NCG050412_DMR_20200128

Mid Atlantic
Engineering & Enwronmental Solutions
January 28, 2020
NCDEQ/DWR
Attention: Central Files
1617 Mail Service Center RECFIVED
Raleigh, North Carolina 27699-1617 MAR 2 0 2020
Subject: STORMWATER SAMPLING RESULTS CEN I RAC FILES
WELLMARK, LLC DWR SECTION
355 WAKETA DRIVE
ASHEBORO, RANDOLPH COUNTY, NORTH CAROLINA
PERMIT NCGO50412
MID -ATLANTIC JOB NO.000R2947.10
To Whom it May Concern:
409 Rogers View Court
Raleigh, NC 27610
office 919.250.9918
facsimile 919.250.9950
MAAONLINE.COiM
Attached please find the Stormwater Discharge Monitoring Reports (DMR) and analytical
report for the sampling conducted at the above -referenced site. A stormwater sample was
collected from Outfall 001 AND 002 on January 15, 2020 and analyzed for total suspended
solids (TSS) and oil and grease (O&G). As indicated on the attached DMR, all parameters
were reported below or within their respective benchmark values. If you have any
questions or need additional information, please contact me at 919-250-9918.
Sincerely,
MID -ATLANTIC ASSOCIATES, INC.
Paul W. Spangenberg
Director of Environmental Compliance Services
Attachments: Stormwater Discharge Monitoring Reports
Laboratory Analytical Report
EXPERIENCED CUSTOMER FOCUSED INNOVATIVE

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 1/28/2020
CERTIFICATE OF COVERAGE NO. NCG 50,412
FACILITY NAME Wellmark, LLC
COUNTY Randolph
PERSON COLLECTING SAMPLES Tenesa Hurley
LABORATORY Con -test Lab Cert. # 625
SAMPLE COLLECTION YEAR 2020
PLEASE REMEMBER TO SIGN ON "'lir'tE REVERSE 4
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall' .18 or ❑ No discharge this periodz
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pH, Standard units
(only if applicable)
New Motor Oil or
Hydraulic Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 503
15
30
Within 6.0 — 9.0
-
01
1 /15/2020
10
1.2
N/A
N/A
300
1 The total precipitation must be recorded using data from an on -site rain gauge.
z For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
'See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised.• June 1, 2018
Page 1 of 2

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 DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
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."
01 22I &"?o
(Date)
Additional copies of this form may be downloaded at:
https://deg.nc.�,,ov/about/divisions/energy-mineral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page 2 of 2

North Carolina Department of Environmental Quality (DEQ)
SEMI-ANNUAL STORMWATER DISCHARGE OUTFALL (SDO) MONITORING REPORT
Vehicle/Equipment Maintenance Activities Only
Date submitted 1/28/2020
CERTIFICATE OF COVERAGE NO. NCG 50,412
FACILITY NAME Wellmark, LLC
COUNTY Randolph
PERSON COLLECTING SAMPLES Tenesa Hurley
LABORATORY Con -test Lab Cert. # 625
SAMPLE COLLECTION YEAR 2020
PLEASE PIMfE.MSER TO SIGN ON THE WERSE 4
Vehicle Maintenance Area (VMA) Stormwater Monitoring Results: Only for facilities using an average of > 55 gal of new motor oil per month.
Total event rainfall' .18 or ❑ No discharge this period'
Outfall No.
Sample
Collected,
mm/dd/yr
Total Suspended
Solids (TSS), mg/L
Non -polar O&G/TPH, mg/L
(Method 1664 SGT-HEM)
(if applicable)
Oil and Grease, mg/L
(if applicable)
pH, Standard units
(only if applicable)
New Motor Oil or
Hydraulic Oil Usage,
Annual average gal/mo
Benchmark
-
100 or 503
15
30
Within 6.0 — 9.0
-
01
1 /15/2020
10
1.2
N/A
N/A
300
1 The total precipitation must be recorded using data from an on -site rain gauge.
2 For sampling periods with no discharge at any outfalls. You must still submit this discharge monitoring report with a checkmark here.
3See General Permit text that identifies the especially sensitive receiving water classifications where the more protective TSS benchmark applies.
*FOR 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 DWQ REGIONAL OFFICE? YES ❑ NO
REGIONAL OFFICE CONTACT NAME:
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page 1 of 2

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 DWR Central Files:
Division of Water Resources*
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
*Note this address is correct for Central Files (DWR) and is NOT supposed to be DEMLR.
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."
.01 2zlZ�zc-,
(Date)
Additional copies of this form may be downloaded at:
https://deg.nc.gov/about/divisions/enemy-mineral-land-resources/npdes-stormwater-gps
NC Stormwater Program NPDES Permit Vehicle/Equipment Maintenance Activities SDMR Last Revised: June 1, 2018
Page 2 of 2

con -test®
ANALYTICAL LABORATORY
39 Spruce Street' East Longmeadow, MA 01028 ' FAX [phone] ' TEL. [phone]
January 27, 2020
Paul Spangenberg
Mid -Atlantic Associates, Inc. - Raleigh, NC
409 Rogers View Court
Raleigh, NC 27610
Project Location: Wellmark
Client Job Number:
Project Number: R2947.10
Laboratory Work Order Number: 20A0840
Enclosed are results of analyses for samples received by the laboratory on January 17, 2020. If you have any questions
concerning this report, please feel free to contact me.
Sincerely,
Kerry K. McGee
Project Manager
Table of Contents
Page 1 of 13

Table of Contents
Table of Contents
Sample Summary
Case Narrative
Sample Results
20A0840-01
20A0840-02
Sample Preparation Information
QC Data
Conventional Chemistry Parameters by EPA/APHA/SW-846 Methods (Total)
B250356
B250434
B250531
Flag/Qualifier Summary
Certifications
Chain of Custody/Sample Receipt
3
4
5
5
6
7
8
8
8
8
8
9
10
11
Page 2 of 13

Table of Contents
Jill I I k eel
ANALYTICAL LABORATORY
39 Spruce Street . East Longmeadow, MA 01028 ` FAX [phone] . TEL. [phone]
Mid -Atlantic Associates, Inc. - Raleigh, NC
409 Rogers View Court REPORT DATE: 1/27/2020
Raleigh, NC 27610 PURCHASE ORDER NUMBER:
ATTN: Paul Spangenberg
PROJECT NUMBER: R2947.10
ANALYTICAL SUMMARY
WORK ORDER NUMBER: 20A0840
The results of analyses performed on the following samples submitted to the CON -TEST Analytical Laboratory are found in this report.
PROJECT LOCATION: Wellmark
FIELD SAMPLE # LAB ID: MATRIX SAMPLE DESCRIPTION TEST SUB LAB
1 20A0840-01 Water
2 20A0840-02 Water
EPA 1664B
SM21-22 2540D
EPA 1664B
SM21-22 2540D
Page 3of13

Table of Contents
Ali I I AW
ANALYTICAL LABORATORY
39 Spruce Street' East Longmeadow, MA 01028 . FAX [phone] . TEL. [phone]
CASE NARRATIVE SUMMARY
All reported results are within defined laboratory quality control objectives unless listed below or otherwise qualified in this report.
The results of analyses reported only relate to samples submitted to the Con -Test Analytical Laboratory for testing.
I certify that the analyses listed above, unless specifically listed as subcontracted, if any, were performed under my direction according to the approved methodologies listed
in this document, and that based upon my inquiry of those individuals immediately responsible for obtaining the information, the material contained in this report is, to the
best of my knowledge and belief, accurate and complete.
f�
Lisa A. Worthington
Technical Representative
Page 4 of 13

Table of Contents
IN tek
ANALYTICAL LABORATORY
39 Spruce Street' East Longmeadow, MA 01028 ' FAX [phone] ' TEL. [phone]
Project Location: Wellmark Sample Description: Work Order: 20A0840
Date Received: 1/17/2020
Field Sample #: 1 Sampled: 1/15/2020 11:00
Samole ID: 20A0840-01
Samole Matrix: Water
Conventional Chemistry Parameters by EPA/APHA/SW4146 Methods (Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qual Method Prepared Analyzed Analyst
Total Suspended Solids 10 2.0 0.82 mg/L I SM21-22 2540D 1/19/20 1/19120 11:09 LL
Oil & Grease (HEM) 1.2 1.4 1.0 mg/L 1 J EPA 1664B 1/21/20 1/21/20 14:00 LL
Page 5 of 13

Table of Contents
r
I � 0
ANALYTICAL LABORATORY
39 Spruce Street' East Longmeadow, MA 01028 ' FAX [phone] ' TEL. [phone]
Project Location: Wellmark Sample Description: Work Order: 20A0840
Date Received: 1/17/2020
Field Sample #: 2 Sampled: 1/15/2020 11:00
Sample ID: 20A0840-02
Samole Matrix: Water
Comentional Chemists Parameters by EPA/APHA/SW-846 Methods (Total)
Date Date/Time
Analyte Results RL DL Units Dilution Flag/Qua[ Method Prepared Analyzed Analyst
Total Suspended Solids 4.0 2.0 0.82 mg/L 1 SM21-22 2540D 1/19/20 1/19/20 11:09 LL
Oil & Grease (HEM) ND 2.8 2.0 mg/L 1 EPA 1664B 1/22/20 1/22/20 13:35 LL
Page 6 of 13

con-tcst"'
ANALYTICAL LABORATORY
39 Spruce Street' East Longmeadow, MA 01028' FAX [phone]' TEL. [phone]
Sample Extraction Data
EPA 1664B
Lab Number [Field ID[ Batch Initial [m1 l Date
20A0840-01[11 B250434 980 01/21/20
EPA 1664B
Lab Number [Field ID[
Batch Initial [mL1
Date
20A0840-02 [21 B250531 500 01;22/20
�9Tu iT6�34.ifIL7
Table of Contents
Lab Number [Field ID]
Batch
Initial ImL[
Date
20A0840-01[1)
B250356
250
01/19/20
20A0840-02 [2)
B250356
250
01/19/20
Page 7 of 13

Table of Contents
AMALYTICAL LABORATORY
39 Spruce Street' East Longmeadow, MA01028' FAX [phone]' TEL. [phone]
FLAG/QUALIFIER SUMMARY
'
QC result is outside of established limits.
t
Wide recovery limits established for difficult compound.
$
Wide RPD limits established for difficult compound.
#
Data exceeded client recommended or regulatory level
ND
Not Detected
RL
Reporting Limit is at the level of quantitation (LOQ)
DL
Detection Limit is the lower limit of detection determined by the MDL study
MCL
Maximum Contaminant Level
Percent recoveries and relative percent differences (RPDs) are determined by the software using values in the
calculation which have not been rounded,
No results have been blank subtracted unless specified in the case narrative section.
1 Detected but below the Reporting Limit (lowest calibration standard); therefore, result is an estimated
concentration (CLP 1-Flag).
Page 9 of 13

rlr
A11111 �w 14W V . tat
ANALYTICAL LABORATORY
39 Spruce Street . East Longmeadow, MA 01028 ' FAX [phone] ' TEL. [phone]
CERTIFICATIONS
Certified Analyses included in this Report
Anslyte Certifications
EPA 1664B in Water
Oil & Grease (HEM) CT,MA NH,NY,RI,NC,ME,VA
SM21-212540D in Water
Total Suspended Solids CT,MANH,NY,RI,NC,ME,VA
The CON -TEST Environmental Laboratory operates under the following certifications and accreditation:
Code
Description
Number
Expires
AIHA
AIHA-LAP, LLC - ISO17025:2017
100033
03/1/2022
MA
Massachusetts DEP
M-MA100
06/30/2020
CT
Connecticut Department of Publilc Health
PH-0567
09/30/2021
NY
New York State Department of Health
10899 NELAP
04/l/2020
NH-S
New Hampshire Environmental Lab
2516 NELAP
02/5/2020
RI
Rhode Island Department of Health
LA000112
12/30/2020
NC
North Carolina Div. of Water Quality
652
12/31/2020
NJ
New Jersey DEP
MA007 NELAP
06/30/2020
FL
Florida Department of Health
E871027 NELAP
06/30/2020
VT
Vermont Department of Health Lead Laboratory
LL015036
07/30/2020
ME
State of Maine
2011028
06/9/2021
VA
Commonwealth of Virginia
460217
12/14/2020
NH-P
New Hampshire Environmental Lab
2557 NELAP
09/6/2020
VT-DW
Vermont Department of Health Drinking Water
VT-255716
06/12/2020
NC-DW
North Carolina Department of Health
25703
07/31/2020
PA
Commonwealth of Pennsylvania DEP
68-05812
06/30/2020
11
Table of Co
Page 10 of 13

1/18/2020 Track your package or shipment with FedEx Tracking
Table of Contents
411359784673
Delivered
Saturday 1 /18/2020 at 10.23 am
DELIVERED
Signed for by. R.PETRAITIS
GET STATUS UPDATES
OBTAIN PROOF OF DELIVERY
Shipment Facts
TRACKING NUMBER SERVICE WEIGHT
411259784673 FedEx Priority Overnight 30 Ibs / 13.61 kgs
DIMENSIONS DELIVERED TO TOTAL SHIPMENT WEIGHT
2,'x15x13 in. Shipping/Receiving 30 ibs / 13.61 kgs
PACKAGING SPECIAL HANDLING SECTION STANDARD TRANSIT
YOUr Packaging Saturday Deliverv, Additional Handling 0
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