NCG020549_COMPLETE FILE - HISTORICAL_20160120

STURMWATER DIVISION CODING -SHEET
RESCISSIONS .
PERMIT NO.
N� C � U 305Y
DOC TYPE
COMPLETE FILE- HISTORICAL
DATE OF
RE5615510N
YYYYMMDD
S��

NCC-1- 6 30 5y R
RESEARCh & ANA1yTICA1
LAbORATORIES, INC.
For: Water Tech Labs, Inc.
P.O. Box 1056
Granite Falls, NC 2863C
Attn: Joe Gragg
Client Sample ID: Power Curbers #1
l Report of Analysis
1 /18/2016
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NC434;� =
M NC 437701 '
.........
Lab Sample ID: 13607-01
Site: Water Tech Labs Collection Date: 12/30/2015 9:15
Parameter Method -Result Units Rep Limit Analyst Analysis Datefrime
Lead, Total EPA 200.7 <0.005 mg/L 0-005 AA 1/14/2016
Client Sample ID: Power Curbers #2
Lab Sample ID: 13607-02
Site: Water Tech Labs Collection Date: 12/30/2015 9:25
Parameter '. ". Method Result Units Rep Limit Analyst Analysis Date
l7ime
Lead, Total EPA 200.7 <0.005 mg/L 0.005 AA 1/15/2016
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] WWW.Fandalabs.com Page 1
rat cca basic vid

El
mgrmirECH UNIZ.-C.
POST OFFICE 80; 1056 • #5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Power Curbers #1 COLLECTION DATE: 12/30/2015
PERMIT #: COLLECTION TIME., 09:15
ADDRESS: Power Curbers, Inc. RECEIVED DATE: 12/31/2015
P.O. Box 1639 RECEIVED TIME: 10:00
Salisbury, NC 28145
REPORTED: 1 /21 /2016
ANALYSIS —
— RESULTS
TSS
280
Lead
<0.005
Oil & Grease
6.2
ANALYSIS
UNITS — DA TE
mg/L 114116
mg1L 11140 6
mg/L 12/31/15
ANALYST_
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jdg
LOG ID: 1512-526 REPORTED BY: NC CERTIFIED LAB # 50
fl� *
Tony Gragg, Lab Supervisor

tdRTCR6TECH LRB5.1Rc.
POST OFFICE BOX 4056 • #5 PINEWOOD PLAZA DR.
GRANRE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Power Curbers #2 COLLECTION DATE: 12/30/2015
PERMIT #: COLLECTION TIME: 09:25
ADDRESS: Power Curbers, Inc. RECEIVED DATE. 12/31/2015
P.O. Box 1639 RECEIVED TIME: 10:00
Salisbury, NC 28145
REPORTED: 1 /21 /2016
ANALYSIS
ANALYSIS RESULTS UNITS DATE
TSS 90.0 mglL 114116
Lead <0.005 mg/L 1/15116
Oil 8 Grease <5.6 mglt 12/31/15
ANALYST
irg
idg
LOG ID: 1512-527 REPORTED BY: NC CERTIFIED LAB # 50
fl��4
Tony Gragg, Lab Supervisor

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c,
5 Pinewood Plaza Drive — P. 0. Box 1056
Granite Falls, NC 28630
Phone [phone] — Fax [phone]
CLIENT: Power Curbers, Inc. PHONE NUMBER:
Attn. David Hancock ^✓�`'r1 ���}
TYPE SAMPLE: Storm Water
727 Bendix Dr. 28146 No. LOCATIONS: 2
Salisbury, NC 28145-1639 SAMPLER NAME:
Sample Collection
Information
TYPE
CONTAINERS
ANALYSIS REQUIRED
Sample Location
FacilityName
DATE
TIME
TEMP.
Grab/
Composite
No
Plastic/
Glass
Location 1
it
��/,y
: /S�m
��� ,
Grab
3
P lastic&Glass
Oil &Grease, Pb, TSS
Location 2
/,�� j,
9, 'Z��j�
S 7 C ,
Grab
3
Plastic8
Glass
Oil &Grease, Pb, TSS
Relinquished By:
Date:
Time:
Recieved By;
Date:
Time:
Relinquished By-
71
Date:
Time:
Re ived y:
Date:
Time:
PRESERVATION:
[.]Gaol 4°C
[;,H2SO4
[] Dechlornating Agent
[] Other
SAMPLE TEMP. @ LAB ('C) 31

NCDE�VR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report -
For guidance on filling out thisform, please visit: httn://portal,ncdenr.orgw /wq/ws/su/npdessw#tah-4
Permit No.: N/C/(rf 3//// or CT "ficate of Coverage No.:
FacilityName:
a
County: �� n Phone No. y 2/
Inspector:
Date of Inspection: 1,:z — �-
Time of Inspection:
Total Event Precipitation (inches): �C •o�
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit?
(See information below.)
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.
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 measui able'storm event must have been at least 72 hours
1 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 this signature, I certify tha is�is accurate and complete to the best of my knowledge:
(Signature of Permittee or Designee)
Page 1 of 2
SWU-242, Last modified 10/25/2012

r
1. OutfaIl Description: W"'Ici
Outfall No. �,Structure (pi e, ditch, etc.)
Receiving Stream: 'f`ar�n CYP -
Describe the industrial activePes that o crur within the outfall drainage area:
2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): A/'.2 e- e1.,r _
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 2 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 S is the surface covered with floating solids:
1 2- © 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:
1 2 D 4 5
7. is there any foam in the stormwater discharge? Yes (_N__�,_)
8. is there an oil sheen in the stormwater discharge? Yes �N
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 2 of 2
SWU-242, Last modified 10/25/2012 .

AN"'A.
A M
' NCDEWOR
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report-
Forguidance on filling out thisform, please visit: http://portal.ncdenr.org/web/wgfws/su/nndessW#ftah-4
p
Permit No.; NX/G,/3/4/ l�� '-'�/ or Certificate of Coverage No.:
Facility Name:
County: o�
Inspector:1
Date of Inspection:
Time of Inspection:
/r1
Phone No. e-) -
rr
Total Event Precipitation (inches):
Was this a "Representative Storm Event" or "Measureable Storm Event" as defined by the permit'?
(See information below.)
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.
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
j prior. The 72-hour storm interval does notapply if the permittee is able to document that a shorter
interval is representative for local storm events during the sampling period, and the permittee
i obtains ai)Droval from the local DWO Regional Office.
By this signature, certify that is report is accurate and complete to the best of my knowledge:
(Signature of.Permittee or Designee)
Pagel of 2
SW11-242, Last modified 10/25/2012

sgg1�'- -�2
a
0
1. Outfall Description:
Outfall No. a Structure (pie ditch, etc.) T
Receiving Stream: �Du. rl '1-eeT
Describe the industrial activities that occur within the outfall drainage area:_
Z. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil,
weak chlorine odor, etc.): „4",
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is
clear and 5 is very cloudy:
1 3 4 5
S. 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:
1 2. p3 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:
1' 2 0 4 5
7. Is there any foam in the stormwater discharge? Yes No
8. Is there an oil sheen in the stormwater discharge? Yes
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 sohds, 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 10/25/2017. .