NCG210459_MONITORING INFO_20200110

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV cc' (/
DOC TYPE
❑ HISTORICAL FILE
MONITORING REPORTS
DOC DATE
❑ )D a o 0( 1 D
YYYYMMDD

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 12130/2019
CERTIFICATE OF COVERAGE NO. NCG210 4 5 9
FACILITY NAME PacklQ -Fayetteville
COUNTY Cumberland
PERSON COLLECTING SAMPLES Manuel Quinones
LABORATORYMicrobac Laboratories Lab Cent. It K910284
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
or ❑ Monthly' (month)
REC7C UNG TO CLASS ❑ORW ❑HQW [—]Trout❑PNA
❑Zero -flow ❑Water Supply ❑SA
JAN 10 2020 ❑other
CEN I[ mA, ;-ILES PLEASE REMEMBER TO SIGN ON THE REVERSE 4
DWR SECTION
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
No discharge this period?'
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches' -
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks =__>
-
-
120 mg/L
100 mg/L or 50 mg/L
1
12/13/19
0.3
35.4
<5
Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
' For sampling periods with no discharge at any single outfall, you must still submit this discharge monitoring report with a checkmark here.
3The 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.
"See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Non -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX me/L", where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 1, or Tier 3 responses. See General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664(SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
300 mg/L or 5o mg/L°
Footnotes from Part A also apply to this Part B
Note: If you report o sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
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 DEMLR REGIONAL OFFICE? YES Q NO
REGIONAL OFFICE CONTACT NAME:
Mail an original and one
in the case of "No Discho
Division of Water Resoun
Attn: DWR Central Files
r this DMR, including all "No Discharge" reports, within 30 days c
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
to:
lab results for at end
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 that
Pe rrtyYbate: 8/1/2018-7/31/2023
for submitting false information, including the possibility of fines and imprisonment for knowing violations.
12/30/2019
(Date)
SWU-245, last revised 8/6/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted 12/30/2019
CERTIFICATE OF COVERAGE NO. NCG210 4 5 9
FACILITY NAME PacklQ-Fayetteville
COUNTY Cumberland
PERSON COLLECTING SAMPLES Manuel Quinones
LABORATORY Microbac Laboratories Lab Cert. # K9L0284
Comments on sample collection or analysis:
SAMPLE COLLECTION YEAR 2019
SAMPLE PERIOD ❑ Jan -June ❑■ July -Dec
or ❑ Monthly' lmonth)
DISCHARGING TO CLASS ❑ORW ❑HQW []Trout ❑PNA
❑Zero -flow [:]Watersupply ❑SA
❑Other
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is required only if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
❑ No discharge this period?2
Outfall No.
Date Sample
Collected
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Chemical Oxygen Demand
Total Suspended Solids
Benchmarks ===>
_
-
120 mg/L
100 mg/L or 50 mg/L
1
12/13/19
0.3
35.4
<5
' 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.
4 See General Permit text, Table 3, identifying the especially sensitive receiving water classifications where the more protective benchmark applies.
Note: Results must be reported in numerical format. For example, do not report Below Detection Limit, BDL, <PQL, Nan -detect, ND, or other similar non -
numerical format. When results are below the applicable limits, they must be reported in the format. "<XX m¢/L". where XX is the numerical value of the
detection limit, reporting limit, etc. in mg/L.
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. see General Permit text.
Permit Date: 8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 1 of 2

Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > 55 gal of new oil per month.
n No discharge this period?'
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
Inches'
Non -polar O&G by EPA
1664 (SGT-HEM)
Total Suspended Solids
Benchmarks =__>
_
-
15 mg/L
100 mg/L or 50 mg/L°
Footnotes from Part A also apply to this Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier 3 responses. See General Permit text.
FOR PART A AND PART B MONITORING RESULTS:
• A BENCHMARK EXCEEDANCE TRIGGERS TIER 1 REQUIREMENTS. SEE PERMIT PART II SECTION B.
• 2 EXCEEDANCES IN 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 DEMUR REGIONAL OFFICE? YES ❑ NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original and one copy of this DMR, including all "No Discharge" reports, within 30 days of receipt of the lab results (or at end of rr
in the case of "No Discharge" reports) to:
Attn: DWR 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 direc onsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that ere are signi t penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
12/30/2019
(Date)
Date: 8/1/2018-7/31/2023-----, SWU-245, last revised 8/6/2018
Page 2 of 2

0MICROBAC'
Microbac Laboratories, Inc. - Fayetteville
CERTIFICATE OF ANALYSIS
K9L0284
Damm Services Corporation Project Name: Stormwater
Mr. Gerardo (Jerry) Berrizbeitia Project / PO Number: GET CC
880 Technology Drive Received: 12/13/2019
Fayetteville, NC 28306 Reported: 12/20/2019
Analytical Testing Parameters
Client Sample ID: Outfall #1, Grab
Sample Matrix: Stormwater Collected By: Client
Lab Sample ID: K91-0284-01 Collection Date: 12/13/2019 14:50
Wet Chemistry Result Limit(s) MDL RL Units Note Prepared Analyzed Analyst
Method: SM 2540 D-2011
Total Suspended Solids <5.00 5.00 mg/L 12/18119 1309 CLB
Method: SM 5220 D-2011
COD, Total 35.4 10.0 mg/L 12/17/19 0908 MT
Results in bold have exceeded a limit defined for this project. Limits are provided for reference but as regulatory limits change frequently,
Microbac Laboratories, Inc. advises the recipient of this report to confirm such limits and units of concentration with the appropriate
Federal, state or local authorities before acting on the data.
Definitions
mglL: Milligrams per Liter
RL: Reporting Limit
Cooler Receipt Log
Cooler ID: Default Cooler
Temp: 14.1°C
Cooler Inspection Checklist
Ice Present or not required?
Yes
Shipping containers sealed or not required?
Yes
Custody seals intact or not required?
Yes
Chain of Custody (COC) Present?
Yes
COC includes customer information?
Yes
Relinquished and received signature on COC?
Yes
Sample collector identified on COC?
Yes ,
Sample type identified on COC?
Yes
Correct type of Containers Received
Yes
Correct number of containers listed on COC?
Yes
Containers Intact?
Yes
COC includes requested analyses?
Yes
Enough sample volume for indicated tests received?
Yes
Sample labels match COC (Name, Date ti Time?)
Yes
Samples arrived within hold time?
Yes
Correct preservatives on COC or not required?
Yes
Chemical preservations checked or not required?
Yes
Preservation checks meet method requirements?
Yes
VOA vials have zero headspace, or not recd.?
Yes
Report Comments
Reviewed and Approved By:
The data and information on this, and other accompanying documents, represents i
only the sample(s) analyzed. This report is incomplete unless all pages indicated Brittany Smith
in the footnote are present and an authorized signature is included. Administration
Reported: 12/20/2019 20:18
Microbac Laboratories, Inc.
2592 Hope Mills Rd I Fayetteville, NC 28306 1910.864.1920 p I www.microbac.com Page 1 Of 2

'K9L0284`
Lab Report Address
Client Name:
Address:
City, State, Zip:
Contact:
Mlcrabac-Fayattavine SHORT HOLDS ACCEPTED IV)ONDAY- THURSDAY UNTIL 1600
2a92 Hope IM111s Rd. CHAIN OF CUSTODY RED
Fayetteville, NC 2a3ee Number
Instructions on bath
Invoice Address
CllentName:
Address:
City, State, Zip:
Content;
_ Telephor, one No.: - Telephone No.:
Send Raportvla: _L,LMall _k] Fax [j e_maJl
PmJeck Location:
!� Turnaround -Time TO BE COMPLETED BY MICP,OBAC
Vi1.eL�l SiY [] Routine (S to 7 business days) Temp. Upor. Receipt (°C) ILA, ' Therm !D
[] RUSH- (nobfylab) Holding Time
t' �'(l f_. yiv (... (needed by) Samples Received on Ice? Yes No NIA
�,U.T.AI'Cto �s'1"'l Ll'.T10. Report Type Custody Sealslntact7 Yes No NIA
ResultsOnly [ ] Leva11 [ j Level2,[ ] Lavai3 [ ] Leval d j ] E➢D
Send Inyoica vie:. _[,Entail _.[.] Fax_;] email_
PO No.: Camplianus Moritcr(ng�1, Yes f] No (�Agency/f'rogram _ _
sampled by_LPR!NTZ_ ,Ss_pler 5�gnatura; Sampler Ph one No.:
` Manfx Types: SolySol!d (S), Sludge, Oil, Wipe, Drinidng viater (D", Groundv der (GWJ Surface Water(SM, waste Water (V", Other (spectly) -
._ "Preservative 7ypes_(1,] HND3 _(2] H2604, (a�HCI, (4) N20H, (6) Lnc Aoetete, (S) Methanol, (7) sodium Blsulfats_(9) Sodium 7hiasulfate, (� Helan9, (U) Unoreserved
REQUESTED ANALYSIS !
Lab IO
-• _
Client sample 115
0ate
Collected
Time
Collected
No, of
Containers
rna'.nx
Grab
or
Comp
Preservative (+
type"' rrJ
/\ V
AddiLbnal Notes
:I
TTIIT( rci
Z,;y;
L
�Poss[h[e Hazard ldentlFlcatlo [] Hazardous i ] Non -Hazardous [1Radioactive
Commerds Sflm [] Dispose as appropriata (]Return []Archive _
R qul¢hed B•
A } ( e afore) DatelTimg �Receivedi3y.(slgnature) ��� Dat°/i7me.
tawyV� I i2t�i_ �()DSS_ontJ�
• Relinquished Hy (signature) ❑atelTime Received By(signature) °j ➢atalilm�
Relinquished By(elgnature) D'atelTlme lRecelred By(slgnature) DatelTl Page2of2
rev., i
i

9/30/19, 4:40 PM
NZ
fr,V'rpnownral
QU(diry
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https://deq.ne.gov/aboutidivisions/energy-mineral-land-resources/
npdes-sto rmwater-gps
Permit No.: N/CI l l 1 ! l l I or Certificate of Coverage No.: N/C/G/Z 4V-5
Facility Name:
County: Phone No,
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): 0, 3,
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 permitfee obtains approval from the local DEMLR
R cainna l Office.
By this signat , I certify that
tore f Permittee or De!
1. Outfall Description:
Outfall No. A_
Receiving Stream:
is accurate and complete to the best of my knowledge:
Structure (pipe, ditch, etc.): % l
Describe the industrial activities that occur within the outfall drainage area:
Page I of 2
SWU-242, Last modified 06/0 i/20A

9/30/19, 4:41 PM
2. Color: Describe the color of the dischar$a using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: % I
3. Odor: Describe
chlorine odor, etc.): --17
that the discharge 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:
1 11-
2 3 4 5
5._ Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwaterdischazge; where 1 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:
lD 2 3 4 5
7. Is there any foam in the stormwater discharge? €8? Yes W<o.
8. Is there an oil sheen: in the stormwater discharge? QYes VONo.
9. Is there evidence 'of erosion or deposition at the outfall? G? Yes No.
10. Other ObviousIndicatorsofStormwatteer,{Pollution:
Listandd scribe`l�� 1Q� �' +gy ml�3Cti
�Ll'tC10C-1
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative ofpollutantexposui•e. These conditions warrant further investigation.
Page 2 of 2
S WU-242, Last modified 06A)12018