NCG030240_DMR_20200420

Stormw►ater Discharge !Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCGO30000
Date submitted 4
CERTIFICATE OF COVERAGE no_ NCG03 0 2 4 0
FAClllily NAMErNFIf1imnu�tifimm ItJ�itnir�n9Y ..
COUff" Fasob
PERSON COLJLECFING SAN1l1PLES-1FwntnwUkbFft-
LA2CjpATCjRyR&ALab Lab Cert 9 34
Comments on sample collection or analpik
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLEC?IOIMI YEAR 2�
SJ1U UME PERIOD ]an -Jaw ® )dy-Dec
I ,�- : or IfAlorttlhi ((mmo dfij
REC N im TO cuus EloRw ®wm Orrout ®PNIA
APR 2 7 2020 l°a 0*aterSuppIlir E]SA
u7oU�-1I111I
,,;ENS I'RtvL FILE.,
�)WR SECTION` PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
n /Vo diiscchorge thiis pemiod?2
off" No.
Date Sannple
colectedl
(mqidd/Vd
2 wr rrawFAI
amndnmdmt
Hn&ee
Total � Solids
PH'
Standard unN3
Total Cyr
lf,�ll LEA
TOW ZFEK
Mon -polar O&GIF
Total Pe- roleron
Hydrorarbom
Total'Toxic
Sendunories
-
-
100 md/L or s0 nwe
60— 9.0
0.010 nad/L
ows Met.
0.126 nWL
is MdL
1 m0/L
Pans rreter CO&
-
465"
COS30
00A00
on"
01Rs1
61IM
00552
7n41
SDO"41
�"
119..11
�. 1
®.mt114
ME
0.109
xx
n Morntlnllyy sammoliing ((iinnsttead of semmiF-annuuall)) nrtwa begin With dhe second consecutive benchmark exceedanae for the same parameter at the same ®uuttltallll..
2IFor samrnplliinng periods wA tht no diiR*ange at any sjingle outfallll„ you must stillll submit this diliischarge n wvmit®niing repot With a a llneckmaA here..
3Thie t®tall pred:ipitaton must be recwded u 2iiintvg data from an on-siite naiircn gauge. ttUnatttenndi d siites nW be elfigible for a waiiver of the maiinn gauge iregUiiremenntt.
" See Gennerall IPenmrniit„ Section B, Table I to iidentifhly thre especiiallll�y sensiitive recei4ing grater dllassiiffiications where the more prottectfave benrJhmrnad applhies..
5 Tottall Takic Organiics sammohintg its apohicable onll�y fOr dose ffaaatlliities which perform mmetall finiislhiinng operations, manufacture semmiiconnduud tors„ manufacture
ellectroniic cry -stalls„ or manufacture catht de ray tubes. For puunfnoses of thriis permrniit the definition of Total] Takic Ogpnniirs its that definition connttaiinedil iinn the EPA
Effluent Guuiidelhines for Cline Willikyy suubiiect to dhte mquuiimnnnernt to samrnplle ((for metal] fiiniisllniinng use the definition as found iin 40 OFR 4433.111., for semi onnduuctor
manufacture use dh a definition as found iin 40 GJFIR 4169_12„ for ellectronk crrstall manufacture use the dlefiinnitiom as found iin 40 G1FR 469.22;, and for cadT de ray
tube manufacture use the dleifiinnban found iin 40 CJFIR 4r 9 31Lu_
IPer miiit Date::1111/2018-05/tHOM SU-2-45„ Itast Terised11//a//7®18
(Page 1 of 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Jonathan Chase
Name (Print name)
President & CEO
Title (Print title
C:4�
Sign tur Die
Note: Results must be reported in numerical format. 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.
Part B: Vehicle Maintenance Area Monitoring Results: only for facilities averaging > SS gal of new oil per month.
❑ No discharge this period?'
Outfall No.
Date Sample Collected'
(mo/dd/yr)
24-hour rainfall amount,
Inches'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar O&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
15 mg/L
100 mg/L or 50 mg/L4
Parameter Code
46529
NCOIL
00552
C0530
Footnotes from Part A also apply to 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.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

FOR PAIR1TAAAND r "' ni[TOMING RESULTS�
• A -_r,;.._EDAANCE 1IRRIIGG'ERftS 73,E1d L R ECKARLIViE1lIfi5.. SEE PERMIT PART IIII SK710N fit..
• 2 DK(CEEDAANCES IIIN AA ROW FOR THE SAME PARAMETER AT THE SAME i AAILiL TUGGER TIER 2 REQU I REFAEi IITS.. SEE PERMIT PART III SECTION R.
• TIER 3_ HAS YOUR FACILITY HAD 4 09 LAOMRE BENCHMARK IEXCEEDENCES FOR THE SAME PAARAAAIIETEMR AA-T AW ONE DUFR FAAUIL? TUElmoll
IF YES, HAVE YOU CONTACTED THE DEMUR REGIONAL OFFS YES [] NO
REGIONAL OFIRICE WINTAACT MItAIRAIE::
Mug m orilai d coov of this DiM2 indudina al/ "Me Dhxhanpe mporft in dime
ame of "A b Dt xbonle''reportsl to:
Dirtmwam a Water Quualmity
AM:: D Q Contrail Faille s
IL617/ IAAIaiill Service Center
Ralleiieln„ Noirttiln Cardiinna 22699-1617
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"III certiiij„ under pemalhtgy of llaamu„ that tthiis dbu ntt ntt and MI anatthmrnentts were prepared under n my aliireffomt or vugeff nmbnn iim amurdlance with a Wstern dla sgmedl to
assure that quuallifiiedl Ipemsomnnell Iproptlhp gtlfneir and esrallu atte the Wonnmationn rm iiittlted.. Based on mmW iinnquiimly a the person or permms wA c m aumage the vysitem, mr
these ins diii ale y responsible for gatfoeriin8 the iirtnhwmnalbimm„ the i6fiommmattiionn submitted as, to the best of my kmoWkApe and lheW wwe�, a maM, and a omPllette..
arm aware that ttihtarre are significant penalties ffor suubanii1ting ffallse iinnhym naliorm„ iinnaluud inng the Iposs6511irtty of Mines amd imngxriis� ifm Idm vAimg \yAdlamions..'°
m
Signature of Pernifttee
`% Zo iezro
Penrnuitt Date: 11/1//2ID18-0S/31,12021 SWUiI-245„ Ilast revised 1111Q2018
Page 3 of 3

Stormwater Discharge r0onitarfing Rev,(-rt
for North Carolina Division of Enery, Mineral and Lead Resources Generai 1:1erriniw a. CGG�3fl000
Date submitted 41MMM
cE-RnFgcATz o rav GE i"{t0_ NCG03 0 2 4
FACLOYNAME lwaz hiimaq carp..
COi Myy Famyh
PESUN CMUC1 ING sus Tmimomw Wr r
LABORATORYHR & A L-8b lab Cart, d# 34
smrments on saromjAe coffierfam or a►valyysFw
Part A. Stormwatter Ben rhm� arks art-1 Mo n-j'tw3ng 3ResuIts
s4>-I an CGUELM1 N R
M Jam-.kuse
�r ®'Mon.fdtl�` ((mrnazrmttlln)1
UISCRARS11,T45 70CL[30mW DHQW []T®PN►
Olarm-fkE/ atar Supply OSA
*0'tht0ry'z 111111
PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3 4
Out ft.
Matte Smmn!{sfile
Caai� n
24t-{fiwiwr maiinfi�il
�tm�+uumt,
11&bee
7otial .5wwpend-ed sc dis
I
�o+aF
standars ranks
Total Gear
T�I mod!
�
TotalZ"M
Rkan'P r O&GI
TrtA ? � uu ii"'eu m
Hvdlr0rMrbzR3
Tort T�iz
OrzaT ;' �
Berac%aas�r9rs
-
-
100 MdL or so MY10
&0 — 9.0
0.039 mdL
0.075 aW. L 10.126
a yjL
13 mdL
1-nfj1
:meter Code
C0330
004W
01M
0. UD31
01094
00552
73 41
SQ��11
3/119'/2=
�"
119A (
8..4
0.04
0..i10�
I )XCK
n iMonttlf $y samm0liing ((iinsttead off sermnir-amnu aQ must begin With the seomnd consecutive beImwlhnmmarrik exceedamyce for the same parameter at the same ouutifallll_
p IFair sammpliiinng pemibds With no diischargo at any siingle ouutffallll„ you must smillll submit t hiis d]iischamge moniittoniing report mwiit h a died mam;k mere..
$The total] precirpiitatiomn must he recorded wu ing data f1mmn an on-siile iraiimn gauge. Unattended sites mmayy he elligible for a wair`r/eir uff t he maiimn gauge rrequuiirrem a nt..
See Gennerrail Permit ions 15, Tablle IL to idendiFy the especiiallll>y sensiii ve rrem eir, ing water dlas.,Oicaminns where the more protective 'bean-ihmmarlk applliies..
$ Tottaull Totic Orrganks sammoliinng its apol aisle onll�y fforr those ifaciilliimies wIh [tch pemffoun mettail fiinfishiing, openadbras�, mmannuuffaurtture se miiro nduurttorrs, manufacture
eliectroniir crVsttalls„ or nnanuuffa¢ttawrre ccattihcte ray tubes. Fair purposes of this permit the defiindtion of Tatali Tim)& Oqanir its that de idi iionn connttaiinned iin the EPA
E9f]iuuent G uiidelliines for the ifadilliityy suubj e t to the reql4rement to sammp1le llfor mmetail Ifiiniislhoiing use the deffiiniibion as found iin 40 iClFR 433.111.;, for semmiicanduuc torn
mnanuufactwrre use the delfiinition as found iin 40 cC1FR 4169_112,; for ellectronficc cr ystall mnanauffacturre wise the deffiiniitiom as foumrdl iin 40 (r-FR 4169.22;, and for catlhode ray/
ttuutf",1e mmanuiam tumre use the dfleffiinii6ion ffou nd iin 4D cC1FR 469..31))_
Penmk Date: 1111/201"5//31,12D21 3NLP-2 4s„ 11a51 irevi la//i//2018
Page Ioff 3

Facilities that incorporate a solvent management plan into the Stormwater Pollution Prevention Plan may so certify, and the requirement for TTO monitoring
may be waived. The solvent management plan shall include a list of the total toxic organic compounds used and the other elements listed in the General
Permit. For those facilities electing to employ the TTO monitoring waiver, the discharger shall sign the following certification statement:
"Based upon my inquiry of the person or persons directly responsible for managing compliance with the permit monitoring requirement for total toxic organics
(TTO), I certify that to the best of my knowledge and belief, no dumping of concentrated toxic organics into the stormwater or areas which are exposed to rainfall or
stormwater runoff has occurred since filing the last discharge monitoring report. I further certify that this facility is implementing the all the provisions of the
solvent management plan included in the Stormwater Pollution Prevention Plan."
Jonathan Chase
Name (Print name)
President & CEO
Title (Print t jIe
Sign tur D afe
Note: Results must be reported in numerical format. 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.
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'
New Motor Oil or
Hydraulic Oil Usage
Non -Polar 0&G/ Total
Petroleum Hydrocarbons
Total Suspended
Solids
Benchmarks
-
-
15 mg/L
100 mg/L or 50 mg/L`'
Parameter Code
46529
�NI CCI L
00552
C0530
Footnotes from Part A also apply to Part B
Note: If you report a sample value in excess of the benchmark, you must implement Tier 1, Tier 2, or Tier responses. See General Permit text.
Permit Date: 11/1/2018-05/31/2021 SWU-245, last revised 11/1/2018
Page 2 of 3

FOIR P'ANRT/A AND PAR T B MOiNIFTOfRlhi•VkG RRES'UIILTS`
• AA BENCHMl4A K EXCEEDANCE TRi GG'ERS -DER I RECEUiCf3EIVIE S.. SEE PERMIT PART IIII S'fUGH fit..
• 2 EXCEEDARJCES IN AA IROVPY/ FOIR THE SAME P ARAMETER AAT THE SAME VU IF/AAU TMGGEIR TIER 2 REQUHREMIETIITS.. SEE P1ERWIIT PART I01 SEC(fllOiIN B..
• MER 3: HAS `YOUR IFiAC11Urr`Y HAD 4 OR LTO RE SENCPrRnAlAM EJ(CEEQDEHCES FOR THE StAIMtE PARAMETER R AT ANW ©UE ®UFWA JUL? TES TIMI) 71
OF'1f£i, HAVEYOU CONTACTED THE DEiA.IP! R REGI0T AAL O!RAHCT? `YES M NO
PIGIQU Al OFFICE MINTAAcCT IbIANAOIE::
Mail an odai wl copy of dais MI, indudina all ' iy Msdw ire"' re within 30 days of receipt at the lam r;sdits ((err gavdcff mmom iforgim period in the
case of No D&dwme'reporb) to:
Diiswiom off Nwatteer Q ualliiitw
Ann:: UWQ4, cantrall IFilles
1617/ Ulafjill Semyiire cCen ler
IRaleiigh, Moran CamAirna 27699-1517/
YOU MUST SIGN THIS CERTIFICATION FOR ANY INFORMATION REPORTED:
"'ll certtik, under panallttyy of Ilaw, that this dlominT a ml and W1 at achmmends were prepared under nrry direzttie n or suu iisiiom ihm amrtt canoe xWtRfhi a sWemn desigtmed to
asRwre that quuall dfiied persomnnell properlfgy gafther and evalhwatte the iinnffomrmaattiiom su bim viittted.. Based on, mrw, iinnquuiimY off the person or persons wlhio mmamage the $svitemm or
di rose ems dliirectlf y responsible ffor gaTheriinlg the iirnfommaabmR, the iin forum>adiiam suubin, �ed is, to the best of nmry/ ,.knv kdge and beiieff ttmue_ annutraM, and commpllefte. 11
amn aware tthatt there are sigm6lfim ntt pemallriies ffor subnrd ttt . g ifalfse iimrlfonvi atbiom„ iimmil-offing the possibility off fines and iim prim omurrtnemtt ffor !IkuoWiM w id1afiom>$: °
ggmtt>ure of Perafnee
I mmitt Datte. IlIl//��21R�� Q�3//�1,%21D21
y z,; oez��
D tte
S1UY/ O-245„ Ilastt mesiised .111112018
Page 3off3

RiESFARCh & ANA1yricA1
I.AbORATWES, INC.
Analytical / Process Consultations
Phony (�313) 996-2841
CHAIN OF CUSTODY NEC®NC
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e
-_FAMAINFAM
'
•. •i
RwUESTEDANALYSIS
SAMPLER NAME (PLEASE PRINT) e
WNT PHONE.r.
I)
i.. 7'
�■■■■■■■■
■■■■■■■■■■■■
■■■
ELINOUISHED:
,
,:
-
-00
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RESEARCh Bic ANA1yTiCA[
L,A ORATORIES, INC.
For: Deere Hitachi
P.O. pax 1187
Kernersvilie, NQ 27285
Attn; Debbie Randleman
Report of Analysis
3/27/2020
ke
r a •.s� ,
NC #3a zi
NC #37701
Client Sample 10:
Site;
MCS001- Crook at South parking lot Main
Campus
Deere Hitachi
lab Sample ID:
Collection Date;
79928T01
3/19/2020
1:10
Rea Limit AHalvat
Anal,y,Sls
Daftaime
Copper, Total
EPA 20017
0.014
mg/L
0..005
SK
3120/2020
Hydrocarbon 0&0
EPA 1664 Revision B/Silica Gel
<5
m0/L
5
ES
3/2512020
Lead, Total
EPA 20017
<0,005
mg/L
0.005
SK
3120/2020
Total Suspended Solids SM 24€0 0.2011
10.1
mg/L
5
AW
3/2012020
Zino, Total
SPA 200,7
0.100
mg/L
0.01
SK
3/20/2020
NA = not analyzed
P.A. Box 473 105 Short Street Kemeraville, North Carolina 27264 fill: 336-996"2141 Fax: [phone]U6 www.randalabs.cam Page 1

ESEARCh & ANALyT CA[
LA ORATORIES, INC#
For: Deere Hitachi
P.O, Box 1187
Ker-nersviile, NC 27285
Attn: Dehble Randleman
Report of Analysis
3/27/2020
Zq'
104
e
eta
NC #34 z
N0#37701 i
'•4�p$tYt��'f ��a �:
Client Sample 10.,
MCSD01- Crook at South parking lot Main
Lab Sample 10:
799211-01
Campus
Site:
Deere Hitaohi
—lJnitx
Collection Date:
3/1912020
1:10
pammatil
Result
Rgp LIMIApplyal
Analypla
te/Tim
Copper, Total
EPA 200.7
0,014
mg/1-
0,000
SK
312012020
Hydrocarbon 0&0
EPA 1664 Revision 8181lica Gel
k0
mp/L
0
EE
3/2512020
Lead, Total
EPA 200,7
k0,005
mp/L
0.000
SK
3/2012020
Total Suspended Solids SM 2450 A-2011
19.1
mg/t_.
a
AW
3/20/2020
Zinc, Total
EPA 200,7
0.109
mp/L
0.01
SK
3/20/2020
NA = not analyzed
P.O. 0ox 473 100 Short Stroot Kernorsvillo, North 0arolina 27204 Tel: [phone] fax 338-OOs-O3RO www,randalabs.Qorn Page 1