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Home My WebLink AboutNCG510462_Regional Office Historical File Pre 2018Ki Water Resources ENVIRONMENTAL QUALITY Mr. Dave Holding 3511 Milford Ct. Concord, NC 28027 Dear Mr. Holding: ROY COOPER Govenior MICHEAL S. REGAN Secretary S. JAY ZIMMERMAN RECEIVEDINCDENR/DWR Director February 28, 2017 MAR -- 8 ? 017 WQROS MOORESVILLE REGIONAL OFFICE Subject: Certificate of Coverage (CoC) NCG510462 NPDES General Permit NCG510000 Ownership change modification Johnny's Sav-A-Sum Cabarrus County The Division received your request to transfer ownership of the subject CoC. We do not object to your request. Therefore, we are forwarding herewith an updated version of NCG510462. This CoC is issued pursuant to the requirements of North Carolina General Statue 143-215 .1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 (or as subsequently amended). If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, the certificate of coverage shall be final and binding. Please note that this CoC is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the CoC. This permit does not affect the legal requirements to obtain other permits which may be required by any other Federal, State, or Local government regulation. If you have any questions about this action, please contact Emily Phillips of the NPDES program at telephone number (919) 807-6479 or via e-mail [sarah.phillips@ncdenr.gov]. c rely, c for S. Jay Zimmerman, Director Division of Water Resources cc: NPDES General Permit Files o1I or' resuillileReaioalffice State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, NC 27699-1617 919 807 6391 919-807-6389 FAX https:lldeq.ne. govlabout/divisionslwater-resourceslwater-resources-permits/wastewater-branchlnpdes-wastewater-permits STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES CERTIFICATE OF COVERAGE NCG510462 GENERAL PERMIT NCG510000 TO DISCHARGE PETROLEUM -CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Techno, LLC for Holding Brothers, Inc. is hereby authorized to discharge from an existing groundwater remediation system located at Johnny's Save -a -Sum 3970 Hwy 601 S Concord Cabarrus County to receiving waters designated as an unnamed tributary to Irish Buffalo Creek [stream segment 13-17-9-(2)], currently classified a C stream within subbasin 03-07-12 of the Yadkin Pee -Dee River Basin, in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I,11, III, and IV of General Permit NCG510000, as attached. This certificate of coverage shall become effective February 28, 2017. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day February 28, 2017. S. Jay Zimmerman, P.G. Director, Division of Water Resources By Authority of the Environmental Management Commission EO t:a Environmental Quality Mr. David Holding, Owner Holding Brothers, Inc. 3511 Milford Court Concord, NC 28027 Dear Mr. Holding: ROY COOPER Governor WILLIAM G. ROSS, JR. Acting Secretary January 17, 2017 Subject: Compliance Evaluation Report Former Johnny's Save -A -Sum Ground Water Remediation NPDES Permit NGC510462 Cabarrus County On January 12, 2017, Edward Watson of the of the Mooresville Regional Office (MRO) completed a site inspection of the remediation system at the Former Johnny's Save -A -Sum facility located at 3970 Hwy 601 S. Concord, NC 28025. Enclosed is a copy of the inspection report. The system is online and performing at levels consistent with the active permit for this facility. Please submit a copy of the recent waste manifest for the spent activated carbon units along with recent groundwater analytical data. The continued monitoring of this facility is recommended. There are continued concerns regarding securing site access to the public. Permit requirements state that the treatment system which includes the recovery wells are to be properly protected. Truck. traffic through the property has caused damage to the recovery and monitoring wells. As. a response to this report, please provide a plan to prevent truck traffic from using the site as a cut through to Flowes Store Road. If you have any questions our concerns regarding this inspection report, please feel free to contact Edward Watson at Edward.watson@ncdenr.g6v, or 704- 235-2198. Edward Watson �C dt9 ro eolo ist Y g g Water Quality Regional Operation Section Division of Water Resources Mooresville Regional Office Attachment: Compliance Inspection Report Cc: Cabarrus County Public Health MRO Files -.`"l'Nothing Compares'-- . —_ State of North Carolina I Environmental Quality 1611 Mail Service Center I Raleigh, North Carolina 27699-1611 919-707-9000 United States Environmental Protection Agency Form Approved. EPA Washington, D.C.20460 OMB No. 2040-0057 -~ e- Water Compliance Inspection Report Approval expires8-31-98 SectionA: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN I 2 IS I 3 I NCG510462 I11 12 17/01/12 17 18ISj 19 I S I 20I I 21111111 11111111111 I II 1111 1 111111 11111-111111 f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 6711.0 70 I, I. 71 U 72 I N I 73I I J74 751 III I I U80 LJ LJ I I Section 6: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit'Effective Date POTW name and NPDES permit Number) 10:OOAM 17/01/12 16/11/03 Johnny's Sav-A-Sum Exit Time/Date Permit Expiration Date 3970 Hwy 601 S Concord NC 28025 11:34AM 17/01/12 20/09/30 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Holding,3511 Milford Ct Concord NC 280278115//704-786-4127/7047889171 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Sludge Handling Disposal Pollution Prevention Facility Site Review Compliance Schedules Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Edward Watson MRO GW/// 7 Signature of Management A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3660-3 (Rev 9-94) Previous editions are obsolete. 1 Page# F NPDES yr/mo/day Inspection Type (Cont.) 1 31 NCG510462 __;,;r,,,,. 111 12 17/01/12 17 18 ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Staff from the DWR and DWM from the MRO met with James Gamertsfelder and ORC Jeff Nichols from Sheil.d Engineering to review the permitted Pump and Treat system for the Former Johnny's Save -A -Sum groundwater remediation system. The system appeared to be in good operating condition. The flow meter was changed in mid -June of 2016 and is in compliance with the permit. Additionally, the filter socks had been changed from 25ug particulate flow size to 50ug to help avoid clogging of the filter bags. The air stripper was cleaned out in June of last year and the system efficiency seems to have improved as lab reports displays a reduction of BTEX and MTBE in the effluent samples. Recent effluent samples have been collected and the sampling results will be submited to DWR upon receipt from the lab. The system carbon vessels were recently changed and the DWR has requested- a copy of the waste manifest to be submitted via email. A 55 gallon drum was present in the area of the oil and water separator during the previous inspection. This barrel has been removed. Page# 2 Permit: NCG510462 Owner -Facility: Johnny's Sav-A-Sum Inspection Date: 01/12/2017 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ ❑ application? Is the facility as described in the permit? ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ ❑ ❑ Is access to the plant site restricted to the general public? ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: Access to this site needs to be restricted. This site has a history of damage to the treatment unit and the onsite monitoring and recovery wells due to ease of access by tractor traitors using the site as a pass through. Discussion regardinq the installation of ballards at the drivewav enterances that could be spaced far enough apart so a semi trucks would not be able to pass through. There is also evidence that personel vechicals are also using this site as a pass through as evidence by the tire marks present turning onto the site from Hwv 601 Dassina around the temporary barricade curently in place. It was emphasized that protection of the onsite wells and system were part of the NPDES permit. It was also mentioned that if wells needed to be replaced or repaired as a result of this traffic it would be done at a cost to the RP. Operations & Maintenance Is the plant generally clean with acceptable housekeeping? Does the facility analyze process control parameters, for ex: -MLSS, MCRT, Settleable Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: All anayiysis is performed by an. offsite certified laboratory. Compliance Schedules Is there a compliance schedule for this facility? Is the facility compliant with the permit and conditions for the review period? Comment: During this inspection the permitted system was in compliance. Record Keeping. Are records kept arid 'maintained as required by the permit? Is all required information readily available, complete and current? Are all. records maintained for. 3 years. (lab. reg. required 5 years)? Are analytical results consistent with data reported on DMRs? Is the chain -of -custody complete? Yes No NA NE ❑ ❑ ❑ ❑ ■ ❑ ❑ Yes No NA NE ❑ ❑ ❑ ■ ❑ ❑ ❑ Yes No NA NE ■ ❑ ❑ ❑ Page# :. .. 21.: . . Permit: NCG510462 Owner - Facility: Johnny's Sav-A-Sum Inspection Date: 01/12/2017 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis Name of person performing analyses Transported COCs Are.DMRs complete: do they include all permit parameters? ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ E ❑ ❑ (if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator 0 ❑ ❑ ❑ on each shift? Is the ORC visitation log available and current? E ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? N ❑ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? E ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? N ❑ ❑ ❑ Comment: The ORC logs were present and able to be reviewed at the time of insDection. Mention was made to mark ice as a preservative on the Chain of Custody as ice is considered to be a means of preservation. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? E ❑ ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? S ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? N ❑ ❑ ❑ Comment: The effluent discharge was able to be viewed. No, odor, color, or solids were present in the effluent discharge. Flow Measurement : Influent # Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units. are.'separated) Does the chart recorder match the flow meter? Comment: The flow meter was replaced in June 2016. Laboratory Are field parameters performed by certified personnel, or laboratory? Yes No NA NE ❑ ❑ ❑ ■ ❑ Il D ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes No NA NE Page# 4 Permit: NCG510462 Owner - Facility: Johnny's Sav-A-Sum Inspection Date: 01/12/2017 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE Are all other parameters(excluding field parameters) performed by a certified lab? ■ ❑ ❑ ❑ # Is the facility using a contract lab? ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? 0 ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? M ❑ ❑ ❑ Comment: Laboratory data was presented during the site inspection. Recent samples have been collected and the lab results will be emailed to MRO upon receipt of data. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? M ❑ ❑ ❑ Is sample collected below all treatment units? M ❑ ❑ ❑ Is proper volume collected? N ❑ ❑ ❑ Is the tubing clean? ❑ ❑ M ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type N ❑ ❑ ❑ representative)? Comment: Based on laboratory data, samples seem to be being properly collected. Page# 5 Environmental Quality Mr. David Holding, Owner Holding Brothers, Inc. 3511 Milford Court Concord, NC 28027 Dear Mr. Holding: ROY COOPER Governor WILLIAM G. ROSS, JR. Acting Secretary January 17, 2017 Subject: Compliance Evaluation Report Former Johnny's Save -A -Sum Ground Water Remediation NPDES Permit NGC510462 Cabarrus County On January 12, 20.17, Edward Watson of the of the Mooresville Regional Office (MRO) completed a site inspection of the remediation-system at the Former Johnny's Save -A -Sum facility located at 3970 Hwy 601 S. Concord, NC 28025. Enclosed is a copy of the inspection report. The system is online and performing at levels consistent with the active permit for this facility. Please submit acopy of the recent waste manifest for the spent activated carbon units along with recent groundwater analytical data. The continued monitoring of this facility is recommended. There are continued concerns regarding securing site access to the public. Permit requirements state that the treatment system which includes the recovery wells are to be properly protected. Truck traffic through the property has caused damage to the recovery and monitoring wells. As. a response to. this report, please provide a plan to prevent truck traffic from using the site as a cut through to Flowes Store Road. If you have any questions our concerns regarding this inspection report, please feel free to contact Edward Watson at Edward.watson@ncdenr.gov, or 704- 235-2198. Edward Watson ��aa I�ydrogeologist Water Quality Regional Operation Section Division of Water Resources Mooresville Regional Office Attachment: Compliance Inspection Report Cc: Cabarrus County Public Health MRO Files p_-..-'Not.hing Compares'-' _ -- State of North Carolina I Environmental Quality 1611 Mail Service Center I Raleigh,.North Carolina 27699-1611 919-707-9000 - United States Environmental Protection Agency Form Approved. EPA Washington, D.C.20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES ydmo/day Inspection Type Inspector Fac Type 1. U 2 15 1 3 I NCG510462 111 121 17/01 /12 I17 181-1 19 I S I 20 L I UJ 21IIIII1 IIIII111111.111IIII I IIIIII IIIIII1_IIII i66 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -----Reserved------ 67 1.0 70 71 itI 72 LNJ 73174 751 I I I I I '80 LI Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 10:OOAM 17/01/12 16/11/03 Johnny's Sav-A-Sum 3970 Hwy 601 S • Exit Time/Date Permit Expiration Date Concord NC 28025 11:34AM 17/01/12 20/09/30 Name(s) of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible OfficiaVTifle/Phone and Fax Number Contacted David Holding,3511 Milford Ct Concord NC 28.0278115/l704-786-4127/7047889171 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Sludge Handling Disposal Pollution Prevention Facility Site Review Compliance Schedules Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Edward Watson MRO GWU/ Signature of Management A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. 1 Page# NPDES yr/mo/day Inspection Type (Cont.) 1 _ __, _.3I NCG510462 I11 12 17/01/12 17 18 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Staff from the DWR and DWM from the MRO met with James Gamertsfelder and ORC Jeff Nichols from Sheild Engineering to review the permitted Pump and Treat system for the Former Johnny's Save -A -Sum groundwater remediation system. The system appeared to be in good operating condition. The flow meter was changed in mid -June of 2016 and is in compliance with the permit. Additionally, the filter'socks had been changed from 25ug particulate flow size to 50ug to help avoid clogging of the filter bags. The air stripper was cleaned out in June of last year and the system efficiency seems to have improved as lab reports displays a reduction of BTEX and MTBE in the effluent samples. Recent effluent samples have been collected and the sampling results will be submited to DWR upon receipt from the lab. The system carbon vessels were recently changed and the DWR has requested a copy of the waste manifest to be submitted via email. A 55 gallon drum was present in the area of the oil and water separator during the previous inspection. This barrel has been removed. Page# Permit: NCG510462 Owner - Facility: Johnny's Sav-A-Sum Inspection Date: 01/12/2017 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ N ❑ application? Is the facility as described in the permit? 0 ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ M ❑ ❑ Is access to the plant site restricted to the general public? ❑ E ❑ ❑ Is the inspector granted access to all areas for inspection? N ❑ ❑ ❑ Comment: Access to this site needs to be restricted. This site has a history of damage to the .treatment unit and the onsite monitoring and recovery wells due to ease of access by tractor trailors using the site as a pass through. Discussion regarding the installation of ballards at the drivewav enterances that could be spaced far enough apart so a semi trucks would not be able to pass through. There is also evidence that personel vechicals are also using this site as a pass through as evidence by the tire marks present turning onto the site from Hwv 601 Dassina around the temporary barricade curently in place. It was emphasized that protection of the onsite wells and system were.part of the NPDES permit. It was also mentioned that if wells needed to be replaced or repaired as a result of this traffic it would be done at a cost to the RP. Operations & Maintenance Is the plant generally clean with acceptable housekeeping? Does the facility analyze process control parameters, for ex: _MLSS, MCRT, Settleable Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: All anaylysis is performed by an offsite certified laboratory. Compliance Schedules Is there a compliance schedule for this facility? Is the facility compliant with the permit and conditions for the review period? Comment: Durinq this inspection the permitted system.was in compliance. Record Keeping Are records kept and maintained as required by the permit? Is all required information readily available, complete and current? Are all records maintained for.3 years. (lab. reg. required 5 years)?. - .. Are analytical results consistent with data reported on DMRs? Is the chain -of -custody complete? Yes No NA NE ❑ ❑ ❑ ❑ M ❑ ❑ Yes No NA NE ❑ ❑ ❑ E ■ ❑ ❑ ❑ Ll Yes No NA NE -� ❑ ❑ E i ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ Page# Permit NCG510462 Owner - Facility: Johnny's Sav-A-Sum Inspection Date: 01/1212017 Inspection Type: Compliance Evaluation k.mmu. Record Keeping Yes No NA NE Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis I Name of person performing analyses Transported COCs Are.DMRs complete: do they include all permit parameters? ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ N ❑ ❑ (If the facility is = or> 5 MGD permitted flow) Do they operate 24/7 with a certified operator 0 ❑ ❑ ❑ on each shift? Is the ORC visitation log available and current? i E ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? 0 ❑ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? N ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? 0 ❑ ❑ ❑ Comment: The ORC loos were Dresent and able to be reviewed at the time of inspection. Mention was made to mark ice as a preservative on the Chain of Custody as ice is considered to be a means of preservation. Effluent Pipe Yes No NA NE. Is right of way to the outfall properly maintained? E ❑ I ❑ ❑ Are the receiving water free of foam other than trace amounts and other debris? I 0 ❑ ❑ ❑ If effluent (diffuser pipes are required) are they operating properly? 0 ❑ ❑ ❑ Comment: The effluent discharge was able to be viewed. No, odor, color, or solids were present in the effluent discharge. Flow Measurement : Influent #-Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units.are separated) Does the chart recorder match the flow meter? Comment: The flow meter was replaced in June 2016. Laboratory Are field parameters performed by certified personnel or laboratory? I Yes No NA NE ❑ ❑ ❑ ❑ ❑. • ❑ ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes No NA NE ' ❑ ❑ ❑ Page# 4 Permit: NCG510462 Owner - Facility: Johnny's Sav-A-Sum Inspection Date: 01/12/2017 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE Are all other parameters(excluding field parameters) performed by a certified lab? M ❑ ❑ ❑ # Is the facility using a contract lab? M ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? M ❑ ❑ ❑ Comment: Laboratory data was presented during the site inspection. Recent samples have been collected and the lab results will be emailed to MRO upon receipt of data. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? M ❑ ❑ ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Is proper volume collected? 0 ❑ ❑ ❑ Is the tubing clean? ❑ ❑ M ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type ❑ ❑ ❑ representative)? Comment: Based on laboratory data, samples seem to be being properly collected. Page# 5 w Ig Water Resources ENVIRONMENTAL QUALITY Mr. David Holding Holding Brothers, Inc. 3511 Milford Ct Concord, NC 28027 Dear Permittee: PAT MCCRORY iiov'.17101' DONALD R. VAN DER VAART .Se(I *I1'1' S. JAY ZIMMERMAN RECEIVED/NCDEKip/ 3)p,1p NOV 8 2016 November 3, 2016 WQROS MOORESIPUE REGIONAL O;=RCE Subject: General Permit NCG510000 Certificate of Coverage NCG510462 Johnny's Sav-A-Sum Cabarrus County The Division received your request to renew Certificate of Coverage (CoC) NCG510462 on October 24, 2016. This CoC renewal is issued pursuant to the requirements of North Carolina General Statute 143- 215.1 and the Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007. A copy of General Permit NCG510000 is enclosed. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this CoC shall be final and binding. The CoC is not transferable except after notice to the Division. You must notify the Division if you sell or otherwise transfer ownership of the permitted facility. The Division may require modification or reissuance of the CoC. If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional Office listed below. Once discharge from your facility has ceased, this permit may be rescinded. This permit does not affect the legal requirements to obtain any other permit required by Federal, State, or Local government. If you have any questions concerning this permit, please contact Charles Weaver at the telephone number listed below, or via email [charles.weaver@ncdenr.gov]. ince ely, oT S. Jay Zimmerman, P.G. Director, Division of Water Resources cc: lh:ooxe,�rlle [IegV"�cp _ NPDES file State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, NC 27699-1617 919 807 6391 919-807-6389 FAX https://deq. n c. gov/aboutldivisi onslwater-resources/water-resources-permits/wastewater-brancbinpdes-wastewater-permits STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY DIVISION OF WATER RESOURCES GENERAL PERMIT NCG510000 CERTIFICATE OF COVERAGE NCG510462 TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Holding Brothers, Inc. is hereby authorized to operate a groundwater remediation system for petroleum -contaminated groundwater or similar waste streams that will discharge treated wastewater from the Johnny's Sav A -Sum 3970 Hwy 601 S Concord Cabarrus County to receiving waters designated as an unnamed tributary to Irish Buffalo Creek, a class C stream in subbasin 03-07-12 of the Yadkin -Pee Dee River Basin. All discharges shall be in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit NCG510000 as attached. This certificate of coverage shall become effective November 3, 2016. This Certificate of Coverage shall remain effective for the duration of the General Permit. Signed this day, November 3, 2016 for S. y Zimmerman, P.G. _ Director, Division of Water Resources By Authority of the Environmental Management Commission AVia NCDENF North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary NOTICE OF RENEWAL INTENT [Required by 15A NCAC 02H .0127(d)1; [term definition see 15A NCAC 02H .0103(19)] Application for renewal of existing coverage under General Permit NCG510000 Existing Certificate of Coverage (CoQ: NCG510462 (Please print or type) 1) Mailing address of site Owner: (address to which all correspondence should be mailed) Company Name Techno, LLC for Holding Brothers, Inc. Company Contact Mr. Dave Holding Street Address 3511 Milford Court City Telephone # Email Address Concord 704-786-4127 dholding@ctc.net 2) Location of remediation site producing discharge: Facility Name Johnny's Sav-A-Sum State NC ZIP 28027 Fax # 704-788-9171 Facility Contact Mr. Jeff Harris - property owner - property is currently vacant Street Address 3970 Highway 601. South City Concord State NC ZIP 28025 County Cabarrus Telephone # 704-892-4462 Fax# N/A 3) System operator / Consultant ID: (if d fferent from Owner) Company Name Shield Engineering, Inc. Company Contact Mr. David Stoner, P.G., P.E. Street Address. 4301 Taggart Creek Road City Charlotte State:NC Zip 28208 County Mecklenburg Telephone # 704-394-6913 Fax # 704-394-6968 Email Address dstoner@shieldengineering.com Page 1 of 2 Revised 911113 NCG510000 Renewal Application 4) Site ranking & ID: GW incident # 15622 Site Ranking (ifavailable) H240D Date of most recent discharge Currently discharging Additional Application Requirements: The following information must be included in duplicate [original + 1 copy] with this application or it will be returned as incomplete. ➢ Site map: Clearly showing the path of the remediation system effluent from the site to its discharge point ➢ Authorization for representatives. If this application will be submitted by a consulting engineer (or engineering firm), include documentation from the Permittee showing that the consultant submitting the application has been designated an Authorized Representative of the applicant. CERTIFICATION I certify that I am familiar with the information contained in this application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed Name of Person Signing: Dave Holdi Title: Manag (Siga'ahl-re of,4ppheoht) North Carolina General Statute 143-215.6 b (i) provides that: — 7-,V (Date Signed) Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan or other document filed or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.) This Notice of Renewal Intent does NOT require a separate fee. The permitted facility already pays an annual fee for coverage under NCG510000 Mail this application and one copy of the entire package to: NC DENR / DWR / Water Quality Permitting Section 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Attn: Charles Weaver Page 2 of 2 Revised 911113 2 October 14, 2016 Subject: Letter of Authorization NPDES Permit Renewals Fisher Auto — CoC #NCG510340 Johnny's Sav-A-Sum — CoC #NCG510462 To Whom It May Concern: This is to acknowledge that Shield Engineering, Inc. is the authorized representative / agent to Techno, LLC for the purpose of submitting NPDES Permit renewal applications and related information and materials to the North Carolina Department of Environmental Quality on behalf of Techno, LLC (responsible party and generator). Sincerely, r David Holding Manager Techno, LLC cc: Shield Engineering, Inc. &7iA North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Mr. David Holding Holding Brothers, Inc. 3511 Milford Court Concord, North Carolina 28027 Dear Mr. Holding: Charles Wakild, P. E. Director October 22, 2012 FIL" 3 91/ Subject: Notice of Deficiency Tracking Number NOD-2012-PC-0226 Wracking Number NOD-2012-PC-0227 Compliance Evaluation Inspection COC Number NCG510340 Rowan County, NC COC Number NCG510462 .@abarrus County - Dee Freeman Secretary Enclosed is a copy of the Compliance Evaluation Inspection (CEI) report for the inspections conducted at the subject facility on August 31, 2012, by Ms. Barbara Sifford of this Office. The Fisher Auto site drains to a stormwater. catch basin that flows into Dutch Buffalo Creek, which is in the Yadkin Pee Dee River Basin. The Johnny's Sav-A-Sum site drains to Rocky River in the Yadkin Pee Dee River Basin. The site visit and file review revealed that the subject facilities are covered by NPDES General Permit NCG510000. Mr. Jeff Nichols was the field representative fo_•"shield Engineering that assisted during the inspections, Ms. Flo;':.; D'Souza provided the information for compliance evaluation of the discharge from the ground water treatment system. The enclosed report should be self-explanatory. Fisher Auto has improved since the last inspection in operation and maintenance. Currently, the monitoring as required in the NCG510000 permit is not being performed according to the schedule listed in Part 1. A. (3), therefore, these inspection reports are being issued as a Notice of Deficiency (NOD). 16617 Mail Service Center: Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64921 Customer Service:1-877-623-6748 Internet: www.ncwaterguality.org An Equal Opportunity! Affirmative Action Employer One N orthCarolina Na%rallil Page 2 Holding Brothers, Inc. October 2012 These two permits were issued to Holding Brothers, Inc. in October 2011, and they expire in September 2016. Continuing violations of this permit could result in enforcement actions pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000) per violation, per day, may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G. S. 143-215.1. It is requested that a written response be submitted to this Office by November 22, 2012 addressing the above noted violations in the attached reports. In responding to the violations, please address your response to the attention of Ms. Sifford. The report should be self- explanatory; however, should you have any questions concerning the report, please do not hesitate to contact Ms. Sifford at (704) 235-2196. Sincerely, Michael L. Parker Acting Regional Office Supervisor Surface Water Protection Section Mooresville Regional Office Enclosure — CEI Report cc: MRO — NCG51 —Rowan and Cabarrus County Shield Engineering, Inc. Charlotte, NC Ron Taraban Supervisor MRO UST Section Charles Weaver Central Files - Raleigh 11 United States Environmental Protection Agency Form Approved. . Washington, D.C. 20460 P/ OMB No. 2040-0057 1 — _ — Approval expires 8-31-98- Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 INI 2 15I 31 NCG510340 111 121 12/08/31 117 18I C I 19I S I 201 I Remarks 21I1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA — - -- -- -----Reserved--------------- 671 169 70151 711 I 721 N I 73 W 74 751 I I I I I I 180 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 09:00 AM 12/08/31 11/10/13 Fisher Auto remediation site Exit Time/Date Permit Expiration Date NC Hwy 152 At Old Concord Rd Salisbury NC 28146 10:00 AM 12/08/31 16/09/30 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Holding,3511 Milford Ct Concord NC 280278115//704-786-4127/7047889171 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit 1, 0 Flow Measurement ® Operations & Maintenance ® Records/Reports Self -Monitoring Program 0 Facility Site Review Effluent/Receiving Waters Laboratory Storm Water Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date r Barbara Sifford MRO WQ//704-663-1699 Ext.2196/ rt �� • Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day 3 - - -- I NCG510340 z I I 12%OS%31 Inspection Type 1 y 18I CI. Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page # 2 Permit: NCG510340 Owner - Facility: Fisher Auto remediation site S"ae4i�£t i,`l3o~siatE: 08/31/2012 — Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge E) ❑ ■ D Judge, and other that are applicable? Comment: ^---OL Y N NA NE (If the present permit expires in 6 monthsor less). Has the permittee submitted a new application? Is the facility as described in the permit? # Are there any special conditions for the permit? Is access to the plant site restricted to the general public? Is the inspector granted access to all areas for inspection? Comment: Pump Station - Effluent Is the pump wet well free of bypass lines or structures? Are all pumps present? Are all pumps operable? Are float controls operable? Is SCADA telemetry available and operational? Is audible and visual alarm available and operational? Comment: Effluent Sampling Is composite sampling flow proportional? Is sample collected below all treatment units? Is proper volume collected? Is the tubing clean? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Is the facility sampling .performed as required by the permit (frequency, sampling type representative)? Comment: Sampling is listed as three times a year not quarterly as stated in the permit. Not all parameters that are listed in the discharge are performed and reported. pH, TSS, and others. Those listed are compliant. es o DD■D ■ n n n n■nn ■ n n n ■ n n n -- -- --- J--- nn■D nn®n DOME) E)n■D nn■D ❑❑■n Page # 3 United States Environmental Protection Agency Form Approved. Washington, D.C. 20460 OMB No. 2040-0057 - _ Approval expires ts--31-y8 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 INI 2 151 31 NCG510462 1 11 121 12/08/31 117 181 C 1 191 S I 20 I I Remarks 211 1 1 111 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 16 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -----------Reserved--------------- 671 1 69 70151 711 1 721 NJ 73 LLJ 74 751 1 1 1 1 1 Li 80 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) Johnny's Sav-A-Sum 10:30 AM 12/08/31 11/10/13 Exit Time/Date Permit Expiration Date 3970 Hwy 601 S Concord NC 28025 11:00 AM 12/08/31 16/09/30 Name(s) of Onsite Representative(s)fTitles(s)/Phone add Fax Number(s) Other Facility Data Name, Address of Responsible Official/Title/Phone and Fax Number Contacted David Holding,3511 Milford Ct Concord NC 280278115//704-786-4127/7047889171 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement ® Operations & Maintenance ® Records/Reports Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) b Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Barbara Sifford MRO WQ//704-663-1699 Ext.2196/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 1 I NCG510462 1 12/08/31 � � Lj Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Page # 2 Permit: NCG510462 .Owner - Facility: Johnny's Sav-A-Sum =,.Inspection Type: 6saaplianc: Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? n n ■ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n ❑ ■ n Judge, and other that are applicable? Comment: o,,. U. (If the present permit expires in 6 months or less). Has the permittee submitted a new application? Is the facility as described in the permit? # Are there any special conditions for the permit? Is access to the plant site restricted to the general public? Is the inspector granted access to all areas for inspection? Comment: The facility is a utility building in the vacant lot on the corner of Hwy 601 and Flowes Store Road Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Comment: overgrown with vegetation Flow Measurement - # Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units are separated) Does the chart recorder match the flow meter? Comment: Laboratory Are field parameters performed by certified personnel or laboratory? Are all other parameters(excluding field parameters) performed by a certified lab? # Is the facility using a contract lab? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? n ■ n n n n n ■ nn■n Yes No NA NE n n n n ■nnn ■nnn n n n n nnnn nnnn Page # 3 Permit: NCG510462 -- Inspection [:ate:- _'.!`..�,;'= Laboratory Owner - Facility: Johnny's Sav-A-Sum Insper ; -i Type: Comniiance Eve'- i" ,n V— Pln PIA Mr - Comment: The effluent is to be sampled quarterly for the parameters listed in NCG510000. Permit was renewed in October. 2011 and all parameters are to be reported for the first eight sampling events before a reduction can be allowed. Page # 4 LLT MCCRORY 3� Governor• DONALD R. VAN DER VAART. Secretary Water Resources eNviRONMENTAL QUALITY S. JAY Z,IMMERMAN June 29, 2016 Director Mr. David Holding, Owner Holding Brothers, Inc. 3511 Milford Court Concord, NC 28027. Subject: Notice of.Violation Follow-up Visit Tracking Number NOV-2016-PC-0086 Johnny's'Save-A-Sum Ground Water Remediation NPDES Permit NCG510462 Cabarrus County Dear Mr. -Holding: On June 21, 2016, Edward Watson and Ori Tuvia performed a follow-up inspection for the NOV that was issued on March 18, 2016. During the visit the following items were reviewed. 1. System operations. During the site visit the system was operational and we were able to test the.recovery wells for flow. 2. Effluent flow measurements. With.the installation of the'new flow meter effluent flow.is now able to be measured. 3. Flow meter calibration records A new calibrated flow meter has been installed. 4. System effluent sampling records. Laboratory sample analysis data was provided by the. project manager to indicate system operations and effectiveness. 5. Monitoring and recovery well conditions. There are still issues with the condition of the recovery wells and at least two of the on -site monitoring wells. The permit states the system. is to be maintained and protected from damage. The recovery wells are considered to.be a part of"the permitted groundwater remediation system. All wells are subject to the maintenance requirements of 2C .0112. As such, the wells must be properly maintained and it continues to be the recommendation of the State of North Carolina Environmental Quality I Water Resources 1611 Mail service Center I Raleigh, North Carolina 27699-1611 919107 9000 Division of Water Resources (DWR), Mooresville Office (MRO) that access to the site be restricted as truck traffic through the site has compromised the recovery wells and at least two . of the monitoring wells. (please see attached Photos). Your contractor has been advised that any system shut -down is be communicated to the DWR at MRO. Please respond to this letter by July 15, 2015, by providing a time -line for when wells will be brought into compliance. If you have any questions regarding this report, please feel free to contact me at 704-235-1699 or edward.watson@ncdenr.gov. Best Regards, , I la'l '�� - E ward Watson, Hydrogeologist Water Quality Regional Operations Section Division of Water Resources Mooresville Regional Office Attachment: Photos Cc: Flora De Souza @ Shield Engineering (Via Email) Brett Morris DWM, UST Section (Via Email) {J�3Y � t _ r s r i �t DO RW-4 gallery box walls are bowed from excessive truck weight and the gallery box is filled with mud. S st �' A u,LiH j t is '._ / ♦ d a SL y , ,{ : 1, t ' F �; . r +„S, . � i r * f • . � , 7 ti ..,,1 ! .t �- a 7{-'- `lam' �' .: � S wt :+ .J 9" .,..� i -♦ Jam. �'r t {M �` °d' : � rl x i 'N'Fw �• e. 4 " `c 4�-: r i .. - � ^ d � �'�g 'fi 3: K' j e PW Itw Y R# - r `.�� t l.:-i'-"-'mot'`_ ,• i •�. �' ter.;°`'$„ J � ter. `, t -#�' iy !' L• Ja,P3 s �+� : 4 { � rs fit• n r rn PAT MCCRORY Governor D NL' . ` AN DER VAART Secretary S. JAY ZIMMERMAN Director NVIRONMENTAL QUALITY March 18, 2016 CERTIFIED MAIL # 7015 0640 0002 9299 3779 RETURN RECEIPT REQUESTED Mr. David Holding, Owner Holding Brothers, Inc. 3511 Milford Court Concord, NC 28027 Subject: Notice of Violation Tracking Number NOV-2016-PC-0086 Johnny's Sav-A-Sum Ground Water Remediation NPDES Permit NCG510462 Cabarrus County Dear Mr. Holding: - Please find enclosed the Compliance Evaluation Inspection for the site visit conducted on March 10, 2016 by Ori Tuvia and Edward. Watson of the Mooresville Regional Office. Jeff Nicholson's cooperation during the site visit was much appreciated. The following observations were documented during the inspection: - No sampling events of the treatment unit effluent since 12/13/2012. Permit requires quarterly sampling. - No effluent flow measurement done since 12/13/2012. Permit requires monthly monitoring. - No records of flow meter being calibrated. - Treatment system is in poor condition. Treatment unit needs to be maintained more frequently. Due to insufficient maintenance the. system has not been operating properly. - Monitoring and recovery wells were in poor condition. Wells were covered in mud and there is evidence they have been damaged due to heavy truck weight driving through the site. Permit requires the wells to be well maintained. Please be advised that staff of this office will conduct a follow-up inspection ninety (90) days from notification of your receipt of this correspondence. In the future, if the system is not going to be in operation for a prolonged period of time, please inform the Mooresville Regional Office as too why, and for how long, the system is going to be down.. Mooresville Regional Office Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 oi,,.�o• nnm a�_aaoa � rn..• rTnn� aa�_annn � r+..�+..:..o. esaa:.e• � _sz��_a��_a�nsz You are requested to provide the following information, no later than ninety (90) days from your receipt of this correspondence, relative to the. inspection conducted on March 10, 2016: - Sampling results and flow measurement from the effluent of the treatment unit. - An invoice showing that the flow meter has been calibrated in the past year. - A plan showing how the site is going to be better maintained, including protecting the wells on site from truck traffic. A plan showing how the facility will be maintained more regularly, insuring the treatment unit will be operational. If you have any questions, please contact Ori Tuvia at (704) 663-1699, or via email at ori.tuvia@ncdenr.gov. Sincerely, W. Corey Basinger Regional Supervisor Mooresville Regional Office Division of Water Resources Cc: Flora D'Souza, environmental consultant (4301 Taggart Creek Rd, Charlotte, NC 28208) NPDES unit MRO Files United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN i 2 15 I 3 I NCG510462 111 12.1 16/03/10 17 18 I � l 19. j c I 20I 211,III 11 I I I III 11I I.I.I LI I I I I 1 1 I I I I I I I I I II I 11 1 1f.6. Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved 6711.0 70 i, i 71 irJ i 72 i LJ N i 73 L_J_j74 75 LJ .lData 80 Section B: Facility Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 09:30AM 16/03/10 11/10/13. Johnny's Sav-A-Sum 3970 Hwy 601 S Exit Time/Date Permit Expiration Date Concord NC 28025 10:45AM 161Q3/10. 16/09/30 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data /// Jeffrey Allen Nicholson/// Name, Address of Responsible OfficiaVTitle/Phone and Fax Number Contacted David Holding,3511 Milford Ct Concord NC 280278115//704-786-4127/7047889171 No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Sludge Handling Disposal Facility Site Review EffluenUReceiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Edward Watson MRO GW/// Od A Tuvia MRO WQtf704-663-1699/ B Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date W. Corey Basinger MRO WQ//704-235-2194/ EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Pages 1 NPDES yr/mo/day Inspection Type (Cont.) 1 31 NCG510462 I1.1 12I 16/03/10 117 18 I �. Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Notes by Ed Watson: The subject site was in poor condition as the result of truck traffic that uses the site as a pass -through. This was evident by the presence of truck tire ruts and by damage incurred by the site monitor wells being damaged. Recovery well # 4 was reviewed during the site visit and there was evidence of the well gallery box collapsing due to heavy truck weight: Many of the site monitoring and recovery well have become covered by mud and many of these wells are not able to be secured to do damage. -The permit indicates the wells are to be maintained. However, this does not appear to be happening.Overall the site is in poor condition. The oil and water separator has a 55 gallon drum in place to capture free product. However, the drum has holes in the bottom at the base and is not capable of retaining liquid. The system oil and water separator is not being used for its designed purpose. Rather it is being utilized as a sediment settling tank. Water from the Oil and Water Separator is transferred to a 275 gallon holding tank. Water in the holding tank is transfer by way of a transfer pump to a 50 micron filter bag to collect suspended fines. After the filter sock, water enters the Air -stripper. The water leaving the air -stripper is sent to a pair of in -line GAC cylinders and finally, trough another filter sock before being discharged to an unnamed tributary of the Irish Buffalo Creek, a class C stream that eventually -enters the Yadkin -Pee Dee basin. The system outfall was observed and not foam, odor or solids were viewed in'the outfall water. Sampling can be conducted from Influent and effluent are in place for the treatment system. Page# Permit: NCG510462 Owner -Facility: Johnny's Sav-A-Sum Inspection Date: 03/10/2016 Inspection Type: Compliance Evaluation Permit Yes No NA NE (If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 ❑ ❑ application? Is the facility as described in the permit?M ❑: ❑ ❑ # Are there any special conditions for the permit? ❑ M ❑ ❑ Is access to the plant site restricted to the general public? ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? 0 ❑ ❑ ❑ Comment: Permit will expire on 9/2616. The treatment unit is in a utility buildind in the vacant lot on the corner of Hwy 601 and Flowes Store Road. The subeect site was in poor condition as the result of truck traffic that uses the site as a pass -through. This was evidenced by the presence of truck tire ruts and by damage incurred to the site monitor wells. Recovery well # 4 was reviewed during the site visit and there was evidence of the well -gallery box collapsing due to heavy truck weight. Many of the site monitoring and recovery wells have become covered by mud and many.of these wells are not able to be secured due to damage. The.permit requires the wells to be maintained. However, inspection results do not indicate compliance with this permit condition. Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ❑ 0 ❑ ❑ Is all required information readily available, complete and current? 0 ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? ❑ M ❑. ❑ Are analytical results consistent with data reported on DMRs? ❑ ❑ E ❑ Is the chain -of -custody complete? E ❑ ❑ ❑ Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis Name of person performing analyses Transported COCs Are DMRs complete: do they include all permit parameters? ❑ ❑ 0 ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ 0 ❑ (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ - 0 ❑ on each shift? Is the ORC visitation log available and current? ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? - ❑ ❑ M ❑ Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ M ❑ Is a copy of the current NPDES permit available on site? ❑ M ❑ ❑ Page# 3 Permit: NCG510462 Owner -Facility: Johnny's Sav-A-Sum Inspection Date: 03/10/2016 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy -of previous year's Annual Report on file for review? ❑ ❑ N ❑ Comment: Last sampling event was on 12/13/2012. In late 2012, the system building was struck by a tractor -trailer. The impact moved the building off of its foundation. Since then the system has not been in operation consistently, and no sampling has been done. Maintenance log was reviewed the system is being regularly visited once a month. Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? 0 ❑ ❑ ❑ Are all other parameters (excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑ # Is the facility using a contract lab? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ 0 ❑ Incubator (BOD) set to 20.0 degrees Celsius '+/-1.0 degrees? ❑ ❑ 0 ❑ Comment: Last sampling event was on 12/13/2012. Samples were analyzed by Prism Lab. Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? 0 ❑ ❑ ❑ Is flow meter calibrated annually? - ❑ 0 ❑ ❑ Is the flow meter operational? ❑ ❑ N ❑ (If units are separated) Does the chart recorder match the flow meter? ❑ ❑ M ❑ Comment: At the time of the inspection, the treatment unit was not in operation. Accordingly, the flow meter could not be examined. There is no evidence that the flow meter had been calibrated. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ 0 ❑ Is sample collected below all treatment units? 0 ❑ ❑ ❑ Is proper volume collected? ❑ ❑ M ❑ Is the tubing clean? ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0 ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type ❑ ❑ ❑ representative)? Comment: Last sampling event was on 12/13/2012. No sampling documented since. Effluent Pipe Yes No NA NE Page# 4 Permit: NCG510462 Inspection Date: 03/10/2016 Owner - Facility: Johnny's Sav-A-Sum Inspection Type: Compliance Evaluation Effluent Pipe Is right of way to the outfall properly maintained? Are the receiving water free of foam other than trace amounts and other debris? If effluent (diffuser pipes are required) are they operating properly? Yes No NA NE ❑ M ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ■ ❑ Comment: Effluent pipe was in an area overgrown with vegetation. Receiving water was free of foam but a lot debris was observed. Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑ Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑ Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: Site grounds are in poor condition due to truck traffic Additionally the treatment unit is in Poor condition, as evidenced by the system not running consistently enough for sampling to be done since the end of 2012. Page# 5 NPDES yr/mo/day Inspection Type (Cont.) 1 31 NCG510462 I11 121 16/06/21 117 18 m Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) On June 21, 2016 MRO staff met with Flora D' Souza and Jeff Nichols of Shield Engineering regarding the NOV issued on March 18, 2016. Several issues of concern were present during the initial site visit. The following issues have been adressed: No sampling events of the treatment unit performed since 12/13/2012. Recent lab analysis has been received on 6/21/2016 by the MRO. No reocrd of flow meter calibration. A new flow metered was installed on 6/20/2016. Treatment system is in poor condition and not operational. System has been repaired and is currently operational. Monitoring and recovery wells are in poor condition. This circumsatnce still remains. However, once the site has been secured, work can begin to repair MWs and RWs will no longer be subject to having heavy trucks traveling over them. PM was advised to contact MRO if the system is down for any reason, including maintenance. Filter bags were allowed to be increased in micron size to help reduce system maintainence. Manifest for spent carbon has been requested to be able to track carbon cradle to grave. An Annual Report is not required for this system. Page# REC7EIVED &4 e DIVISION OF WATER QUALITY v OCT 11 2011 N Cm D E R ,ztiFrE'u ILA North Carolina Department of Environment and Natural I�eg'®ur°tiles r IONAL 01 FIcE Division of Water Quality Beverly Eaves Perdue; Governor Coleen H. Sullins, Director Dee Freeman, Secretary October 13, 2011 Mr. David Holding Holding Brothers, Inc. 3511 Milford Ct Concord, NC 28027 Subject: NPDES General Permit NCG510000 Certificate of Coverage (CoC) NCG510462 Johnny's Sav-A-Sum Cabarrus County Dear Permittee: The Division received your request for renewal of NCG510462 on March 25, 2011. The revised General Permit was signed on September 20th, 2011 and took effect October 1, 2011. This renewed CoC is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the' Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated October 15, 2007 [or as subsequently amended]. A copy of the NCG510000 is enclosed, as well as an updated Technical Bulletin. The Technical Bulletin summarizes the changes from the previous version of NCG510000. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to request an individual permit by submitting an individual permit application. Unless such demand is made, this CoC shall be final and binding. The CoC is not transferable except after notice to the Division. You must notify the Division if you sell or otherwise transfer ownership of the permitted facility. The Division may require modification or reissuance of the CoC. If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional Office listed below. Once discharge from your facility has ceased, this CoC may be rescinded. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality, the Division of Land Resources, Coastal Area Management Act or any other Federal or Local government. If you have any questions concerning this permit, please contact Charles H. Weaver at the telephone number or e-mail address listed below. Sin erely, j` Coleen H. Sull* cc: Mooresville-Regional=Office -Surface_Water-Protection_, NPDES file 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 North Salisbury Street, Raleigh, North Carolina 27604 NOfthCarolina Internet: wuali Phone: 919-807-6391 I FAX919 807-6495 Naturally charles.weaver@ncdenr.gov An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NCG510000 CERTIFICATE OF COVERAGE NCG510462 TO DISCHARGE PETROLEUM CONTAMINATED GROUNDWATER AND SIMILAR WASTEWATERS UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, Holding Brothers, Inc. is hereby authorized to operate a groundwater remediation system for petroleum -contaminated groundwater or similar waste streams that will discharge treated wastewater from the Johnny's Sav-A-Sum 3970 Hwy 601 S Concord Cabarrus County to receiving waters designated as an unnamed tributary to Irish Buffalo Creek, a class C stream in subbasin 03-07-12 of the Yadkin -Pee Dee River Basin. All discharges shall be in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV of General Permit NCG510000 as attached. This Certificate of Coverage shall take effect on October 13, 2011. This Certificate of Coverage shall expire on September 30, 2016. Signed this day, October 13, 2011 for Col�e' �H. Sullins, Director D'r6sion of Water Quality By Authority of the Environmental Management Commission Water Resources NVIRONMENTAL QUALITY March 18, 2016 CERTIFIED MAIL # 7015 0640 0002 9299 3779 RETURN RECEIPT REQUESTED Mr. David Holding, Owner Holding Brothers, Inc. 3511 Milford Court Concord, NC 28027 Subject: Notice of Violation Tracking Number NOV-2016-PC-0086 Johnny's Sav-A-Sum Ground Water Remediation NPDES Permit NCG510462 Cabarrus County Dear Mr. Holding: PAT MCCRORY Governor DONALD R. VAN DER VAART Secretary S. JAY ZIMMERMAN Director Please find enclosed the Compliance Evaluation Inspection for the site visit conducted on March 10, 2016 by Ori Tuvia and Edward Watson of the Mooresville Regional Office. Jeff Nicholson's cooperation during the site visit was much appreciated. The following observations were documented during the inspection: - No sampling events of the treatment unit effluent since 12/13/2012. Permit requires quarterly sampling. - No effluent flow measurement done since 12/13/2012. Permit requires monthly monitoring. - No records of flow meter being calibrated. - Treatment system is in poor condition. Treatment unit needs'to be maintained more frequently. Due to insufficient maintenance the system has not been operating properly. - Monitoring and recovery wells were in poor condition. Wells were covered in mud and there is evidence they have been damaged due to heavy truck weight driving through the site. Permit requires the wells to be well maintained. Please be advised that staff of this office will conduct a follow-up inspection ninety (90) days from notification of your receipt of this correspondence. In the future, if the system is not going to be in operation for a prolonged period of time, please inform the Mooresville Regional Office as too why, -and for how long, the system is going to be down. Mooresville Regional Office I nr�}inn R1l1 F�eh (:cn4cr A- Mnnram ills AIC 9R11F You are requested to provide the following information, no later than ninety (90) days from your receipt of this correspondence, relative to the inspection conducted on March 10, 2016: - Sampling results and flow measurement from the effluent of the treatment unit. - An invoice showing that the flow meter has been calibrated in the past year. - A plan showing how the site is going to be better maintained, including protecting the wells on site from truck traffic. - A plan showing how the facility will be maintained more regularly, insuring the treatment unit will be operational. If you have any questions, please contact Ori Tuvia at (704) 663-1699, or via email at ori.tuvia@ncdenr.gov. Sincerely, W. Corey Basinger Regional Supervisor Mooresville Regional Office Division of Water Resources Cc: Flora D'Souza, environmental consultant (4301 Taggart Creek Rd, Charlotte, NC 28208) NPDES unit MRO Files Holding Brothers- Johnny's Save -A -Sum Permit# NCG510462 Representatives from the Mooresville Regional Office (MRO) of the Division of Water Resources (DWR) visited the former Johnny's Save -A -Sum site on Thursday March 10, 2016 to perform a site inspection of the site remediation system. We met with Jeff Nicholson of Shield Engineering. Jeff reviewed the system with us and provided some site history. In September of 2012 the system building was struck by a tractor -trailer. The impact moved the building off of its foundation. The subject site was in poor condition as the result of truck traffic that uses the site as a pass -through. This was evident by the presence of truck tire ruts and by damage incurred by the site monitor wells being damaged. Recovery well # 4 was reviewed during the site visit and there was evidence of the well gallery box collapsing due to heavy truck weight. Contact has been made with the Underground Storage Tank Section (UST) project manager to see if some sort of barricade can be put in place to prevent truck traffic at this site. Many of the site monitoring and recovery well have become covered by mud and many of these wells are not able to be secured to do damage. The permit indicates the wells are to be maintained. However, this does not appear to be happening. Overall the site is,in poor condition. The oil and water separator has a 55 gallon drum in place to capture free product. However, the drum has holes in the bottom at the base and is not capable of retaining liquid. The system oil and water separator is not being used for its designed purpose. Rather it is being utilized as a sediment settling tank. Water from the Oil and Water Separator is transferred to a 275 gallon holding tank. Water in the holding tank is transfer by way of a transfer pump to a 50 micron filter bag to collect suspended fines. After the filter sock, water enters the Air -stripper. The water leaving the air -stripper is sent to a pair of in -line GAC cylinders and finally trough another filter sock before being discharged to an unnamed tributary of the Irish Buffalo Creek, a class C stream that eventually enters the Yadkin -Pee Dee basin. The system outfall was observed and not foam, odor or solids were viewed in the outfall water. Sampling can be conducted from Influent and effluent are in place for the treatment system. The permit is due to be renewed in September of this year. It is not clear if the application for permit renewal has been submitted by Shield Engineering. The current permit was not available on site and groundwater analytical data that was presented was over three years old. There is no record of the flow meter being calibrated annually as per permit requirements. A request was made for the following items to be supplied to the MRO: Up to date GW analytical data, Radius of influence of the treatment site, calibration records for the flow meters a copy of the wastemanifest for the spent granulated activated carbon (GAC) cylinders. The site has multiple deficiencies. These items will be addressed in and NOD or NOV. Driving Directions from 610 E Center Ave, Mooresville, North Carolina 28115 to [1866 -... Page 1 of 3 Trip to:. [1866 -1898] Highway 601 S Concord, NC 28025-5869 24.13 miles / 35 minutes Notes IF YOU OWE LESS THAN 525K, USE 'OBAMA'S ONCE -IN -A -LIFETIME MORTGAGE RELIEF PROGRAM 18-25 46-55 Y 26-35 ; TAF `/0UW"AGE ; 56-6 36-45 66-75 Over 75 Calculate New House Payment al-Dis_ ML 610 E Center Ave, Mooresville, NC 28115-2548 FDownload ee App 1. Start out going east on E Center Ave toward Evergreen St. Map 0.7 Mi 0.7 Mi Total 2. Turn right onto Coddle Creek Rd / NC-3. Continue to follow NC-3. Map 6.9 Mi NC-3 is 0.1 miles past Johnston 7.6 Mi Total If you are on Harris Crossing Blvd and reach S Cromwell Dr you've gone about 0.1 miles too far 3. Turn slight right onto Odell School Rd. Map 4.0 Mi Odell School Rd is 0.2 miles past Davidson Rd 11.5 Mi Total If you are on Mooresville Rd and reach Sudbury Rd you've gone about 0.2 miles too far 73 4. Turn left onto Davidson Hwy / NC-73. Map 2.7 Mi Davidson Hwy is just past Johnston St 14.2 Mi Total If you reach Harris Rd you've gone about 0.4 miles too far 5. Turn right onto Kannapolis Pkwy. Map 1.4 Mi Kannapolis Pkwy is 0.7 miles past Private Dr 15.6 Mi Total If you are on Davidson Hwy and reach Roger Dale Carter Dr you've gone about 0.1 miles too far 6. Stay straight to go onto Geo W Liles Pkwy NW. Map 0.2 Mi 15.8 Mi Total 7. Turn slight right onto George W Liles Pkwy NW. Map 1.4 Mi George W Liles Pkwy NW is just past Exchange St NW 17.2 Mi Total 8. Turn left onto Weddington Rd. Map 1.8 Mi 19.0 Mi Total 9. Weddington Rd becomes Rock Hill Church Rd. Map 0.8 Mi 19.8 Mi Total oa�- 10. Turn left onto US-29 N / Concord Pkwy S. Map 0.3 Mi 29 20.1 Mi Total httn //rlaceir manniiect enm/nrintia=ann enra rlrrlhr(1774dSr1(,fhhF.7aF,r19af (i/71 /1)O1 F, Driving Directions from 610 E Center Ave, Mooresville, North Carolina 28115 to [1866 -... Page 2 of 3 11. Turn right onto Cabarrus Ave W. Map 0.2 Mi Cabarrus Ave W is 0.1 miles past Erwin St SW 20.3 Mi Total If you are on US-29 N and reach Triangle Dr NW you've gone a little too far �H 12. Take the 2nd right onto Warren Coleman Blvd S / US-601 S. 3.8 Mi 6i?1 Continue to follow US-601 S. Map 24.1 Mi Total US-601 S is just past Cabarrus Ave W Food Lion is on the left If you reach 4th St you've gone a little too far 13. [1866 -1898] HIGHWAY 601 S. Map Your destination is just past Woodland Dr If you are on Highway 601 Byp S and reach Zion Church Rd E you've gone about 0.2 miles too far [1866 - 1898] Highway 601 S, Concord, NC 28025-5869 lhttn•//rlaceir manrniact rnm/nrint9n=nnn rnra F,/71 /7()1 A Driving Directions from 610 E Center Ave, Mooresville, North Carolina 28115 to [1866 -... Page 3 of 3 Total Travel Estimate: 24.13 miles - about 35 minutes 02016 MapQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of their content, road conditions or route usability. You assume all risk of use. View Terms of Use }i1-hr�•//rlaecir mar�niiaet rnm/r�rin�ia—ar�r� rnra rlrral�r(17'1QdSr-1F.f1�1�F.7aF.rlQaf (/71 /7n1 � North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Alan W. Klimek, P.E., Director Keith Anthony Holding Brothers, Inc. P.O. Drawer 647 Concord, NC Dear Permittee: 28026-0647 February 10, 2006 Subject: NPDES Permit NCG510000 renewal Certificate of Coverage (CoC) NCG510462 Johnny's Sav A Sum Cabarrus County The facility listed above is covered under NPDES permit NCG510000 for discharge of remediated groundwater. NCG510000 expires on September 30, 2006. Federal (40 CFR 122.41) and North Carolina (15A NCAC 2H.0105(e)) regulations require that permit renewal applications must be filed at least 180 days prior to expiration of the current permit. If you have already mailed your renewal request, you may disregard this notice. To satisfy this requirement, the Division must receive your renewal request postmarked no later than April 3, 2006. Failure to request renewal by this date may result in a civil assessment of at least $500.00. Larger penalties may be assessed depending upon the delinquency of the request. If any discharge from the remediation system will occur after September 30, 2006, your CoC must be renewed. Discharge of wastewater without a valid permit would violate North Carolina General Statute 143- 215.1; unpermitted discharges of wastewater may be assessed civil penalties of up to $215,000 per day. If you have halted remediation activity due to lack of trust fund money, but your site ranking from the Aquifer Protection Section requires future remediation & discharge, your CoC must be renewed. If all discharge has ceased at your facility and you wish to rescind this CoC [or if you have other questions], contact me at the telephone number or e-mail address listed below. Sincerely, l Charles H. Weaver, Jr. NPDES Unit cc: Central Files NUa ,' -be . a��1�Qi&ee= N.A • ` �kja e , �rcrtectiarr NPDES File 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604 Phone: 919 733-5083, extension 511 / FAX 919 733-0719 / charles.weaver@ncmail.net FEB 22 ! 2006 Nne ofthCarohna Naturally pp CE An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper NWSHIELD ENGINEERING, INC. Via: E-Mail and Certified Mail Return Receipt Requested November 30, 2012 Ms. Barbara Sifford Surface Water Protection Section North Carolina Department of Environment and Natural Resources 610 East Center Avenue, Suite 301 Mooresville, NC 28115 RE: Notice of Deficiency Compliance Evaluation Inspection NOD-2012-PC-0227 Holding Brothers - Johnny's Sav-A-Sum Site COC No. NCG510462 -Re ri County, NC (r �y a 60 f-ruS Shield Project No. 1002040 Dear Ms. Sifford: r ECEIVE® DIVISI.ON of WATER QUALITY DEC 0 4 2012 sF_)): IOMQAL OFFICE On behalf of Techno, LLC for Holding Brothers, Inc., Shield Engineering, Inc. is herein responding to the above referenced Notice of Deficiency (NOD). According to the NOD, there was one primary potential deficiency as follows: 1. Laboratory - "The effluent is to be sampled quarterly for the parameters listed in NCG510000. Permit was renewed in October 2011 and all parameters are to be reported for the first eight sampling events before a reduction can be allowed." Our response to this item is presented below: 1. Regarding the effluent sampling, as required in the NCG51000 permit, sampling of the effluent should be conducted quarterly. In reviewing the data over the past three years (2009 - present), effluent samples were collected all four quarters in 2009, during three quarters of the year in 2010 and 2011, and have been collected three of the four quarters required so far in 2012 (the next sampling event is scheduled for Decembers 2012) and the effluent limitations of the permit were not exceeded. Based on the review of the operation and maintenance forms, the samples were not collected in December 2010 because they were inadvertently missed and were not collected in September 2011 because the system was not operating at the time of the visit. Total phenols were not analyzed in the effluent samples likely because it was a constituent that, according to the permit, could be discontinued if there were no detections. Phenols are not associated with the petroleum for which this treatment 4301 Taggart Creek Road Telephone 704.394.6913 Charlotte, NC 28208 www.shieldengineering.com Fax 704.394.6968 �a Pppppp, Johnny's Sav-A-Sum Cabarrus County, North'Carolina Shield Project # 1002040 November 30, 2012 Page 2 system remediates. Shield sampled for total phenols during the October 2012 sampling event and will continue to include it in the sampling unless there are no detections above the practical quantitation level (PQL) for the first eight sampling events based on the permit effective October 2011. Phenols were added to the table submitted in the November 5, 2012 Active Remediation Monitoring Report (ARMR). Shield also measured pH during the October 2012 sampling event and will continue to include it in the quarterly.sampling events, and it will be included in the tables in future ARMRs. We have reviewed the influent and effluent data for the pump and treat system from August 2001 through October 2012. The pump and treat portion of the system is optimally operating in compliance with the permit. If you have any questions and/or comments, please do not hesitate to contact either of the undersigned. 1111111rlllll�'r Sincerely, �00RAH CA _ �O 000�am000es.,, Aua eZls . i Flora J. D'Souza, CHMM. Project Manager cc: Mr. David Holding H:\Projects\2000\1002040 Johnny's Sav A Sum\Correspondence\11-30-12 Response to NOD2.doc David A. Senior Sc l 14-273Z)— j �e ..oa° 0 ". A. 5V life. n11%to `v NW SHIELD Sifford, Barbara From: Flora D'Souza.[FDSouza@shieldengineering.com] Sent: Monday, January 07, 2013 4:39 PM To: Sifford, Barbara Subject: Johnny's Sav-A-Sum Barbara, As we discussed earlier, the remediation system building at Johnny's Sav-A-Sum (COC No. NCG510462 and Groundwater incident No. 15622) was partially pushed off of the foundation by a tractor trailer on January 5, 2013. Several pipes were broken, however, we do not know the extent of the damage yet. Someone from Shield Engineering was contacted by the Fire Department across the road from the system and Shield personnel visited the site. The main power breaker has been removed and the system is not operating at this time. A police report was filed with the Concord Police Department. The police report incident number is 13-00261. Shield does not have a copy of the police report at this time. We will contact you once we know what repairs will need to be done and approximately when we expect the system to be operating again. Thank you, Flora J. D'Souza, CHMM Project Manager Shield Engineering, Inc. 4301 Taggart Creek Road Charlotte, NC 28208 Phone: (704) 394-6913 Cell: (704) 519-5054 Fax: (704) 394-6968 www.shieldenciineering.com SHIELD Engineering, Inc. - a common sense provider of Engineering Design, Environmental, Geotechnical Engineering and Risk Management services. This message is intended only for the use of the addressee and may contain information that is PRIVILEGED and CONFIDENTIAL, and/or may contain ATTORNEY WORK PRODUCT. If you are not the intended recipient, you are hereby notified that any dissemination of this communication is strictly prohibited. Ifyou have received this communication in error, please erase all copies of the message and its attachments and notes us immediately. Thank you. TABLE 5: Summary of GRS Data and Analytical Results -Groundwater Recovery System Johnny's Sav-A-Sum Highway 601 and Flowes Store Road, Cabarrus County, North Carolina NCDENR GWI#: 15622 DATE SAMPLE LOCATION BTEX (ppb) IPE (ppb) MTBE (ppb) Naphthalene (ppb) Total Suspended Solids (ppm) Oil Grease (ppm) Lead (ppm) Iron (ppm) Manganese (pp-) Phenol (ppm) Cumulative Gallons Treated Mass of contaminant removed lb/day'` 6/9/09 INF. 839 ND 99 50 NA NA ND NA NA NA - EFF. ND ND ND ND ND ND ND 0.86 0.5 NA 1243586 0.00013 9/l/09 INF. 14.74 ND 75 ND NA NA ND NA NA NA EFF. ND ND ND ND 1.4 ND ND 0.062 0.45 NA 1244209 0.00001 12/8/09 INF. 666 ND 160 53 NA NA ND NA NA NA - - EFF. ND ND ND ND ND ND ND 0.091 0.026 NA 1249757 0.00042 3/15/10 INF. 787 ND 150 50 NA NA ND NA NA NA EFF. ND ND 14 ND 19 ND ND 6.8 2.8 NA 1266959 0.00139 6/9/10 INF. 1710 ND 210 180 NA NA NA NA NA NA EFF. ND ND _ _ 34 ND, - ND ND ND ND 0.032 NA 1284369 0.00288 9/l/10. INF. 1140 ND _: 160 -. 86 NA NA ND NA NA__ - NA - - EFF. ND ND ND ND_ ND ND ND ND 0.20 NA _ 1299220 0.00166 3/2/11 INF. 952 ND .. _250_. 74 NA NA ND NA NA NA' = " EFF. ND ND _ _ - 150- = ND : ND ^ND ND 0.25 0.51 _ N.A. = 1314071 0:00082 7/26/11 INF. 2150 ND 510 210 NA NA ND NA NA NA EFF. ND ND 31-- _ ._.: = ND ; 14 -__- ND ND 0.086 7.6- _ •- NA: - j 1340157 0,003-97 ^ *S.e t 20111 System was not sampled in September 2011 due to the system -being down - 12/22/11 - INF. 167 ND . 62 .-- - 10 NA NA ND NA NA NA' EFF. ND .. ND ' ND ". ND -. ND ND ND 0.14 0.16 NA.._ _ _ _ 1392042 0.01462 3/1/12 INF. 383 ND 90 �' 24-; _ NA NA 0.020 NA NA NA':-- - EFF. ND ND ND' ND ND ND ND 1.3 0.35 NA ` 1492187 0.00565 6/14/12 INF. 1281 1.2 610 _ �.: 49. NA NA ND NA NA -14A' EFF. ND ND 55 ND ' ND ND ND 0.30 0.81 NA"" 1532476 0.01026 10/2/12 INF. 824 ND 230 45 NA NA ND NA NA NA _ - EFF. ND ND 100 ND ND ND ND 0.12 2.4 0.055. 1613897 0.00651 12/13/12 INF. 688 1.2 310 23 NA NA ND NA NA NA - EFF. 0.87 ND 180 ND ND ND ND ND NR 0.055 1638322 0.003063 NOTES: ND - Concentrations below laboratory minimum qualification limit NA - Not available or not analyzed NR - Not required by NCDENR ppb - Results are in parts per billion ppm - Results are in parts per million *- Calculation= (Total VOCs removed x g/1,000,000 x I U0.2642 gallons x Gallons Treated x 0.002205 lb/gram)/Number of Days NCDENR - North Carolina Administrative Code Title 15A Subchapter 2L Class GA Groundwater Standards Gallons treated based on flow meter reading during the system maintenance visits, which may or may not be the same date the GRS samples were collected. MTBE - Methyl Tertiary Butyl Ether IPE - Isopropyl •' The system was shut down on November 11. 2004 and restarted on July 31, 2007, the day of sampling. *** Lead, Iron and Manganese were resampled on October 31, 2007 due to the laboratory allowing the 10/18/07 samples to go out of hold time. Other detected analytes can be seen in the analytical data. H.'Wro%ects1 OM1002040 Johnny's Sav A SumlReportslSept 2015 ARMRVn(-e/f 9-14.xls' G R O I D\ M O V ^ G d D\ o a a N 1 'n 00 oo O M ' •-• 'n tb .-• h � N �o 1' oo � v +� i 0 r ' .- o 0 0 0 '�• R O O O 0 O O O O O O O O O O O O O O O u E m a U U a¢¢¢a¢a¢¢a¢¢¢Q¢¢¢¢¢¢¢¢a¢¢aaQQ¢¢¢Qa¢aa¢¢ 2 2 z z z z 2 z z z z z z z z z z z z z z z z z z z z z z z z z z z z z z Z E T v E r t no r n nrnrn�¢ o¢tV Qom¢�a� u C C G l� M M V r V Vi .--. V1 .-• Z •--' ,� ,� 2 2 --' 2 •O Z M Z •"� Z Z p 2 �%+ p 2 VO Z p tJ L U R o E v qI'l Z O M %. M O Z O 2 O 2N H47-<r¢v,¢ z O 2 N 2 M ¢�¢» z N 2 ¢Q¢Q¢ Z 2 z z Z ¢ 2 2 7 T O L V U A E O g N O O N q 9 Q g z Q Q z a q¢ z O 2o2ozzZZZZo Q N a qq¢ Q Q Q P q O zoOo ('� p 2 q Q z z Q q z z q Q z z E R CG uQUac V R °: E n Qa z R % M 0, M z Z z Z' z z Z Z 2 p V 4 Z 4 ��L, Z� ,z •Z ° oso z R d z O. A 3 W GG oo rn qo n n2�zr ¢ Q�oQ._Q�oQoav�¢Na'�a�¢gQgQp¢gQq Zv z Z^z ZrnZ zzzZZZZZZz z-2 z R O O O cn _ i O 10 F R E � u cn OM F. N f+ O o M N o N M oMo VI r�1i .G G � Z ¢^�+T nC O .G O O 'O�v O nC,G O ,G N Z m O N 00 M V O�P.G PZ OM z N N o N a s Z Z N 2 Z z n 2 '^ z z z z Z z 212222 Z Z z Z Z 2 z z 2 2 Z Z Z z Z z 212 O R 2 2 2 2 M M Z e N F G O O N V M N N Q W W W� W� W W W� W W Q V C W� W� W� W G W C C W� C W� W C W C 6w•.1 � G C C rn O W O O p O O O� f O •• O ;- '.: q� • Oi '� O V O � O O O � O Q O O O• N V � O v1 \• O Nj': OI: � O Ni.. �.A: O ^ ., � M � N N h � j ' NC Certification No. 402 Case Narrative Full Service Analytical & SC Certification No. 99012 is NC Drinking Water Cert No. 37735 01/02/2013 ' Environmental Solutions VA Certification No. 1287 LABORATORIES, INC DoD ELAP Certification No. L2307 Shield Engineering, Inc. Project: Johnny's Sav-a-Sum Flora D'Souza 4301 Taggart Creek Rd. Lab Submittal Date: 12/14/2012 Charlotte, NC 28208 Prism Work Order: 2120348 This data package contains the analytical results for the project identified above and includes a Case Narrative, Sample Results and Chain of Custody. Unless otherwise noted, all samples were received in acceptable condition and processed according to the referenced methods. Data qualifiers are flagged individually on each sample. A key reference'for the data qualifiers appears at the end of this case narrative. Please call if you have any questions relating to this analytical report. Respectfully, PRISM LABORATORIES, INC. Project Manager Data Qualifiers Key Reference: . I I I - (�& " , I /�(,, /v - h7,t Reviewed By BRL Below Reporting Limit MDL Method Detection Limit RPD Relative Percent Difference * Results reported to the reporting limit. All other results are reported to the MDL with values between MDL and reporting limit indicated with a J. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P-.O._Box 240543 - Charlotte, NC 28224-0543 77 Phone: 7041529'6364'-' Toll Free' Number: 1-6061529-6364 - Fax: 7041525-0409 Page 1 of 12 Sample Receipt Summary APRISM I Full -Service Analytical 8 .� Environmental Solutions 01/02/2013 Prism Work Order: 2120348 Client Sample ID Lab Sample l) "!'''''Matrix Date Sampled Date Received Influent 2120348701 Water 12/13/12 12/14/12 Effluent 2120348.-02. Water 12/13/12 12/14/12 Samples received in good condition at 2.0 degrees C unless otherwise noted. This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 704/526-0409 Page 2 of 12 Full -Service Analytical & Y Environmental Solutions �"u��'LA9OFATORIES, IN(. Summary of Detections 01/02/2013 Prism Work Order: 2120348 Prism ID Client ID Parameter Method Result Units 2120348-01 Influent 1,2,4-Trimethylbenzene *SM6200 B 58 ug/L 2120348-01 Influent 1,2-Dichloroethane *SM6200 B 0,63 ug/L 2120348-01 Influent 1,3,5-Trimethylbenzene *SM6200 B 17 ug/L 2120348-01 Influent 4-Isopropyltoluene 'SM6200 B 1.5 ug/L 2120348-01 Influent Benzene *SM6200 B 410 ug/L 2120348-01 Influent Ethylbe.nzene;., .., *SM6200,B 91 ug/L 2120348-01 Influent Isopropyl'Ether' *SM6200 B 1.2 ug/L 2120348-01 Influent Isopropylbenzene (Cumene) *SM6200 B 5.6 ug/L 2120348-01 Influent m,,p-Xylehes *SM6200 B 140 ug/L 2120348-01 Influent Methyl Isobutyl Ketone *SM6200 B 5.4 ug/L 2120348-01 Influent Methyl-tert-Butyl Ether *SM6200 B 310 ug/L 2120348-01 Influent Naphthalene *SM6200 B 23 ug/L 2120348-01 Influent n-Butylbenzene *SM6200 B 3.5 ug/L 2120348-01 Influent n-Propylbenzene *SM6200 B 15 ug/L 2120348-01 Influent o-Xylene *SM6200 B 9.6 ug/L 2120348-01 Influent sec-Butylbenzene *SM6200 B 1.5 ug/L 2120348-01 Influent Toluene *SM6200 B 37 ug/L 2120348-01 Influent Xylenes, total *SM6200 B 150 ug/L 2120348-02 Effluent Phenolics *420.1 0.055 mg/L 2120348-02 Effluent Benzene *SM6200 B 0.87 ug/L 2120348-02 Effluent Methyl-tert-Butyl Ether *SM6200 B 180 ug/L This report should not be reproduced, except in':its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 =•Toll Free Number: 1-8001529-6364 - Fax: 7041526-0409 Page 3 of 12 r Laboratory Report ca a Full -Service Analytical & �:� R I S M Environmental Solutions 01/02/2013 %' L-o-RIE$ INC. ♦ Shield Engineering, Inc. Project: Johnny's Sav-a-Sum Client Sample ID: Influent Attn: Flora D'Souza Prism Sample ID: 2120348-01 4301 Taggart Creek Rd. Prism Work Order: 2120348 Charlotte, NC 28208 Sample Matrix: Water Time Collected: 12/13/12 16:30 Time Submitted: 12/14/12 11:20 Batch Parameter Result "' "Units"'" : 'R�port 'MDL Dilution Method Analysis Analyst Limit' Factor Date/Time ID 3030C Metals Lead BRL mg/L ,' 0.6051 0.00074 1 *6010C 12/18/12 0:22 BGM P21-0271 Volatile Organic Compounds by GC/MS 1,1,1,2-Tetrachloroethane BRL ug/L 0.50 0.070 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,1,1-Trichloroethane BRL ug/L 0.50. 0.075 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,1,2,2-Tetrachloroethane BRL ug/L 0.50 0.075 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,1,2-Trichloroethane BRL ug/L 0.50 0.068 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1, 1 -Dichloroethane BRL ug/L 0.50 0.038 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,1-Dichloroethylene BRL ug/L 0.50 0,057 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1, 1 -Dichloropropylene BRL ug/L 0.50 0.072 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2,3-Trichlorobenzene BRL ug/L 0.50 0.12 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2,3-Trichooropropane BRL ug/L 0.50 0.090 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2,4-Trichlorobenzene BRL ug/L 0.50 0.15 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2,4-Trimethylbenzene 58 ug/L 0.50 0.038 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2-Dibromo-3-chloropropane BRL ug/L 2.0 0.59 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2-Dibromoethane BRL ug/L 0.50 0.041 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2-Dichlorobenzene BRL ug/L 0.50 0.044 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2-Dichloroethane 0.63 ug/L 0.50 0.064 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,2-Dichloropropane BRL ug/L; •b 50 .•, i 0.'062 1 *SM6200 B 12/22/12 1:09 VHL P2L0421 1,3,5-Trimethylbenzene 17 ug/L;..';' :'"` 050.` 0.038 1 *SM6200B 12/22/12 1:09 VHL P21-0421 1,3-Dichlorobenzene BRL ug/L . 0.50 0,070 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 1,3-Dichloropropane BRL ;ug/L. .,. 0.50 0.054 1 *SM6200B 12/22/12 1:09 VHL P21-0421,._ 1,4-Dichlorobenzene BRL Og/L b:50 0.059 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 2,2-Dichloropropane BRL ug/L '' 2.0 0.27 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 2-Chlorotoluene BRL ug/L 0.50 0.038 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 4-Chlorotoluene BRL ug/L 0.50 0.053 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 4-Isopropyltoluene 1.5 ug/L 0.50 0.069 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Acetone BRL ug/L 10 1.5 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Benzene 410 ug/L 10 ' 1.1 20 *SM6200 B 12/27/12 2:32 VHL P2L0421 Bromobenzene BRL ug/L 0.50 0.088 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Bromochloromethane BRL ug/L 0.50 0.050 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Bromodichloromethane BRL ug/L 0.50 0.031 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Bromoform BRL ;, ug/L 0.56 0.10 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Bromomethane BRL ug/L 1.0 0.24 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Carbon Tetrachloride BRL ug/L 0.50 0.065 1 *SM6200 B .12/22/12 1:09 VHL P21-0421 Chlorobenzene BRL ug/L 0.50 0.025 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Chloroethane BRL ug/L 0.50 0.088 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Chloroform BRL ug/L 0.50 0.053 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Chloromethane BRL ug/L•. 0.50z 0.032 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 cis- 1.2-Dichloroethylene BRL 0.061 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 cis-1,3-Dichloropropylene BRL ug/L.. ; `' 0.50,' 0.065 1 *SM6200 B 12/22/12 1:09 VHL P2L0421 Dibromochloromethane BRL ug/L 0.50 0.062 1 *SM6200 B 12/22/12 1:09 VHL P2L0421 Dibromomethane BRL ug/L. .; 0.50 0.044 1 *SM6200 B 12/22/12 1:09 VHL P21-04211 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 704/525-0409 Page 4 Of 1 2 • ' Laboratory Report P..R I S 1 V 1 Full -Service Analytical . Environmental Solutions 01/02/2013 m.,a .1d lS "'LABORATORIES, INC. Shield Engineering, Inc. Project: Johnny's Sav-a-Sum Client Sample ID: Influent Attn: Flora D'Souza Prism Sample ID: 2120348-01 4301 Taggart Creek Rd. Prism Work Order: 2120348 Charlotte, NC 28208 Sample Matrix: Water Time Collected: 12/13/12 16:30 Time Submitted: 12/14/12 11:20 Parameter Result Units Report Limit MDL Dilution Factor Method Analysis Analyst Date/Time Batch ID Dichlorodifluoromethane BRL ug/L 1.0 0.057 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Ethanol BRL ug/L 200 42 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Ethylbenzene 91 ug/L 0.50 0.054 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Hexachlorobutadiene BRL ug/L 2.0 0.41 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Isopropyl Ether 1.2 ug/L 0.50 0.042 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Isopropylbenzene (Cumene) 5.6 ug/L 0.50 0.034 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 m,p-Xylenes 140 ug/L 1.0 0.11 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Methyl Butyl Ketone (2-Hexanone) BRL ug/L 1.0. 0.11 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Methyl Ethyl Ketone (2-Butanone) BRL ug/L .,., , .'5.0- 0.83 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Methyl Isobutyl Ketone 5.4 ug/lL 1.0 0.048 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Methylene Chloride BRL ug/L 2.0 0.073 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Methyl-tert-Butyl Ether 310 :ug/L; 20 1.1 20 *SM6200 B 12127/12 2:32 VHL P2L0421 Naphthalene 23 ug/L 1.0 0.094 1 *SM6200 B 12/22112 1:09 VHL P21-0421 n-Butylbenzene 3.5 ug/L 0.50 0.069 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 n-Propylbenzene 15 ug/L 0.50 0.059 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 o-Xylene 9.6 ug/L 0.50 0.064 1 *SM6200 B 12122/12 1:09 VHL P21-0421 sec-Butylbenzene 1.5 ug/L 0.50 0.054 1 *SM6200 B 12/22112 1:09 VHL P21-0421 Styrene BRL ug/L 0.50 0.034 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 tert-Butylbenzene BRL ug/L 0.50 0.11 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Tetrachloroethylene BRL ug/L 0.50 0.096 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Toluene 37 ug/L 0.50 0.057 1 *SM6200 B 12/22/12 1:09 VHL P2L0421 trans-1,2-Dichloroethylene BRL ug/L 0.50 0.061 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 trans-1,3-Dichloropropylene BRL ug/L, 0.50 0.054 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Trichloroethylene BRL ug/L 0.50 0.044 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Trichlorofluoromethane BRL ug/L 0.50 0.050 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Vinyl acetate BRL ug/L 5.0 1.3 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Vinyl chloride BRL ug/L 0.50 0.068 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Xylenes, total 150 ug/L 1.5 0.17 1 *SM6200 B 12/22/12 1:09 VHL P21-0421 Surrogate, ... Recovery Control Limits 4=13romofluorobenzene 118 % 70-130 Dibromofluoromethane 95 % 70-130 Toluene-d8 101 % 70-130 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road = P.O. Box 240643 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 704/525-0409 Page 5 of 12 �, Laboratory Report iP.R ISM I Full -Service Analytical & .° Environmental Solutions 01/02/2013 s� u'''LAOORATORIES, INC. Shield Engineering, Inc. Attn: Flora D'Souza 4301 Taggart Creek Rd. Charlotte, NC 28208 Project: Johnny's Sav-a-Sum Sample Matrix: Water Client Sample ID: Effluent Prism Sample ID: 2120348-02 Prism Work Order: 2120348 Time Collected: 12/13/12 16:00 Time Submitted: 12/14/12 11:20 Parameter Result Units Report MDL Dilution Method Analysis Analyst Batch Limit Factor Date/Time ID 3030C Metals Iron BRL mg/L OlA51! 0.010 1 *601OC 12/18/12 0:42 BGM 1`21-0271 Lead BRL mg/L :0.0051 0.00074 1 *6010C 12/18/12 0:42 BGM P21-0271 General Chemistry Parameters Oil & Grease (HEM) BRL mg/L 5.0 0.71 1 *1664A 12/21/12 10:00 MSV P21-0427 Phenolics 0.055 mg/L 0.060 0.027 1 *420.1 12/18/12 16:25 CDE P21-0281 Total Suspended Solids BRL mg/L 5.0 0.80 1 *SM 2540 D 12/18/12 15:50 JAB P21-0323 Volatile Organic Compounds by GC/MS 1,1,1,2-Tetrachloroethane BRL ug/L 0.50 0.070 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,1,1-Trichloroethane BRL ug/L 0.50 0.075 1 *SM6200 B 12/22/12 2:44 VHL P2L0421 1,1,2,2-Tetrachloroethane BRL ug/L 0.50 0.075 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,1,2-Trichloroethane BRL ug/L 0.50 0.068 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,1-Dichloroethane BRL ug/L 0.50 0.038 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1, 1 -Dichloroethylene BRL ug/L 0.50 0.057 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1, 1 -Dichloropropylene BRL ug/L 0.50 0.072 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2,3-Trichlorobenzene BRL ;: ug/l-�<, : 0.50 0.12 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2,3-Trichloropropane BRL ug/L 0.50 0.090 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2,4-Trichlorobenzene BRL ug/L 0.50 0.15 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2,4-Trimethylbenzene BRL ug/L 0.50 0.038 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2-Dibromo-3-chloropropane BRL ug/L 2.0 0.59 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2-Dibromoethane BRL ug/L 0.50 0.041 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2-Dichlorobenzene BRL -...ug/L 0.50• 0.044 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,2-Dichloroethane BRL ug/L ;0 50 '0.054 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1.2-Dichloropropane BRL ug/L 0.56 0.062 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,3,5-Trimethyl benzene BRL ug/L 0.50 0.038 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,3-Dichlorobenzene BRL ug/L- 0.50 0.070 1 *SM6200 B 12/22/12 2:44" VHL P21-0421 1,3-Dichloropropane BRL ug/L- 0.50 0.054 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 1,4-Dichlorobenzene BRL ug/L 6.50 0.059 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 2,2-Dichloropropane BRL ug/L 2.0 0.27 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 2-Chlorotoluene BRL ug/L 0.50 0.038 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 4-Chlorotoluene BRL ug/L 0.50 0,053 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 4-Isopropyltoluene BRL ug/L 0.50 0.059 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Acetone BRL ug/L 10 1.5 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Benzene 0.87 ug/L 0.50 0.054 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Bromobenzene BRL ug/L 0.50 0.088 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Bromochloromethane BRL ug/L 0.50 0.050 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Bromodichloromethane BRL fr ug/L, . 0.50 0.031 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Bromoform BRL ug/L 0.50 0.10 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Bromomethane BRL ug/L 1.0 0.24 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Carbon Tetrachloride BRL ug/L 0.50 0.065 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Chlorobenzene BRL ug/L 0.50 0.025 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Chloroethane BRL ug/L 0.50 0.088 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 This report should not be reproduced, except ih its ehtirety;.Without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page Laboratory Report PRISM Full -Service Analytical Environmental Solutions 01/02/2013 15_, ,., LAOORATOFIE$ INC. Shield Engineering, Inc. Project: Johnny's Sav-a-Sum Client Sample ID: Effluent Attn: Flora D'Souza Prism Sample ID: 2120348-02 4301 Taggart Creek Rd. Prism Work Order: 2120348 Charlotte, NC 28208 Sample Matrix: Water Time Collected: 12/13/12 16:00 Time Submitted: 12/14/12 11:20 Parameter Result Units " IRep'or{ Limit MDL Dilution Factor Method Analysis Analyst Date/Time Batch ID Chloroform BRL ug/L 0.50 0.053 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Chloromethane BRL ug/L 0.50 0.032 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 cis-1,2-Dichloroethylene BRL ug/L 0.50 0.061 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 cis-1,3-Dichloropropylene BRL ug/L 0.50 0.065 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Dibromochloromethane BRL ug/L 0.50 0.062 1 *SM6200 B 12/22/12 2:44 VHL P2L0421 Dibromomethane BRL ug/L 0.50 0.044 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Dichlorodifluoromethane BRL ug/L 1.0 0.057 1 *SM6200 B 12/22/12 2:44 VHL P2L0421 Ethanol BRL ug/L 200 42 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Ethylbenzene BRL ug/L 0.50 0,054 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Hexachlorobutadiene BRL ug/L 2.0 0.41 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Isopropyl Ether BRL ug/L 0.50 0.042 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Isopropylbenzene (Cumene) BRL ;. ug/L 0.50 0.034 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 m,p-Xylenes BRL ug/L 1.0 0.11 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Methyl Butyl Ketone (2-Hexanone) BRL ug/L 1.0 0.11 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Methyl Ethyl Ketone (2-Butanone) BRL ug/L 5.0 0.83 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Methyl Isobutyl Ketone BRL ug/L 1.0 0.048 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Methylene Chloride BRL ug/L 2.0 0.073 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Methyl-tert-Butyl Ether 180 ug/L , 20, . 1.1 20 *SM6200 B 12/22/12 3:16 VHL P21-0421 Naphthalene BRL ug/L ""': "' -.1.0; ": 0:094 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 n-Butylbenzene BRL ug/L: "0.50 0.059 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 n-Propylbenzene BRL ug/L 0.50 0.059 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 o-Xylene BRL ug/l,'' 0.50 0.064 1 *SM6200 B 12/22/12 2:44 VHL P21-0421,. sec-Butylbenzene BRL ug/L- 0.50 0.054 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Styrene BRL ug/L 0.50 0.034 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 tert-Butylbenzene BRL ug/L 0.50 0.11 T *SM6200 B 12/22/12 2:44 VHL P2L0421 Tetrachloroethylene BRL ug/L 0.50 0.096 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Toluene BRL ug/L 0.50 0.057 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 trans-1,2-Dichloroethylene BRL ug/L 0.50 0.061 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 trans-1,3-Dichloropropylene BRL ug/L 0.50 0.054 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Trichloroethylene BRL ug/L 0.50 0.044 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Trichlorofluoromethane BRL ug/L 0.50 0.050 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Vinyl acetate BRL ug/L 5.0 1.3 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Vinyl chloride BRL ug/L 0.50 0.068 1 *SM6200 B 12/22/12 2:44 VHL P21-0421 Xylenes, total BRL ug/L 1.5 0.17 1 *SM6200 B 12/22/12 2:44 VHL P2L0421 Surrogate Recovery Control Limits 4-Bromofluorobenzene 127 % 70-130 Dibromofluoromethane 93 % 70-130 Toluene-d8 106 % 70-130 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 7 of 12 ism Full -Service Analytical 8 Environmental Solutions n00enr0a . mn Level II QC Report 1 /2/13 Shield Engineering, Inc. Project: Johnny's Sav-a-Sum Attn: Flora D'Souza 4301 Taggart Creek Rd. Charlotte, NC 28208 Volatile Organic Compounds by GCIMS - Quality Control Analyte Batch P21_0421 - SM6200 B Reporting Result Limit Units Prism Work Order: 2120348 Time Submitted: 12/14/2012 11:20:OOAM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (P2L0421-BLK1) Prepared & Analyzed: 12/21/12 1,2-Dichloroethane BRL 0.50, ug/L Benzene BRL 0.50, , ug/L Ethylbenzene BRL 0.50 ug/L m,p-Xylenes BRL 1.0 ug/L Methyl-tert-Butyl Ether BRL 1.0 ug/L o-Xylene BRL 0.50 ug/L Toluene BRL 0.50 ug/L Surrogate:4-Bromofluorobenzene 29.4 ug/L 25.00 118 70-130 Surrogate: Dibromofluoromethane 23.5 ug/L 25.00 94 70-130 Surrogate: Toluene-d8 26.2 ug/L 25.00 105 70-130 LCS (P2L0421-BSI) Prepared & Analyzed: 12/21/12 1,2-Dichloroethane 18.1 0.50 ug/L 20.00 90 70-130 Benzene 21.8 0.50 ug/L 20.00 109 70-130 Ethylbenzene 22.4 0.50 ug/L 20.00 112 70-130 m,p-Xylenes 41.8 1.Or . ug/L 40.00 104 70-130 Methyl-tert-Butyl Ether 20.4 1.0 ug/L 20.00 102 70-130 o-Xylene 19.2 0.50 ug/L 20.00 96 70-130 Toluene 22.3 0.50 ug/L 20.00 ill 70-130 Surrogate: Dibromofluoromethane 25.3 ug/L 25.00 101 70-130 Surrogate: Toluene-0 25.4 ug/L 25.00 102 70-130 LCS Dup (P2L0421-BSDI) Prepared & Analyzed: 12/21/12 1,2-Dichloroethane 18.3 ". 0.50',.',".ug/L.,,:',".20:00 92 70-130 1 200 Benzene 21.3 "' '0.501.uglL' ;' 20.00 106 70-130 2 200 Ethylbenzene 21.9 0.50 ug/L 20.00 110 70-130 2 200 Methyl-tert-Butyl Ether 21.5 • 1.0 ug/L 20.00 107 70-130 5 200 o-Xylene 18.8 0.50 ug/L 20.00 94 70-130 2 200 Toluene 20.3 0.50 ug/L 20.00 102 70-130 9 200 Surrogate:4-Bromot7uorobenzene 27.3 ug/L 25.00 109 70-130 Surrogate: Dibromofluoromethane 24.8 ug/L 25.00 99 70-130 Surrogate: Toluene-d8 25.0 ug/L 25.00 100 70-130 This report should not be reproduced, except in its e_ntirelty,,withoutthe written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free Number: 1-8001529-6364 - Fax: 7041525-0409 Page 8 of 12 Level II QC Report t Full -Service Analytical & S Environmental Solutions 1/2/13 .L a.5'�,me,-...,....... 4ABORATORIES. INC. Shield Engineering, Inc. Attn: Flora D'Souza 4301 Taggart Creek Rd. Charlotte, NC 28208 3030C Metals - Quality Control Project: Johnny's Sav-a-Sum Prism Work Order: 2120348 Time Submitted: 12/14/2012 11:20:OOAM . Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P2LO271 - SM3030 C Blank (P2L0271-BLK1) Prepared: 12/14/12 Analyzed: 12/18/12 Iron BRL 0.051 mg/L Lead BRL ' 0 i0051 '`' mg/L LCS (P2L0271-BS1) Prepared: 12/14/12 Analyzed: 12/18/12 Iron 5.15 0.051 mg/L 5.000 103 80-120 Lead 0.249 0.0051 mg/L 0.2500 100 80-120 Matrix Spike (P2L0271-MS1) Source: 2120348-01 Prepared: 12/14/12 Analyzed: 12/18/12 Iron 6.45 0.051 mg/L 5.000 1.72 95 75-125 Lead 0.233 0.0051 mg/L 0.2500 0.00102 93 75-125 Matrix Spike Dup (P2L0271-MSD1) Source: 2120348-01 Prepared: 12/14/12 Analyzed: 12/18/12 Iron 6.48 0.051 mg/L 5.000 1.72 95 75-125 0.5 20 Lead 0.231 0.0051 mg/L 0.2500 0.00102 92 75-125 0.7 20 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Sprin"gbrook Road -.P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 9 of 12 Level II QC Report � Full -Service Analytical 1/2/13 I S M Environmental Solutions EM "'LABORATORIES. INC. Shield Engineering, Inc. Attn: Flora D'Souza 4301 Taggart Creek Rd. Charlotte, NC 28208 General Chemistry Parameters - Quality Control Analyte Batch P2L0281 - 420.1 Project: Johnny's Sav-a-Sum Reporting Result Limit Units Prism Work Order: 2120348 Time Submitted: 12/14/2012 11:20:00AM Spike Source %REC RPD Level Result %REC Limits RPD Limit Notes Blank (P21-0281-BLK1) Prepared: 12/17/12 Analyzed: 12/18/12 Phenolics BRL 0.050 mg/L LCS (P2L0281-BS1) Prepared: 12/17/12 Analyzed: 12/18/12 Phenolics 0.500 0;050 :mg/L.. ., 0.5000 100 80-120 Matrix Spike (P2L0281-MS1) Source: 2120348-02 Prepared: 12/17/12 Analyzed: 12/18/12 Phenolics 0.541 0.050 mg/L 0.5000 0.0554 97 80-120 Matrix Spike Dup (P2L0281-MSD1) Source: 2120348-'02 Prepared: 12/17/12 Analyzed: 12/18/12 Phenolics 0.554 0.050 mg/L 0.5000 0.0554 100 80-120 3 20 Batch P21-0323 - NO PREP Blank (P2L0323-BLK1) Prepared & Analyzed: 12/18/12 Total Suspended Solids BRL 5.0 mg/L LCS (P2L0323-BS1) Prepared & Analyzed: 12/18/12 Total Suspended Solids 440 5.0. mg/L 451.0 98 90-110 Batch P21-0427 - NO PREP Blank (P21-0427-E Oil & Grease (HEM) BRL 5.0 mg/L Prepared & Analyzed: 12/21/12 LCS (P2L0427-BS1) Prepared & Analyzed: 12/21/12 Oil & Grease (HEM) 38.3 5.0 mg/L 40.00 96 78-114 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 704/529-6364 - Toll Free, Number: 1-800/529-6364 - Fax: 704/625-0409 Pagel of 12 a /�1 R I `- n n Environmental Analytical & J'v' Environmental Solutions LABORATORIES. INC. , Shield Engineering, Inc. Project: Johnny's Sav-a-Sum Attn: Flora D'Souza 4301 Taggart Creek Rd. Charlotte, NC 28208 General Chemistry Parameters - Quality Control Level II QC Report 1 /2/13 Prism Work Order: 2120348 Time Submitted: 12/14/2012 11:20:OOAM Reporting Spike Source %REC RPD Analyte Result Limit Units Level Result %REC Limits RPD Limit Notes Batch P21-0427 - NO PREP Matrix Spike (P2L0427-MS1) Source: 2120348-02 Prepared & Analyzed: 12/21/12 Oil & Grease (HEM) 36.8 5.0 mg/L 44.44 1.00 81 78-114 Sample Extraction Data Prep Method: SM3030 C Lab Number Batch Initial Final " Date/Time 2120348-01 P21-0271 50 mL ' 50.5.1 mL 12/14/12 13:15 2120348-02 P21-0271 50 mL 50.94 mL 12/14/12 13:15 Prep Method: 420.1 Lab Number Batch Initial Final Date/Time 2120348-02 P21-0281 50 mL 50 mL 12/17/12 11:15 Prep Method: SM6200 B Lab Number Batch Initial Final Date/Time 2120348-01 P21-0421 10 mL 10 mL 12/21/12 7:41 2120348-01 P21-0421 10 mL 10 mL 12/21/12 7:41 2120348-02 P21-0421 10 mL 10 mL 12/21/12 7:41 2120348-02 P21-0421 10 mL 10 "mL 12/21/12 7:41 This report should not be reproduced, except in its entirety, without the written consent of Prism Laboratories, Inc. 449 Springbrook Road - P.O. Box 240543 - Charlotte, NC 28224-0543 Phone: 7041529-6364 - Toll Free Number: 1-800/529-6364 - Fax: 7041525-0409 Page 11 of 12 PRISM LABORATORIES ING Full -Service Analytical & Environmental Solutions 449 Springbrook Road • P.O. Box 240543 • Charlotte, NC 28224-0543 Phone.704/529-6364 • Fax: 7 /525-0140t9 Client Company Name: I6A Report To/Contact Name: ��a D'pw Reporting Address: Phone: Fax (Yes) (N& CHAIN OF CUSTODY RECORD PAGE L OFL— QUOTE # TO ENSURE PROPER BILLING: Project Name: \) b�,nhy Short Hold Analysis: (Yes) (No) UST Project: (Yes) (No) *Please ATTACH any project specific reporting (QC LEVEL 1 II III IV) provisions and/or QC Requirements Invoice To: Address: N 0 N T Email (& (No) Email Address Purchase Order No./Billing Reference TO BE FILLED IN BY CLIENT/SAMPLING PERSONNEL EDD Type: PDF� Excel Other Requested Due Date ❑ 1 Day ❑ 2 Days 3 Days 4 Days 5 Days ❑ ❑ ❑ Certification: NELAC USAGE FL NC X Site Location Name: ��Y� A u' "Working Days" ❑ 6-9 Days Standard 10 days ❑ Rush Work Must Be S Pre -Approved SC OTHER N/A Samples received after 15:00 will be processed next business day. — Site Location Physical Address: Turnaround time is based on business days, excluding weekends and holidays. Water Chlorinated: YES _ NO (SEE REVERSE FOR TERMS & CONDITIONS REGARDING SERVICES RENDERED BY PRISM LABORATORIES, INC. TO CLIENT) Sample Iced Upon Collection: YES NO_ CLIENT SAMPLE DESCRIPTION DATE COLLECTED TIME COLLECTED MILITARY MATRIX (SOIL, WATER OR SAMPLE CONTAINER PRESERVA- TIVES ANALYSES REQUESTED . rt�� ^^ �r v N PRISM LAB 'TYPE HOURS SLUDGE) SEE BELOW NO. SIZE REMARKS /�" ID NO. � © „Q►�� Sampler's SignatuAthe Sampled By (Print Name) J CL ` bn Affiliation Upon relinquishinustody is your authorization for Prism to proceed with the analyses as requested above. Any changes must be submitted in writinroject Manager. There will be charges for any changes after analyses have been initialized. • Relinquished By: (Signature Received By: (Si nature) Date MilitarylHours Additional Comments r Z / /Z /d 5�te AmvalTime Relinquished By: (Signet a Recei gnature) Da Site Departure Tlme `_ / Relinquished By: (Signature) Rec i e or Pr sm boratories By D to Fleld Tech rFee , Me Shipment: NOTE: ALL of SAMPLE COOLERS SHOULD BE TAPED SHUT WITH CU SEALS FOR TRANSPORTATION TO THE LABORATORY. CO Group No. SAMPLES ARE NOT ACCEPTED AND VERIFIED AGAINST COC U 1 ECEIVED AT THE LABORATORY. ❑ Fed Ex ❑ UPS ❑ . Hand -delivered Prism � �� ^ �� Other J( Field Service ❑ � NPDES: ' UST: G ATER: DRINKING WATER: SOLID WASTE: I RCRA: CERCLA ' LANDFILL OTHER: ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC I ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC ❑ NC ❑ SC 0 ❑ -. - .. - ❑ - - - - ❑ - - — --- - ❑ - - - fl n n r-) Kiki ENGINEERING, INC. Shield Engineering, Inc. 4301 Taggart Creek Road, Charlotte; NC 28208 Telephone 704-394-6913 Fax 704-394-6968 Project Name: 1 Shield No.: Client No.: Client Name: Task No.: Date: Inspection of: Technician: r I This report and the attached data sheets) onstitute a summary of observations and tests performed by Shield's engineering technicians. The statements made herein do not constitute a certificate. Approval of data for final report can only be made by Shield's engineers and cannot be conveyed on this form. Interpretations bases on this data are the responsibility of others. THIS IS A FIELD COPY AND.IS SUBJECT TO REVIEW AND REVISION ct 1A a -d d-vt o-0 IC-✓ 1-441 ►. C C C lv -e t OVL S t 4 a used a,k ho-e Q yr. o v4 a t rr 5�', a wrl C f e-11 AJ A, . f r� 1 tr Uac k 4 kr b ✓T /leap" JI E�1— r, r5 S t White Copy: Shield Representative Yellow Copy: Contractor, Client or Owner Pink Copy: Inspector or Superintendent �) �T Printed Name Signature fAdoeVormsWaily report.doe MELD ENGINEERING, INC. Shield"Engineering, Inc. ` 4301 Taggart Creek Road, Charlotte, NC` 28208 Telephone 704-394-6913 Fax 704-394-6968 Project Name: � {� 545 � Shield No.: Client No.: Client Name: Task No.: Date: Inspection of: j (o y,� 1.11 /1S Technician: This report and the attached data sheets) constitute a summary of observations and tests performed by Shield's engineering technicians. The statements made herein;do not constitute a certificate. Approval of data for final report can only be made by Shield's engineers and -cannot be conveyed on this form. Interpretations bases on this data are the responsibility of others. THIS IS A FIELD COPY AND IS SUBJECT TO REVIEW AND REVISION r, 6wP 5 �o ,� ' �• w [� i W �- ,'c �'�, l r a.,l rr, o 'V /►l 5 �l ti rf-6 � r' I v i"� - y:-i �j Mtn s Shy White Copy: Shield Representative Yellow Copy: Contractor, Client or Owner Pink Copy: Inspector or Superintendent Signature Printed Name fAdo6forms\daily report.doc Shield Engineering;. Irie: ' 4301 Taggaif Creek Road, Charlotte; NC 28208 ENGINEERING; �Nc. Telephone 704-394-6913 Fax 704-394-6968 Project Name:. ✓� �t n S Shield No.: Client No.: -ClientName: ✓� �t Task No.: Date:- j 7/5" 13 Inspection of: Technician: This report and the! attached data sheet(s) constitute a summary. -of observations, and tests• performed by Shield's engineering technicians: The -statements made herein do not constitute a: certificate.: Approval of dafa for final"reporf can only be made`by' Slu'eld's' e4gineers and. cannot be conveyed on this form. Interpretations bases on. this data are the responsibility of others. ,. THIS IS A FIELD COPY AND IS SUBJECT TO REVIEW AND REVISION a n S 4o l . O o G ,e k -f- -exl ( -e .c dccC 40 White Copy:. Shield Representative Yellow Copy: Contractor, Client or Owner Pink Copy: Inspector or Superintendent: Printed Name Si nature F\doc\forms\daily repoA.doe Shield Engineering, Inc 43'01 Taggart Creek Road, Charlotte, NC 28208 . ENGINEERING, INC. Telephone' 704-394-6913 Fax 704-394-068 Project Names Shield No.., Client` No.: Jf3�r'�n� �jQ -k- cJm Client Names Task No.: Date: Z Inspection: of s �e� Technieiari; This•report'and`the`attached,,d`ata:slieet(s) constitute-a=suMftI ryof'oliservdtibns,aridtestspet--forined!by Sfiietd'S et gineering,technicians: The statements- . made'herein'donotconstitute`aicertificate- Approvalof data=for`fin''af`.repbrf.-canrorily:beariade,by Sl ietd'slengineersrandcannotbe conveyed'on-this form: lnterpretations-bases-on4tliis datware the`responsibility of others. THIS IS' A. FIELD. COPY AYJBdECT TO REVIEW AND REVISION t r i �,,iite Copy: Shield.Representative, Yellow Copy:• Contractor, Client of wrier Pink -Copy; Inspector orSi;perintendenf I Printed ame Si awte, f ldoeVormsWailyreporCdoc ENGINEEFZYNG, INC_ Shield Engineering, Inc. 4301 Taggart Creek Road, Charlotte, -NC 28208 Telephone 704-394-6913 Fax 704-394-6968 Project Name: �`�`Nyvr 1 Shield No.: Client No.: Client Name: Task No.: Date: Inspection of: 64--?�,P/Al Technician: u?140 Irv)- f I. This report and the attached data sheet(s) constitute a s mary of observations and tests performed by Shield's engineering technicians. The statements made herein do not constitute a certificate. Approval of data for final report can only be made by Shield's engineers and cannot be conveyed on this form. Interpretations bases on this data are the responsibility of others. THIS IS A FIELD COPY AND IS SUBJECT TO REVIEW AND REVISIONq f-2�� A'r vvv!l� L'Ick D k, b v ,e4C n 4?--,— S ke . White Copy: Shield Representative Yellow Copy: Contractor, Client or Owner Pink Copy: Inspector or, Superintendent /A Printed Name Signature fAdockfocrosWaily report.doc Shield Engineering, Inc. 4301 Taggart Creek Road, Charlotte; NC 28208 Telephone 704-394-6913 Fax 704-394-6968 Project Name: l,t — Shield No.: Client No.: Client Name: Task No.: Date: Inspection of: ® Technician: This report and the attached data sheet(s) constitute a summary of observations and tests performed by Shield's engineering technicians. The statements made herein do not constitute a certificate. Approval of data for final report can only be made by Shield's engineers and cannot be conveyed on this form. Interpretations bases on this data are the responsibility of others. THIS IS A FIELD COPS' AND IS SUBJECT TO REVIEW AND REVISION r/1 � C 1 ' Si ./1A(>VtfL �1G l— <. s P22r- --l White Copy: Shield Representative Yellow Copy: Contractor, Client or Owner Pink Copy: Inspector or Superintendent Printed Name Signature fAdoc\formsldaily report.doc m �. ENGINEERING, IN`C. Shield --Engineering, Inc-. 4301 Taggart Creek Road, Charlotte, -NC 2820& Telephone 704-394-6913 Fax 704-394-6968 White Copy: Shield Representative' Yellow Copy: Contractor, Client or Owner Pink Copy:. Inspector.or Superintendent ✓ N! ..,/G Z �`� anted Rame Signature f..%dcc\formsWaily report.doc ppppp- SOC PRIORITY PROJECT: NO To: Permits and Engineering Unit Water Quality Section Attention: Aisha H. Lau Date: January 4, 2001 NPDES STAFF REPORT AND RECOMMENDATIONS County: Cabarrus lNr1JL' 3 rurillit iNu.: 11%C.�S.71u`tul. MRO No.: 00-98 PART I - GENERAL INFORMATION 1. Facility and Address: Johnny's Sav-A-Sum = Holding Brothers, Inc. P.O. Drawer 647 Concord, NC 28206-0647 2. Date of Investigation: January 3, 2001 IReport Prepared By: B. Dee Browder, Environ. Engr. I 4. Person Contacted and Telephone Number: David Holding, (704)786-4127. 5. Directions to Site: Travel South on Highway 601 from Concord. The site is on the southeast side of the intersection of Highway 601 and Flowes Store Road. 6. Discharge Point(s), List for all discharge Points: - Latitude: 3350 2113011 Longitude: 80" 32' 30" Attach a USGS Map -Extract and indicate treatment plant site and discharge -point on map. USGS Quad No.: Concord SE 7. Site size and expansion area consistent with application: Yes. 8. Topography (relationship to flood plain included): Facility is -on fairly level site. (0-3% slopes) 9. Location of Nearest Dwelling: -Approx. 500 feet from the WWTP site. - Page Two - - 10. Receiving Stream or Affected Surface Waters: Irish Buffalo Creek a. Classification: WS III b. River Basin and Subbasin No.: Yadkin 03-07-12 C. Describe receiving stream features -and pertinent downstream uses: Discharge is to an unnamed tributary of Irish Buffalo .Creek. Downstream users are unknown.. :PAP. ti --'--DESCRIPTION OF -DISCHARGE AND TREATMENT -WORKS- - - 1. a. Volume of Wastewater: 5-GPM-(Design Capacity) -b. What is the current permitted capacity: N/A C. Actual treatment capacity of current facility (current design capacity):_ 5-GPM d. Date(s) and construction -.activities allowed by previous ATCs issued in the - - — - = -previous-two years: N/A - - - - e. Description of existing or substantially constructed WWT facilities: N/A f. Description of proposed WWT facilities: Groundwater.remediation will consist of -- =recovery ffom four -six (6) inch diameter recovery wells`located throughout the - contamination plume delivering groundwater -to an-oil/water separator followed by a liquid storage tank utilizing high and low water sensing systems connecting to the wells for hydraulic control. Groundwater then proceeds to a stacked tray aerator that has its own transfer pumps, inlet blower, -and holding tank. - - Groundwater is then pumped through carbon canisters for polishing and discharge. g. Possible toxic impacts to surface waters: There are no=toxic impacts expected. - - ---_ - h Pretreatment Program (POT)Ws only): Not Needed. 2. Residual handling and utilization/disposal scheme: a. If residuals are being land applied specify DEM Permit No. N/A. - Residuals Contractor: N/A - Telephone -No. N/A b. Residuals- stabilization: N/A C. Landfill: N/A Page 3 3. Treatment Plant Classification: Class 4. SIC Code(s): 5541 Wastewater Code(s): 53210 5. MTU Code(s): 37 —DART 111--OTFIER PERTINENT INFORIMATION - 1. Is this facility being constructed with Construction Grant Funds or are any public monies myolved (municipals only_)? No- _ 2. Special monitoring or limitations (including toxicity) requests:None at this time. 3. Important SOC/JOC or Compliance Schedule dates:N/A - - - Submission.of plans and specifications- _- Begin Construction- _ -Complete construction 4. Alternative Analysis Evaluation - _-_a.- - Spray Irrigation: Sufficient land not available: - b. Connect to regional sewer system: Not available. C. Subsurface:. Sufficient land not available. d. Other disposal options: None evaluated in proposal. PART -IV - EVALUATION AND RECOMMENDATIONS Holding Brother Inc. request the issuance of the proposed groundwater remediation project for the Johhny's Save a Sum site: The proposed facility is suitable-for.the site. This office has no - _ concerns regarding the construction peration of this facility as proposed. bb Signature of Report Preparer ate - _- Water Quality Regional Supervisor - Date -h:\dsr\dsr99\.dsr