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Home My WebLink AboutNCG030103_MONITORING INFO_20191119STORMWATER DIVISION CODING SHEET: NCG PERMITS PERMIT NO. ---------------------- /V O 3 DOC TYPE. HISTORICAL FILE MONITORING REPORTS DOC DATE ❑ ��'�� YYYYMMDD Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 CERTIFICATE OF COVERAGE NO. NCG03 0 1 0 3 FACILITY NAME Moen Incorporated COUNTY Lee PERSON COLLECTING SAMPLES John West LABORATORY Prism Date submitted Lab Cert. k 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Q Monthly' (month) DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA RECEIVED E® ❑Zero -flow ❑Water Supply ❑SA *Other c NOV 19 2019 9 CENTRAL FIL1ES SE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 DWR SECTION ❑ No discharge this period?' Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organics' Benchmarks - - 100 mg/L or So mg/O 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 01 8/8/19 0.4 5.3 6.7 0.027 <0.0020 0.21 <5.0 NA 03 8/8/19 0.4 4.9 7.0 0.015 <0.0020 0.076 <5.0 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. 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, Section B, Table 1 to identify 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: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 -- ---- - — _ -- Page lof3 - 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 (T70), 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." Chris Gundler Name (Print name) Plant Manager Title (P i itle) / 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. ❑ No discharge this periodj2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4 Parameter Code - 46529 NCOIL 00552 CO530 Footnotes from Part A also apply to Part B 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. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 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 DUTFALL 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 DUTFALL? YES ❑ NO ❑ IF YES, HAVE YOU CONTACTED THE DEMLR REGpIONAL OFFICE? YES VI NO ❑ REGIONAL OFFICE CONTACT NAME: 1c�H ., Mail an oriainal copv of this DMR, including all "No Discharae" 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 direcoy 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 Signature rt pen ties for submitting false information, including the possibility of fines and imprisonment for knowing violations. 9� Date Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 Full -Service Anal ical & /[PR R I S MI Environmental Solutions �tAe0l ING i �iI Moen, Inc �i John West 2609 Cox Mill Rd. Sanford, NC 27330 i NC Certification No. 402 NC Drinking Water Can No. 37735 SC Certification No. 99012 Project: Stormwater Lab Submittal Date: 08/12/2019 Prism Work Order: 9080156 Case Narrative 8/23/19 13:44 , This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. I� Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager i Data Qualifiers Key Reference Reviewed By Jackie Ziner For Terri W. Cole Project Manager BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 1 of 6 PRISM U~,.a Full-Servlce Analytical a Environmental Solution. Sample Receipt Summary 08/23/2019 Prism Work Order: 9080156 Client Sample ID Lab Sample ID Matrix Date/Time Sampled Date/Time Received 01 9080156-01 Water 08/08/19 0:30 08/12/19 11:00 03 9080156-02 Water 08/08/19 0:35 08/12/19 11:00 Samples were received at 23.2 degrees C. See case narrative for further information. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 26224-0543 Phone: 704/529-6364 -Toll Free Number: 1-8001529.6364 - Fax: 704/525-0409 Page 2 of 6 L-OUIR I S M I Full -Service Analyticals Environmental Solutions Moen, Inc Attn: John West 2609 Cox Mill Rd. Sanford, NC 27330 Project: Stormwater Sample Matrix: Water Laboratory Report 08/23/2019 Client Sample ID: 01 Prism Sample ID: 9080156-01 Prism Work Order: 9080156 Time Collected: 08/08/19 00:30 Time Submitted: 08/12/19 11:00 Parameter Result Units Report MOIL Dilution Method Analysis Analyst Batch Limit Factor DateTme ID General Chemistry Parameters Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '166413 8/22119 8:11 SLS P9H0379 Total Suspended Solids 5.3 mg/L 2.6 0.70 1 'SM2540 D 8115/19 15:55 CBM P9140292 Total Metals Copper 0.027 mg/L 0.0050 0.0026 1 *200.8 8113/19 20:31 JAB P9140202 Lead BRL mg/L 0.0020 0.00082 1 *200.8 8/13/19 20:31 JAB P9H0202 Zinc it 0.21 mg/L 0.020 0.0071 1 *200.8 8/13M9 20:31 JAB P9H0202 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, INC 28224-0543 Phone: 704/529-6364-Toll Free Number: 1-800/529.6364- Fax: 7041525-0409 Page 3 of 6 P R ISM I Full-fiaMce al Solutions s envlronmentel Solutions 7,uw.romm,.c Moen, Inc Project: Stormwater Attn: John West 2609 Cox Mill Rd. I,I Sanford, NC 27330 Sample Matrix: Water Laboratory Report 08/23/2019 Client Sample ID: 03 Prism Sample ID: 9080156-02 Prism Work Order: 9080156 Time Collected: 08/08/19 00:35 Time Submitted: 08/12/19 11:00 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DateMme ID General Chemistry Parameters Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '1664B 8122119 8:11 SLS P9110379 Total Suspended Solids 4.9 mg/L 3.1 0.70 1 'SM2540 D 8/15119 15:55 CBM P9H0292 Total Metals Capper 0.015 Lead BRL `i Zinc 0.076 I mg/L 0.0050 0.0026 1 '200.8 8/13119 20:37 JAB PSH0202 mg/L 0.0020 0.00082 1 '200.8 8113119 20:37 JAB P9H0202 mg/L 0.020 0.0071 1 '200.8 8/13119 20:37 JAB P9H0202 I This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrcok Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 4 of 6 i Sample Extraction Data Prep Method: 200.8 Lab Number Batch Initial Final Date/rime 9080156-01 P9H0202 50 mL 50 mL 08/13/19 9:15 9080156-02 P9H0202 50 mL 50 mL 08/13/19 9:15 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Cheri NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 5 of 6 R ism I Full -Service Analytical & -� J' V' Environmental Solutions IMrl�apownHuea ntG 449 Seringbrook Road • Charlotte, NC 28217 Phone 7041529-0364 • Fax: 704/525.0409 Client Company Name: 4L) (7 pr7 lssi' Report To/Contact Name: M3 Reporting Address: �/O •ZZ_ _ S d NC' s o��1 CHAIN OF CUSTODY RECORD PAGEL OF L QUOTE 0 TD ENSURE PROPER B=NGI Project Name: .L' Short Hold Analysis: s) (No) UST Project: (Yes) (NO) *Please ATTACH any project specific reporting (QC LEVEL 1 II 111 IV) provisions and/or QC Requirements Invoice To: Address: _.R txl" Samples YES N_O/N/A (/ rp INTACT upon anival? Received ON WET ICE?,_ _ O zJylk uJ PROPER PRESERVATIVES IndicateA?: = L(�y,/ a) Received WITHIN HOLDING TIMES? _ v.' •_ K CUSTODY SEALS'1NTACT? ' IL VOLATILES reed W/OUT HEADSPACE? PROPER CONTAINERS used? TEMP_._Tharm ID:T.br_ N Observed:.-), r °C / Oorr: L Z'C ` • ' " 2 �, . ' -. 1 pw1L i• •r" ` "� g Purchase Order No.IBillin Reference Email Address: tr.Jn c 'f rr7spr�. TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL -!n•o., EDD Type: PDFRequested Due Date ❑ 1 Day ❑ 2 Days ❑ 3 Days O4 Days O 5 Days _/EEcel_Other Certification: NELAC_ DOD FL_ NC 'Working Days' O 69 Days O Standard 10 days D Rush Work Must Be — am Site Location Name: samples receiver] after 14:00 will be Processed next Dusinea rim any. raved SC_ OTHER" N/A Site Location Physi�;l Address: r •— Turnaround time is bised on business days, excluding weekends end hdidaya. Water Chlorinated: YES NO (SEE REVERSE FOR TERMS A CONDITIONS REGARDING SERVICES — RENDERED BY PRISM LABORATORIES, INC. TO CUOM Sample Iced Upon Collection: YES_ NO THE MATRIX SAMPLE CONTAINER ANALYSIS REQUESTED CLIENT SAMPLE DESCRIPTION OATS COLLECTED COLLECTED MILRARY (SOIL, WATER OR pRESERyA. TIMES / / / REMARKS PRISM B *TYPE HOURS SLUDGE) SEE BELOW NO. SIZE ID C3 a r_ W 2 l71C/ 7 6 ._ LIA16 P t el 4- 7 N.1G 5 0 2 1r, r O /I r• Sampler's Signature eSampled By (Print Name) i m h r L., i..,'1� Affiliation A4, Upon relinquishing, !KS Chain of Custody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in WTMngrto the Prism Project Manager. There will be charges for any changes after analyses have been inidalked. Y ( maze) Recewe4 By. (SIRMIu uimmyokursAdditional Comments: Site Arrival Time: -Ralinquatxxi BY• ISlrpraaiml I ww By. (Signatwo) Site Departure Tune: nq . (Signawre) _ oe Fv Pn. lebvalanm q 1 /� Field Twit Fee: (Z-` \ llUb McVna el MPment N :ALL SAMPLE COOLERSDANDLE Mileage: OR S TRA THE I.ABOM C Group IFTAPEDSHUTCDC NT REC SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LJIB TORT, Its ❑ Fed Ex D UPS ❑ Hwx1deliveed D Priam FNN Service ❑ Otha �O,�I NPOES: UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: I RCRA: CERCLA LANDFILL OTHER: •' aNC CISCI O NC ❑ SC ❑ NC ❑ SC El NC ❑ SC ❑ NC ❑ SC El NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ' I *CONTAINER TYPE CODES: A =Amber - C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 CERTIFICATE OF COVERAGE NO. NCG03 0 1 0 3 FACILITY NAME Moen Incorporated COUNTY Lee PERSON COLLECTING SAMPLES John West LABORATORY Prism Date submitted Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Q Monthly' —%/,v (month) DISCHARGING TO CLASS ❑ORW QHQW ❑Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA *Other C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 n No discharge this periodj2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/Total Total Petroleum Hydrocarbons Toxic Organicss Benchmarks _ - 100 mg/L or 50 mg/L" 6.0 — 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 01 7/23119 1.8 14 6.9 0.0050 <0.0020 0.020 <5.0 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, Section B, Table 1 to identify 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: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Chris Gundler Name (Print name) Plant Manager Title (P ifitle) 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 mI:/L", where XX is the numerical value of the detection limit, reporting limit, etc. in mg/L. - Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text. Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month. No discharge this period?2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches3 New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L4 Parameter Code - 46529 NCOIL 00552 C0530 Footnotes from Part A also apply to Part B 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. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 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 DEMLR REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: V'11o� Mail an original 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 persons4rectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I ware fcan enam Sign ture of Permittee Permit Date: 11/1/2018-05/31/2021 for submitting false information, including the possibility of fines and imprisonment for knowing violations. Date SWU-245, last revised 11/1/2018 Page 3 of 3 Stormwater Discharge Monitoring Report for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000 CERTIFICATE OF COVERAGE NO. N0003 0 1 0 3 FACILITY NAME Moen Incorporated COUNTY Lee PERSON COLLECTING SAMPLES John West LABORATORY Prism Date submitted Lab Cert. # 402 Comments on sample collection or analysis: Part A: Stormwater Benchmarks and Monitoring Results SAMPLE COLLECTION YEAR 2019 SAMPLE PERIOD ❑ Jan -June ❑ July -Dec or Monthly' J_ )• month DISCHARGING TO CLASS ❑ORW ❑ QW [-]Trout ❑PNA ❑Zero -flow ❑Water Supply ❑SA *Other C PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4 No discharge this periodj2 Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches; Total Suspended Solids pH, Standard units Total Copper Total Lead Total Zinc Non -Polar O&G/ Total Petroleum Hydrocarbons Total Toxic Organicss Benchmarks - - 100 mg/L or 50 mg/L" 6.0 - 9.0 0.010 mg/L 0.075 mg/L 0.126 mg/L 15 mg/L 1 mg/L Parameter Code - 46529 C0530 00400 01119 01051 01094 00552 78141 01 7/23/19 1.8 14 6.9 0.0050 <0.0020 0.020 <5.0 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, Section B, Table 1 to identify 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 Oate: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 1 of 3 Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement: "Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics (TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the solvent management plan included in the Stormwater Pollution Prevention Plan." Chris Gundler Name (Print name) Plant Manager Title (P itle) 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 No discharge this period?" Outfall No. Date Sample Collected' (mo/dd/yr) 24-hour rainfall amount, Inches' New Motor Oil or Hydraulic Oil Usage Non -Polar O&G/ Total Petroleum Hydrocarbons Total Suspended Solids Benchmarks - - - 15 mg/L 100 mg/L or 50 mg/L" Parameter Code - 46529 NCOIL 00552 CO530 Footnotes from Part A also apply to Part B 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. Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 2 of 3 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 DEMLR REGIONAL OFFICE? YES ®NO ❑ REGIONAL OFFICE CONTACT NAME: N)->,, A Q>,—� Mail an original 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 rectly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am awareS}fere are simificanypena[ties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Permittee q/a Date Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018 Page 3 of 3 Storm Water Discharge Outfall Qualitative Monitoring Report (To be oompleted during a rainfall.) For: Moen Incorporated, 2609 Cox Mill Road, Sanford, NC 27332 (919) 258-3341 Certificate of Coverage No.: NCG030103 Receiving Stream: Trib. Of Carrs Creek Inspector. Date: 1119 Time: .Ld 147 Weather C nditions: By this signature, I certify that this report is accurate and complete to the best of my Knowledge: az �o�r (nles Inspecto Outfall Number 1 2 3 4 Color: Describe the color of the discharge using basic colors (red, blue, brown, etc. and tint (light, medium, dark) as "None" descriptors. Write if no color is present. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.). Write "None" is no odor is present. Clarity: Choose the number which best describes the clarity the discharge where 1 is clear and 10 is very cloudy. of Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge where 1 is no solids and 10 is the surface covered in floating solids. Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater 2 discharge where 1 is no solids and 10 is extremely muddy. Foam: Is there any foam in the stormwater discharge? YES A//,��+ A/- l/` ',�r /V or NO f a 01 Oil Sheen: Is there an oil sheen in the stormwater discharge? / w YES or NO p /va Other Obvious Indicators of Stormwater Pollution: YES or NO. If "YES," list the outfall number and describe below. �/ v /�� V /n� �O / 0 / p /VC, Comments: Note: Low clarity, high solids, and/or the presence of foam or oil sheens may be indicative of pollutant exposures. These conditions must be reported to the Environmental Coordinator and warrant further investigation. a\ ISM ��uaoa4roaie& iac Moen, Inc John West 2609 Cox Mill Rd. Sanford, NC 27330 NC Certification No. 402 Full -Service Analytical & NC Drinking Water Carl No. 37735 Environmental Solutions SC Certification No. 99012 Project: Stormwater Lab Submittal Date: 07/25/2019 Prism Work Order: 9070372 I i Case Narrative 8/9/19 9:17 i, L This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Terri W. Cole Project Manager Data Qualifiers Key Reference Reviewed By Jackie Ziner For Terri W. Cole Project Manager BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 1 of 5 II ly �P R I S M I Funironmce Analytical a Sample Receipt Summary l,. Envlronmantel Solutions 08/09/2019 Prism Work Order: 9070372 Client Sample ID Lab Sample ID Matrix Date/Time Sampled Date/Time Received 01 9070372-01 Water 07/22/19 15:20 07/25/19 12:45 r Samples were received in good condition at 3.7 degrees C unless otherwise noted This report should not be reproduced, except in its entirety, without the wntten consent of Prism Laboratones, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0643 Phone: 704I529-6364 - Toll Free Number: 1-800I529-6364 - Fax: 7041525-0409 Page 2 7 L_Pg,'FQ7 I S M I Fullironmaa al Solutions 4 Environment el Solutions �iowu ew Moen, Inc Attn: John West 2609 Cox Mill Rd. Sanford, NC 27330 li Laboratory Report 08/09/2019 Project: Stormwater Client Sample ID: 01 Prism Sample ID: 9070372-01 1i Prism Work Order: 9070372 Sample Matrix: Water Time Collected: 07/22/19 15:20 Time Submitted: 07/25/19 12:45 'I II I I Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor DateRme ID General Chemistry Parameters 1 Oil & Grease (HEM) BRL mg/L 5.0 1.7 1 '1664B 818/19 9:30 SLS P9H0129 Total Suspended Solids 14 mg/L 2.6 0.70 1 'SM2540 D 7/29119 17:01 CBM P9G0484 Total Metals I Capper 0.0062 mglL 0.0050 0.0026 1 •200.8 7131119 18:05 JAB P9G0504 Lead BRL mg/L 0.0020 0.00082 1 *200.8 7/31/19 18:05 JAB P9G0504 it 1 Zinc 0.054 mg1L 0.020 0.0071 1 •200.8 8/2119 18:04 JAB P9H0020 'l' This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704I529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 1, Page 3 of 5 Sample Extraction Data Prep Method: 200.8 Lab Number Batch Initial Final DaleMme 9070372-01 P9H0020 50 mL 50 mL 08/02/19 7:20 9070372-01 P9O0504 50 mL 50 mL 07/31/19 8:10 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 -Toll Free Number: 1-800/529-6364 - Fax: 704/525-0409 Page 4 of 5 =CHAIN :OF -CUSTODY -RECORD PRISM I FullService Analytical E Environmental Solutions PAGE OF QUOTE a To ENSURE PROPER Ili %ueoMroalEa iHC 449 Spdngbrook Road • Charlotte, NC 28217 Project Name: SiJ �I/ Phone 7041529.6364 " Fax: 704/525-0409 Short Hold Analysis: es) (No) UST Project: (Yes) (NO) Client Company Name: f%,� ,T r- 'Please ATTACH any project specific reporting (OC LEVEL I U III IV) provisions and/or QC Requirements Report To/Contact Name: T_ L✓s-y'— Invoice To: Reporting Address: Address: 2 �— YES NO N/ Samples INTACT upon artivan l _ N Received ON WET ICE? O PROPER PRESERVATIVES indicated? to Received WITHIN HOLDING TIMES? _- CD CUSTODY SEALSINTACT? - d VOLATILES reed WIOUT HEADSPACE? _ PROPER CONTAINERS used? Phon {351/ Fax (Yes) (No) f ).?iP��i�Purchase Order NoJBilling Reference Email dress: N/! S f�/W aI.9 - e-&, l Requested Due Date O 1 Day O 2 Days ❑ 3 Days ❑ 4 Days ❑ 5 Days EDD Type: PDF fiExcel_Other 'Working Days" ❑ 6-9 Days D Standard 10 days D Rush Work dust Be Pre-ApproSite Location Name: Samples received after 14:00 mil be processed next business day. Site Location Physical Address: Tumaround time is based on business days, excluding weekends and holidays. (SEE REVERSE FOR TERMS a CONDITIONS REGARDING SERVICEb RENDERED BY PRISM L,% ORATORF-s, WC. TO CLIENT) TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL Certification: NELAC DOD FL NC �_ OTHER WA Water Chlorinated: YES_ NO_ Sample Iced Upon Collection: YES_ NO CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME CO❑ECTED MIITTARY HOURS MATRIX BOB_ WATER OR SLUDGE) SAMPLE CONTAINER PRESERVA. i1VES ANALYSIS REQUESTED REMARKS / / PRISM LAB ID NO. 'TYPE SEE BELOW NO. SIZE I? I P Sampler's Signature Sampled By (Print Name) Affillation M. eta Upon relinquishing, UXChalnof Custody Is your authodration for Prism to proceed With the analyses as requested above. Anny changes must be . submitted in writin o the Priam Project Manager. There will be charges for any changes after analyses have been Initialized. ONRquanaT W IS R..Wedy:(-uwn:) Deb wiury. Additional Comments: Slte Arrival Time: -ffe nqul By: ( ' num Revived By (Slenaum) aN Site Departure Time: Rel uWga Y( m) Far Pnmllaouexmea 9Y: 7 � y t /' 1 A S Field Tech Fee: Mileage: Mo "pMffi NOTE;ALLSAMPUE COOLERS 5X ULD He T ED 5MUT WITH CUSTODY SEALS FOR TRAWSMMR14TxNiTqTIE LABORATO COC Gfoup No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY. �^ rI G ❑ Fed Ex D UPS ❑ Hamiwerad ❑ PrL Fled Servke O O r v�o NPDES: LIST: E 1❑ F❑ ❑ NC ❑ SC ❑ NC SC ❑ NO ❑ SCTER: I ❑ NC SCAR. ❑ CSOLID El SC ❑ NBC El SC ❑ NRC ❑ SC ❑ NC SC ❑ NC EaSC 'CONTAINER TYPE CODES: A =Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA =Volatile Organics Analysis (Zero Head Space) ORIGINAL