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HomeMy WebLinkAboutNCG050419_MONITORING INFO_20191209STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. L G 05V / / DOC TYPE ❑ HISTORICAL FILE L� MONITORING REPORTS DOC DATE YYYYMMDD WATERS EDGE ENVIRONMENTAL, LLC �01 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 • PHONE 919.859.9987 • FAx 919.859.9930 November 26, 2019 NCDEQ / Division of Water Resources REc,F11�r� ATTENTION: Central Files G 1617 Mail Service Center p�C 0 8 Z019 Raleigh, North Carolina 27699-1617 t{r1.1. FIt.�W Reference: Non-Stormwater Recertification DWR SECTION Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG050000, Certificate of Coverage No. NCG050419 Year 2Period 1-2 Waters Edge Job No RI-15 Central Files: In the above -mentioned permit, it states in Section A: I E that "The permittec shall recertify annually that the stormwater outfalls have been evaluated for the presence of non-stornwater discharges." This would document our recertification for 2019 that all outfalls were not contaminated with other pollutants. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith, Lydall and NCDENR Stormwater Central Files (two copies) 19-087/PLR WATERS EDGE ENVIRONMENTAL, LLC `� 4901 WATERS EDGE DRIVE, SUITE 201 • RALEIGH, NC 27606 • PHONE 919.859.9987 • FAX 919.859.9930 November 26, 2019 NCDEQ / Division of Water Resources ATTENTION: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Reference: Non-Stormwater Recertification Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG050000, Certificate of Coverage No. NCGO50419 Year 2 Period 1-2 Waters Edge Job No RI-15 Central Files In the above -mentioned permit, it states in Section A: I E that "The permittee shall recertify annually that the stormwater outfalls have been evaluated for the presence of non-stormwater discharges." This would document our recertification for 2019 that all outfalls were not contaminated with other pollutants. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith, Lydall and NCDENR Stormwater Central Files (two copies) 19-087/PLR ' WATERS EDGE ENVIRONMENTAL, LLC ` `yyf 434 CHESTER ROAD • RALEIGH, NC 27608 • PHONE 919.219.5820 November 26, 2019 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Famptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCG050419 Year 2- Period 1 Waters Edge Job No RI-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period 1 (July 1, 2019- December 31, 2019) 2019 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC ffW� 017 M-IM/ Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 19-086/PLR "Z0I12 Cyr AI►Ma�yori k 06 / 0.4 IQ %\I Inlrir li `4 �366- 007'' 14'N, 80° 49' 08"W (WG584/NAD83\j i Yity Ch 0.8 1.2 1.6 2 ni Drmring JQ--d Quad Dare Title project Location Map RI-15.a1s Brooks X-rds 2000 s. Reporl Dme Figure Projecl Lydal I Inc. RI-I5 10128f2Sco%004 I as shown I Hamplonville, North Carolina 7 na No. Wtlam bwgr oau 20nib ATERS EDGE ENVIRONMENTAL. LLC RI -Is c rFata �.3lole a215 OYIfku location Map j File AMwr Pigvn Senb pmLydall, Inc. SP C _ I 1-"P� 2w Harnpto M11 , Nonh Carolina Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling out this form, please visit http://h2o.enr state nc us/su/Forms Documents htmkmiseforms Permit No.: IN I C I G 10 1 510 10 f 0 101 or Certificate of Coverage No.: I N I C I G 10 15 10 1 4' 1 19 Facility Name: Lydall Thermal/Acoustical Inc.- Yadkinville NC County: Yadkin Phone No. 336.485.8522 Inspector: Thomas Haynes Date of Inspection: 10.23.19 Time of Inspection: 11:50 AM Total Event Precipitation (inches): 0.76 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verb if Qualitative Monitoring must he pet formed during a representative storm event (requirements vary). A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has storm event hours ton. By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) 1 Outfall Description: OutfalI No. 001/002 Structure (pipe, ditch, etc.) Drainage Swales and Pipes Receiving Stream: Unnamed Tributary of Town Branch Describe the industrial activities that occur within the Outfall drainage area: Automotive Products Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Page lof2 S W U-242-1 12608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear and 5 is very cloudy: 1 2 3O 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 O 3 7 Is there any foam in the stormwater discharge? 8 Is there an oil sheen in the stormwater discharge? 9 Is there evidence of erosion or deposition at the outfall? 10 Other Obvious Indicators of Stormwater Pollution: List and describe 4 5 Yes No Yes No Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 SWU-242-112608 v� WATERS EDGE ENVIRONMENTAL, LLC 34 CHESTER ROAD • RALEIGH, NC 27608 • PHONE 919.219.5820 November 26, 2019 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 1241 Buck Shoals Road Hamptonville, NC 27020 General Permit No NCG05000, Certificate of Coverage No. NCG050419 Year 2- Period 1 Waters Edge Job No RI-15 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period 1 (July 1, 2019- December 31. 2019) 2019 forms for the semi-annual site inspections at the Lydall facility located in Hamptonville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@waterseda.eenv.com. watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL. LLC Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDEQ Stormwater Central Files (two copies) 19-086/PLR 36. 07' 14'N, a0. 49' 08'V :•qyn +9E!!O[J Wy•YakYc I,;`i ���_J``\�J� �(i ___ l r.0 _ , ua�wu.—__••.,IIIII sun t(on sa .,.. � . •e ) • zrt IL l er a •60oryy �s It L it I 'a o r l Jr k SITE n e ate, Tim"--- _,r- _ 1000 _ 1 I 0 0.4 0.8 1.2 1.6 2 Ini Author Drmnng Quad Quad Dare Title project Loealion Map WATERS EDGE ENVIRONMENTAL, LLC RI-Is.als Brooks xads 2000 (��i- Job T'o. Report Date figure Scale Project Lydall Inc. �/ RI -IS 10/282004 I es shown Hamptonville, North Carolina wl. 11 / 1 1 51 A N,,. Uaa Image I m "all Loc000n Map ATERS EDGE ENVIRONMENTAL. LLC RI -Is Fanh J3lala 12.I'll / rile N. figure .kale Y j— Lydall. Inc ACC 2 1'=appraa.'. Hamptonvillc. Nonh Carolina Owl Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report Forguidance on filling oat thisform, please visit: http7//h2o.enr.state.nc.us/su/Fornis Documents.htm#miscforms Permit No.: 'IN I C f G 1 0� 5 i 0 10 i 0 1 0 1 or Certificate of Coverage No.: 1 N 1 C G 0 15 10 14 1 1 19 Facility Name: Lydall Thermal/Acoustical Inc.- Yadkinville NC County: Inspector: Thomas Date of Inspection: Time of Inspection: nes 11:50 AM Phone No. 336.485.8522 Total Event Precipitation (inches): 0.76 Was this a Representative Storm Event? (See information below) ® Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). I A "Representative Storm Event" is a storm event that measures greater than 0.1 inches of rainfall and that 1 is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has 1 occurred. A single storm event may contain up to 10 consecutive hours of no precipitation_ By this signature, I certify that this report is accurate and complete to the best of my knowledge: (Signature of Permittee or Designee) Outfall Description: Outfal I No. 001 /002 Receiving Stream: Unnamed Tri Structure (pipe, ditch, etc.) Drainage Swales and Pipes of Town Branch Describe the industrial activities that occur within the outtall drainage area: Automotive Products Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Page Iof2 S W U-242-1 12608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge. where I is clear and 5 is very cloudy: 1 2 3D 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: 1 O 3 4 5 7 Is there any foam in the stormwater discharge? Yes No 8 Is there an oil sheen in the stormwater discharge? Yes No 9 Is there evidence of erosion or deposition at the outfall? Yes No 10 Other Obvious Indicators of Stormwater Pollution: List and describe Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 S W U-242-1 12608 y � WATERS EDGE ENVIRONMENTAL, LLC 91 '34 CHESTER ROAD • RALEIGH, NC 27608 • PHONE 919.219.5820 November 26, 2019 NCDEQ / Division of Water Resources ATTENTION: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Reference: Non-Stormwater Recertification Lydall Thermal/Acoustical, Inc. 601 East Main Street Yadkinville, NC 27055 General Permit No NCG05000, Certificate of Coverage No. NCG050418 Year 2-Period 1-2 Waters Edge Job No R3-49 Central Files: In the above -mentioned permit, it states in Section A: I E that "The permittee shall recertify annual IN that the stormwater outfalls have been evaluated for the presence of non-stormwater discharg-es." This would document our recertification for 2019 that all outfalls were not contaminated with other pollutants. 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 forgathering 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. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Zee Phillip L. Rahn President CC: Mr. Britton Smith, Lydall and NCDEQ Stomlwater Central Files (two copies) 19-089/PLR l WATERS EDGE ENVIRONMENTAL. LLC 91434 CHESTER ROAD • RALEIGH, NC 27608 • PHONE 919.219.5820 November 26, 2019 NCDEQ / Division of Water Resources ATTENTION: Central Files 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Reference: Non-Storwmwater Recertification Lydall Thermal/Acoustical, Inc. 601 East Main Street Yadkinville, NC 27055 General Permit No NCG05000, Certificate of Coverage No. NCG050418 Year 2-Period 1-2 Waters Edge Job No R3-49 Central Files: In the above -mentioned permit, it states in Section A: I E that "The permittee shall recertify annually that the stormwater outfalls have been evaluated for the presence of non-stornwater discharges." This would document our recertification for 2019 that all outfalls were not contaminated with other pollutants. 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 illy 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. If you have any questions or require any additional information, please contact the at 919.219.5820 or at prahn@watersed,,,eenv.com. watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith, Lydall and NCDEQ Stormwater Central Files (two copies) 19-089/PLR �. WATERS EDGE ENVIRONMENTAL, LLC 343 CHESTER ROAD • RALEIGH, NC 27608 • PHONE 919.219.5820 November 26, 2019 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical, Inc. 601 East Main Street Yadkinville. NC 27055 General Permit No NCG05000, Certificate of Coverage No. NCG050418 Year 2- Period I Waters Edge Job No R3-49 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period I (July I, 2019-December 31, 2019) 2019 forms for the semi-annual site inspections at the Lydall facility located in Yadkinville, North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. watersedgeenv.com. Sincerely, WATERS EDGE ENVIRONMENTAL, LLC Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDENR Stonnwater Central Files (two copies) 19-088/PLR �► rk ❑ � � 1 \�:-� �' " � � --�. n it I � �, (�\\\gyp\\� J /-♦ qqq ' • i ^�\ _ _ _J � I �� \\��' \�I \ � _ �� � � jam• Ne •/ , Y 900 .I I' r )1 S I. E •� � �� ��� � IY,2-1�1 —mil � • 0 � • 11 • �.T r Y 1605 p1 a �r ou 1 .� C �� :.• /J� r t WATERS EDGE ENVIRONMENTAL, LLC JnANa. RI349 Topo Ouui leinse,n Salem Date 12/I2/2013 Tak Project Location Map File Figw-e Scn/c P,'ojert Lyclall SWIT Plan R1349.XIs I unknom YaJkinville. North Carolina •A Unn ed y F J uilding B . -r WALNUT Building A - � r i MAIN ✓oh \o. Image'Ph„n. Darr Tide Outfall Location Map WATERSEDGEENVIRONMENTAL,LLC R1349 121122o13 File Name Figure Scale Project Lydall SWPP Plan RI3-09.xls 2 unknown Yadkinville, North Carolina Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance onfilling out thisform, please visit htti):Hh2o.enr.state.ne.us/su/Forms Documents.htm#miscforms Permit No.: N i C G 10 15 10 10 10 10 or Certificate of Coverage No.: I N! C; G 1 0 5 0 14 1 9 Facility Name: Lydall Thermal/Acoustical Inc.- Yadkinville NC County: Yadkin Inspector: Thomas Haynes Date of Inspection: 10.23.19 Time of Inspection: 11:50 AM Total Event Precipitation (inches): 0.76 Phone No. 336.485.8522 Was this a Representative Storm Event? (See information below) Z Yes ❑ No Please check your permit to verb if Qualitative Monitoring must be performed during a representative storm event (requirements vary). ............... ._...__.. A "Representative Storm Event' is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred_ A single storm event may contain up to 10 consecutive hours of no precipitation. By this signature, I certify that this report is accurate and complete to the best of my knowledge: 0, (Signature of Permittee or Designee) 1 Outfall Description: Outfall No. 001/002 Structure (pipe, ditch, etc.) Drainage Swales and Pipes Receiving Stream: Unnamed Tributary of Town Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Prod 2 Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Lioht brown Page 1 of 2 S W U-242-1 12608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 O 4 5 5 Floating Solids: Choose the number which, best describes the amount of floating solids in the stormwater discharge, where I is no solids and 5 is the surface covered with floating solids: 0 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I O 3 7 Is there any foam in the stormwater discharge? 8 Is there an oil sheen in the stormwater discharge? 9 Is there evidence of erosion or deposition at the outfall? 10 Other Obvious Indicators of Stormwater Pollution: List and describe 4 5 Yes No Yes No Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of 2 S W U-242-1 12608 mWATERS EDGE ENVIRONMENTAL, LLC ����34 3 CHESTER ROAD • RALEIGH, NC 27608 -PHONE 919.219.5820 November 26, 2019 Mr. Bradley Bennett NCDEQ Stormwater Unit 1617 Mail Service Center Raleigh, N.C. 27699-1617 Reference: Stormwater Discharge Sampling Report and Stormwater Discharge Outfall Monitoring Report Lydall Thermal/Acoustical. Inc. 601 East Main Street Yadkinville, NC 27055 General Permit No NCG05000, Certificate of Coverage No. NCG050418 Year 2- Period I Waters Edge Job No R3-49 Dear Mr. Bennett: Waters Edge Environmental, LLC (Waters Edge) is pleased to provide two copies of the Year 2- Period 1 (July 1, 2019-December 31, 2019) 2019 forms for the semi-annual site inspections at the Lydall facility located in Yadkinville. North Carolina (see Figures 1-2). The Discharge Outfall Qualitative Monitoring Report is included in Appendix A. If you have any questions or require any additional information, please contact me at 919.219.5820 or at prahn@watersedgeenv.com. Sincerely. WATERS EDGE ENVIRONMENTAL, LLC - PXmWol, W" - - AX-" Phillip L. Rahn President CC: Mr. Britton Smith- Lydall Thermal Acoustical and NCDENR Stormwater Central Files (two copies) 19-088/PLR FIGURES • A , • nno He H&ne • ^ ��� � \\ V t ov �'�. � \ •_- _ I ,ice • I •. long i• ••• • •• •._•� •• f ' • �� Ha J • % . _ I HI W. i+It ./ob M10 Topo Quad Dwe Title Project Location Map WATERS EDGE ENVIRONMENTAL, LLC R1349 Winston Salem IM2nu13 File Name Figure Scale Project Lydall SWPP Plan R13-49.XIS I I unknown I Yadkinville. North Carolina ,1 Unn ) ,Y ,o, of f"• ' _ r 1 1 I uilding B J . y Building A WA s MAM Job No. /mogel'horo Dal, Tide Outfall Location Map WATERS EDGE ENVIRONMENTAL, LLC R1349 12/12/2013 He Nome FO,re Scale Project Lydall SWPP PIan R1349xIS 2 unknown Yadkinville, North Carolina APPENDIX A Stormwater Discharge Outfall (SDO) Qualitative Monitoring Report For guidance on filling out this jornr, please visit: http://h2o enr state nc us/su/Forms Documents hum#miscforms Permit No.: 1 N 1 C I G 10 15 10 i 0 10 1 0 or Certificate of Coverage No.: 1 N C! G 10 15 i 0 14 1 1 19 j Facility Name: Lydall Thermal/Acoustical Inc.- Yadkinville NC County: Yadkin Phone No. 336.485.8522 Inspector: Thomas Havnes Date of Inspection: 10.23.19 Time of Inspection: 1 1:50 Total Event Precipitation (inches): 0. Was this a Representative Storm Event? (See information below) Z Yes ❑ No Please check your permit to verify if Qualitative Monitoring must be performed during a representative storm event (requirements vary). � '�cPicxmauve 3101'111 bvent, is a storm event that measures greater than 0.1 inches of rainfall and that is preceded by at least 72 hours (3 days) in which no storm event measuring greater than 0.1 inches has occurred. A single storm event may contain up to 10 consecutive hours of no Drecinitation_ By this signature, I certify that this report is accurate and complete to the best of my knowledge: -;,�� X'/ (Signature of Perm or Designee) Outfall Description: Outfall No. 001/002 Structure (pipe, ditch, etc.) Drainage Swales and Pipes Receiving Stream: Unnamed Tributary of Town Branch Describe the industrial activities that occur within the outfall drainage area: Automotive Products Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint (light, medium, dark) as descriptors: Liqht brown Page lof2 S W U-242-1 12608 3 Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak chlorine odor, etc.): No odor noted 4 Clarity: Choose the number which best describes the clarity of the discharge, where I is clear and 5 is very cloudy: 1 2 O 4 5 5 Floating Solids: Choose the number which best describes the amount of floating solids in the stonmwater discharge, where 1 is no solids and 5 is the surface covered with floating solids: lO 2 3 4 5 6 Suspended Solids: Choose the number which best describes the amount of suspended solids in the stormwater discharge, where I is no solids and 5 is extremely muddy: I O 3 7 Is there any foam in the stormwater discharge? 8 Is there an oil sheen in the stormwater discharge? 9 is there evidence of erosion or deposition at the outfall? 10 Other Obvious Indicators of Stormwater Pollution: List and describe 4 5 Yes No Yes No Yes No Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be indicative of pollutant exposure. These conditions warrant further investigation. Page 2of2 S W U-242-1 12608 Investors Title Insurance Company * REAL ESTATE CLOSING **** 3151 Buyer: BRF-Industrial Village, LLC Seller: 7901 Industrial Village, LLC Lender: Atlantic Union Bank Property: 7901 Industrial Village Road/Greensboro Settlement Date: November 25, 2019 Closer/Responsible Party: Amie Lindquist Disbursement Date: November 27, 2019 Check Amount: $1,750.00 201911168ESO/25 Pay To: Waters Edge Environmental, LLC For: Phase 1 Fee - Invoice No. 5288/Project No.R19-62 Phase 1 Fee - Invoice No, 5288/Project No.R19-62 (OUTG.08) $1,750.00 Investors Title Insurance Company *"* REAL ESTATE CLOSING **** 3151 Buyer: BRF-Industrial Village, LLC Seller: 7901 Industrial Village, LLC Lender: Atlantic Union Bank . Property: 7901 Industrial Village Road/Greensboro Settlement Date: November 25, 2019 Closer/Responsible Party: Arnie Lindquist Disbursement Date: November 27, 2019 Check Amount: $1,750.00 201911168ESO/25 Pay To: Waters Edge Environmental, LLC For: Phase 1 Fee - Invoice No. 5288/Project No.R19-62 Phase 1 Fee - Invoice No. 5288/Project No.R19-62 (OUTG.08) $1,750.00 Investors Title Commercial SeRlices Commercial Services Division 121 N Columbia St Chapel Hill, NC 27514 (919)968-2200 BUYER BRF-Industrial Village, LLC DATE: November 27, 2019 FROM: Arnie Lindquist 336-665-1314 commercialescrow(a)invtitle.com TRANSMITTAL SELLER 7901 Industrial Village, LLC 35 Ave Munoz Rivera San Juan, PR 00901 RE: Escrow File No.: 201911168ESO BRF-Industrial Village, LLC / 7901 Industrial Village, LLC 7901 Industrial Village Road, Greensboro, NC 27409 MESSAGE: Please find enclosed check for services or payment associated with the above referenced transaction. Please contact Escrow and Settlement Operations at commercialescrow(a)invtitle.com or 336-665.1314 should you have any questions. Disbursement Transmittal (Generic) 201911168ESO Waters Edge Environmental, LLC 1434 Chester Road Raleigh, NC 27608 B. R. Foxx & Company George Ragsdale 404 East Main Street Jamestown, NC 27282 JOB LOCATION: 7901 Industrial Park Blvd Invoice Date Invoice # 11/15/2019 5288 Project R 19-62 REFERENCE: Environmental Site Assessment Terms PO NUMBER Net 10 Days Date Item Explanation Qty Rate Amount PROFESSIONAL SERVICES Phase I ESA 7901 Industrial Park Boulevard Greensboro, North Carolina 1,750.00 1,750.00 Please remit to above address. Call 919.219.5820 with any questions. Total $1,750.00