NCG060175_MONITORING INFO_20191121

m2u
STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
/Y C � bb D 175
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ ��� ��a`I
YYYYMMDD

SEMI-ANNUAL STORMWATER DISCHARGE MONITORING REPORT
for North Carolina Division of Water Quality General Permit No. NCG060000
Date submitted /a l61
CERTIFICATE OF COVERAGE NO. NCG06� I 7 S
FACILITY NAME Fnr-6
COUNTY
PERSON COLLECTING SAMPLES /yht _-J t K'
LABORATORY _%naI4 Fn0k&,rne -k i Lab Cert. #
Sertat.e y Inc .
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR •wI
RECEIVED
NOV 21 2019
�:ENi'H,gl FILES
DWR SECTION
FACILITY ACTIVITIES INCLUDE (check all that apply):
❑ use/process meats ❑ use animal fats/byproducts
DISCHARGING TO SALTWATERS? OYES MNO
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Total event rainfall20.32 or n No discharge this period'
Outfall No.
Sample Collected,
mo/dd/yr
TSS,
mg/L
pH,
Standard units
COD,
mg/L
Oil and Grease,
mg/L
Fecal Coliform ,
Colonies per 100 ml
Enterococci ,
Colonies per 100 ml
Benchmark
-
l0oor50
Within 6.0 — 9.0
120
30
1000
Soo
S4�g2
v-lb-I
G•S
$
ND
N14
IVIA
Stt3X[Sl
/0-1&-1
4.i
"T
AID
AID
IVIA
Only applies to facilities that use/process meats.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
3 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Did this facility perform Vehicle Maintenance Activities using more than 55 gallons of new motor oil per month? yes ❑ no (if yes, complete Part B)
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new motor oil/month.
Outfall No.
Sample Collected,
mo/dd/yr
Oil and Grease,
mg/L
TSS,
mg/L
pH,
Standard units
New Motor Oil Usage,
Annual average gal/mo
Benchmark
-
30
100or50
6.0-9.0
-
SkJ9�1
N D
19
6 -S
13 3,7
Only applies to.facilities that use/process meats. -.
ZThe total precipitation must be recorded using data from an on -site rain gauge.
' For sampling periods with no discharge at any outfalls, you must still submit this discharge monitoring report with a checkmark here.
°See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
SWU-249 Last Revised: October 18, 2012
Page 1 of 2

'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
IF YES, HAVE YOU CONTACTED THE DWQ REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Division of Water Quality
Attn: ,DWQ Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accorda
system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry o
person or persons who manage the system, or those persons directly responsible for gathering the information, the information sut
to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
information, including the possibility of fines and imprisonment for knowing violations."
a� l I
(Date)
Additional copies of this form may be downloaded at: http://gortal.ncdenr.ora/web/wq/ws/su/`npdessw#tab-4
with a
ie
itted'is,
Ise ,
SWU-249
Last Revised: October �18, 2012
Page 2 of 2

Mc®ENR _ e.
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Forguidance on filling out this form, please visit: b=//portal ncdenr org/web/Ir/nudes-siormwater/
Permit No.: � 0/ D/ or Certificate of Coverage No.: N/-C&/ 0/-QD/ i / 7/ S
Facility Name: Frk /a. TCmc .
County: i
Inspector:
Date of In!
Time of In
Total Event Precipitation (inches): Q •32
Was this a "Representative Storm Event" or "Measureable Storm Event' as defined by the permit?
(See information below.)
`U' Yes ❑ No
Please verify whether Qualitative Monitoring must be performed during a "representative storm
/ event" or "measureable storm event" (requirements vary, depending on the permit).
• Qualitative monitoring requirements vary. Most permits require qualitative monitoring to be
performed during a 'representative storm event' or during a "measureable storm event" However,
some permits do not have this requirement. Please refer to these definitions, if applicable.
4s
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.
A "measurable storm event' is a storm event that results in an actual discharge from the
permitted site outfall. The previous measurable storm event must have been at least 72 hours
— — prior. The 72=hour storm interval does not apply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
obtains approval from the local DWQ Regional Office.
By thi ignature, 1 certify th t this report is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 7/31/2013

1. Outfall Description:
Outfall No: 00 1 Structure (pipe, ditch, etc.)
Receiving Stream: 9a dr cre
Describe the industrial activities that occur within the outfall drainage area:
God Pracpssib,n
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: fn41SW,1 c/ear /,b4f t,row�
v
3. Odor: Describe any distinct odors that the discharge may have (Le., smells strongly of oil,
weak chlorine odor, etc.): A/ n2
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of Floating solids in
the stormwater discharge, where 1 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 1 is no solids and 5 is extremely muddy:
2 3 4 5
7. Is there any foam in the stormwater discharge? Yes
8. Is there an oil sheen in the stormwater discharge? Yes No
9. Is there evidence of erosion or deposition at the outfalI? 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 2 of 2
•
SWU-242, Last modified 7/31/2013

SHEALY ENVIRONMENTAL SERVICES, INC.
Report of Analysis
Frito-Lay Inc.
2911 Nevada Blvd.
Charlotte, NC 28273
Attention: Devin Brooks
Project Name: Stormwater
Lot Number:UJ17057
Date Completed:10/30/2019
r"
10/31/2019 10:05 AM
Approved and released by:
Project Manager: Kelly M. Nance
r A14W
•LCR[DILLD
o00M
The electronic signature above is the equivalent of a handwritten signature.
This report shall not be reproduced, except in its entirety, without the written approval of Shealy Environmental Services, Inc.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172'[phone] Fax [phone] vrvne.shealylab.com
Page I of I I

SHEALY ENVIRONMENTAL SERVICES, INC.
NC Field Parameters No: 5639
Case Narrative
Frito-Lay Inc.
Lot Number: LIJ17057
This Report of Analysis contains the analytical result(s) for the sample(s) listed on the Sample Summary
following this Case Narrative. The sample receiving date is documented in the header information
associated with each sample.
All results listed in this report relate only to the samples that are contained within this report.
Sample receipt, sample analysis, and data review have been performed in accordance with the most
current approved NELAC standards, the Shealy Environmental Services, Inc. ("Shealy") Quality
Assurance Management Plan (QAMP), standard operating procedures (SOPS), and Shealy policies. Any
exceptions to the NELAC standards, the DAMP, SOPS or policies are qualified on the results page or
discussed below.
If you have any questions regarding this report please contact the Shealy Project Manager listed on the
cover page.
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w ahealylabxom
Page 2 of I I

SHEALY ENVIRONMENTAL SERVICES, INC.
Sample Summary
Frito-Lay Inc.
Lot Number: UJ17057
Sample Number Sample ID Matrix Date Sampled Date Received
001 001 Aqueous 10/16/20191310 10/17/2019
002 002 Aqueous 10116/20191255 10/17/2019
003 003 Aqueous 10116/20191245 10/17/2019
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.com
Page 3 of I I

Inorganic non-metals
Client: Frito-Lay Inc. Laboratory ID:UJ17057-001
Description: 001 Matrix: Aqueous
Date Sampled:10116/2019 1310
Date Received: 10/17/2019
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst Prep Date
Batch
1
(pH - Field) SM 4500-H B-2011
1
10/16/2019 1310
MILK
1
(Temperature ) SM 2550E-2010
1
10/16/2019 1310
MILK
1
(COD) SM 5220D-2011
1
10/22/2019 2351
HET
32883
2
(TSS) SM 254OD-2011
1
10/23/2019 2150
MOM
33072
1
(SGT - HEM (n) 1664B
1
10/28/2019 1051
SMA
33533
CAS Analytical
Parameter
Number Method
Result O
LOCI
Units
Run
PH - Field
SM 4500-H B-2
6.8
su
1
Temperature - Field
SM 255OB-
18.4
° C
1
COD
SM 5220D-
24
20
at
1
TSS
SM 254OD-
19
8.3
at
2
SGT - HEM (non -polar material)
16646
NO
5.0
mg/L
1
LOG = Limit of Guantitation 9 = Detected in the method blank E = Guantitation of compound exceeded the calibration range
ND = Not detected at or above the LOG N = Recovery is out of criteria P = The RPO between two GC columns exceeds 40%
H = Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 4 of I I

Inorganic non-metals
Client: Frito-Lay Inc. Laboratory ID: UJ17057.002
Description: 002 Matrix: Aqueous
Date Sampled:10/16I2019 1255
Date Received: 10/1712019
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst
Prep Date
Batch
1
(pH - Field) SM 4500-H B-2011
1
10/16/2019 1255 MILK
1
(Temperature ) SM 2550E-2010
1
10/16/2019 1255 MILK
1
(COD) SM 5220D-2011
1
10/22/2019 2352 HET
32883
1
(TSS) SM 2540D-2011
1
10/21/2019 2029 MOM
32741
1
(HEM (oil and) 1664E
1
10/30/2019 1030 SMA
33865
,
CAS Analytical
Parameter
Number Method
Result O
LOO
Units
Run
pH - Field
SM 4500-H B-2
6.9
su
1
Temperature - Field
SM 2550B-
18.6
= C
i
COD
SM 5220D-
38
20
mg/L
1
TSS
SM 2540D-
6.8
5.0
mglL
1
HEM (oil and grease)
1664B
ND
5.0
mg/L
1
LOG = Limit of Guantitation B = Detected in the method blank E = Guantitation of compound exceeded the calibration range
ND= Not detected at or above the LOG N = Recovery is out of criteria P = The RPD between two GO columns exceeds 40 h
H = Out of holding time W = Reached on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] wwwshealylab.com
Page 5 of I I

Inorganic non-metals
Client: Frito-Lay Inc. Laboratory ID: UJ17057-003
Description: 003 Matrix: Aqueous
Date Sampled:10/1612019 1245
Date Received: 1011712019
Run Prep Method
Analytical Method
Dilution
Analysis Date Analyst Prep Date
Batch
1
(pH - Field) SM 4500-H B-2011
1
10/16/2019 1245
MILK
1
(Temperature ) SM 2550E-2010
1
10/16/2019 1245
MILK
1
(COD) SM 5220D-2011
1
10/22/2019 2352
HET
32883
1
(TSS) SM 254OD-2011
1
10/21/2019 2029
MOM
32741
1
(HEM (oil and) 1664B
1
10/30/2019 1030
SMA
33865
CAS Analytical
Parameter
Number Method
Result O
LOO
Units
Run
PH - Field
SM 4500-H B-2
7.1
su
1
Temperature - Field
SM 255013-
18.6
= C
1
COD
SM 5220D-
ND
20
mg/L
1
TSS
SM 2540D-
4.1
2.5
mg1L
1
HEM (oil and grease)
1664B
NO
5.0
1
1
L00 = limit of Ouanlitabon a = Detected in the method blank E = Ouantilation of compound exceeded the calibration range
ND = Not detected at or above the LOO N = Recovery is out of criteria P = The RPD between two GC columns exceeds 40%
H = Out of holding time W = Reported on wet weight basis
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 6 of I I

Chain of Custody
FWe
Miscellaneous Documents
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] v .shealylab.com
Page 7 of I I

3
.19 Chain of Custody Record
Shealy Environmental Services, Inc.
106 Verdape Poln; Drive
West Columbia, South Carolina 29172 Number
Telephone No. [phone] Fax Na. [phone]
C4t:at �tl
PrOo Lay
Report to Conbtd
MU=?rn- abajta# y
Sampler"rrned Name) �J
M1ul ,. L
Quote No.
A4dma
Te!epha x No.! Fan No.l Bma l
1' AVW
No.
Pape
CM slate 27p Code
PressmatPre
I
1
I 1 NA NA
I NA
1 of 1
Number of Containers
Charlotte NC
1. Vnpml. 4. HNO3 7. WH
2. Na011RnA d. NCL
1t2S06 e. 7hb.
3. Na
J
K
D
J
wnkie
1fI
I!UJV111P�,����VI'
UJ17057
Praled Name
6
7
e
Poled Number
P.O Number
Matrix
N
e g
F
aree:x
SemVe ID l Description
x�
S
-
(C Trm nera for each ampia rosy be
Da:e
Time
'' S
(Si'!
OW
W W
8
m
fl
.._..�.._. __-...._
combined on one firm)
O
Q
F
8
q m
001
'-1
Phi liq
1310
G
X
:q
X
X
X
X
X
X
002
rssT
G
x':
x
x
x
x
x
003
124S
G
X
X
X
X
X
X
i 7
y.�
n
.i;
umPrwitl Tine Reruhd(Prer bl ecRwrl reedw roc e.aedG:d TAT)
Semple MP059
oC Regl6anenbt(Pfe mSpcafy)
P sme Hazard luentlamflon
tzn[a fish (Plem SAW,
�(
❑ Ratum to Cte:tl iT`fiDsnos9l OY 6ob
!! --
n-I larard Flammeble in Irtianl
Poison urdutwm
B
t. ROG etl cy!Sampler
D31e1
Ten*
1. Rawtwd by
pate
ime
of7l
rya
2. kerarqushed by
Dace
Time
2 ReceNed by
Date
Time
3. Relinquished by
pate
'rmx
3. Rewind by
Dato
Time
4. Relin"Ded by
Daft;
Time
4. Laboratory Rxonad bJ ^
Data
Tim
Note: All samples are retairad for six weeks from receipt unless other
All U8E ONLY
Receipt Tamp.
Temp, Honk
Arran emenffi made
Reoe7vedoniox(Cheox) I N ploy Pack
9 eC
E.y N
Maw Date. 09J.7-2012
z
n

SHEALY ENVIRONMENTAL SERVICES, INC.
ct.•a.F r.nY.w S..:rn. b:
datrun?mtu:NFNmII°¢
Pu I'fl
fnlm•eeas S'I :Olt
Field Anal)%is Record- North Carolina Cnmpli:tnce
Clirm: ��(z-.sp —1 Mile: �I� f.'Min-offnvlodyH: Ri.
pit by SM 4501111' IL2010i Teupenlurc by NM ZSU D.2010
. fbrra Bert it err lion that applicable:
M(itr ID
Sam 1er51wdurd ll?
P
N'uminnl
S+mldt.
Cosc
( (suj
.5n§htk
,
MeasuredCcnc.
urtd
Temp
f°('1
\ltler
Rern(ing
ISDI
5hmenrd
m0kalnrrd
Tnml+
LSU)
0(:
Pau9'ali'
r+p'1
COmcomments'1'inc
Iri
�p
NA
li
-j�.b
.�
NA
NA
-7U j•�
NA
NA
L31v
NA
NA
1.4 ' 4.>7 3�
LPL-
N%•
VA
N.n
NA
�7$
RA
NA
NA
NA
NA
NA
NA
NA
NA
Pox -Analysis L7xeL
lrenT4 w}u+J N• %+: W irrwb,Jmr-m Yi . RMt M.mn.rimrliemrinndtn�M'Jmun vJMn•.nv.
'ar(t.0 W:r.drerien FaY.n pa_mnv:§na:,).nalu'
'Ta..4u yirdrra4 nnA•tlwa enJnlb� tl I SUdmrd:Nm;mnniar ear: nun.nAn•rrryn:nn
TWA Rccidunl CMorin, by SM 4.4mCl C 2011
Cheralcrcill.•rlino note Deabk:
MrkrlD
SimplefScandai d 11)
Aatigaed
Sluid d
Conr.
Qryl.j
Amlyir
'I'iu.
Duffer
ID
DPD
11)
Metcr Reading
D"!1")
�(-
pnfaTnif
(WFI
(:nmmrnN
P10-AYd)a'.::e1_d: Smndlcd:
NA
NA
NA
NA
NA
NA
NA
N.
NA
NA
NA
NA
ICA
NA
NA`
NA
W11Artaly.:n C'bmt.Jmnl: tl:
NA
NA
M1rt6:narC mmaevMd n' sYln.m PAwd Jurvf 4Xipsdtw n4eavpYdub rv:imnmrntl uib.Yn
'I.nMratlr trapYnYYwi.rb:l CnyrC pp:rtt]wL•Y rPSnrrinwin� 09verrr�-aw:.n,
nir+nLeu utyGea qsal osn(Ry c-x►n
C.brab MreifatcDosso/a licable:
alekr lD
Satnplt!Sbadard 111
Avuhab
llnml
Ahro nrrd
Te mM1
4.CQ
7'brnrcQ<nl DO al
t
Mcuu ml'1'emry
(mVL)
Meru Reading
(mg L)
QC
Puy(paie
fCgq
Colnutpnb
NA
Nn
Nn
NA
NA
NA
NA
NA
Po;>Melynu CuliSmtipl Vc1 f. IatU: VI Air}
'n+rrpl: uuhd•:. p.iodivum Juumra N.: RrgArr Aouiudin..JJnofrnW!'letao vdlw.rin�
R[NInMaFnrirr.w'lan�ngylrin-wru. t'Ynbf Me;•'.(G{I
"IWMi%ie:fan'J:wr rrilrar wdY .inn.ndl.orn: tuvreuY W.
Shealy Environmental Services, Inc.
106 Vantage Point Dnve West Columbia, SC 29172 [phone] Fax [phone] www.shealylab.com
Page 9 of I I

SHEALY ENVIRONMENTAL SERVICES, INC.
Shealy EnruonPgalal same[. bm. Tup Fort
11 - ,cw N=ber. Mtala l it-14 (IkAiva Udo; V12a!s
Sample Receipt Checklist (SRQ
Cheri: FRITO LAY SW Cooler inmcetcd b0date IMI i 10-17-W19 Lot S: UJ17057
Cal
pH Strip ID: 19-1760 f.11nnnr. Strip Ifl: NA Tested by: LKII
Original Willpeaatute upun leeeipt 1 Derived (Unnoctnd) matperature upon receipt %Solid Snap -Cup ID: NA
L8 .11.8 eC N.& ; NA `C NA ; \A -C NA ;NA `C
Method: OTcrn tcratare Blank ❑Against Bottles IR Gun ID: 5 IR Gins Concetion Ftictor. 0 `C
Method of coolant: 0 Wet Ice ❑ Ice Paulus ❑ Dry Ice ❑ None
Yes ❑ Nu is NA 3. If temperature of any choler exceeded 6.0'C, was Projccl Manages Notified?
PM Was NOfilied by: phone i mail / fhnn-to-fatee (circle one).
UY"I LJNoj ®NA 4. G the cemmunial ooarier's packing slip attached to this fermi
on
® yesl
❑ Nol
18. Was collection date & 6rrm liataf on the COC?
hdycsl
EIN01
19, Was collectinn d81c & tLue listed on ull sample containers?
® Ycm
❑ No
I0. Did all cunuaincr label information (ID, date, drac) ag1 ee With the CCIC?
Caamncrl
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .shealylab.com
Page 10 of 11

SHEALY ENVIRONMENTAL SERVICES, INC.
Devin Hmok;,Roberl Hensley
Frim-Lay Inc.
2911 Nevada Blvd. --
Churlullc, NC 2S273
fritu-Luv Ine.2911 Ncvada Blvd. Facility Charliate. NC
Sturmwvaler Qualitative Monitoring Requiremenrc, T' Seen i-nnaaal evvill 2019
October 16, 20 19
None 2-Faint :iAIMerate 4-Strong
Pipe otll antlall
Color- 1
Odor-1
Clnrirv- 1
f loutiug Solids- 1
Suspcndcd Solids- 1
Foam- 1
Oil Shcc:n- I
Estimated Floe: 2•5 GIs per miuutr: 0.32 Inches
F.sdnitt l Evcnti Discharge 6.0 firs
Estimated Total Floe: 900 Gls
Pipc (1112 outfall
Cnlor- 2
Odor- 1
Clarity- 2
flouting Sulids- 1
Suspended Solids- 1
Foam- I
Oil sheen- 1
Estimated Flow: 1.0 Gls pc:r minute 0.32 Inches
Fsl.inl:dal Hvenli Discharge:6.0IIrs
Estimated Total Fluvv: 360 GIN
Pipe 003 u utfitll
Color- 1
Odur- I
Clarity- 1
Floating Solids- I
Suspended Solids- 1 ,
Foant- 1
Oil Sheen-1
Estimated Flow: 1.5 GIs per minute .10._2 Inches
Estimated I:Vcnti Ilischarge: 6.0 Hrs
Estimated Total Flow: MO GIs
Shealy Environmental Services, Inc.
106 Vantage Point Drive West Columbia, SC 29172 [phone] Fax [phone] w .^e.sheoylab.com
Page I I of I I