cis-1,2-Dichloroethene
NO
5
1
03/03/09 1:12
DN
2994051
trans-1,2-Dichloroethene
NO
5
1
03/03/091.12
ON
2994051
1,2-Dichloroethene, Total
ND
5
1
03/03/09 1:12
ON
2994051
Xylenes,Total
ND
5
1
03/03/09 1:12
DN
2994051
Surr: 1,2-Dich1oroethane-d4
85.5
%
69-119
1
03/03/09 1:12
DN
2994051
Surr: 4-Bromofluorobenzene
100
%
91-108
1
03/03/09 1:12
DN
2994051
Surr Toluene d8
101
%
90-110
1
03/03/09 1:12
ON
2994051
Qualifiers: NOW - Not Detected at the Reporting Limit
BN - Analyle detected in the associated Method Blank
- Surrogate Recovery Outside Advisable QC Limits
J - Estimated Value between MDL and PQL
E - Estimated Value exceeds calibration curve
TNTC - Too numerous to count
>MCL - Result Over Maximum Contamination Limit(MCL)
D - Surrogate Recovery Unreponable due to Dilution
MI - Matrix Interference
09021068 Page 3
315=09 1:55.32 PM

LABORATORY
500 AMBASSADOR
CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
Client Sample ID:TP-2 Collected: 02/26/2009 13:00 SPL Sample ID: 09021068-02
Site: MURPHY OIL-WHITEVILLE, INC
Analyses/Method Result QUAL Rep.Limit Dil. Factor Date Analyzed Analyst Seq. p
METALS BY METHOD 6020 (ICP/MS) TOTAL MCL SW6020 Units: u9/L
Lead NO 1 1 03I04/0916:33 RJD 2997781
PHENOLICS,TOTAL RECOVERABLE
MCL
E420.1 Units: nr lL
Phenolics,Total Recoverable
0.075
0.01
1
03/05/09 11:00 JZ
2998039
TOTAL SUSPENDED SOLIDS
MCL
M2540 D Units: mg/L
Total Suspended Solids
4
4
1
03/03/09 13:00 DB
2995384
VOLATILE ORGANICS BY METHOD 624
MCL
E624 Units: uglL
Benzene
ND
5
1
03103/091:42 ON
2994052
Ethylbenzene
NO
5
1
03103/091:42 ON
2994052
Methyl tert-butyl ether
NO
5
1
03/03/09 1:42 DN
2994052
Naphthalene
NO
5
1
03/03I091:42 DN
2994052
Toluene
NO
5
1
03/031091:42 DN
2994052
cis-1,2-Dichloroethene
NO
5
1
03/03/09 1:42 DN
2994052
trans- l,2-Dichloroethene
ND
5
1
03/03/09 1:42 ON
2994052
1,2-Dichlormthene, Total
NO
5
1
03/03/09 1:42 DN
2994052
Xylenes,Total
NO
5
1
03/03/09 1:42 DN
2994052
Surr: 1,2-Dichloroethane-d4 87.8 % 69-119 1 UJ/U3/U91:42 UN 2Ja4USZ
Surr. 4-Bromofluorobenzene 98.1 % 91-108 1 03/03/09 1:42 DN 2994052
Surr: Toluene d8 100 % 90-110 1 03/03/09 1:42 DN 2994052
Qualifiers: NOW - Not Detected at the Reporting Limit
BN - Analyte defected in the associated Method Blank
' - Surrogate Recovery Outside Advisable OC Limits
J - Estimated Value between MDL and PQL
E - Estimated Value exceeds calibration curve
TNTC - Too numerous to count
>MCL - Result Over Maximum Contamination Limit(MCL)
D - Surrogate Recovery Unrepodable due to Dilution
MI - Matrix Interference
09021068 Page 4
315/2009 1'.5532 PM

Quality Control Documentation
09021068 Page 5
31 =09 1'.55:32 PM

���©
Quality Control Report
MURPHY EXPLORATION
WHITEVILLE, INC
Analysis: Metals by Method 6020 (ICPIMS), Total
Method: SW6020
Method Blank
RunID: ICPMS_090304C-2997771 Units: ug/L
Analysis Date: 03/04/2009 16:06 Analyst: RJD
Preparation Date: 02/27/2009 16:00 Prep By: RJD Method: M3030-C
Analyte Result Rep Limit
ead NO 1
LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
WorkOrder: 09021068
Lab Batch to: 77728-1
Samples in Analytical Batch:
Lab Sample ID Client Sample ID
09021068-01C TP-1
09021068-02C TP-2
Laboratory Control Sample (LCS)
RunID: ICPMS_090304C-2997772 Units: ug/L
Analysis Date: 03104/2009 16:09 Analyst: RJD
Preparation Date: 02/27/2009 16:00 Prep By: RJD Method: M3030-C
Analyte
Spike
Added
Result
Percent
Recovery
Lower
Limit
Upper
Limit
Lead
1 100.01
98,881
98.88
80
120
Matrix Spike (MSI I Matrix Spike Duplicate (MSD)
Sample Spiked:
09021068-01
RunID:
ICPMS_090304C-2997775
Units:
Analysis Dale:
03/04/2009 16:17
Analyst:
Preparation Date:
02/27/2009 16:00
Prep By:
ug/L
RJD
RJD Method: M3030-C
Anayde
Sample
MS
MS
MS %
MSD
MSD
MSD %
RPD
RPD
Lay
High
Result
Spike
Result
Recovery
Spike
Result
Recovery
Limit
Limit
Limit
Added
Added
Lead
NO
100
98.46
98.17
100
97.04
96.75
1.451
20
75
125
Qualifiers: ND/U - Not Detected at the Reporting Limit MI - Matrix Interference
BN - Analyle detected in the associated Method Blank D - Recovery Unreportable due to Dilution
J - Estimated value between MDL and PQL ' - Recovery Outside Advisable QC Limits
E - Estimated Value exceeds calibration curve
N/C - Not Calculated - Sample concentration is greater than 4 times the amount of spike added. Control limits do not apply.
TNTC - Too numerous to count 09021068 Page 6
QC results presented on the QC Summary Report have been rounded. RPD and percent recovery values 315/20091:55:34 PM
calculated by the SPL LIMS system are derived from QC data prior to the application of rounding rules.

���0
Quality Control Report
MURPHY EXPLORATION
WHITEVILLE, NC
LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
Analysis: Volatile Organics by Method 624 WorkOrder: 09021068
Method: E624 Lab Batch ID: R199921
Method Blank Samples in Analytical Batch:
Rul OB_090302B-2994047 Units: ug/L Lab Sample ID Client Sample ID
Analysis Date: 03/02/200923:42 Analyst: ON 09021068-01D TP-1
Preparation Date: 03/02/2009 23:42 Prep By: Method: SW 5035 09021068-02D TP-2
Analyle
Result
Rep Limit
Benzene
NO
5.0
Ethylbenzene
NO
50
Methyt ell ether
NO
5.0
Naphthalene
No
5.0
Toluene
ND
5.0
cis-1 2-Dichloroethene
ND
5.0
trans-1 2-Dichlorcethene
NO
5.0
1 2-Dichlorcethene Total
NO
5,0
X enes Total
NO
5.0
Surr:1 2-Dichlorcethane-d4
85.8
69-119
Surr: 4-Bromafluarobenzene
99.7
91-108
Surr Toluene-d8
102.0
90-N0
Laboratory Control SamplelLaboratory Control Sample Duplicate (LCS/LCSD)
Rul OB_090302B-2994042 Units: ugll-
Analysis Date: 03/02/2009 22:12 Analyst: DN
Analyte
1-CS
Spike
Added
1-CS
Result
LCS
Percent
Recovery
LCSD
Spike
Added
LCSD
Result
LCSD
Percent
Recovery
RPD
RPD
Limit
Lower
Limit
Upper
Limit
Benzene
20.0
18.3
91.5
20.0
17.9
89.3
2.4
20
37
151
Ethylbenzene
20.0
19.2
95.8
20.0
18.8
94.2
1.7
20
37
162
Methyl tert-butyl ether
20.0
17A
87.0
20.0
16.7
83.5
4.1
20
50
150
Naphthalene
20.0
15.5
77.3
20.0
14.5
72.3
6.7
20
50
150
Toluene
20.0
18.5
92.3
20.0
18.0
89.9
2.6
20
47
150
cis-1,2-Dichlorcethene
20.01
16.8
84.2
20.0
16.4
82.2
2.4
20
50
150
trans-12-Dichlorcethene
20.0
18.9
94.5
20.0
19.3
96.5
2.0
20
54
156
1,2-Dichlorcethene, Total
40.0
35.7
89.3
40.0
35.7
89.3
0.0
20
50
150
Xylenes,Total
60.0
59.8
99.7
60.0
57.7
96.2
3.5
20
50
150
Surr: 12-Dichloroethane-d4
50.0
45.1
90.2
50.0
45.4
90.9
0.7
20
69
119
Surr 4-Bromofluorobenzene
50.0
49.6
99.2
50.0
50.1
100
1.0
20
91
108
Surr. Toluene-d8
50.0
50.1
100
50.0
49.9
99,8
0.4
20
90
110
Qualifiers: NDW - Not Detected at the Reporting Limit MI - Matrix Interference
B/V - Analyte detected in the associated Method Blank D - Recovery Unreportable due to Dilution
J - Estimated value between MOIL and PQL ' - Recovery Outside Advisable QC Limits
E - Estimated Value exceeds calibration curve
N/C - Not Calculated - Sample concentration is greater than 4 limes the amount of spike added. Control limits do not apply.
TNTC - Too numerous to count 09021068 Page 7
QC results presented on the QC Summary Report have been rounded. RPD and percent recovery values 315120091:55:34 PM
calculated by the SPL LIMS system are derived from QC data prior to the application of rounding rules,

Quality Control Report
MURPHY EXPLORATION
WHITEVILLE, NC
Analysis: Volatile Organics by Method 624
Method: E624
LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
WorkOrder. 09021068
Lab Batch to: R199921
Qualifiers: ND/U - Not Detected at the Reporting Limit MI - Matrix Interference
BN - Analyle detected in the associated Method Blank D - Recovery Unreportable due to Dilution
J - Estimated value between MDL and PQL ' - Recovery Outside Advisable QC Limits
E - Estimated Value exceeds calibration curve
N/C - Not Calculated - Sample concentration is greater than 4 times the amount of spike added. Control limits do not apply.
TNTC - Too numerous to count 09021068 Page 8
QC results presented on the QC Summary Report have been rounded. RPD and percent recovery values 315120091:55:34 PM
calculated by the SPL LI MS system are derived from QC data prior to the application of rounding rules.

���n
Quality Control Report
LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
MURPHY EXPLORATION
W HITEVILLE, NC
Analysis: Total Suspended Solids WorkOrder: 09021068
Method: M2540 D Lab Batch to: R199996
Method Blank Samples in Analytical Batch:
RunID: WET 090303W-2995376 Units: mglL Lab Sample ID Client Sample ID
Analysis Date: 03/03/2009 13:00 Analyst: DB 09021068-016 TP-1
09021068-026 TP-2
Analyle Result Rep limit
Total Suspended Solids ND 4,0
Laboratory Control Sample (LCSI
RunID: WET_090303W-2995377 Units: mglL
Analysis Date: 03/03/2009 13:00 Analyst: DB
Analyze
Spike
Added
Result
Percent
Recovery
Lower
Limit
Upper
Lima
Total Suspended Solids
1 250.01
246.01
98,401
90
110
Sample Duplicate
Original Sample: 09021118-01
RunID: WET_090303W-2995385 Units: mglL
Analysis Date: 03/03/2009 13:00 Analyst: DB
Analyze
Sample
Result
DUP
Result
RPD
RPD
Limit
Total Suspended Solids
33
351
5.881
20
Qualifiers: NOW - Not Detected at the Reporting Limit MI - Matrix Interference
B/V - Analyze detected in the associated Method Blank D - Recovery Unreportable due to Dilution
J - Estimated value between MDL and PQL ' - Recovery Outside Advisable QC Limits
E - Estimated Value exceeds calibration curve
NIC - Not Calculated - Sample concentration is greater than 4 times the amount of spike added. Control limits do not apply.
TNTC - Too numerous to count 09021068 Page 9
QC results presented on the QC Summary Report have been rounded. RPD and percent recovery values 3t5r2009 t55:34 PM
calculated by the SPL LIMS system are derived from OC data prior to the application of rounding rules.

zl�o
Quality Control Report
MURPHY EXPLORATION
WHITEVILLE, NC
LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
Analysis: Phenolics,Total Recoverable WorkOrder: 09021068
Method: E420.1 Lab Batch to: R200136
Method Blank Samples in Analytical Batch:
RunID: WET_0903051-2998035 Units: mg/L
Analysis Date: 03/0512009 11:00 Analyst: JZ
Analyle Result Rep Limit
Phenolics Total Recoverable ND� 0.010�
Lab Sample ID Client Sample ID
09021068-01A TP-1
09021068-02A TP-2
Laboratory Control Sample (LCS)
RunlD: WET_0903051-2998036 Units: mg/L
Analysis Date: 03/05/2009 11:00 Analyst: JZ
Analyle
Spike
Added
Result
Percent
Recovery
Lower
Limit
Upper
Limit
Phenolics,Total Recoverable
1 0.050001
0.050001
100.01
85
115
Sample Duplicate
Original Sample: 09021068-01
RunlD: WET_0903051-2998037 Units: mg/L
Analysis Date: 03/05/2009 11:00 Analyst: JZ
Analyle
Sample
Result
DUP
Result
RPD
RPD
Limit
Phenolics,Total Recoverable
NDI
NDJ
01
20
Qualifiers: NOW - Not Detected at the Reporting Limit MI - Matrix Interference
BN - Analyte detected in the associated Method Blank D - Recovery Unrepodable due to Dilution
J - Estimated value between MDL and PQL ' - Recovery Outside Advisable QC Limits
E - Estimated Value exceeds calibration curve
N/C - Not Calculated - Sample concentration is greater than 4 times the amount of spike added. Control limits do not apply.
TNTC - Too numerous to count 09021068 Page 10
QC results presented on the QC Summary Report have been rounded. RPD and percent recovery values 3I5I4009 1 55 34 PM
calculated by the SPL LIMS system are derived from OC data prior to the application of rounding rules.

Sample Receipt Checklist
j •_
Chain of Custody
09021068 Page 11
315120091,55:34 PM

LAFAYETTE LABORATORY
500 AMBASSADOR CAFFERY PARKWAY
SCOTT, LA 70583
[phone]
Sample Receipt Checklist
Workorder.
09021068
Received By:
JM
Date and Time Received:
2/27/2009 10:00:00 AM
Carrier name:
FedEx-Std 1 Day PM
Temperature:
3.5°C
Chilled by:
Water Ice
1
Shipping container/cooler in good condition?
Yes
❑�
No ❑
Not Present
❑
2
Custody seals Intact on shippping container/cooler?
Yes
R1
No ❑
Not Present
❑
3
Custody seals intact on sample bottles?
Yes
❑
No ❑
Not Present
❑
4
Chain of custody present?
Yes
No ❑
5.
Chain of custody signed when relinquished and received?
Yes
©
No ❑
s
Chain of custody agrees with sample labels?
Yes
No ❑
7
Samples in proper container/bottle?
Yes
No ❑
8.
Sample containers intact?
Yes
R1
No ❑
9.
Sufficient sample volume for indicated test?
Yes
©
No ❑
10.
All samples received within holding time?
Yes
©
No ❑
11 -
Container/Temp Blank temperature In compliance?
Yes
No ❑
11
Water - VOA vials have zero headspace?
Yes
©
No ❑
VOA Vials Not Present
❑
3.
Water - Preservation checked upon receipt (except VOA')?
Yes
©
No ❑
Not Applicable
❑
'VOA Preservation Checked After Sample Analysis
SPL Representative:
Client Name Contacted:
Non Conformance
Client
Contact Date & Time:
09021068 Page 12
3I5R0091:55:35 PM

SPL, Inc.
SPL Workorder No.
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Analysis Request R Chain of Custody Record
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Houston, TX 77054 [phone] Scott, LA 70583 [phone] Traverse CitS MI 49686 [phone]

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NCG510000 N.O.I.
5)
Does this facility have any other NPDES permits? ❑ Yes R`J No
If yes, list the permit numbers for all current NPDES permits for this facility: _
6) Description of discharge:
a) Is the discharge directly to the receiving water? ❑ Yes �d-No
If no, submit a site map with the pathway to the potential receiving waters clearly marked.
b) Number of discharge points (ditches, pipes, etc. that convey wastewater from the property):
c) Volume of discharge per each discharge point (in GPD):
7) Discharge frequency:
a) The discharge is: ❑ Continuous Intermittent -r ' t,
If the discharge is intermittent, describe when the dischargeAill occur: fit r 6
b) What is the source(s)Wf contamination (i.e. gasoline, diesel, solvents, etc.)?:
General permits may be obtained for gasoline and/or heavy fuel contamination. An individual permit
c) Is free product present? ❑Yes )i<No
If yes, a product storage tank and an oil/water separator are required. Free product is defined as any
measurable accumulation of 1/8" or more in a well or floating on surface water.
8) Treatment system components:
Please note: Final design specifications for the actual system that will be installed must be
included in this section. Do not submit this application if only bid specifications are known.
Check all of the following that apply:
❑ Oil/WaterSeparator
❑ Other:
/Vt4
❑ Air Stripper
❑ Carbon Adsorption ❑ Filters
a) If an Oil/Water separator is present, please provide the following information: IVA &
i)
iv)
Rated flow capacity of the unit (in GPM):
Volume of unit (gal):
Detention time (min):
Free product disposal method:
b) If an air stripper is present, please provide the following information: AM y4r
i)
iv)
Rated flow capacity of the unit (in (
Air provided for stripping (in CFM):
Air to Water ratio:
Number of trays (if applicable): i
(Removal efficiencies for all chemicals of concern should be included in this submittal.
Efficiencies should be expressed as a percentage, i.e. 98% or 0.98)
c) If carbon adsorption is -present, please provide the following information: AJA
i) Rated flow cap ca ity of the unit(s) (in GPM):
ii) Number of carbon units and arrangement if number exceeds one (i.e., in parallel or in series):
iii) Pounds of carbon in each unit:
Page 2 of 4 04/05

NCG510000 N.O.I.
d)
iv) Specify carbon breakthrough time:
(The method used to calculate breakthrough time must included in the submittal.)
If filters are used, please provide the following information:
i) Rated flow capacity of each unit(s) (in GPM):
ii) Arrangement of particulate filters within the system:
e) Solids disposal method:
f) If other components to be included, please specify:
9) Receiving waters:
NA 9
❑ parallel ❑ series
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges into? If the wastewater discharge is to a separate storm sewer system (4S),
name the operator of the 4S (e.g. City of Raleigh).
b) Stream Classification (i.e. WS-IV, C, SA, etc):
10) Alternatives to direct discharge:
Address the feasibility of implementing each of the following non -discharge alternatives:
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Alternatives".
11) Additional application requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge location
clearly indicated.
b) A site map clearly tracing the pathway of the discharged water from the site to its discharge point, if
the discharge is not directly to a stream.
c) If the discharge will cross or empty into any easements, right-of-ways, or other public/private
property, i.e. DOT, utilities, ditches, etc., before entering the permitted discharge stream, proof that
approval was received from the appropriate landowners and/or agencies must be provided prior to
issuance of the permit.
d) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (or firm) submitting the application has
been designated an authorized representative of the applicant.
e) Final plans for the treatment system (if application is for a new or modified permit). The plans must
be signed and sealed by a North Carolina registered Professional Engineer and stamped -"Final
Design -Not released for construction".
f) Final specifications for all major treatment components (if application is for a new or modified permit).
The specifications must be signed and sealed by a North Carolina registered Professional Engineer
and shall include a narrative description of the treatment system to be constructed.
Page 3 of 4 04105

, J4CG510000 N.O.I.
g) Site map identifying the location of the monitoring wells, the recovery wells, and the treatment system
unit.
h) Analytical monitoring data which sufficiently characterizes the type and concentration of contaminants
on site. This includes a listing of any chemicals found with the maximum observed concentrations
reported. The data provided must be no older than one year prior to the date of this application. At a
minimum, the following parameters must be reported: Benzene, Toluene, Ethylbenzene, Xylene,
Lead, Phenol, MTBE, and 1,2-Dichlorethane.
1 certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing:
(Signature of Applicant)
North Carolina General Statute 143-215.6 B (i) provides that:
c3/9
(Date Signed)
Any person who knowingly makes any false statement, representation, or certification in any application,
record, report, plan or other document filed or required to be maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly
renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six
months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or
imprisonment not more than 5 years, or both, for a similar offense.)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to: NCDENR
Mail three (3) copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been included:
❑ Check for $100.00 made payable to NCDENR
❑ 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
❑ 3 copies of this completed application and all supporting documents
❑ 3 sets of plans and specifications signed and sealed by a North Carolina P.E. (if new or modified permit)
❑ Thorough responses to items 1-11 on this application
❑ Alternatives analysis including present value of costs for all alternatives
Note: The submission of this document does not guarantee the issuance of an NPDES permit.
Page 4 of 4 04/05

1�