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