HomeMy WebLinkAboutNCG030212_MONITORING INFO_20191231STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/v��
DOC TYPE.
❑ HISTORICAL FILE
CKMONITORING REPORTS
DOC DATE
❑�oI�1�3I
YYYYMMDD
Prysmian
Group
December 19, 2019
CERTIFIED MAIL
ItEl'URNI E,CI IPT Rfs0111?STED
7017 0660 0001 0128 4366
NCDEQ— Division of Water Quality
Attn: Central Piles
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
610Z t � �34 SSubject:Gcncral Permit No. NCC03001111 ``
Certificate of Coverage NO. NCC030TI2' `1�� �
November 2019 Stormwater SamploAsults
Prysmian Cables and Systems USA, LLC.
Claremont. North Carolina 28610
V PRYSMIAN
F - Draka
I have also enclosed a signed Discharge Monitoring Reports (DENR Form SWU-245-1 I/l/2018 revision) for November 12, 2019 sampling. Results
were received 12/13/19. Accompanying the discharge monitoring reports are copies of:
• laboratory analytical reports
• stonnwater data summary with (low calculations
• Site map documenting stormwater outfall locations, drainage areas and runoff laetors.
The sample event satisfies analytical monitoring requirements in accordance with Part 11, Section 13 of the General Permit effective I November 2018.
Results: November sampling results for zinc were not within permit threshold limits on 2 of 5 oud'alls. A rainwater sample was also collected during
this sampling event and it measured zinc at .052. All other Discharge Characteristics were within threshold limits.
Prysmian's manufacturing activities do not fall in categories that required Total Toxic Organic (TTO) monitoring. No electroplating, metal finishing or
Eleclronic/Flcetric components made onsite. No "ITO results are submitted.
The stormwater data summary sheet included with the enclosures summarizes flow and analytical results for all storms previously sampled at the
Prysmian Claremont site.
]'lease contact me if you have questions concerning this submittal.
Very truly yours —
4" 17
Rick Miller
Environmental/Safety Manager
929-459-9668
rick. miller@prYsmiangroup. corn
Prysmian Cables and Systems USA, LLC.
PO Box 39, 2512 Penny Road, Claremont, NC 26610
Tel: (828) 459-8668 Fax (828) 459-8268
PRISM
��UBDMTOPIES ING
Full -Service Analytical &
Environmental Solutions
Prysmian Cables and Systems USA, LLC
Rick Miller
2512 Penny Rd.
Claremont, NC 28610
NC Certification No. 402
NC Drinking Water Cart No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 1111212019
Prism Work Order: 9110223
Case Narrative
12/13/19 9:19
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
Reviewed By Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
BRL Below Reporting Limit
MDL Method Detection Limit
lJ 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 Sprin9brook Road -P.O. Box 240543Z Charlotte,. NC 28224-0543
Phone: 7041529-6364 - Toll Free Number: 1.8001529-6364 - Fax: 7041525.0409 Page 1 of 11
AAR-RISM
'ueoa.roniEs »r.
Foll-Sernce Analytical B
E=,.e mental solvtloes
Sample Receipt Summary
12/13/2019
Prism Work Order: 9110223
Client Sample ID
Lab Sample ID
Matrix
DatelTime Sampled Daterrime Received
SDO-001
9110223-01
Water
11/12/19 7:50 11/12/19 13:10
SDO-002
9110223-02
Water
11/12/19 7:40 11/12/19 13:10
SDO-002D
9110223-03
Water
11/12/19 7,45 11/12/19 13:10
SDO-003A
9110223-04
Water
11/12/19 7:35 11/12/19 13:10
SDO-005
9110223-05
Water
11/12/19 7:30 11/12/19 13:10
Rainwater
9110223-06
Water
11/12/19 8:30 11/12/19 13:10
Samples were received in good condition at 5.9 degrees C unless otherwise noted.
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: 1-8001529-6364 - Fax: 704/525-0409 Page 2 of 11
n Full -Service Analytical 8
�iP R I S M I aavironmental solution,
'7ueoaooare me
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
12/13/2019
Client Sample ID: SDO-001
Prism Sample ID: 9110223-01
Prism Work Order: 9110223
Time Collected: 11/12/19 07:50
Time Submitted: 11/12/19 13:10
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
DateRme
ID
General Chemistry Parameters
Oil B Grease (SGT-HEM)
BRLGG
mg/L
5.0
1.6
1
'166413
11/21/19 8:30
SLS
P91<0385
Total Suspended Solids
7.0
mg/L
2.6
0.70
1
'SM2540 D
11/18119 10:20
CBM
P91(0323
Total Metals
Copper
BRL
mg/L
0.020
0.0051
1
'200.7
11/18/19 14:02
JAB
P9K0288
Lead
BRL
mg1L
0.010
0.0030
1
'200.7
11/18/19 14:02
JAB
P91(0288
Zinc
0.14
mg/L
0.050
0.027
1
'200.7
11/18119 14:02
JAB
P91(0288
This report should "riot be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Springbrook Road - P,.O. Box 240643 -. Charlotte; NC 282244543
Phone: 704/529.6364-Toll Free Number:1-8001529-6364- Far: 7041525-0409 Page 3o 111
FoI-So . ee Analytical s�P R I S M I Eviremcnral smnPrysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
IParameter
General Chemistry Parameters
Oil & Grease (SGT-HEM)
Total Suspended Solids
Total Metals
Laboratory Report
12/13/2019
Client Sample ID: SDO-002
Prism Sample ID: 9110223-02
Prism Work Order: 9110223
Time Collected: 11/12/19 07:40
Time Submitted: 11/12/19 13:10
BRLOG
mg/L
5.0
1.6
1
'1664B
11/21/19 8:30
SLS
P91<0385
5.4
mg/L
2.5
0.70
1
'SM2540 D
11/18/19 10:20
CBM
P91<0323
Copper BRL
Lead BRL
Zinc 0.19
mg/L
0,020
0.0051
1
'200.7
11/18/19
14:09
JAB
P91<0288
mg/L
0.010
0.0030
1
'200.7
11/18/19
14:09
JAB
P91<0288
r lL
0.050
0,027
1
•200.7
11/18119
14:09
JAB
P9K0288
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-Tall Free Number: l-800/529-6364- Fax: 7041525-0409 Page 4of11
Laboratory Report
t Full-Sorvico Analytical &
P R I S M I Eviroamemal Solutions
7uoawawrea i.c
12/13/2019
Prysmian Cables and Systems USA, LLC Project:
Stormwater
Client Sample ID: SDO-002D
Attn: Rick Miller
Prism Sample ID: 9110223-03
2512 Penny Rd.
Prism Work Order: 9110223
,Claremont, NC 28610 Sample Matrix: Water
Time Collected: 11/12/19 07:45
Time Submitted: 11 /12/19 13:10
Parameter Result
Units
Report
MOIL
Dilution Method Analysis Analyst
Batch
Limit
Factor Date/Time
ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG
mg1L
5.0
1.6
1 '1664B 1121/19 8:30 SLS
P91<0385
Total Suspended Solids 9.3
ni
3.3
0.70
1 'SM2540 D 11118119 10:20 CBM
P9K0323
Total Metals
Copper BRL
mg/L
0.020
0.0051
1 '200.7 11/18/19 14:16 JAB
P9K0288
Lead BRL -
mg/L
0.010
0.0030
1 '200.7 11118119 14:16 JAB
P91<0288
Zinc 0.055
ri
0.050
0,027
1 '200.7 11/18/19 14:16 JAB
P9K0288
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: 704/525-0409 Page 5 of 11
JFull-Service Analytical 8P R ISM I Envionirtal Solutions
�:"uocA�ro rEy we
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
12/13/2019
Client Sample ID: SDO-003A
Prism Sample ID: 9110223-04
Prism Work Order: 9110223
Time Collected: 11/12/19 07:35
Time Submitted: 11/12/19 13:10
Parameter
Result
Units
Report
MDL
Dilution
Method
Analysis Analyst
Batch
Limit
Factor
DateRme
ID
General Chemistry Parameters
Oil & Grease (SGT-HEM)
BRLOG
mg/L
5.0
1.6
1
*16648
11121JIS 830
SLS
P9K0385
Total Suspended Solids
4.8
mg/L
3.1
0.70
1
'SM2540 D
11/18119 10:20
CBM
P91(0323
Total Metals
Copper
BRL
ni
0.020
0.0051
1
'200.7
11/18/19 1422
JAB
P91<0288
Lead
BRL
mg/L
0.010
0.0030
1
*200.7
11/18/19 14:22
JAB
P91<0288
Zinc
0.069
mg/L
0.050
0.027
1
*200.7
11/18119 14:22
JAB
P9K0288
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: l-8001529-6364-Fax: 7041525-0409 Page 6 of 11
Laboratory Report
Analytical
P Fi I S M I F-11-Service Analytical 8
12/13I2019
aoVLonalaalA
7uoo...oAisa,rc
Prysmian Cables and Systems USA, LLC Project:
Stormwater
Client Sample ID: SDO-005
Attn: Rick Miller
Prism Sample ID: 9110223-05
2512 Penny Rd.
Prism Work Order: 9110223
Claremont, NC 28610 Sample Matrix: Water
%
Time Collected: 11/12/19 07:30
Time Submitted: 11 /12119 13:10
Parameter Result
Units
Report
MOIL
Dilution Method Analysis Analyst
Batch
Limit
Factor DateRme
ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG
mg/L
5.0
1.6
1 '1664B 11/21/19 8:30 SLS
P91<0385
Total Suspended Solids 3.9
ni
2.6
0.70
1 'SM2540 D 11/18/19 10:20 CBM
P9K0323
Total Metals
Copper BRL
mg/L
0.020
0.0051
1 '200.7 11118/19 14:29 JAB
P9K0288
Lead BRL
mg/L
0.010
0.0030
1 '200.7 11/18/19 14:29 JAB
P9K0288
Zinc 0.074
mg/L
0.050
0.027
1 '200.7 11/18/19 14:29 JAB
P9K0288
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Spdngbrook Road -P.O. Box 240543r Charlotte, NC,28224-0543
Phone: 7041529.6364-Toll Free Number: 1-8001529-6364'- Fax: 7041525-0409 Page 7 of 11
.:. JR R I S1 Y 1 xI Full-6ervlae Aiwlylical h
Environmentaln Solutions
�''""'; 'usornro ies ixe
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
IParameter Result
I Total Metals
I Copper BRL
Lead BRL
Zinc 0.052
Laboratory Report
12/13/2019
Client Sample ID: Rainwater
Prism Sample ID: 9110223-06
Prism Work Order: 9110223
Time Collected: 11/12/19 08:30
Time Submitted: 11/12/19 13:10
Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateRme ID
mg/L
0.020
0.0051 1
'200.7
11/19/19
1704
JAB
P91<0312
mg/L
0.010
0.0030 1
'200.7
11/19/19
17:04
JAB
P91<0312
mg/L
0.050
0.027 1
'200.7
11/19119
17:04
JAB
PSK0312
This report should not he 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: 7041529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 70415254409
Page 8 of 11
o Full-Sorvice Analytical It
P R I S M I Environmental Solutions
p7uaon..meream.
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, INC 28610
Total Metals - Quality Control
Analyte
Reporting
Result Limit Units
Level II QC Report
12/13/19
Prism Work Order: 9110223
Time Submitted: 11 /12/2019 1:10:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Batch P91<0288 - 200.7
Blank(PSK0288-BLK1) Prepared: 11/15/19 Analyzed: 11/18/19
Copper BRL 0.020 mg/L
Lead BRL 0.010 mg/L
Zinc BRL 0.050 mg1L
Blank(P9K0288-BLK2)
Prepared: 11/15/19 Analyzed: 11/18/19
Copper
BRL
0.020
mg/L
Lead
BRL
0.010
mg/L
Zinc
BRL
0.050
mg/L
LCS(PgK0288-BSI)
Prepared: 11/15/19 Analyzed: 11/18/19
Copper
0.508
0.020
mg/L
0.5001 102 85.115
Lead
0.507
0.010
mg/L
0.5001 101 85-115
Zinc
0.508
0.050
mg/L
0.5001 101 85-115
Batch P9KO312 - 200.7
Blank(PSK0312-BLK1)
Prepared:
11/18119
Analyzed:
11/19/19
Copper
BRL
0.020
mg(L
Lead
BRL
0,010
mg/L
Zinc
BRL
0.050
mg1L
Blank(P9K0312-BLK2)
Prepared:
11/18/19
Analyzed:
11/19/19
Copper
BRL
0.020
mg/L
Lead
BRL
0.010
mg1L
Zinc
BRL
0.050
mg/L
LCS (PSK0312-BSI)
Prepared:
11/18/19
Analyzed:
11119/19
Copper
0.538
0.020
mg/L
0.5001
108
85-115
Lead
0.536
0.010
mg1L
0.5001
107
85-115
Zinc
0,535
0.050
mg/L
0.5001
107
85-115
This report should not be reproduced, except in its entirety, vnthout the written consent of Prism Laboratories, Inc.
-449 Springbrook Road - P.O. Box 240543 _ Charlotte, NC 28224.0543
Phone: 7041529-6364-Toll Free Number: l-8001529-6364-Fax: 7041525-0409 Page9of 11
re-. Full -Service o osA nR ISM
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610
General Chemistry Parameters -Quality Control
Analyte
Batch P9KO323 - NO PREP
Reporting
Result Limit Units
Level II QC Report
12/13/19
Prism Work Order: 9110223
Time Submitted: 11 /12/2019 1:10:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P9K0323-BLK1) Prepared &Analyzed: 11/18/19
Total Suspended Solids BRL 5.0 mg/L
LCS (P9K0323-BS1) Prepared & Analyzed 11/18/19
Total Suspended Solids 480 5.) mg/L 477.0 100 90-110
Batch P9K0385 - NO PREP
Blank (P9K0385-BLKt)
Prepared & Analyzed: 11/21/19
Oil & Grease (SGT-HEM)
BRL
5.0 mg/L
OG
Sample Extraction Data
Prep Method: 200.7
Lab Number
Batch
Initial
Final
Datefrime
9110223-01
P91<0288
50
mL
50 mL
11/15/19 805
9110223-02
P9K0288
50
mL
50 mL
11/15/19 805
9110223-03
P9K0288
50
mL
50 mL
11/15/19 8:05
9110223-04
PgK0288
50
mL
50 mL
11/15/19 8:05
9110223-05
P91<0288
50
mL
50 mL
11/15/19 8:05
9110223-06
PgK0312
50
mL
50 mL
11/18/19 725
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: 7041525-0409
Page 10 of 11
11 u Full -Service Analytical &
R I S I Environmental Solutions
E2�*'�'LASOBATORIES INF
449 Springbrdok Road • Charlotte, NC 28217
Phone 7041529-6364 • Fax: 7041525-0409
Client Company Name: i .cam
Report To/Contact Name: 2✓•
Reporting Address: 2512 DA
�Itt r cn &e l /U c' 29 t 'in
CHAUN OF CUSTODY RECORD
PAGE 1 OF _1 QUOTED TO ENSURE PROPER BILLING:
Project Name: Ana
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (N(
'Please ATTACH any project specific reporting (QC LEVEL 111 It IV)
provisions and/o111111r111111OC Requirements
InvoiceTo: .'cn Cru 4,f3
Address:
f♦ r�1
YES tNO NIA
— O
al
�._ N
Samples INTACT upon arrival?
,Received OMWETICE? - -
"PROPER PRESERVATIVES Indlcated?
Received WITHIN HOLDING TIMES?
`CUSTODY SEALS INTACT? -
EL
VOLATILES'rec'oW/OUT HEADSPACE?
.PROPER CONTAINERS used?
�_
Phone: R t-t�: Z-7f /�{ Fax (Yes)j<J Purchase Order NoJBllling Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: r:.-.K . uh: 4L2r• r� ty,ri, SM Gna _i: i�oquestad Due Date O f Day ❑ 2 Days ❑ 3 Days o 4 Days a 5 Daya
r'`7
Certification: NELAC_ DOD FL_ NC
EDD Type: PDF_Excel_ ram- Other "Working Days" ❑ 6-9 Days O Standard 10 days O PresApproved Be
SC OTHER S NIA
Site Location Name: C fAr-e adC_.1_+ IJC_ Samples received after 14:00 will be processed next business day.
Site Location Physical Address: PG n li[i Turnaround time Isbased an business days, excluding weekends and holidays.
Water Chlorinated: YES_ NO—
C:I<LrGn•nti' - G2%Ip (SEE REVERSE FOR TERMS a CONDITIONS REGARDING SERVICES
r RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) rP
SamplelcedU on Collection: YES NO
CLIENT
DATE
TIME
COLLECTED
MATRIX
(SOIL,
SAMPLE CONTAINER
PRESERVA-
( bANALYS UEST
O tr
�L, t„ �' S ..(v L
as .i' •/ ?x ` REMARKS
PRISM
LAB
•TYPE
NO.
SIZE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIVES1n
v ��
ID NO.
HOURS
SLUDGE)
SEE BELOW
F y
4 D_Q:!e —
-�-(�ji�
�' r,
P A -
1
irx Ar
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j-!
C
ti+a
_7 r '
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Yn
I.
i
Sampler's Signature Sampled By (Print Name) Affiliation f` +•L. F o 140
Upon relinquishing, this Chain of Custody Is your amhorizat(On for Prism to proceed with the analyses as requested above. Any changes must be
submitted in writing to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized.
Rmimmxatied By (310 amrol� - Recewoo By. (Signature) Data inaryl ours Additional Comments: Site Arrival Time:
Reitnqulshed By: (Signature) Recervad By: (Signature) Dam •Site Departure Time:
Field Tech Fee:
Reanqulshetl By. (Signature) Recewed runes y: Daa
Mileage:_
Methed of Shlpmenl: N : ALL SAMPLE COOLERS SHOULD BE TAPED SHUT TN CUSTODY SEAL6 FOR TRANSPORTATION TO THE LABORATORY. COC Group No.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY. G t�0 Z23
L
❑ Fed Ex ❑ UPS ❑ Nara-dai d O Prism Field Service ❑ Omer ((�
NPDES: I UST: GROUNDWATER: DRINKING WATER: SOLID WASTE: RCRA: CERCLA LANDFILL OTHER:
O NCOSCI ONC OSC ❑NC ❑SC ❑NC El SC QNC El SC I 3NC ❑SCIONC ❑SCI OSC
ONCOSC ONC
71
-CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (Zero Head Space) ORIGINAL
/WRISM
Q' �IABONATOWES INC
Full -Service Analytical &
Environmental Solutions
Prysmian Cables and Systems USA, LLC
Rick Miller
2512 Penny Rd.
Claremont, NC 28610
NC Certification No. 402
NC Drinking Water Cart No. 37735
SC Certification No. 99012
Project: Stormwater
Lab Submittal Date: 11/12/2019
Prism Work Order: 9110223
Case Narrative
12/13/19 9:19
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 rail if you have any questions relating to this analytical report.
Respectfully,
'PRISM LABORATORIES, INC.
Terri W. Cole
Project Manager
Reviewed By Terri W. Cole
Project Manager
Data Qualifiers Key Reference:
OG HEM O&G is less than the reporting limit, therefore TPH (SGT-HEM) is less than the reporting limit. Sample not
extracted for TPH (SGT-HEM).
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: l-8001529-6384-Fax: 7041525-0409 Page 1 of 11
P R I S M IFe��se.�i�o Ane� tl�e� a
En��,onment�� 6oianoos
Sample Receipt Summary
12/13/2019
Prism Work Order: 9110223
Client Sample ID
Lab Sample ID
Matrix
Date/Time Sampled
Date/Time Received
SDO-001
9110223-01
Water
11/12/19
7:50
11/12/19
13:10
SDO-002
9110223-02
Water
11/12/19
7:40
11/12/19
13:10
SDO-002D
9110223-03
Water
11/12/19
7:45
11/12/19
13:10
SDO-003A
9110223-04
Water
11/12/19
7:35
11/12/19
13:10
SDO-005
9110223-05
Water
11/12/19
7:30
11/12/19
13:10
Rainwater
9110223-06
Water
11/12/19
8:30
11/12/19
1310
Samples were received in good condition at 5.9 degrees C unless otherwise noted.
This report should not be reproduced, except in its entirety, without the written consent of Fusm 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 2 of 11
&OWR I S M I Fa iroamen al Solu is 6
asVU cryice el Analytical
7.'anaa—
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, INC 28610 Sample Matrix: Wat
Parameter
Result Units
General Chemistry Parameters
Oil& Grease (SGT-HEM)
BRLOG
mg/L
Total Suspended Solids
7.0
mg/L
Total Metals
Copper
BRL
mg1L
Lead
BRL
mg/L
Zinc
0.14
mg/L
Laboratory Report
12/13/2019
Client Sample ID: SDO-001
Prism Sample ID: 9110223-01
Prism Work Order: 9110223
Time Collected: 11/12/19 07:50
Time Submitted: 11 /12/19 13:10
Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateMme ID
5.0
1.6
1
'1664B
11/21119
8:30
SLS
P9K0385
2.6
0.70
1
'SM2540 D
11/18/19
10:20
CBM
P9K0323
0.020
0.0051
1
'200.7
11/18/19
14:02
JAB
P91<0288
0.010
0.0030
1
'200.7
11/18/19
14:02
JAB
P91<0288
0.050
0.027
1
'200.7
11/18/19
14:02
JAB
P9K0288
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 3 of 11
/I R I S M I Foll.S-vn,a Analytical g
C) Environmental Solutions
® Iraian.TnaIts—
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
12/13/2019
Client Sample ID: SDO-002
Prism Sample ID: 9110223-02
Prism Work Order: 9110223
Time Collected: 11 /12/19 07:40
Time Submitted: 11/12/19 13:10
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateRme ID
General Chemistry Parameters
Oil & Grease (SGT-HEM) BRLOG mg/L 5.0 1.6 1 '1664B 11/21/19 8:30 SLS P91<0385
Total Suspended Solids 5.4 mglL 2.5 0.70 1 'SM2540 D 11/18/19 10:20 Cam P9K0323
Total Metals
capper BRL
Lead BRL
zinc 0.19
mg/L
0.020
0.0051
1
'200.7
11/18/19
14:09
JAB
P9K0288
ni
0.010
0.0030
1
'200.7
11/18119
14:09
JAB
P91<0288
all
0.050
0.027
1
'200.7
11/18119
14:09
JAB
P9K0288
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: 704/525-0409
Page 4 of 11
�P R ISM I Fuvir o.alco al Solutions
4
Environmental Solutions
�Vwao,..*Dales„�
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory -Report
12/13/2019
Client Sample ID: SOO-002D
Prism Sample ID: 9110223-03
Prism Work Order: 9110223
Time Collected: 11/12/19 07:45
Time Submitted: 11/12/19 13:10
" Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor DateRme ID
General Chemistry Parameters
Oil B Grease (SGT-HEM) BRLOG mg/L 5.0 1.6 1 '1664B 11/21/19 8:30 SLS P91<0385
Total Suspended Solids 9.3 mglL 3.3 0.70 1-SM2540 D 11/18119 10:20 CBM P91(0323
Total Metals
Copper
BRL
Lead
BRL
'Zinc
0.055
m
mglL
0,020
0,0051 1
'200.7
11/18/19
14:16
JAB
P91(0288
mg/L
0.010
0.0030 1
'200.7
11118/19
14:16
JAB
P91<0288
mglL
0.050
0.027 1
'200.7
11/18119
14:16
JAB
P9K0288
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: 7041529-6364 -Toll Free Number: 1.8001529-6364 - Fax: 7041525-0409 Page 5 of 11
P R ISM I Full -Service Analytical A
enylmn,rental 6olat,onw
�v,�an�..nx a ��
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
12/13/2019
Client Sample ID: SDO-003A
Prism Sample ID: 9110223-04
Prism Work Order: 9110223
Time Collected: 11/12/19 07:35
Time Submitted: 11 /12/19 13:10
Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch
Limit Factor Datei ID
General Chemistry Parameters
Oil B Grease(SGT-HEM) BRLOG ni 5.0 1.6 1 '1664B 11/21/19 8:30 SLS P91<0385
Total Suspended Solids 4.8 ni 3.1 0.70 1 •SM2540 D 11/18/19 10:20 CBM P91(0323
Total Metals
Copper BRL
Lead BRL
Zinc 0.069
ni
0,020
0.0051
1
'200.7
11/18/19
14:22
JAB
P91<0288
ni
0.010
0.0030
1
'200.7
11/18/19
14:22
JAB
P91<0288
mg/L
0.050
0,027
1
'2007
11/18119
14:22
JAB
P91<0288
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 6 c 11
�Pn \ Full -Service Analytical It
R I S M I aamrcamental 5a unena
7u a a .c
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
12/13/2019
ClientSamplelD: SDO-005
Prism Sample ID: 9110223-05
Prism Work Order: 9110223
Time Collected: 11/12/19 07:30
Time Submitted: 11 /12/19 13:10
Parameter
Result Units Report MDL Dilution Method
Analysis Analyst
Batch
Limit Factor
Daternme
ID
General Chemistry Parameters
Oil B Grease (SGT-HEM)
BRLOO mg/L 5.0 1.6 1 '1664B
11121/19 8:30
SLS
P91<0385
Total Suspended Solids
3.9 mg/L 2.6 0.70 1 'SM2540 D
11118119 10:20
CBM
P9K0323
Total Metals
Copper
SRL mg/L 0.020 0.0051 1 '200.7
11/18/19 14:29
JAB
P91<0288
Lead
BRL mg/L 0.010 0.0030 1 '200.7
11118/19 14:29
JAB
P91<0288
Zinc
0.074mg/L 0.050 0.027 1 '200.7
11/18119 14:29
JAB
P91<0288'
This report should not be reproduced, except in its entirely, 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
7 of 11
PRISM E°n-se,v,ee alSoluear s
Envvonniental $OWtiOOs
�+"r' ;'—ORnronics mn
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610 Sample Matrix: Water
Laboratory Report
12/13/2019
Client Sample ID: Rainwater
Prism Sample ID: 9110223-06
Prism Work Order: 9110223
Time Collected: 11/12/19 08:30
Time Submitted: 11/12/19 13:10
Parameter
Result
Units
Report
Limit
MDL
Dilution
Factor
Method
Analysis Analyst
DateTme
Batch
ID
Total Metals
Copper
BRL
mg/L
0.020
0.0051
1
'200.7
11/19/19 17:04 JAB
P91<0312
Lead
BRL
mg/L
0,010
0.0030
1
*200.7
11/19/19 17:04 JAB
P91<0312
Zinc
0.052
ni
0.050
0.027
1
•200.7
11/19/19 17:04 JAB
P91<0312
This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc.
449 Smingbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543
Phone: 704/529.6364 -Toll Free Number: 1-800/529-6364 - Fax: 704/525-0409 Page 8 of 11
ApDI S M I e
Environmental
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610
Total Metals -Quality Control
Analyte
Reporting
Result Limit Units
Level II QC Report
12/13/19
Prism Work Order: 9110223
Time Submitted: 11/12/2019 1:10:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Batch P9K0288 - 200.7
Blank(P9K0288-BLK1) Prepared: 11/15/19 Analyzed: 11/18/19
Copper BRL 0.020 mg/L
Lead BRL 0.010 mg/L
Zinc
BRL
0,050
mg/L
Blank(P9K0288-BLK2)
Prepared: 11/15/19 Analyzed: 11118/19.
Copper
BRL
0.020
mg/L
Lead
BRL
0.010
mg/L
Zinc
BRL
0.050
mg/L
LCS(P9K0288-BSI)
Prepared: 11/15/19 Analyzed: 11/18/19
Copper
0.508
0.020
mg1L
0.5001 102 85-115
Lead
0.507
0.010
mg/L
0,5001 101 85-115
Zinc
0.508
0.050
mg/L
0.5001 101 85-115
Batch P9KO312. 200.7
Blank(P9K0312-BLKI)
Prepared: 11/18/19 Analyzed: 11/19/19
Copper
BRL
0.020
mg/L
Lead
BRL
0.010
mg/L
Zinc
BRL
0.050
mg/L
Blank(P9K0312-BLK2)
Prepared: 11/18/19 Analyzed: 11/19/19
Copper
BRL
0.020
mg/L
Lead
BRL
0.010
mg/L
Zinc
BRL
0.050
mg/L
LCS (P9K0312-BSI)
Prepared: 11/18/19 Analyzed: 11/19/19
Copper
0.538
0.020
mg/L
0.5001 108 85-115
Lead
0.536
0.010
mg/L
0,5001 107 85-115
Zinc
0.535
0.050
mg/L
0,5001 107 85-115
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: 70415294i364 -Toll Free Number: 1.8001529-6364 - Fax: 7041525-0409 F Page 9 of 11
o Full -Service Analylicel &
�
�i[0 R I S M I Environmental Solutions
'Juxon�.nmru mc.
Prysmian Cables and Systems USA, LLC Project: Stormwater
Attn: Rick Miller
2512 Penny Rd.
Claremont, NC 28610
General Chemistry Parameters -Quality Control
Analyte
Batch P9K0323 - NO PREP
Reporting
Result Limit Units
Level II QC Report
12/13/19
Prism Work Order: 9110223
Time Submitted: 11/12/2019 1:10:OOPM
Spike Source %REC RPD
Level Result %REC Limits RPD Limit Notes
Blank (P9K0323-BLK1) Prepared & Analyzed: 11/18/19
Total Suspended Solids BRL 5.0 mg/L
LCS (P9K0323-BS1) Prepared &Analyzed: 11/18/19
Total Suspended Solids 480 5.0 mg/L 477.0 100 90-110
Batch P9K0385 - NO PREP
Blank (P91<0385-BLKt) Prepared & Analyzed: 11/21/19
Oil & Grease (SGT-HEM) BRL fin mg/L OG
Sample Extraction
Data
Prep Method: 200.7
Lab Number
Batch
Initial
Final
Daten-Ime
9110223-01
P9K0288
50
mL
50 mL
11/15/19
8:05
9110223-02
P91<0288
50
mL
50 mL
11/15/19
805
9110223-03
PgK0288
50
mL
50 mL
11/15/19
8:05
9110223-04
P9K0288
50
mL
50 mL
11/15/19
805
9110223-05
P91<0288
50
mL
50 mL
11/15/19
805
9110223-06
P91<0312
50
mL
50 mL
IV18/19
7:25
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: 1-8001529-6364 - Fax: 7041525-0409
Page 10 c 11
AclPR1p\//1� Full -Service Analytical &
'. -.�sl'S, s' I Environmental Solutions
r1 uaonxTORlEs InG
449 Springbrook Road • Charlotte, NC 28217
Phone 7041529-6364 • Fax: 7041525-0409
Client Company Name: ipr�i IN "h
Report To/Contact Name:-)! )ltl•I e✓
Reporting Address: AA
Gin8 (6, it
CHAIN OF CUSTODY RECORD
PAGE 1 OF 1_ OU ITE Y TO ENSURE PROPER SMrtBILLING: ! `
Project Name: TOP � An: Rr,,/��tt .•71 ,q nVl;
Short Hold Analysis: (Yes) (No) UST Project: (Yes) (NO)
*Please ATTACH any project specific reporting (OC LEVEL 1 II III IV)
provisions and/o1nr1pOC 'Sri.-,
n�ts
Invoice To: Y-. . p.ac�n -br, 4Q
Address: -2_<_i '.1_ OP At _
_i,...._. ,._ 9 A) r 2-RA in
Samples INTACT upon arrival?
Received ON WET ICE?_
PROPER PRESERVATIVES Indloate47
Received WITHIN. HOLDING TIMES?
CUSTODY SEALS INTACT?
VOLATILES rec'd W/OUT HEADSPACE7
PROPER CONTAINERS used?*
YES NO NIA
-� O
Phone: R2¢—Yf:•: i' +r Si Fax (Yes) Xyo • Purchase Order No.Bllling Reference
TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL
Email Address: s.,-.L.yN:L)ed'r:7 ��S•w.�nq'A,J�.r: yagoquestell Due Date ❑tDay ❑2Days t73Days ❑4 Days OSDays
T-
Certification: NELAC_ DoD_ FL_ NC_
EDD Type: PDF Excel Other Rush work Must Be
YP �- "Working Days"' ❑ 6-9 Days 0 Standard 10 days 0 Rush Work Mroved
u
Site Location Name: �. )G rP .w�. Ct"'r ��L Samples received after 14:00 will be processed next business day.
Sc OTHER uDncs NIA
Site Location Physical Address: {7e A a[! Turnaround Ume is based on business days. excluding weekends and holidays.
Water Chlorinated: YES_ NO_
'L'L%io (SEE U-5.RENDEREDBYP RRISMTERMS
LABORATORIES.CONDITIONS C.TOOREGARDING T)SERVICES
Sample Iced Upon Collection: YES_ NO
CLIENT
DATE
TIME
COLLECTED
MATRIX
(SOIL,
SAMPLE CONTAINER
PRESERVA.
�o
f�;/ ��(!;; ANALYS ,r;L ST
'J '� �u`"
PRISM
•rypE
SAMPLE DESCRIPTION
COLLECTED
MILITARY
WATER OR
TIMES
y
L•' sT' s REMARKS
LAB
HOURS
SLUDGE)
SEE BELOW
NO.
SIZE
�iL by
ID NO.
q _
I
17�rrcq
p
o�Qi
!Y
H
An 11
i
_�_
I
Z
JTy u,
—
e
G 3
0 , A
r
2.k•,
01
a -
7) o
I
I
05
_{Zq ww4ke
C nwi
I
N'A
I XLib
Sampler's Signature Sampled By (Print Name) Affiialion P _- Peun
Upon relinquishing, this Chain of Custody is your authorization far Prism to proceed with the analyses as requested above. Any changes must be
submitted In writing to the Prism Project Manager. There will be charges for any changes after analyses have been Initialized.
Rcl,npwshea Y•ISlgneluro _ Remyea y.[9gnature) Data rs Additional Comments: Site Arrival lime:
Rellnavwea By: (Signature) Rmmry By: (Sgnature) Date Site Departure Time:
Field Tech Fee:
RelinpuishN Y ( Ignatura) ecalvea Omnea By. Dam
11
(310 Mileage:
AO'
Nelda of Shavrenl: NOTE: ALL SAMPLE COOLERS SHOULD BE TAPED SHUT TN CUSTODY SFALB FORT RTATION TO THE LABORATORY O Group Nil.
SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST CDC UNTIL RECEIVED AT THE LABORATORY. ^
❑ Fea Ex O UPS D Haeb4efivwadl ❑ Prism Field Semoe D ovxx
I R. SOLID
FO
ONC L3 SC ❑ NC ❑ SC I NC ❑ SCTER: 0 NC O SOA NC ❑SCE• I U NBC O SC I NC ❑ SC I EI NC S ( O NC O SC
(
❑O ❑O
Cl ❑O -
*CONTAINER TYPE CODES: A = Amber C = Clear G= Glass P = Plastic; TL = Teflon -Lined Cap VOA = Volatile Organics Analysis (gem Head Space) ORIGINAL
Storm water Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 12/19/2019
CERTIFICATE OF COVERAGE NO. NCG03 � 2 1 2
FACILITY NAMEr Pr -1 Cables and Systems USA, LLC
"'----
ORATORY Prism Labs Lab Cert. ft 402
iments on sample. collection or,analysis:. ;1;
12 2019 samples - TTO not applicable (no Electroplating, Metal finishing or Ele,
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June 0 July -Dec
or ❑ Monthly' rmonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
[]Zero -flow ❑Water Supply ❑SA
QOther NPDES
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 a
No discharge this period?2
-
Non -Polar O&G/
Total Toxic
.• a'
Date Sarnple
24=hour rainfall
' • '-
Total Suspended Solids
pH'
Total Copper
PP
Total Lead
Total Zinc
Total Petroleum
Organicss
outfall No.
- ° s i
Collected
1Ir
amount,
Standard units
Hydrocarbons
t
(mo/dd/yr)
Inches3
-,
100 mg/L or 50mg/C
6.0 - 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
is mg/L
1 mg/L
Benchmarks .
-
46529
C0590
00400
01119
01051
01094
00552
78141
Parameter Code
11/12/19
1.7,
7
5.4
6.6
7.03
<.010
<.010
<.075
<.075
.14
.19
<15
<15
NA
NA
SDO-001,
SDO-002
11/12/19
11412/,19
11/412/19
11/12/19
1.7
t-7,
1.7,
7
1;,_
9'3
4.8
:, ., ,3.9
6.94
6.83
7.05
<.010
<.010
<.010
<.075
<.075
<.075
v.,.a,o <...,a
.055
.069
.074
naramPtar
<15
<15
<15
at the same outfall.
NA
NA
NA
SDO-0025
SDO-003A
t SDO-005.
' Monthly sampling (instead.of semi-an1.nual) musbbegin with the second consecuuve ucnCn,,,u, - --- .._ _ - '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 anon -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.
5 Total Toxic Organics sampling is applicable only for those,facilities which perform metal finishing operations, manufacture semiconductors, manufacture
of this permit the definition of Total Toxic Organics is that definition contained in the EPA
electronic crystals, or manufacture cathode ray tubes. For purposes
Effluent Guidelines for the facility subject to the requirement to;s'ample (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).
SWU-245, last revised 11/1/2018
Permit Date: 11/1/2018-05/31/2021 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
(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."
Name (Print name)
hHS�= Ma.,,i4 z
Title (Print title) I
.�i/
9" &AoAA1
1 1 / / c
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.
n No dischorge this period?z
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/L4
Parameter Code
-
46529
NCOIL
00552
C0530
NA- No ve�cle manRenarice corMeled onMe
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 A BENCHMARK EXCEEDANCE TRIGGERS TIER ,1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
2,EXCEEDANCESIN A ROW F,ORTHE SAME_PARAMETER AT THE SAME OUIT PART II SECTION B.
TFALLTRIGGERTIER 2 REQUIREMENTS. SEE PERM
TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFACE? YES NO 0
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ®NO Q
REGIONAL OFFICE CONTACT NAME:
Division of Water Quality
Attn:DWQ Central�Files
1617 Mail Service Center i
Raleigh, North Carolina 27699-1617
YOU MUST SIGNTHISCERTIFICATION F
11I certify, under penalty of yaw, that this
assure that qualified personnel properly
those persons directly responsible for gi
am aware that there are significant pen
of
qY INFORMATION REPOK I tu:
merit and �all attachments were prepared under my direction or supervision in accordance with a system designed to
er and,evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
ng,the;information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
for submitting false information, including the possibility of fines and imprisonment for knowing violations."
2- /9/
Date
SWU-245, last revised 11/1/2018
Permit Date:11/1/2018-05/31/2021 Page 3 of
Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 12/19/2019
CERTIFICATE OF COVERAGE NO. NCG03 0 2 1 2
FACILITY NAME Prysmian Cables and Systems USA, LLC
COUNTY Catawba
PERSON COLLECTING SAMPLES Rick Miller
nnnd ATnav Prism Laos Lab Cert. tf 402
ple.collection or analysis: .
- TTO not applicable (no Electroplating, Metal finishing or Ele(
Part A: stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June Q July -Dec
or ❑ Monthly' Imonthl
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply []SA
*other NPDES
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
71 Ain rlisrharne this period?Z
�,�•e,;
Non -Polar O&G/
Total Toxic
I
Date Sample
24-hour rainfall
Total Suspended Solids
PH,
Total Copper
PP
Total Lead
Total Zinc
Total Petroleum
' organics'
Outfall No.
Collected'
amount,
Standard units
Hydrocarbons
(mo/drl/yr)
Inches'
-
100 mg/L or 50 mg/O
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Benchmarks
_
46529
C0530
00400
01119
01051
01094
00552
78141
Parameter Code
-
7
6.6
<.010
<.075
.14
<15
NA
SDO-601
11/,12%19
1.7
7.03
<.010
<.075
.19
<15
NA
SDO-002,
11/12/19
1.7
5.4
L SDO-002D
11/12/19
17,
9.3
6.94
<.010
<.075
.055
<15
NA
SDO-003A
11/,12/19
1,7,
4.8
6.83
<.010
<.075
.069
<15
NA
SDO-005
11/12/19
1,7
3.9
7.05
<.010
<.075
.074
<15
NA
_.-,..,,.--e.
. fn,thocampnnrnmaterat
the sameoutfall.
Monthly sampling (instead of semi-annual) must ;begin with the second consecouve UC t IM-- I ===u�•• _ •�• - - ---
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 anon -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 forthe 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).
SWU-245, last revised 11/1/2018
Permit Date: 11/1/2018-OS/31/2021
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."
7y,c/( /vlJ�C/
Name (Print name)
H!'
Title (Print title)
Jam. 7jet-t�4 j a l9
Signature Date
Note: Results must be reported in numerical format. Do not report Below Detection Limit, BDL, <PQL, Non -detect, NO, 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 period?2
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
"n. Nu renvie mamerRe,nrrpe:ea
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
rAKI HHIV V. rAK1 D IVIVIV I I VNNU n[wLla.
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1;REQUIREMENTS SEE PERMIT PART II SECTION B.
i S: .11 J. 1, 11, •.• lit'
• 2 EXCEEDANCES IN.A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
i t:
• TIER13: HAS YOUR FACILITY HAlD'4 OR MOROR
E BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFACE? YES ONOEI
- i 1.c t-+11 u:-n....
IF YFS. HAVE YOU. CONTACTED THE DEMLR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL
NAME:
Mail an ori4in6l 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
At DWQrentrallFilesf -
1617 Mail Service Center. ,`� I
Raleigh, North Carolina 2A99-1617
"I certify, +uniler 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 lgather 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
(2-l9-12
Date
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 3 of 3
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S➢I X002 FIBER REC[IVINGI FIBER ROOF, APC, BULK US L SCR YARDS - 6,08 ACRES C FACTOR • 060
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SO N003A OFCCC 6 FIBER RW, FIBER RECEIVING. VEST LAW, OFCCC CABLE STORAGE 6 TEST AREA - 5.72 ACRES. C FACTOR • 0.43
SDO ROBA CDO )100U FLUE DITCH ALONG PENNY ROAD. VEST LAWµ DIVISION PARKIM1 OFCCC REEL STORAGE - 856 ACRES. C FACTOR 036
BID NS04A SOUTH PARKING - ISI ACRES, C FACTOR • 0.68
SO BIDS SDO MUSA PLUS RAIN ENTRANCE ROAD - ].02 ACRES C FACTOR • 167
SW MUN CABLE SHIPPMG 4 REM YARD, CAME RO➢F - &IS ACRES, C FACTOR v 675
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SDO 1004A SOUTH PARNMG - LBI ACRES, C FACTOR • 169
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S➢O NWSA CABLE SHIPPMG B REEL TARD, CABLE ROOF - 61B ACRES. C FACTS? • 173
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