NCG030224_DMR_20200531

Stormwater Discharge Monitoring Report
for North Carolina Division of Energy, Mineral and Land Resources General Permit No. NCG030000
Date submitted May 2020
CERTIFICATE OF COVERAGE NO, NCG03 0 2 2 4
FACILITY NAME clarios
COUNTY Forsyth
PERSON COLLECTING SAMPLES Glenn Price
LABORATORY Research 8 Analytical Labs Lab Cert. # 34
Comments on sample collection or analysis:
Part A: Stormwater Benchmarks and Monitoring Results
SAMPLE COLLECTION YEAR 2020
SAMPLE PERIOD Q Jan -June 0 July -Dec
or Monthly' (month)
DISCHARGING TO CLASS ❑ORW ❑HQW ❑Trout ❑PNA
�- ❑Zero -flow []Water Supply [:]SA �` 3 ❑Other
J11N 2020 PLEASE REMEMBER TO SIGN ON PAGES 2 AND/OR 3
GCS S10N
�jU"JR SEA ❑ No discharge this period?2
Outfall No.
Date Sample
Collected'
(mo/dd/yr)
24-hour rainfall
amount,
inches'
Total Suspended Solids
PH
Standard units
Total Copper
Total Lead
Total Zinc
Non -Polar O&G/
Total Petroleum
Hydrocarbons
Total Toxic
Organicss
Benchmarks
_
-
100 mg/L or 50 mg/L°
6.0 — 9.0
0.010 mg/L
0.075 mg/L
0.126 mg/L
15 mg/L
1 mg/L
Parameter Code
-
46529
C0530
00400
01119
1 01051
01094
00552
78141
001
04/20/2020
0.7
5.20
7.18
<0.005
0.047
0.028
<5
<1
` Monthly sampling (instead of semi-annual) must begin with the second consecutive benchmark exceedance for the same parameter at the same outfall.
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.
A See General Permit, Section B, Table 1 to identify the especially sensitive receiving water classifications where the more protective benchmark applies.
' Total Toxic Organics sampling is applicable only for those facilities which perform metal finishing operations, manufacture semiconductors, manufacture
electronic crystals, or manufacture cathode ray tubes. For purposes of this permit the definition of Total Toxic Organics is that definition contained in the EPA
Effluent Guidelines for the facility subject to the requirement to sample (for metal finishing use the definition as found in 40 CFR 433.11; for semiconductor
manufacture use the definition as found in 40 CFR 469.12; for electronic crystal manufacture use the definition as found in 40 CFR 469,22; and for cathode ray
tube manufacture use the definition found in 40 CFR 469.31).
Permit Date: 11/l/2018-05/31/2021 SWU-245, last revised 11/1/2018
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."
kc,, Z_J�_ � o�
Name (Print name)
P/-.
Title (Print title)
Signature Date
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?2
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/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 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 li SECTION B,
• TIER 3: HAS YOUR FACILITY HAD 4 OR MORE BENCHMARK EXCEEDENCES FOR THE SAME PARAMETER AT ANYONE OUTFALL? YES © NO
IF YES, HAVE YOU CONTACTED THE DEMLR REGIONAL OFFICE? YES Q NO ❑
REGIONAL OFFICE CONTACT NAME:
Mail an original copy of this DMR,including all "No Discharge" reports within 30 days of receipt of the lab results for at end of monitoring period in the
case of "No Discharge" reports) to:
Division of Water Quality
Attn: DWQ 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."
Signature of Permittee
Permit Date:11/1/2018-05/31/2021
r,149o-
DAe
SWU-245, last revised 11/1/2018
Page 3 of 3

Environmental
Qualify
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onfrllingout rhisform, please visit https://deq.nc.gov/abouVdivisions/ener2v-mineral-land-resources/
npdes-stormwater-gps
Permit No.: N/C/G / 0 / 3 / 0 / 2 / 2 /4 / or Certificate of Coverage No.: N/C/G/ 0 / 3 / 0 / 0 / 0 /0 !
Facility Name: Clarios
County: Forsyth
Inspector: Glenn Price
Date of Inspection: April 20, 2020
Time of Inspection: 1241
Total Event Precipitation (inches): 0.7
Phone No.
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 Permittee or Designee)
1. Outfall Description:
Outfall No. 001 Structure (pipe, ditch, etc.): Pond
Receiving Stream:
Describe the industrial activities that occur Within the outfall drainage area:
Page I of 2
SW17-242. Last modified 06101/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: Light Brown
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): None
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
10 2 3 4 5
S. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
I 02 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:
I 02 3 4 5
7. Is there any foam in the stormwater discharge? O Yes 4ia No.
8.
9.
Is there an oil sheen in the stormwater discharge? 0Yes 0 No.
Is there evidence of erosion or deposition at the outfall? Q Yes Q No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe None
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

RESEARCh & ANA1YTICA[
LAb►ORATORtES, INC.
Analytical/Process Consultations
May 13, 2020
Clarios
PO Box 1667
Kernersville, NC 27285
Attention: Christopher Robillard
Chemical Analysis for Stormwater Sampling identified as Clarios (Outfall 001)
L
Project Number: N1A
Parameter
Quantitation
Limit
m /L
001
m /L
Total Copper
0.005
BQ1,
Hydrocarbon Oil & Grease
5.0
13Ql-
"Total Lead
0.005
0.047
Total Suspended Solids (TSS)
5.0
5.20
Total Zinc
0.01
0.028
Sample Number
81 167-01
Sample Date
04/20/20
Sample Time
1241
Rainfall
0.7 inches
Event Duration
3 hours
Results
at Clarios
of Visual Monitoring of Stormwater Outfall Identified as Outfall
001
11.
Project Number: N\A
NPDES #NCG030224
Stormwater
Discharge
Charteristies
Frequency
Monitoring
Tye
Monitoring
Location
001
Color
Semi -Annual
Visual
Light brown
Odor
Semi -Annual
Visual
?gone
Clarity
Semi -Annual
Visual
Light
Floating Solids
Semi -Annual
Visual
Light
Suspended Solids
Semi -Annual
Visual
Light
Foam
Semi -Annual
Visual
None
Oil Sheen
Semi -Annual
Visual
None
Other obvious
on idicators of
stormwater pollution
Semi -Annual
Visual
r_ I
None
mgft. = milligrams per Liter = parts per million (PPM)
BQL = Below Quantitation Limits
< = less than or Below Quantitation Limit (BQL)

RESEARCIi & ANA[yTICAL
LAbORATOR1E5i INC.
For: Clarios/Johnson Control
P.O. Box 1667
Kernersville, NC 27285
Attn: Christopher Robillard
Report of Analysis
4/29/2020
CH
W NC #34 z: cn
L NC #37701
�..ECt�P'�`5���
1/� D ANC*�111110
Client Sample ID: Outfall 001
Lab Sample ID:
81167-01
Site: Clarios/Johnson Controls
Collection Date:
4/20/2020
12:41
Parameter
Method
Result
Units
Rep Limit Analyst Analysis Date/Time
Copper, Total
EPA 200.7
<0.005
mg/L
0.005
SK
4/28/2020
Hydrocarbon O&G
EPA 1664 Revision B/Silica Gel
<5
mg/L
5
EE
4/24/2020
Lead, Total
EPA 200.7
0,047
mg/L
0.005
SK
4/28/2020
Total Suspended Solids
SM 2450 D-2011
5.20
mg/L
5
AW
4/23/2020
Zinc, Total
EPA 200.7
0.028
mg/L
0,01
SK
412812020
NA = not analyzed
P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: [phone] Fax: [phone] www.randalabs.com Page 1

RESEARC & ANAlyTICAt .�'ANA
LAbORATOR1ESr INC. Nca Z
Analytical/Process Consultations ; p t P
Chemical Analysis for Selected Parameters and Water Sample Identified as Stormwater Sampling
(A Clarios Project, collected 20 April 2020)
I. Pesticides/PCBs
Quantitation
Outfall 001
EPA Method 608.3
Limit
Parameter
(mg/L)
(mrJL)
Aldrin
0.001
BQL
Alpha,BHC
0.001
BQL
Beta,BHC
0.001
BQL
Delta,BHC
0.001
BQL
Gamma,BHC
0.001
BQL
Chlordane
0.010
BQL
4-4'-DDD
0.001
BQL
4-4'-DDE
0.001
BQL
4-4'-DDT
0.001
BQL
Dieldrin
0.001
BQL
Endosulfan 1
0.001
BQL
Endosulfan 11
0.001
BQL
Endosulfan Sulfate
0.001
BQL
Endrin
0.001
BQL
Endrin Aldehyde
0.001
BQL
Heptachlor
0.001
BQL
Heptachlor epoxide
0.001
BQL
Methoxychlor
0.001
BQL
Toxaphene
0.020
BQL
PCB 1016
0.005
BQL
PCB 1221
0.005
BQL
PCB 1232
0.005
BQL
PCB 1242
0.005
BQL
PCB 1254
0.005
BQL
PCB 1260
0.005
BQL
Sample Number
Sample Date
Sample Time
PCB = Polychlorinated Biphenyl
mg/L = mlligrams per Liter = parts per million (ppm)
BQL = Below Quantitation Limits
81167-01
04/20/20
1241

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