NCG210147_MONITORING INFO_20170906

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
IV C& �Po)q-7
DOC TYPE
❑HISTORICAL FILE
2 MONITORING REPORTS
DOC DATE
❑ Otl
YYYYMMDD

STORAIN1'ATEIt DISCHARGE OUTFALL (SDO)
MONiTORING REPORT
GENERAL PERMIT NO. NCG210000
CERTIFICATE OF COVERAGE NO. NCG2l90H1[jj
FACILITY NAME-
I'ERSON COLLECTI\TG SAA,IPLIiS �sSFG—
CERTIFIED 1 ABOItATORY W c-1GY rGGr. Ls ual) #
Lah #
Part A: Specific NlonilorinjZ Requirements'
SAMPLES COLLECTED DURING CALENDAR YEAR:
(This monitoring report is due at the Division no later than 31) days from
the date the facility receives the sampling results from the laboratory.)
COUNTY CC-j-a1i0Yl-
PHONENO. (V-Xr) 3i-2-s
PLF,ASE SIGN ON Till? RF,VU-W,;V 4
Outfall
No.
Date
Sample Collected,
mo/ddLyr
Total Rainfall,
inches
00530
00400
00341)
Total Suspended Solids,
m IL
PH,
Standard units
Chemical Oxygen Demand (COD),
m IL
Benchmark
t00
Within 6.0 — 9.0
120
ILIM—
*Note: if :t value is in excess of the henchmark, or outside the benchmark range (for pH), you must implement the Tier l or Tier 2 responses in the General Permit.
Iivlorritoring is required only if the facility stares exposed piles of sawdust, wood chips, bark, mulch, or other similar material on site for longer than seven (7) days.
A facility that does not retain exposed (either exposed to incident precipitation or exposed to stormwater run on) piles of sawdust, wood chips, bark, mulch. or other similar material on
site for more than seven f,7) days before removing the material is not required to monitor for the parameters in Table 1 of the General Permit. If at any time the material is not removed
within this time frame. the facility must begin analytical monitoring immediately. (Reminder: This condirion noes nor ccvempr anv facih y_irom qu�alrrarive monitoring o/'SDO.s.)
If the facility removes such materials within seven days to meet the monitoring exemption, the Permittee shall record and maintain in the facility's SPPP a log which documents, at a
niinimunl, the dates «.hen material is generated and removed, how removed, and by whom. The log must be sufficient to establish that no materials were exposed for longer than seven
days. For record -keeping purposes, the Permittee may also maintain in the SPPP this Form with the signed certification bolo%r:
"Based upon nay inquiry of the person or persons directly responsible for managing compliance with the permit requirement for analytical monitoring. I certify that to the
best of my knowledge and belief, no piles of sawdust, wood chips, bark-, mulch or other similar materials were stored exposed (either to incident precipitation or to
stonmeuter run on) for longer than seven (7) days before removal since filing the last discharge monitoring report,"
Manic (Print name)
Title (Print title)
i5 g>balurcl
S\Vl;-245-t 1WM
I' •t42

DIh THIS FACiLITY PERFORNM VEHICi.B N4AiNTENANCF. AC INTI ±,S USiNG MORE THAN 55 GALLONS OF NEAV ;MOTOR 011, PER NIONTH, ON
AVERAGE, iN TiIF CALENDAR YFAR?
❑ Yes No (if yes, complete Part B I
Part R: Vehicle Maintenance Activity Monitoring Requirements
Qutfall
No.
Date
Sample Collected,
nio/dd/yr
1
00400
00556
00530
Total Rainfall,
inches
New Motor Oil Usage,
Annual average gal/mo
11111
Standard units
Oil and Grease,
tug/L
Total Suspended Solids,
mg/L
llenclinrark'
6.0 — 9.0
30
100
*No(c: It you report a value in excess of the benchmark value, or outside the benchmark ranee (for pl-l), you mist implement Tier 1 or Tier 2 responses in the General Permit.
Mail original anti one copy to:
Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
YOU Nil;ST SIGN THIS CERTiFiCATiON FOR ANV INFORMATION REPORTED iN PART5 A ANINOR IS:
"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 gatlier 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 tit eve are significant penalties for submitting false information, including lire
possibility of fines and imprisonment for knowing violations."
(Suture of Yerinittee)
(Date)
SWU-2_}5-1 10 40N
i' n l

Profile Products
October 2013
Faci li tv
Worksheet C2
Semi -Annual Outfall Discharge Inspection Form
Profile Products, Conover, NC Date: g.- �3 - !
Completed By: `} . e lap, k- Title:
Date Performed
a 1 1•' Half: (date)
B2„1 Half: (date)
Sample; taken .luring a Measurable Storm Event: 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 rior.
Date of Dischar--e: Time Sample Collected: } `. 1 5--A-
Rainfall Amount: 't Elapsed Time from Start of Discharge:
Explanation for Deviations from Visual Examination Requirements (see Section 4.4)
R
t CHARACTERISTIC
DESCRIPTION (COMMENT)
Outfall Number
Outfall A
Outfall B
Outfali C
Outfall D
Color
l
f .
%
Odor
Q
0
0
(�
Clarity
Turbidity
Floating Solids
1
Settled Solids
0
U
D
Suspended Solids
!'
i
Foam
U
C�
Oil Sheen
D
0
Other Objectionable Conditions
0
0
(�
Action Required
Additional Comments:
Ranking of Characteristies
Foam: none to thick where 0 is none; 5 is thick (rank 0 to 5)
Color, none to strong;, where 0 is none; 5 is strong (rank 0 to 5)
Oil sheen: none to thick sheen, where 0 is none; 5 is thick sheen (rank
Odor: none to strong, where 0 is none; 5 is strong (rank 0 to 5)
0 to 5)
Clarity: clear to cloudy, where 0 is clear; 5 is cloudy (rank 0 to 5)
Sewage: none to present, where N is none; Y is present (NIY)
Flouting Solids: none to many, where 0 is none; .S is many (rank 0
Industrial Waste: none to present, where N is none; Y is present (N1Y)
to `'t
Note: Visual inspection is to be performed for both identified
Suspended Solids: none to many, where-0 is none; 5 is many (rank 0
stormwater discharge outfalls.
to :S)
Project frrte� rafion' Inc.
SPPP 49

Tff "5'06TFCHLffff5Jnc.
POST OFFjCE BOX 1056 • 15 PIN -WOOF) PLAZA DR,
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Terra Mulch #A COLLECTIONDATE:
8/8/2017
PERMIT #: COLLECTION TIME:
07:15
ADDRESS: Terra Mulch Products RECEIVED DATE:
8/9/2017
219 Simpson Street, SW
RECEIVED TIME'
08:35
Conover, NC 28613
REPORTED:
8/17/2017
'ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
COD 46 mg/L. 8115/17 jrg
TSS 4.4 mg/L 8/10117 jrg
LOG ID: 1708-131 REI'0WrED BY: NC CERTIFIED LAB # 50
Tony Gragg, Lab Supervisor

fdRyc"'OffEm 1.0gaffi-Inc,
POSTOFF;CE SOX le56 • n5 PINEWOOD PLAZA DR.
GRANITE FALLS. ,NORTH CAROLINA 2863C
[phone]
SAMPLE: Terra Mulch #13 COLLECTION DATE: 8/8/2017
PERMIT #.• COLLECTION TIME: 07:30
ADDRESS: Terra Mulch Products RECEIVED DATE: 81912017
219 Simpson Street, SW RECEIVED TIME: 08:35
Conover, NC 28613
REPORTED: 8117/2017
ANALYSIS w
ANALYSIS RESULTS UNITS DATE ANALYST
COD 31 mg/L 8/15117 jrg
TSS 3.4 mg/L 8/10117 jrg
LOG ID: 1708-132 REPORTED BY: NC CERTIFIED LAB # 50
f�("
Tony Gragg, Lab Supervisor

,ITEC.lr7c.
POST OFFICE EOX 1056 - "5 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Terra Mulch #C COLLECTION DATE
8/8/2017
PERMIT #: COLLECTION TIME:
08:15
ADDRESS: Terra Mulch Products RECEIVED DATE:
8/9/2017
219 Simpson Street, SW
RECEIVED TIME:
08:35
Conover, NC 28613
REPORTED:
8/17/2017
ANALYSIS
ANALYSIS RESULTS UNITS DATE ANALYST
COD 24 mg1L 8115I17 irg
TSS 4.3 mg1L 8110/17 jrg
LOG ID: 1708-133
A
REPORTED BY: NC
CERTIFIED I.AB # 50
Tony Gragg, Lab Supervisor

N TRwy C AGN.In c.
POST OFFICE 80; 1056 • 45 PINEWOOD PLAZA DR.
GRANITE FALLS, NORTH CAROLINA 28630
[phone]
SAMPLE: Terra Mulch #D COLLECTION DATE: 81812017
PERMIT #: COLLECTION TIME: 08:30
ADDRESS: Terra Mulch Products RECEIVED DATE: 8/9/2017
219 Simpson Street, SW RECEIVED TIME: 08:35
Conover, NC 28613
REPORTED: 8/17/2017
arvaL Ysis:. ;
ANALYSIS RESULTS UNITS DATE ANALYST
COD 34 mg/L 8115/17 jrg
TSS 7.3 mg/L 8I10117 jrg
LOG ID: 1708-134 REPORTED BY: NC CERTIFIED LAB # 50
fa�
Tony Gragg, Lab Supervisor

5 Pinewood Plaza Drive - P,O. Efox 1056
Granite Falls, NC 28630
Phone [phone] • Fax [phone]
CLIENT: Terra Mulch Products, LLC PHONE:
c/o Jessie Clark TYPE SAMPLE:
219 Simpson Street, SW No. LOCATIONS:
Conover, NC 28613 SAMPLER NAME:
SAMPLE LOCATION
FACILITY NAME
SAMPLE COLLECTION
SAMPLE TYPE
CONTAINERS
ANALYSIS REQUIRED
DATE
I
TIME
TEMP °C
GRAB 1
COMPOSITE
NO,
PLASTIC I
GLASS
A2.
NQUISHED BY/
D+TE: 7
7�A
'J j9'�/`
TIME: -
�.�
RE IVED B
DATE:
�
a
TIME:
R NQUISHED BY:
DATE:
TIME:
REG ED BY:
HATE: -
TIME:
PR SERVATi 'N:
Cool 40C - D, TSS
1 4°C - pH<2 w/ HsSQ1-�a C O�
1 2
- az z , - o I orm acteria, NH3
Sample Temperature at Lab (QC)
1 - Chloride Residual mgll
2 - Chlorine ResidffaAgll
NC CERTIFIED LAB # 50

Profde:
Solutions for your Environment"
September 6th, 2017
Central Files
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Reference: Profile Products
2017 July - December Storm water Sampling DMR Submittal
Central Files,
The attached DMRs are being submitted to satisfy the sampling and submittal requirements for
sampling period Year 5 -Period 1 (July 1st - 2017 - December 31st 2017) of the new Lumber and
Wood Products General Permit (NCG 210000). The DMRs are completed for each of the four (4)
facility outfalls.
Please feel free to me at (828-312-5547) if you have any questions.
Sincerely,
Jessie Clark
Quality Manager
Profile Products, Conover Mulch Facility - 219 Simpson Street SW Conover, NC 28613