NCG210050_MONITORING INFO_20200110

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STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV CC o?
DOC TYPE
❑ HISTORICAL FILE
C MONITORING REPORTS
DOC DATE
❑ QD au 0 I I
YYYYM M DD

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Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this forum, please visit hops://deq.tic.gov/ibotit/divisioiis/energy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C/ / / / / / / / or Certificate of Coverage No.: NICIG12-11 0/0/-�—/46/
FacilitvName: o4t441,,-W 116U6E2
County:iC�fn�Cr Phone No. ZJ`Z y?23 J215F
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): e 74
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event niust 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 DEMLR
Regional Office.
By this signature, I certify that this report is accurate apd complete to the best of my knowledge:
Permittee or
1. Outfall Description:
Outfall No. 01_ Structure (pipe, ditch, etc.): V_Ci� iE
Receiving Stream:
'Ta'✓4Ks
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
REC
'JAN 10 2020
CENTRAL FILES
DWR SECTION
SwU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
eL� -
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Nt" — C-
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy: 0
1 2 3 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 1 is no solids and 5 is extremely muddy:
�I 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes ® No
8. Is there an oil sheen in the stormwater discharge? 0Yes ® No.
9. Is there evidence of erosion or deposition at the outfall? O Yes 10 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
S W U-242. Last modit ied 0610112018

0 IMP
Environmental
Qaallty
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.nc.gov/about/divisions/energy-mineral-land-resources/
n pdes-s torm wate r-gps
Permit No.: N/C/ /, /. /, ( / / / or Certificate of Coverage No.: N/C/G/Z/, 4vl flS- j l
Facility Name: ArL4na'� lAr��
County: C fCVF�(.6^ Phone No. 77-2— 7?2_3 ;7 z e
Inspector:
Date of Inspection: Z� �'/ 2acw Sp
Time of Inspection:
Total Event Precipitation (inches):
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLIZ
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
or
1. Outfall Description:
Outfall No. i— Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge
(light, medium, dark) as descriptors: /
3. Odor: Describe any distinct odors that the
chlorine odor, etc.): .d
basic colors (red, brown, blue, etc.) and tint
may have (i.e., smells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
6) 2 3 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:
1 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:
0 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 1p No
8. Is there an oil sheen in the stormwater discharge? 0Yes 0 No.
9. Is there evidence of erosion or deposition at the outfall? O Yes W 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 06/01/2018

K--r,-v
Enviranmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
Farguidavice onfilling out thi.sform, please visit littps://deq.nc.gov/about/divisions/eneigy-mineral-land-resources/
npdes-stotmwater-gps
Permit No.: N/C/ / / / ( / / / or Certificate of Coverage No.: N/C/Ga//
Facility Name: AV-4&27'�4t /✓�ytj l�
County: �,1%[ Phone No.
Inspector: `� /�t�C [,✓L zt '
Date of Inspection: Z / { z4pr
Time of Inspection:
Total Event Precipitation (inches): 74�
All permits require qualitative monitoring to be performed during a "measurable storm event."
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 DEMLR
Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
or
1. Outfall Description:
Outfall No. 63 Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the Outfall drainage area: A-Aeo ::,
Page I of 2
SWU-242, Last modified 06/01/2018

2. Color: Describe the color of the discharge using
(light, medium, dark) as descriptors:
colors (red, brown, blue, etc.) and tint
3. Odor: Describe any distinct odors that the discharge may have
chlorine odor, etc.): A. -
shells strongly of oil, weak
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
0 2 3 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 i P o solids and 5 is extremely muddy:
2 3 4 5
7
Ell
:9
Is there any foam in the stormwater discharge? O Yes ® No
Is there an oil sheen in the stormwater discharge? OYes m No.
Is there evidence of erosion or deposition at the outfall? O Ya5 O 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 modilied 06/01/2018

EWOmMEW % h(mrrpoQ bd
RECEIVED
Veneer Technologies
Wastewater IDi 10
114 OAWONT DRIVE -- - _ - - - - - - -- - - - PHONE [phone]
GREENVILLE, N.C. 27858 FAX [phone]
ATLANTIC VENEER CORP.
ATTN: SCOTT VANDERWERF
fill VERDUN STREET
NEWPORT ,NC 28570
PARAMETERS
Stormwater Stormwater Stormwater
(#1, Grab) (#2, Grab) (#3, Grab)
ID#: 430
DATE COLLECTED: 12/18/19
DATE REPORTED : 12/23/19
REVIEWED BY:
Analysis Method
Dale Analyst Code
COD, mg/I 49 72 27 12/20/19 SPJ H8000-79
Total Suspended Residue, mg/I 7.4 4.2 <2.8 12/20/19 HJO 254OD-11
Oil & Grease (HEM), mg/I <6 12/19/19 SEJ 1664B

E%*irmmfent 1,Inc. CHAIN OF CUSTODY RECORD
P.O. Box 7085. 114 Oakmont Dr. Page I of
Greenville. NC 77RSR
environment I inc.com
DISINFECTION
CHLORINE NEUTRALIZEDATCOLLECTION
Phone [phone] • Fax [phone]
CHLORINE
pH CHECK (LAB)
CLIENT: 430 Week:3S
UV
P
P
G
CONTAINER TYPE,P/G
1TLANTIC VENEER CORP.
NONE
kTTN: SCOTT VANDERWERF
C
A
C
CHEMICAL PRESERVATION
Ue�l " i 2
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:k. 3 �!
;v@W niL ar
A -NONE D-NAOH
252) 723-9224 2 51�
Z
t-- B-HNO, E-HCL
o¢
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z
C-H,SO, F-ZINC ACETATE/NAOH
COLLECTION
U<
Z
P mo
UjpO
k-' ¢
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F
ZI
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G-NATHIOSULFATE
SAMPLE LOCATION
DATE
I TIME
Stormwater (#1, Grab)
(2
)�
�(
2:.
.......
.......
:.
CLASSIFICATION:
WASTEWATER(NPDES)
Stormwater (#2, Grab)
2 (� S
11 3&
2
Stormwater (#3, Grab)
�l
�' i4
1� 3L/
3
DRINKINGWATER
DWR/GW
SOLID WASTE SECTION
CHAIN OF CUSTODY (SEAL) MAINTAINED
DURING IPMENT/DELIVERY
Y N
SAMPLES 06tL16TED BY:
(Please Print)
SAMPLES RECEIVED IN LAB AT
RELINWI HED (SI (SAMPLER)
DATE/RME
RE 0BY(S
.
iz ATElRME
COMMENTS:
_
Yli
Cop 1 Qc ni
b
DATEITIME
RELINQUISHED B (SIG.)
RECEIVED BY(
DATErnmE
RELINQUISHED BY (SIG.)
DATERIME
RECEIVED BY (SIG.)
DATE/RME
PLEASE READ Instructions for completing this form on the reverse side. Sampler must place a "C" for composite sample or a "T for
FORM as Grab sample in the blocks above for each parameter requested. N 0 376081

SAMPLING INSTRUCTIONS AND FORM COMPLETION
FAILURE TO PROPERLY CHILL, CHEMICALLY PRESERVE, COLLECT IN PROPER BOTTLE
TYPES, MEET REQUIRED HOLDING TIMES, NEUTRALIZE CHLORINE IN CHLORINE
SENSITIVE SAMPLES, AND SEAL COOLERS WITH TAPE WILL RESULT IN SAMPLES BEING
REJECTED BY THIS LABORATORY AS PER NORTH CAROLINA REGULATORY CODE.
1) Samples not falling within the required guidelines will need to be re -collected. The client will be contacted and informed of any
deviation and asked to collect another set of samples. The client may request the laboratory to proceed with the analyses of the current
samples. Any samples analyzed outside of the required guidelines will be "qualified". This means that a note will be included on the
sample result and "Chain of Custody" specifying the deviation. The laboratory is also required to send a letter to the State noting the
deviations.
2) Sample Temperature. Samples for compliance monitoring must be chilled with wet ice to a temperature of 6C or less. Freezing is
not permitted. Samples delivered to the lab shortly after collection may not have had enough time to be chilled below 6C. In this case the
temperature at time of collection must be noted in the space provided. The samples will meet the requirements of the regulation if there
is a temperature drop from the time of collection until received in the lab. Regardless, all samples should be packed in wet ice using as
much ice as will fit in the cooler.
3) Sample Chemical Preservation. Many samples require a chemical preservation such as Sulfuric Acid or Sodium Hydroxide. The
laboratory will either provide the preservative in the sample bottle, or in the case of 40 ml. Volatiles Vials, provide a bottle of Acid with
detailed descriptions on how to collect the sample. Never rinse sample bottles before collecting samples. Any residue or liquid in the
bottle is required for proper chemical preservation. The lab must verify proper chemical preservation upon arrival in the lab and will note
this information in the spaces provided on the front of this form.
4) Chlorine Neutralization. Some samples require that any Total Chlorine Residual be removed at the time of collection. The lab will
provide the proper neutralizing agent in the sample bottle when technically possible. There are some samples (Total Kjeldahl Nitrogen
and Ammonia Nitrogen) where this is not possible due to interferences between the required chemical preservation (Acid) and the
dechlorinating agent. Therefore, these samples must be de -chlorinated at the time of collection before being placed in our sample bottles.
Sodium Thiosullate is the chemical of choice to neutralize chlorine. It must be added to your sample and then the sample checked for
Total Chlorine before the sample is poured in our bottle. Facilities using chlorine for disinfection should have a means of measuring Total
Chlorine. Non -chlorinated sample sources will not need to be checked. The person neutralizing the chlorine must put his initials in the
"Chlorine Neutralized at Collection" row on the front of this form above the proper parameter. Samples such as Coliforms (which have
Thiosulfatc in the bottles shipped from the lab) will be checked for proper neutralization upon arrival in the lab. It is also required that you
note the "Total Chlorine at Collection" on the front of this form for any sample locations applicable. This value would be before any
neutralization is performed.
5) A "C" for Composite Sample or a "G" for Grab Sample should be placed in the box for all requested parameters. Grab temperatures
as well as Composite start dates and times can be recorded in the "comments" section.
6) Other information required to be completed by the client are:
Collection Date and Collection Time for each sample location Temperature at Time of Collection
Printed name of person or persons collecting samples Signature, Date, and Time samples are relinquished
Other added sample locations and analyses required Type Of Disinfection
Deletion on the Ibrm for any samples which are not needed (example: dry upstream location)
Any other information felt to be pertinent should be included in the "Comments" section
CONSIDERATIONS:
Coliform and Enterococci samples have a holding time of 6 hours from time of collection to time of analysis. Therefore, samples should
be collected as late in the day as possible to allow enough time for transportation, checking in at the lab and analysis.
BOD, Nitrate, Ortho Phosphorus, Settleable Matter, Turbidity, Color, and MBAS samples have a 48 hour holding time. The lab reserves the
right to establish required sample collection and delivery dates in order to meet the required holding times.
CAUTION
Sample bottles may contain acids or other corrosive and potentially harmful chemicals. Laboratories are required to add these chemicals
for certain analyses in order to comply with EPA preservation requirements. Use extreme care when opening and handling the shipping
container and bottles. If any chemical should get into your eyes, on your skin or on your clothes, flush liberally with water and seek medical
attention. Material Safety Data Sheets (MSDS) are available upon request which specify proper handling and personal protection.