NCG210028_DMR_20200527

Baxter
May 27, 2020
NCDEQ Division of Water Quality
Attn: Central Files
1617 Mail Service Center F. E
Raleigh, NC 27699-1636 ,�E-_. �� E D
JUN 16 2020
RE: Certificate of Coverage No. NCG210028 CENTRAL FILES
Year 2 —Period 1 DWR SECTION
Stormwater Discharge Outfall Monitoring Report
Baxter Healthcare Corporation
Enclosed is the semiannual SDO monitoring report as required by the General Stormwater Permit
NCG210028, Part II, Section B. All sample results are within benchmark limits as specified in the
Permit.
If you have any questions regarding this report, please contact Corey Carpentier at 828-756-6636.
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 the 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 there are significant
penalties for submitting false information including the possibility of fines and imprisonment for
knowing violations.
Sincerely,
Corey Carpentier
EHS
Enclosures: Semiannual DMR (Original +Copy)
Cc: Rick Styles
Baxter Healthcare Corporation
PO Box t390.Marion NC 28752
T 828 756 4151

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR General Permit No. NCG210000
Date submitted Sit Ii c
CERTIFICATE OF COVERAGE NO. NCG21 0 '- ( SAMPLE COLLECTIO YEAR
FACILITY NAME Be,k-E. . DP.4ocivrt, SAMPLE PERIOD Jan-June ❑July-Dec
COUNTY (��Jp1,.IE� ,, or ❑ Monthly' month)
PERSON COLLECTING SAMPLES N A DISCHARGING TO CLASS ❑ORW ❑HQW IHTrout ❑PNA
LABORATORY} jE F (A)LIC P LEc.6 Lab Cert.# 3 RECEIVED ❑Zero-flow ❑Water Supply ❑SA
Comments on sample collection or analysis: " ❑Other
JUN 16 2020
PLEASE REMEMBER TO SIGN ON THE REVERSE 4
CEN KAI., FILES
DWR Part A: Stormwater Benchmarks and Monitoring Results (Monitoring is requih'e y'if the facility stores exposed accumulations of sawdust, wood chips,
bark, mulch, or other similar material on site for longer than seven (7) days.)
I VI/No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. 1
Collected amount,
(mo/dd/yr) Inches Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> - - 120 mg/L 100 mg/L or 50 mg/L°
3.1 NIL\ 2, 10" NIt\
•
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 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 mg/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.
No discharge this period?2
Date Sample 24-hour rainfall
Outfall No. 1
Collected amount, Non-polar O&G by EPA
(mo/dd/yr) Inches3 1664(SGT-HEM) Total Suspended Solids
Benchmarks===> - - 15 mg/L 100 mg/L or 50 mg/L4
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 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 NI
IF YES, HAVE YOU CONTACTED THE DEMLR 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 monitoring period
in the case of"No Discharge"reports)to:
Division of Water Resources
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 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
(t6(Signature of Permittee) (Date)
Permit Date:8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

Semi-annual Stormwater Discharge Monitoring Report
for North Carolina DEMLR Geperal Permit No. NCG210000
Date submitted S -F I-24Z
CERTIFICATE OF COVERAGE NO. NCG21 0 0 I SAMPLE COLLECTION YEAR 202
FACILITY NAME AX (MkP044.0c ;n rJ SAMPLE PERIOD glan-June ❑July-Dec
COUNTY c or n Monthly' (month)
PERSON COLLECTING SAMPLES ,ST _N f ( C HARGING TO CLASS ❑ORW ❑HQW v[ rout ❑PNA
LABORATORYC k1[R 141.JC P 1-AP, La ert.# 93`-) RE� �V r t"3 []Zero-flow ['Water Supply ❑SA
Comments on sample collection or analysis: JUN 16 2020 ['Other
CENT Rl-`j FILES PLEASE REMEMBER TO SIGN ON THE REVERSE
DW -*
R 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?2
Date Sample 24-hour rainfall
Outfall No. 1
Collected amount,
(mo/dd/yr) Inches3 Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> - - 120 mg/L 100 mg/L or 50 mg/L4
ST 0 41Zci(102.0 2 ,I," S3r jI 3©,311—
I Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 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, Non-detect, ND, or other similar non-
numerical format. When results are below the applicable limits,they must be reported in the format, "<XX mg/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?2
Outfall No. Date Sample 24-hour rainfall
Collected' amount, Non-polar O&G by EPA
(mo/dd/yr) Inches3 1664(SGT-HEM) Total Suspended Solids
Benchmarks===> - - 15 mg/L 100 mg/L or 50 mg/L4
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 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 ❑ 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 monitoring period
in the case of"No Discharge"reports)to:
Division of Water Resources
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 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
sl0zazC)
(Signature of Permittee) ( 1.6 (Date)
Permit Date:8/1/2018-7/31/2023 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 51 (2J2a
CERTIFICATE OF COVERAGE NO. NCG21 O 0 SAMPLE COLLECTION EAR L.O i 0
FACILITY NAME 14,A)(-re 1-1( N(t\( . CGAxnR.tv , ora SAMPLE PERIOD Jan-June ❑July-Dec
COUNTY M ,N) or ❑ Monthly' month)
PERSON COLLECTING SAMPLES N A CHARGING TO CLASS ❑ORW DHOW Nfrout ❑PNA
LABORATORY L.,), Ifl Lab Cert.# I 3S RECE 1Veo ❑Zero-flow EWater Supply ESA
Comments on sample collection or analysis: JUN 16 2020 ❑Other
CENTRAL FILES 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.)
dNo discharge this period?2
Outfall No. Date Sample 24-hour rainfall
Collected' amount,
(mo/dd/yr) Inches; Chemical Oxygen Demand Total Suspended Solids
Benchmarks===> - - 120 mg/L 100 mg/L or 50 mg/L4
5�0 i' , 10" t\lf
1 Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
2 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.
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 mg/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?2
Outfall No.
Date Sample 24-hour rainfall
Collected' amount, Non-polar O&G by EPA
(mo/dd/yr) Inches3 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 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 ❑ NOJ
IF YES, HAVE YOU CONTACTED THE DEMLR 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 monitoring period
in the case of"No Discharge"reports)to:
Division of Water Resources
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 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 there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
102.
(Signature of Permittee) (Date)
Permit Date:8/1/2018-7/31/2023 SWU-245, last revised 8/6/2018
Page 2 of 2

Environmental
Or1nl,r
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form,please visit https://deq.nc.gov/about/divisionsienergy-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N_/C/E/2-/I /0/ 0/0/0/ or Certificate of Coverage No.: N/C/G/2/ 1 /b/43/lit/Facility Name: paICc__ W6."1- N(A L Cc at -i �� ———
County: Phone No.
Inspector: 51CA.t i C 4-c
Date of Inspection: y+1°\''1Ot
Time of Inspection: —11-kci RECEIVED
JUN 16 2020
rr
Total Event Precipitation (inches): 2 , 10 CENTRAL FILES
DWR SECTION
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
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
•
(Signature of Permitt e r Designee)
1. Outfall Description:
Outfall No. ST Q 3 Structure (pipe, ditch, etc.): P�
Receiving Stream:
Na R11-I (To a_ (x r\Lke P�
Describe the industrial activities that occur within the outfall drainage area: 1460,D E .- ` Sy'6j—r,( .
Fop- S-tE.C1r. C -r NI
Page 1 of 2
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: Nb r)€.
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): N'O)J€
4. Clarity: Choose the number which best describes the clarity of the discharge, where I 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:
�.J 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:
lO 2 3 4 5
7. Is there any foam in the stormwater discharge? 0 Yes CS No.
8. Is there an oil sheen in the stormwater discharge? OYes L/No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes tl/No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe KO ,p j_{(p�1 . pi 6 It4{) Clq r
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

Environmental
Qualiry
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/
npdes-stormwater-gps
Permit No.: N_/C/G/Z/I /0/0/0/0/ or Certificate of Coverage No.: N_/C/G/ Z/I / U/0/2/%/
Facility Name: gAX1 SL 1-(MCA( C O -(\ tN)
County: M( �dv,IL\, Phone No. s-1.k--,s6.,y IS
Inspector: \ST 67)v-1/-
Date of Inspection: y(2 (un.- b
Time of Inspection: (,S O -
t►
Total Event Precipitation(inches): 2.,t 0
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
ii Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
4 * ,
(Signature :f Permittee ��ilesignee)
1. Outfall Description:
Outfall No. ST 0 6. Structure (pipe, ditch, etc.): QL
Receiving Stream:
No04 1n Cs cre.c,.l R>1
Describe the industrial activities that occur within the outfall drainage area: wco lj Fes '
fog- S-rLf,t--> tJ'-R fl�`C i 6 tJ
Page I of 2
S W U-242.Last modified 06/01/2018

2. Color: Describe the color of tl-iv discharge using basic colors(red, brown, blue, etc.) and tint
(light, medium, dark)as descriptors: C.1Ef(
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil, weak
chlorine odor. etc.): NW
4. Clarity: Choose the number which best describes the clarity of the discharge, where 1 is clear
and 5 is very cloudy:
(1) 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:
1 �2 3 4 5
7. Is there any foam in the stonnwater discharge? 0 Yes dNo.
8. Is there an oil sheen in the stonnwater discharge? OYes 'No.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes cuNo.
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

4t*
Environmental
Quality
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/
npdes-stormwater-gps
Permit No.: N/C/(/2/ t/d/U/0/0/ or Certificate of Coverage No.: N/C/G/2/ /0/O/2 /g/
Facility Name: $�}( ,{L I-1‘.A\-t1H(pRC, CO2R�i�rt'�� tJ ___
County: McJOL.)E ( l Phone No. Sl-c6-756--Li S
Inspector: ,S CR11
Date of Inspection: 4120,(201..ti
Time of Inspection: 115-2—
r1
Total Event Precipitation(inches): 2, (0
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
_Regional Office_
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signa of Permitte3i Designee)
1. Outfall Description:
Outfall No. STO Structure(pipe, ditch, etc.): QE.f2tY1
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: jaw) F-t.6. S JQF(�
FOR— S1J \ 6
Page I of 2
SWU-242,Last modified 06/01/2018

A
2. Color: Describe the color of the discharge using basic colors(red, brown, blue,etc.)and tint
(light, medium, dark)as descriptors: 1J41k
3. Odor: Describe any distinct odors that the discharge may have(i.e., smells strongly of oil,weak
chlorine odor,etc.): kiwi
4. Clarity: Choose the number which best describes the clarity of the discharge. where I 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? 0 Yes c No.
8. Is there an oil sheen in the stormwater discharge? OYes CSNo.
9. Is there evidence of erosion or deposition at the outfall? 0 Yes INo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe 1\10 ,(JLcitfait 1j NL or 1 NJfoIDN
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