NCG030227_MONITORING INFO_20190712

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
DOC TYPE
❑ HISTORICAL FILE
CY MONITORING REPORTS
DOC DATE
❑ D a
YYYYM M D D

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
-----------------------
/v C'c
DOC TYPE.
❑ HISTORICAL FILE
f� MONITORING REPORTS
DOC DATE
❑as
YYYYMMDD

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted 0710312019
CERTIFICATE OF COVERAGE No. N0003 0 2 2 7
FACILITY NAME Coming Optical Communications, LLC
COUNTY Forsyth
PERSON COLLECTING SAMPLES Jamie Joines
LABORATORY TestAmerica Laboratories, Inc. Lab Cert. # 434
Comments on sample collection or analysis: JUL 12 2019
..cri I i-/A\L FILES
DVVR SECTION
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑ July -Dec
or Q Monthly' May (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
❑Zero -flow ❑Water Supply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
❑ No discharge this periodj2
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
Total Petroleum
Hydrocarbons
Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L4
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
1
05/23/2019
0.42
22
6.8
0.0038
<0.001
0.048
<1.4
N/A
2
05/23/2019
0.42
35
7.3
0.009
0.0016
0.081
<1.4
N/A
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
Z For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
'The total precipitation must be recorded using data from an on -site rain gauge. Unattended sites may be eligible for a waiver of the rain gauge requirement.
a 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

FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN A ROW FOR THE SAME PARAMETER AT THE SAME OUTFALL TRIGGER TIER 2 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANY ONE OUTFALL? YES © NO Q
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES ©NO
REGIONAL OFFICE CONTACT NAME:
Mail an oriainal copy of this DMR, including all "No Discharge" reports within 30 days of receipt of the lab results /or at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to
assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware t� there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Signature of Permittee
Permit Date: 11/1/2018-05/31/2021
%3-/2
Date
SWU-245, last revised 11/1/2018
Page 3 of 3

Client Sample Results
Client: Corning Optical Communications LLC
Project/Site: Corning OpticalStormwater, Winston Salem
Job ID: 180-90504-1
Client Sample ID: OUTFALL 1
Lab Sample ID: 180-90504-1
Date Collected: 05123/19 08:50
Matrix: Water
Date Received: 05/24/19 08:00
Method: EPA 6020B - Metals (ICP/MS) - Total Recoverable
Analyte Result Qualifier RL
MDL Unit
D Prepared
Analyzed oil Fac
Copper 3.8 2.0
0.63 u9/L
O5/30/191434
06/01/191937 1
Lead 0.63 J 1.0
0.13 ug/L
05/30/19 14:34
06/01/19 19:37 1
Zinc 48 5.0
3.2 ug/L
05/30/19 14:34
06/01/19 19:37 1
General Chemistry
Analyto
SGT-HEM
Total Suspended Solids
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
oil Fac
ND
3.9
1.4
m9/L
06107/1912:25
06/07/1912:25
1
ND
3.9
1.4
mg/L
06107/1912:25
06/07/1912:25
1
22
0.50
0.50
mg/L
05/25/19 08:49
1
Result Qualifier
RL
RL
Unit
D Prepared
Analyzed
DII Fac
6.8 HF
0.1
0.1
su
05/29/1914:16
1
Client Sample ID: OUTFALL 2 Lab Sample ID: 180-90504-2
Date Collected: 05/23/19 08:45 Matrix: Water
Date Received: 05/24/19 08:00
Method: EPA 6020B - Metals (ICP/MS) - Total Recoverable
Analyte Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
ti
DII Fac
Copper 9.0
2.0
0.63
ug/L
05/30/19 1434
- 6/01/1 119.42
1
Lead 1.6
1.0
0.13
ug/L
05/3011914:34
06/01/1919:42
1
Zinc . 81
5.0
3.2
ug/L
05/3011914:34
06/0111919:42
1
General Chemistry
Analyte
Result Qualifier
RL
MDL
Unit
D Prepared
Analyzed
DII Fac
HEM
ND
3.9
1.4
mg/L
06/07/1912:25
06/07/1912:25
1
SGT-HEM
ND
3.9
1.4
mq/L
06/0711912:25
06/07/1912:25
1
Total Suspended Solids
35
0.83
0.83
mg/L
05/25/19 08:49
1
Analyte
Result Qualifier
RL
RL
Unit
D Prepared
Analyzed
oil Fac
DH
7.3 HF
0.1
0.1
SU
05/29/1914:18
1
Eurofins TestAmerica, Pittsburgh
Page 9 of 14 6/10/2019

Eurofins TestAnnerica, Pittsburgh
301 Aloha Drive RIDC Park
Pittsburgh, PA 15238
Phone [phone] Fax f4121963-2468
Chain of Custody Record
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tnlnents
Client Information
Sampin�
--�L2v+'lLt' �: 2E�
Colussy. Jill L
camel T,aca� Not )p
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COON,
0-51631-10051.1
Cls': Conladl
Rhdne
E"Mail
Paga
Jamie Jones
__
/ ? 3� -7 _ Si
lill.colussy@testamericamc. com
�7/3
Page 1 of 1
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Preservation Codes:
3180 Centre Park Blvd
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Norr-Hazard Flammable Skin Imtant Poison B Unknown Radiological
To Cbent By Lab Archive For Months
Deliverable Requested: 1, II, III. IV, Other (specify)
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d Yes A No
Ver 01/1612010