NC0089206_Regional Office Historical File Pre 2018

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ROY COOPER
N-110- .AELw S. REAN
Certified Mail # 7015 1520 0002 8386 8622
Return Receilot RgqMested
June 07, 2618'
(nary Myers
Plaze Incorporated
105 Boldt Ln
Saint Clair, MCA 630
SUBJECT: Compliance Inspection Report
Church Street remediation site
NPDE5 WW Kermit No. NCO089206
Mecklenburg County
Gear Permittee.
The North Carolina Division of Water Resources conducted an inspection of the Church Strut
remediation site on 6/ 6 2018. This inspection was conducted to verify that the facility is
operating in compliance with the conditions and limitations specified in NPDES WW Permit No.
NCO089206. The findings and comments noted during this inspection are provided in the
enclosed copy of the inspection report entitled "Compliance Inspection Report"
Please respond in writing to this office within 30 days of your receipt of this letter regarding'
your plans or measures to be taken to address the following issues: Missing Flow Meter
Calibration Records.
If you should have any questions, please do not hesitate to contact Edward Watson with the
Water Quality Regional Operations Section in the Mooresville Regional Office at 704-663-1699
or via email at [e-mail].
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
State of North Carolina I Environmental Quality I Water Resources
610 East Center Avenue, Suite 301, Mooresville, NC 2 115
70-663-1699

rcn
S Moore.,
1PDFS Coml
Ile Regional Office - Enforcement File
nceJFnforcement Unit - Enforcement File
Stain of North Carolina I Environmental Quality ( Water Resources
610 East Center Avenue, Suite 301, Mooresville, NC' 28115
704-663-1699

Adams, Cect e
From, Adams, George
Sent Tuesday, June OS, 2018 2:47 PM
To Megan Smith
Cc: Adams, George
Subject RE: [External) Fw: Limited Indoor Air Assessment Skybox Warehouse Condominiums
Absolutely. You may want us to do most of the communicating. We have a public information officer and she's an
000
excellent resource. Thank you.
FirstService
George Adams - Engineer - ear e.adanisa na.dgrLr gJLv
a Iq3� , N,T A..
North Carolina Department of Environmental Quality
Division of Waste Management - Superfund Section - Inactive Hazardous Sites Brandt
at t rs ScWH
-aCzre
610 East Center Avenue, Suite 301
mu: , -ti : i '�.a< , ,, ,..>t,Y t <.. ,�, ., r. >,. x :.,
Mooresville, North Carolina 28115
704 663.1699 office 704 663-6040 fax
a iv d s to f to o N r: 1
x,w. '+ }l2 F 1,,..t t,rJW
Please refer to Electroftic tT acurnyi c Submttln[ prior to the submission of workplans, reports, cover letters, and correspondence.
x mer
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INTERACTIVE MAPS WITH DWM SITES AND PERMITTED FACILITIES.
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ONLINE ACCESS 70 SUPERFUND SECTION DOCUMENTS
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Frorrr McRae.. uv
Properties em Jtf c r e aft raGl rca tty
Frain: Megan Smith[mailto:[e-mail])
Sent. Tuesday, June S, 2018 212 PM
Sent, Tuesday, June 05, 2018 2:14 PM
To: Megan Smith
To. Adams, George <6eorge.admns@ncdenr.8ov>
Subject: Re. Limited Indoor Air Assessment Skybox Warehouse Condominiums
Subject: [External) Fw: Limited Indoor Air Assessment Skybox Warehouse Condominiums
K RUM
Hi Megan,
Hope all is well with you. Just curious if you have an update on the air quality assessment?
Thanks!
Jessica McRae ,
On Mar 26, 2018, at 3 Q7 PM, inegal wrote.
2

The Inactive Hazardous Sites Branch (IHSB) of the North Carolina Division of
Waste Management (Division) is coordinating g with Rachel Geld of First Service
Residential to inform property owners and occupants of a limited assessment of
indoor air that is tieing scheduled at the property referenced above. The primary
study areas of the assessment are common spaces within and near the farmer'
warehouse section of the condominium complex.
Please review the attached document for further inforrrtation.
Owrners are responsible for providing this information to their tenants.
Thank you,
**Please do not reply to this email. If you have a question or concern regarding the
above or attached, please contact George Adams at george ,,idains@ni,denr.gc.)v
or call 704.663.1699**
View Attachment(s)
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If you have; any questions concerning this matter or to apply for an SOC, please contact iEdward We
the Mooresville Regional Office at 704-663-1699.
Sincerely,
W. Grey Basinger, Regional Supervisor
Water Quality Regional Operations Section
MooresvilleRegional Office
Division of Water Resources, NCDEQ
Cc: W S Mooresville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
Mr. Neil McElveen, P.E. -- Terracon
2020 East' Starita Rd, Charlotte, N.C. 28206
State ofNortlt Carolina 1 Enviro ental Quality I Water Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
704-663-1699

PAT MCCROR'Y'
;a
DONALD R. VAN DER YAART
Secs-r• a:1,
WaterResources S. JAY ZIMMERMAN
Director
March 31, 2016
Gary Myers
Place Incorporated
105 Boldt Ln
E
Saint Clair, MO 63077
Subject: NPDES Electronic Reporting Requirements and
Sixty Day Notice of Miner Modification of the NPDES Permit
Church Street remediation site
NPDES Permit Number: NCO0 9206
a
r
[dear NPDES, Permittee:
i
The U.S. Environmental Protection Agency (EPA) recently published the National Pollutant Discharge
Elimination System (NPDES) Electronic Reporting Rule: The rule requires NPDES regulated facilities to
report information electronically, instead of filing written paper reports. The rule does not change what
information is required from facilities. It only changes the method by which information is provided (i.e,
electronic rather than paper -based).
EPA is phasing in the requirements of the rule over a 5-year period.. The two phases of the rule, and their
key milestones, are: i
• Phase 1.—Starting on December 21, 2016, regulated entities that are required to submit Discharge
Monitoring Reports (DMRs) will begin submitting these reports electronically, instead of on
paper. If you are currently reporting your DMR data electronically using eDMR, then you simply
need to continue reporting in the same way as you are now. The key change is that, starting on E
December 21, 2016, electronic reporting of DMRs will be required, instead of voluntary.'
• Phase 2—Starting on December 21., 2020, regulated entities that are required to submit certain �
other NPDES reports will begin submitting these reports electronically, instead of on paper.
Reports covered in the second phase include Notices of Intent to discharge in compliance with an
NPDES general permit, Sewer Overflow/Bypass Event Reports, and a number of other NPDES:
program reports.
For more information on EPA's NPDES Electronic Reporting Rule, visit
htt www2.e a. ov corer Hance final -national- ollutant-dischar e-elimination_s stem- des-
electronic-re2ortinrule. For more information on electronic reporting to NC DWR, visit
htt de .nc. ov about divisions water -resources edmr n des -electronic -re ortin or contact Vanessa
Manuel at 919-807-6392 or via email at Vanessa.Man el nrdenr,
I'
i
State ofNorth Carolina I Environmental Quality I Water Resources
1
1611 Mail service Center I Raleigh, North Carolina 27699-1611
919 707 9000

l:.a..:-- —9 RA.--- ....r.1.N--
fitions in the original permit remain unc
If any partscontained in this m<
petition for a contested case wi
receipt of this letter. This petit
Carolina General Statutes.` Petit
Office Drawer 11666, Raleigh, N
the agency decision shall be fim
please contact John Hpnnessv A

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MOMTORING -d REMEDIATION WELL LOCATION SURVEY
2100— 120 N. Church Street `
CHARLOTTE, NECKf.ENSURG COUNTY, NO. `« )
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�q Former Claire Mfg, Charlotte, NC : Mar 16
apt A JMKM COMPANY
c DE sE+wa r rntsae asis Estimated Groundwater 1)ra'4VCit6 i1. g
?31ffiSFSfiA N!AM1iN% ,hrt4Y F'M ure
as:aaal�a sa,oj February2016 A
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D NA D R. VAN beR ., AA4 'T
S. JAY ZIMMERMAN
I do G` f"r
March 11, 2016
Mr. Neil McElveen, P.E.
Department Manager
Terracon:
200 East Starita Road
Charlotte, NC 28206
Subject: Compliance Evaluation Inspection
Claire Sprayway
Ground water remediation
NPI ES Permit No. NCO08 206
Mecklenburg County
Dear Mr.=McEleen,
Enclosed is a copy of the Compliance Evaluation Inspection for the Inspection conducted
at the subject facility on March 3, 2016 by Ori Tuvia and Ed Watson. Your cooperation during
the site visit was much appreciated. Please advise the staff involved with this NPDES Permit by
forwarding a copy of the enclosed report.
After further review of the 'Transit Time Flow Meter — Model TTFM 1.0, it was confirmed
that the flow meter does need to be calibrated yearly. Calibration can be done in-house but
must be completed annually.
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at (704) -21 0 or at
[e-mail].
ov.
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEC!
Cc': NPDE (Derek Denard
MRO Files
Mooresville Regional Office
Location: 610 East Center Ave, Suite 301 Moormille, Plc 28115
Phone. [phone] Pad: [phone] \ Customer Service: 1-877-63-6748

NPDE yrimolday inspection Type (Cont.) 1
1 NCO089206 12 16103103 17 18 Lj
L Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Notes by Ed Watson.
The ten (10) recovery wells are paired as an air sparge and pump system. The wells are connected to
the remediation trailer through a network of trenches. Influent water enters the remediation building and
is first directed through a series of bags filters. The size of the filters range between 50 to 100
microns. These bag filters collect the suspended solids out of the influent water. The water is then
sent to a four () tray air stripper which completes the removal of the chlorinated solves. Effluent water
is collected from a sampling port located after the stripper tower. There is a 1000 gallon holding tank
located out -side of the remediation building that is used to collect the extracted water while the system
is being serviced. Water can be sent to the system from this tank on an as called for basis. This
allows the system to continuously run during system maintenance.Effluent water is discharged into a
near site storm drain that discharges to an unnamed tributary of Little Sugar Creek.
The direction of groundwater flow across the site appears to the southeast. There are eighteen (18)
monitoring wells on site where water levels are regularly measured. A request was made to be
provided with the average depth to water across the site. Additional information requested during this
inspection includes the area of influence the remediation system and a copy of a recent manifest for
the disposal of the spend Ater bags.
Page#

Permit: NC0089206 Owner - Facility: Church Street remediation site
Inspection Date: 03/03/2016 Inspection Type: Compliance Evaluation
Permit
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: Permit was issued on 3/1/2016 effective until 6/30/2020.
Record Kee ging
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 (tab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
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 MRS complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
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?
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?
Facility has copy of previous years Annual Report on file for review?
were well maintained and Ur gpiZed.,
Laboratory Les No
Are field parameters performed by certified personnel or laboratory? 0 1
Pagi

Permit: NCO089206 Owner - Facility. Church Street remediation site
Inspection Date: 03/031 016 Inspection Type: Compliance Evaluation
Labo[atory
Yes No N6 NE
Are all other parameters(excluding field parameters) performed by a certified tab?
0
❑
❑
Cl
# is the facility using a contract lab?
so
Cl
❑
Is (roper temperature set for sample storage (kept at less than or equal to 5:0 degrees
IN
❑
©
❑
Celsius)?
Incubator (Fecal Colifo ) set to 44.5 degrees Celsius+f- 0.2 degrees?
❑
1
M
❑
Incubator (BQD) set to 20.0 degrees Celsius +j-1.0 degrees?
❑
Comment: Face Lab is contracted to analvze samples.
Effluent Sampling
Yes to NA NE
Is composite sampling flow proportional?
❑
C3
12
❑
Is sample collected below all treatment units?
0
0
❑
Is proper volume collected?
0
❑
❑
Q
Is the tubing clean?
Q
❑
El
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
IN
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
N
E3
13
13
representative)?
Comment: face Lab anal es earn les for: T S Tricttloroethane Di hlcircmethane l ichlur�tetherre
Na thalene Tetrachloroethene 1 Dichli roethane Trichloroethane and Chronic toxicity.
Flaw Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
0
0
❑
❑
Is flaw meter calibrated annually?
❑
11
❑
❑
Is the flow meter operational?
❑
11
13
(If units are Separated) Does the chart recorder match the flow meter?
00
❑
❑
Comment: Electronic flaw meter. Transit Time Flow Meter — Model TTFM 1.0. is used. Flow meter has
not been calibrated. Must be calibrated annual# .
Effluent Pile
Yes No NA NE
Is right of way to the outfall properly maintained?
❑
❑
N
❑
Are the receiving water free of foam other than trace amounts and other debris?
N
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
0
13
N
❑
Comment. Dischar es into storm drain.
Q erati to Maintenance
Yes_ No NA N
Page#
4

._ .. nhif
teen with acceptable housekeeping?

PAT MCCRORY
.Nw
DONALD R. VAN DER VAART
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL OUALITY
cixG to
January 22, 2016 z E'.
16
M. Neil McElveen P.E. „U s
Safety and Environmental Manager, Terracon
Plate Incorporated
105 Boldt Lane
t. Claire, Missouri 63077
Subject: Issuance of NPDES Permit N+CO08 206
Claire Sprayay Site Remediationn Project
100 North Church Street, Charlotte
Mecklenburg County
Dear Mr. McElveen:
The Division of Water resources (the Division) hereby issues the attached NPDES permit for
the subject facility. We issue this permit pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. .
Environmental Protection Agency dated October 15, 2007, or as subsequently amended.
Changes e to the Permit DRAFT. After additional review of the monitoring database, the Division
notes that several parameters of concern were not detected in the effluent during the previous
permit cycle. Considering the lack ofreasonable potential to exceed their respective water -
quality standards, DWR removed the permit limits for Toluene, Naphthalene, PCE, T E, 1, l-DCA,
1,1-DCE, 1,1,1 TCA and 1,2-DCA. hi keeping with pertaining guidance, we have also reduced the
respective monitoring frequencies froth tfJrrratlrly to Quarterly' see Section A. (I.)].
Request to Increase Flow, The Division acknowledges your request to increase Monthly Average
flow from 0.050 to 0.070 MGD. CJnfortunately this; cannot be granted. By Rule, flow increases
require additional information [I SA NC'AC 2110105(c)(2)] in the' formn of an Engineering
Alternatives Analysis (EAA). Should you wish to comply with this document, you may submit
an application mid appropriate fees to modity this permits Please see our website:
flittp://portal.ncdenr.org/,veb/Wq/swp/Ps/npdes/guidaiice].
Renewal Changes. The Division has updated your permit facility description, site map, and
added parameter cedes to your effluent table for your convenience [see section A. (1 a)]. Also
please note the future need for electronic DMR reporting.
Itntmleinentitg Eletr earai Discharge Monitoring Reticrts (eDMlsi. Please be advised that the
Division has implemented an electronic Discharge Monitoring Report (eDMR) program, in
accord with pending requirements by the Environmental Protection Agency (EPA);. We include'
in this pet it the details to implement the eDMR program [see Section A. (.)].
State of North Carolina I Ens iromnernal Quality I Water Resources
1611 Mail service venter I Raleigh, North Carolina 22699-1611 J

Proposed fed
Carolina doe;
eD1Rs direc
obtaining an
rat regulations require electronic submittal of all DMR and specify that, iif
not establish a program to receive such submittals, Permittees :must then subs
'y to EPA. For more information on eDMRs, registering for eDMR submittal;
icdenr.or` web/1N ladnli o /i a/ed r.
website:
h4://www2-_eka.gov/coinpliar
If any parts, measurement fxeq
unacceptable, you have the rig]
within thirty (30) days after re
petition conforming to Chapter
with the office of Admiistrat
76-h714. finless such a den
This permit is not transferable
Division may require permit in,
,porting Rule, ,please visit ;EPA':
sic -re ortin-rule
permit does not affect your legal obligation to obtain other permits regt
Water Resources,; the Division of Land Resources, the Coastal Area
federal or local governments.
If you have questions, or if we can further assist you, phase contact .l o(=
C7ttP d tl# tlfiinttin xtnr�ranr rrnYr7 lYr . ,71 All n'1 QA'7 --) "A

Pennit NCO089206
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISIONOF WATER RE� SOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provision of North Carolina General Statute 143 -215. 1, other lawful standards
Commission, and the Federal Water Pollution Control Act, as amended,
Paz e Incorporated
is hereby authorized to discharge wastewater from a facility located at the
Claire Sprayway Site Remediation Project
2 100 North Church Street, Charlotte
Mecklenburg County
to receiving waters designated as an unnamed tributary to Little Sugar Creek in the Catawba River
Basin in accordance with, effluent limitations, monitoring requirements, and other conditions set forth in
Parts 1,41, 111, and IV hereof
The permit shall become effective March 1, 2016.
This permit and the authorization to discharge shall expire at midnight on June 3 0, 2020.
Signed this day January 22, 2016.
ay Zimmerman, P.G, Direct
� Zimmerman, 46 ect
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

the permit conditions, requirements, terms, and provisions included hers
Plaze Incorporated
is hereby authorized to.
l: to continue to operate a 0.050 MGGD groundwater remediation system+coi
air -stripping facilities to remove lost product and volatile organic compoi
the Claire Sprayway Site Remediation .project, 2100 North Church Street
by,'Ywofford Associates Epoxy Mooring], Mecklenburg County, and
2. discharge from said treatment works via. Outfall 001 [storm -sewer catch
location specified on the attached map, flawing into an unnamed tributar3
[stream segment 1 i-13`/-8] a waterbody currently classified C within subbasin 0 -0 -34 [II TC.
0 O5OS O3] of the Catawba liver Basin.
Page 2 of 6

Permit NCO0 9206
Part I
Tetrad loroethene 78389
Quarterly Grab Effluent
Toluene 34010
Quarterly; Crab Effluent
,2 - Uichloroethane .3453I
Quarterly drab Effluent
Trichloroethene 7391
Quarterly Grab Effluent
WET Testing; 3 TCrP313
Quarterly Grab Effluent
Footnotes:
1. Beginning no later than 270 days from the permit effective
date, the Per ittee shall submit Discharge
Monitoring Reports (DMR.$) electronically using NCI 's eDIVlR submittal system.. [See Section A. (3)].
2. Flow may be measured using a totalizing flaw ureter.
3. Whole Effluent Toxicity ( 'T) testing (Cer iodaphn a) (a
at 90% effluent concentration; testing during
January, April, July and October [see Section A. (2)].
C€Inciiticrns:
• 'There shall be no discharge of floating solids or town.
Mitring the months requiring Quarterly WET testing, all the above parameters shad be sampled a
analyzed concurrently with WET testing.
Wage 3 of

Permit NCO089206
A. (2) CBRONIC TOXICITY PERMIT LIMIT (Quarterly)
[ 1 5A NCAC 02B .0200 et seq.]
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to
Ceriodaphnia dubia at an effluent concentration of 90%. The permit holder shall perform at a minimum,
qyqLterl -,ri do
y monitoring using test procedures outlined in the "North Carolina Cc 0 phnia Chronic Effluent
Bioassay Procedure, " Revised February 1998, or subsequent versions or "North Carolina Phase It Chronic
Whole Effluent Toxicity Test Procedure " (Revised -February 1998) or subsequent versions. The tests will be
performed during the months of January, April, July and October. Effluent sampling for this testing shall
be perfoinied at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the
permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the two
following months as described in "North Carolina Phase 11 Chronic Whole Effluent Toxicity Test
Procedure" (Revised -February 1998) or subsequent versions.
The chronic value for multiple concentration tests will be deteimined using the geometric mean of the highest
concentration having no detectable impairment of reproduction or survival and the lowest concentration that
does have a detectable impairment of reproduction or survival. The definition of "detectable impairment,"
collection methods, exposure regimes, and further statistical methods are specified in the "North Carolina Phase
H Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP3B for
the pass/fail results and THP313 for the Chronic Value, Additionally, DWQ Form AT-3 (original) is to be sent
to the following address:
Attention: NCDEQ / DWQ / Water Quality Permitting Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forins shall be filed with the Water Quality Permitting Section no later than
30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory super visor and ORC or approved designate signature,
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required,
the permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating
the facility name, permit number, pipe number, county, and the montli/year of the report with the notation of
"No Flow" in the comment area of the fortm The report shall be submitted to the Environmental Sciences
Section at the address cited above. Should the permittee fail to monitor'during a month in which toxicity
monitoring is required, monitoring will be required during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of
Water Quality indicate potential impacts to the receiving stream, this permit may be re -opened and modified to
include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such
monitoring shall be included in the calculation & reporting of the data submitted on the DMR & all AT Forms
submitted,
-1 A -
of the month following the month of the initial monitoring.
Page 4 of 6

Pen -nit NCO0 9206
A. (3.) ELECTRONIC REPORTING - DISCHARGE MONITORING RING REPORT
[ .S. 14-215.1(b)]
Proposed federal regulations require electronic subr-nittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then Permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division adopted
and implemented these regulations in 2013.
NOTE This special condition supplements or supersedes the following sections within Part 11 of this
permit (Standard t"`onditions.for NPDES Permits):
m Section B. (11.) Signatory Requirements
• Section D. (.) Reporting
• Section D. (.) Records Retention
• Section E. () Monitoring Report
. Reporting S erses I'art It Section D. C2.)and. Section E. 5. a
13eginr-ting no later than 270 days from the effective date of this permit, the Pennittee shall report
discharge monitoring data el ctr n eally using the NC DWR's Electronic Discharge Monitoring
Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data: and submit DMRs electronically using the intemet. Until such time that the state" s
el) application is compliant with EP 's Cross -Media Electronic Reporting Regulation
(C OMERR), Permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR mid will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NCDEt / DWR / Information Processing Unit
ATTENTION: Central Files/ eDMR
1617 Mail Service Center
Raleigh, North Carolina 2769 -1617
If a Permittee is unable to use the eDMR system clue to'a demonstrated hardship, or due to the facility
being physically located in an area where less than 10 percent of the households Have broadband
access, then a temporary waiver from. the NPDES electronic reporting requirements may be granted,
d discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3, or
alternative forms approved by the Director. Duplicate signed copies shall be submitted to the mailing
address above.
Requests for temporary waivers from the NPDES electronic reporting requirements rust be
submitted in writing to the Division for written approval at least sixty (60) clays prior to the date the
facility would be required under this permit to begin using eDMR. 'Temporary waivers shall be
valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the Permitte re -applies for and is granted a new temporary
waiver by the Division.Information on eDMR mid application for a temporary waiver from the
NPDES electronic reporting requirements is found on the following vet) page.
brit .Ifnortal.NCDI, .or �/°vela/wc /acl irr/bo��/i r�.tledr��r
Page 5 of

Permit 1 CO089206
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Si naton Reguirejuents [Supplements Part H, Section B. J11.) (b) and supersedes Section&
JjQLdA
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
11, Section B. (I 1.)(a) or by a duly authorized representative of that person as described in Part 11,
Section B. (I 1)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR systeni, registering for eDMR and obtaining an eDMR user account, please visit
the following web page:
MR.Hpoital- i/ pu gchur
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make
the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CEWFIFICATION
WILL BE ACCEPTED:
I certify, under penalty of law, that this document and all attachments were prepared tinder my
direction or supervision in accordance with a systent designed to assure that qualiftedpersonnel
properly gather and evaluate the information submitted Based on my inquiry of the person or
persons who inanage the system, or those persons directly responsible for gathering the
it?formation, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. Iam aware that there are significant penaltiesfir submitting false information,
including the possibility of fines and imprisonment.fear knowing violations.
3. Records Retention [Supplements I Part 11, Section D. (6.)l
The Permittee shall retain records of all Discharge MoiiitorinRet)orts, includinL)- eDMR
suornissions. i nese recoras or copies stian oe maintamea for a period of at least 3 years from the
date of the report. This period may be extended by request of the Director at any time [40 CFR
122.41].
Page 6 of 6

NPD S Pen -nit Standard Conditions
Page 1 of 18
PART
I
STANDARD NITi IBIS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3' ee
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
.act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean 'Water Act (CWA), as amended, 33 U SC 125 1, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliforni the geometric mean of such discharges.
Arithmetic Mean
The sum ation of the individual values divided by the number of individual values.
Bypass
The, known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. however, for purposes of this permit, any
consecutive 24--hour period that reasonably represents the: calendar day may be used for sampling.
Calendar Week
The period trom Sunday through the following Saturday.
Calendar Quarter
One ofthe following distinct periods: January through March, April through June, July through September, and
October through Decemxmber.
C mpositc Sam &e
Asample collected over a 24-hour period by continuous sampling or combining Arab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge daring the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis: Samples may be collected manually or automatically. Cornpositc
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the; rate of flow.
() Constant time/variable volume: a$ series of grab samples collected at equal time: intervals over a 24 hour period
of discharge and combined proportional to the rate; of flow measured at the time of individual sample
collection, or
(3) 'Variable time/constant volume: a series of grab samples of equal volume collected over:a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than p f24 of the expected total daily flow at
the treatment system, or
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NII'DES I
constant time interval. Use of
used in situations where eflluq
Influent and effluent grab
fnfluent samples shall noel
Permittees with wastewat
samples at intervals of no
Permittees with wastewat
grab samples at least ever
s of grab samples of equal volume collected (
and requires prior approval by the Director. T
les shall be of equal size and of n
,Nested more than once per hour.
itment systems whose detention t
er than 20 minutes apart during aj
itment systems whose detention t
t 100 milliliters
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device,
fail �Qischqrge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents th
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calcula
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, I
"daily discharge" is calculated as the average measurement ol'the pollutant over the day. (40 CFR 122.2; see all
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sintalin
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified
pernrit. Sampling shall be conducted on weekdays except where holidays or other disruptions of nonnal operati(
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), tt
D Al I- A A, Urn I; ;4-+A XA 4 .4
i at a
be
ly:
grab
Muent
npling
411 ICTIHMI 11� 1-vnote can111 a
samples).
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NPDES Permit Standard Conditions
Page 3 of 18
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA:
Instantaneous flow measurement
The flow measured during the;minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sali period so that together the samples and flow are representative of the discharge-
during that sampling period.
IVlontlily Avera e (concentration li it}
The arithmetic mean of all "daily discharges" of a pollutant: measured during the calendar month, In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Pg it /:seeing Authority
The Director of the Division of Water Resources.
luarterl Average (concentration lnnit)
The arithmetic mean of all samples taken over a calendar quarter.
Scvcrc rope damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant;
Any pollutant listed as toxic udder Section 307(a)(1) ofthe 'CWA.
UP -Set
An incident beyon
permit effluent lien
operational error, i
maintenance, or ca
Weekly Average ((
Ll and temporary noncompliance with
kelude noncompliance caused by
facilities, lack f preventive
y g p g u calendar week. In the case of fecal
colifon-n or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Co` ial
The'Permittee must comply with all conditions of this permit. Any pen -nit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance or
modification; or denial of a permit renewal application [40 CFR 122.41 ].
a. The Permittee shall comply with effluent standards or prohibitions established tinder section 307(a) of the
WA for toxic pollutants and with standard; for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish there standards or prohibitions or
standards for sewage sludge use; or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 40(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1 1 (d) and 40 C 'R
122,41()(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 30' , 308, 18, or405 of;
+t,- Am .. - , ,.--A , 1.; . . . l
ations and/or monitoring requirements. An upset does not i
iproperly designed treatment facilities, inadequate treatmer
"less or improper operation.
incentration limit)
I of all "dil dischar c4" ofa ollutant measured Burin t
f the Act, or any n
02(b)(8) of the Ac
tion or iirntation imp enting any of such sections in a permit issued under section 402
ireme t unposed in a pretredmient program approved under section 402( )(3) o
is subject to criminal penalties of $2,500 to $25,000 per day of violation, or

imprisonment of not more than I year, or bi
violation, a person shall be subject to crime
NPDES Permit Standard Conditions
Page 4 of 18
In the case of a second or subsequent conviction for a negligent
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41 (a)(2)]
d, Any person who knowingly violates such sections, or such conditions or limitations is subject to crunh
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both
case of a second or subsequent conviction for a knowing violation, a person shall be subject to crimina
penalties of not more than $ 100,000 per day of violation, or imprisonment of not more than 6 years, or
[33 USC 1319(c)(2) and 40 CFR 122A 1 (a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or an,
condition or limitation implementing any of such sections in a permit issued under section 402 of the J
who knows at that time that he thereby places another person in imminent danger of death or serious b
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not n
15 years, or both. In the case of a second or subsequent conviction for a knowing endangennent violatl
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 ye
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of vi,
the imminent danger provision, be subject to a fine of not more than $ 1,000,000 and can be fined up tc
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any pe
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [Nor
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Adrninistrator for violating section 301,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are not
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceec
$37,500. Penalties for Class 11 violations are not to exceed $16,000 per day for each day during which
violation continues, with, the maximum amount of any Class 11 penalty not to exceed $177,500. [33 U1,
13 1 9(g)(2) and 40 CFR 122.4 1 (a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposa
violation of this pen -nit with a reasonable likelihood of adversely affecting hurnan health or the environmei
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part ILCA), "Upsets" (Part 1I.C.5) and "Power E;
(Part II.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, lia
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act
1319. Furthermore, the Pennittee is responsible for consequential darnages, such as fish kills, even though
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this pen -nit shall be construed to preclude the institution of any legal action or relieve the Perrin
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCC
215.75 et seq. or Section 311 of the federal Act, 33 USG 1321. Furthermore, the Pernuttee is responsible I
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Pro ppRights
The issuance of this permit does not convey any property rights in either real or personal property, or any
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringernent of Federal, State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures
facilities or the undertaking of any work in any navigable waters.
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NPDES Permit Standard Conditions
Page 5 of 18
is of this permit are severable. If any provision of this permit, or the application of any provision of
any circumstances, is held invalid, the application of such provision to other circumstances, and the
this pen -nit, shall not be affected thereby [NCGS 15013-23].
de Information
shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
g Authority may request to determine whether cause exists for modifyiniz, revokum and reissuina, or
jrit� upon request, copies of re'cords required by this permit 1 [40 - CF , R - I _ 22 - Al - (h)].
Mly
ce wishes to continue an activity regulated by this permit after the expiration date of this pen
Permit
is not authorized to discharge after the expiration date, In order to receive automatic authori
ized to issue pennits no later than 180 days prior to the expiration dai

NPDES Permit Standard Conditions
Page 6 of 18
c. Changes to authorization. If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, inforruation, or applications to be signed by an authorized representative [40 CFR
122.22]
d. Certification, Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTF1F.R STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
'7 certijy, under penal�y of law, that this document and all attachments were prepared under nly direction or
supervision in accordance with a system designed to assure that qualijiedpervonnelpropel��)7,gatiler and
evaluate the it!formation submitted Based on my inquity of the person orpersons who manage thesystem, or
those persons directly responsible.for gathering the information, the information submitted is, to the best Qfmy
knowledge and belief true, accurate, and complete.. I ain aware that there are signiftcantpenalties,for
submittingfidse injbrination, including the possibilit
y qlfiine�s and imprisonnientfin- knowing violations.
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Pennittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (f)].
13, Permit Modification, Revocation and Reissuanceor Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123 1- Title 15A of the North Carolina
Administrative Code, Subchaptcr 021-1 .0100; and North Carolina General Statute 143.215. 1 ct. al.
14. Annua9l Administerin and Co Hance Monitofiggj����
_Aqmm!s��PP
The Pen-nittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0 1 05(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
I . Certified ODerator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T t 5A NCAC 08G .0201 ]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c� submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORQ:
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
Version 1110912011.1

(3) within seven calendar days of vacancies in hot[
at least one of the responsibilities.
The ORC of each Class I facility (or the Back -tip ORC,
Visit the facility as often as is necessary to insu
facility must be visited at least weekly
Comply with all other conditions of 15A NCA(
The ORC of each Class 11, 111 and IV facility (or the Bai
Visit the facility as often as is necessary to insu
facility must be visited at least five days per wc
Properly manage and document daily operation
)0- Comply with all other conditions of 15A NCA(
2. Proper Certion and 1ylaintenane
The Permittee shall at all times properly operate and ma
(and related appurtenances) which are installed or used
of this permit. Proper operation and maintenance also it,
­".­ yis--h- rl,;. ­.;—, u— D­
when necei
NOTE: Pri
of the facili
member of
3. Need to Ila
It shall not
reduce the 1
4. Rypassuw,
a. Bypass
The Pe
only if
provisi,
b. Notice
(1) An
if f
an(
(2) Un
11.1
c. Probibi
(1) By
act
(A'
achieve compliance with the condi
NPDES Permit Standard Conditions
Page 7 of 18
ORC and Back-up ORC positions replacing or designating
when acting as surrogate for the ORC) must:
re proper operation of the treatment system; the treatment
08(1 0204.
1-up ORC, when acting as surrogate for the ORC must:
re proper operation of the treatment system; the treatment
ek, excluding holidays
and maintenance of the facility
`08G.0204,
and operate back
nit [40 CFR 122.41 (c)],
'y, and all documentation required thereof, wh4cr acting as a contract operator [subcontractor] or
fie Permittee's staff,
t or Reduce not a Defense
)e a defense for a Pennittee in an enforcement action that it would have been necessary to halt or
,entritted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41
if Treatment Facilities
not exceeding limitations [40 CFR, 122 Al (m)(2)]
mittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, bu
t also is for essential maintenance to assure efficient operation. These bypasses are not subject to d
ins of Paragraphs b. and c. of this section.
'40 CFR 122.41 (m)(3)]
-licipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior ru
ossible at least ten days before the date of the bypass; including an evaluation of the anticipated qu
effect of the bypass.
inticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
f.6. (24-hour notice).
ton of Bypass
)ass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcernet
on against a Penuittee for bypass, unless:
Bypass was unavoidable to prevent loss of life, personal injury or severe property darnage;
e
tice,
dity
t
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime, This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Pennit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
Version 1110912011.1

NPDES Permit Standard Conditions
Pate 8 of 18
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects,, if
the Perrnit Issuing Authority detennines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41 (n)(2)1: An upset COnStiftites an of defense to air action brought for
noncompliance with such technology based pen -nit effluent limitations if the requirenients of paragraph b. of
this condition are met. No detennination made during administrative, review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary fora demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through property signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Perinittee submitted, notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Perntiftee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof [40 CFR 122.41 (n)(4)1: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215. 1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission, The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and I 5A NCAC Subehapter 2T, Waste Not Discharged To
Surface Waters. The Pen-nittee shall notify the Pernut Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power failures
The Pennittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 0214.0124) to
prevent the discharge of untreated or inadeqUately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitorine and Records
1. Representative; �Satn in 1
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
penrut and, unless otherwise specified, before the effluentjoins or is diluted by any other wastestre am, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Pen -nit
Issuing Authority [40 CFR 122.410)].
2. Rokrting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1. 1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the pen -nit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NPDES Permit Standard Conditions
Page 9 of 1
NC DENR / Division of Water Resources / Water Quality Pennitting Section
ATTENTION: Central Files
1617 Mail Service enter
Raleigh, North Carolina 27699-1617
3 Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable i of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs; or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Pennittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/iab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air (duality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 12141].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
5. Penalties far Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than 10,000per violation, or by imprisonment for not more than two years per violation, or by both. if a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 1 141].'
6. Records Retention
Except for records of monitoring' information required by this pen -nit related- o the Permittee's sewage sludge use
d disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503) the Pennittee shall retain records of all monitoring information, including.
all calibration and maintenance records
all original strip chart recordings for continuous monitoring instrumentation
copies of all reports required by this permit
copies of all data used to complete the application for this penrint
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application, This period may be extended by request of the Director at any time [40 CFI
122.41].
Version 1110912011. f

NPE)f
7. Recording Results
For each measurement or sample taken pursuant to the
following information [40 CFR 122.4l]-
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who perfornied the analyses;
e. The analytical techniques or methods used; and
f, The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized repres
a representative of the Director), upon the presentation of credi
law, to;
a. Enter, at reasonable times, upon the Penuittee's premises N
conducted, or where records must be kept under the condil
b. Have access to and copy, at reasonable tunes, any records
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipme
or operations regulated or required under this penuit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otb
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41 (i)]
Section E Rtn2rgng�c Hire ants
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. Th(
any pollutant identified in this pennit more frequently than or at a level in excess of that authorized
a violation of the permit.
1 Planned Cha
n
The Permittee shall give notice to the Director as soon as possible of any planned physical alteration
notification requirements under 40 CFR 122.42(a)(l),- or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticinated Noncomoliance
The Pen-nittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215. 1, in
particular NCGS 143-215. 1 (b)(4)b.2,, and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as tray be necessary
under the CWA [40 CFR 122.41(1)(3), 12.61] or state statute.
Version 1110912011, 1

NPDES Permit Standard Conditions
Page I I of 18
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 12141(l)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (SeePart II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices,
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this perrint or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twentv-four Hour Revortina
a. The Pennittee shall report to the Director or the appropriate Regional Of any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circurnstances. A written submission shall also be
provided within 5 days of the time the Pen-nittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours,
c. Occurrences outside normal business hours`may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
T Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E. 5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Pertnittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 12141(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in <no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility,
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential wider NC GS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2) or in Section 309 of the Federal Act.
Version I110 12 11.1

NPDES Pen -nit Standard Conditions
Page 12 of 18
I I. Penalties for Falsification 9f Reports
an average annual flow greater than 200,000 gallons per day shall provide an annual report to the Permit Issuing
Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The report shall sunimarize the
performance of the collection or treatment system, as well as the extent to which the facility was compliant with
applicable Federal or State laws, regulations and rules pertaining to water quality. The report shall be provided no
later than sixty days after the end of the calendar or fiscal year, depending upon which annual period is used for
evaluation.
The report shall be sent to:
NC DENR / Division of Water Resources / Water Quality Pen-nitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 1110912011. 1

NPES Permit Standard Conditions
Page 13 of 18
OTHER PART 111
Section A. Construction
a The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued. an;
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section,
b. In accordance with NCGS 143-215. 1 (a5) [SL 2011-39 ], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the systc 's or work°s principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. issuance of air AtC will not occur until Final Plans and Specifications for the proposed construction) have been
submitted by the Pennittee and approved by the Division.
Section B. Groundwater a� itori
The Pennittee shall, urn written notice from the Director, conduct groundwater monitoring as may be required to
deternnine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes i is ar es-o'i'oic Slbstances
The Per 'ttee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
'°notification levels";
(1) One hundred micrograms per liter (100 g/L,);
(2) Two hundred micrograms per liter (200 Ag,/L) for acroleinand acrylonitr le; five hundred micrograms per liter
(500 IZ /L) for 2,4-di itrophenol and for 2-niethyl-4,6-dinitrophenol„ and one milligram per liter (1 g/L) for
antimony;
(3) Five times the aximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels",
(1) Five hundred micrograms per liter (500 pgtL);
(2) One milligram per liter (1 rn /L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D.t+aeilitClosr e airs ants
The Pernuttee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
y this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
Version 1110912011.1

NPDES Permit Standard Conditions
Page 14 of 18
PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part 11 of this permit, the following definitions apply to municipal facilities:
Indirect Disch4rgg_gEjpdustrtal User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 4033 (i) and 0) and 15A NCAC 02H .0903(b)(l 4)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permiftee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge pennit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [I 5A NCAC 02H
.0903(b)(14)]
Pass I �hrou h
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [I 5A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works POTW
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The tenn also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [I 5A NCAC 02H.0903(b)(26)]
"Significant Industrial User" or ",SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [ I 5A NCAC 02H.
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes tip five percent or more of the NPDES or non -discharge Penn, itted
flow Innit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BUD, TSS
and anun.onia,- or
3. Is subject to categorical standards tinder 40 CFR Part, 403.6 and 40 CFR Parts 405-47 1; or
4Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options-,
5. Subject to approval tinder 15A NCAC 02H.0907(b), the Permitter may determine that an Industrial User meeting
the criteria in paragraphs I or 2 of this definition abovei has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not'a
Significant Industrial User (SIU); or
6. Subject to approval under 15A. NCAC 02H .0907(b), the Permittee may deten-nine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3 (v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment nLorks POTWs Cl
Version 1110912011.1

NPDES Permit Standard Conditions
Page 15of1
All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:`
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means o
transport, which would be subject to section 301 or 306 of C A if it were directly discharging those Pollutants,
and
Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the duality and quantity of effluent'
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. if I tConti oI of ollr�tartts fro curial users.
l : Effluent limitations are listed in Dart I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Pc rittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards,
. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass 'Through or Interference as defused in 15A NCAC 0211.0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [0 CFR 403.5(b)]a
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestrearns with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 21.21 ;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference,
(4) Any pollutant, including oxygen demanding pollutants (BOD etc.) released: in a Discharge at a flaw rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) fle t in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (I04°F)
unless the Division, upon request of the POTW, approves alternate temperature limits-,
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
(s) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Pe' ittee shall investigate the source of all discharges into the POT, including slug loads and other
unusual discharges, which have the potential to adversely impact the Pennittee's Pretreatment Program and/or
the operation of the POTW,
The Perritittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Pertniffee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permitee becomes
aware of the circumstances. The written submission shall contain'a description of the discharge; the
investigation into possible sources, the period of the discharge, including exact dates and tunes; ifthe
discharge has not ceased, the anticipated mite it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance;
Version 1110912011.1

NPDES Permit Standard Conditions
Page 16 of 18
1 With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall eitber develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 12144(j)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment PE2gEams
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit, [40 CFR 122.440)(2)]
The Pen-nittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. rerms not defined in Part 11 or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Pernattee shall maintain adequate legal authority to implemc
NCAC: 02H.0903(b)(32),.0905 and .0906(b)(1); 40 CFR 403.8(f
2. Industrial Waste Survev (IWS)
The Permittee shall implement an IWS consisting of the survey o:
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A
including identification of all Industrial Users that may have an it
of pollutants contributed to the POTW by these Industrial Users a
meeting the definition of SIU. Where the Periniffee accepts waste
IWS for the Permittee shall address all satellite POTW services aj
satellite service areas is administered by a separate Permittee with
Permittee shall submit a summary of its IWS activities to the Div�
required by the Division. The IWS submission shall include a sur
paragraph C.2,c, of this Part. [15A NCAC 02H.0903(b)(13),.09(
)ki) anu,+v,),vko,ai) aria i,/_)j
3. Monitorin Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific datato
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits, Effluent data from the Plan shall be reported on the DMRs (as required by Parts II.D and II.E.5.). [157
NCAC 0214.0903(b)(16),.0906(b)(3) and .0905]
4. fleadworks Analvsis (11WA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent perritit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (ie., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909, Pursuant to 40 CFR 403.5, local limits are
Version 1110912011.1

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Concentration Complete This
Section Also
Mortality
gt-art- l�nfi Mart- land
i
imethod of Determination
Moving Average Probit
! aimin�Karber
!I #
pH D.C.
OrganismTested: Ceriodaphnia dubia Duration (hr ): R EIVEDI DDENR D '
Copied from DWQ form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.41)
QS

Effluent Toxicity Statistical Results
- Chronic Pass/Fail
Date: 10/2 /15
Facility: CLAIRE REMEDIATION
NINE ##.NCO0 9206
Pipe#: 001 Cou ty:MECKLENBU
Laboratory Performing 'Test: ,PACE ANALYTICAL
Reduction: -2,04°
CONTROL
90t Effluent
# Replicates
12
12,
Female hive
12
12
Adult Male
0
0
Adult Dead
0
0
Adult Mortality
0.00°
0 . Wk
Neonates
343
350
Mean ## Neonates
28.583
29.167
Standard Deviation
1.881
2.657
Coefficient of Variation
6.580
Fisher's Exact rest
A = 12 B = 12
a = 12
b = 12
a/A = 1.00
b/B 1..00
OBSERVATIONS
12 E 2-0,1667
A
3 Centered
29 ,
0.4167
29
0.4167
30
0.8333
30
0.8333
30
1..4167
31
1.8333
31
2.416'7
31
2.4167
31
2.41"7
2.8333
35 5.8333

SHAPIRO-WILK'S TEST FOR NORMAL DISTRIBUTION OF> DATA
(cont.)
COEFFICIENTS AND DIFFERENCES
i
x(n-i-i) X(i) a(i) x(n-i-1) - x(i)
1
5.8333 -3.1667 0.4493
9.0000
2
2.8333 -3.1667 0.3098
6.0000
3
2,4167 -2.5833 0.2554
5.0000
4
2.4167 -2.5833 0.2145
5.0000
5
2.4167 -2.1667 0.1807
4.5834
6
1.8333 -2.1667 0.1512
4.0000
7
1.4167 -1.5833 0.1245
3.0000
8
0.8333 -1.5833 0.0997
2.4166
9
0.8333 -1.1667 0.0764
2.0000
10
0.4167 -0.5833 0.0539
1.0000
11
0,4167 -0<5833 0.0321
1.0000
12
-0.1667 -0.1667 0.0107
0.0000
1
W = 111.0548
116.5833
Calculated W 0.953 Critical W 0.884
0.953 L- 0.884
The reproduction data is normally distributed
evaluated at a 99� confidence interval.
Test Passes!
F test for Homogeneity of Variance
Effluent variance 7.0606
F = - = 2.00
Control variance 3.5379
Numerator degrees of freedom: 11 Denominator degrees of
freedom: 11
Critical F = 5.32
2.00 15 5.32 ==P, The Test PASSES, the variances of the two groups
are significantly the same, homogeneous.

EQUAL VARIANCE t TEST
28.6 - 29.2
t = = -0.621
0.940
Degrees of freedom
Critical t = 2.508
_0.1 e 2.50
Test passed.. There is not a significant difference in reproduction
between the Control and the effluent evaluated at a 99 confidence interval.
Chronic Test PASSES

A&-ft� tive, I)ead

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Faclllt Name.
Address. 4'.t�. Box.
,....... � # ,. a.
Phone 11
Contact: a . •' A t +�
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% Effluent Dilution (lWS). Plant Flew.
Select Test Method.
Y ddubda Pass/Fall Chronic 600 PF N P,prorne(as Pass/Fa0Acute
00A PFPpr
0 C. dubla Full Range Chronic 6000 FP N 0 P.prome1as FQlLRang Accte=-
600A FRPpr
l G. dubia Pass/Fall Acute 600A PF du P.prorn&s uff Range Chronic
821 FRPpr
I . bahia Pass/Fall Acute 600A PFksa
Sarnote Collector Print � ���� .6 . 1 le'o j
Signature
Sirii le- fie:
Composite
D ate Started Time: AM or PM
'Date Ended `Tlme; or PM
Samples per Hr. H s
Graff
Dal e: 3 , / i ' Time: S )90 Pik
Sample Volume: I L -cot, Chilled during Collection? Yes OrLo x
Chain ef: stad , kefeise
ei nrl a h ER rife . lm Re elved BV� bate
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",Mca! Ser*.es, lnc. AddrpAs.' 6101 00 Terence Dr., Palaigh, N0 2'7607 Phone: (919)$ 4- 8

vwfaq Authodty:
Occuignt Number,, "Ieu, I
Pace caradpas Quaray
Ny
Y
Bioassay Chain of Custody Form
F lity Naahe:
'Ii
P.0" Box
Phone
Contact: IL
county, NPDESperm[t#.:L,,,,PfPex__
% Effluent Dilution (IWC):- Plant Flow:
Select Test Method:
- � P.pr=6 Pa*WFaIl Acute
E"
ET C. dubta Pass/Fall Chronic OOOOPFCNC
'I Chronic
600A PFPpr
C. dubla Full Range Chronlo 6000 FRONC 13 P.Prom4a FULRangs Acute.
c
600A FRPpr
dubla PassfFall Acute 600A PFCdu 0 P, pro' m-ejis Full Range, ChronlO
C. bi PFC
E
821 C FRPpr
El M. bahia Pasa/Fail Acute 600il, PFMLa
Samote Collector: Print 11 01
Signature
T�e_.
Composite
Date Started 1 rrt.-AM or PM
Date Ended Time: AM or PM
Samples per Hr. Ors:
Grab
Date, o /I I 'rhe. LI5 r PM
Sample volume: I L_ _ell __ Chilled during Collection? Yes
Wthod., of Transportatioato the l alp
-ch-a!n Of" Nstody Rele6se
wOkmann;
Date ITItne Tedlelved By Date
ime
Tlt�e
Cle�l kil
A
44
Commenft;
0. We only
eceived
Pace Analytical Services, I= AoI,,­-8: 6'1,,,' r.,Pal-,,Igh,NG276O7Phorial-(919)�34-4984

Pace Analytical Services, Inc.
9800 Kincey Ave, Suite 100
r-aceAnalXicale Nuntersviile, NC 28078
w wpscelsb&cam (704)875-90 2
Page 1 of 1
Laboratory Report
Neal McElveen Report bate: 1 /29/201
Terracon fate Received: 10/13/201
2020 Starita Road
Suite S
Charlotte, NC 280
Project: BIOASSAY - CLAIRE REMEDIATlt7N
Pace Project No.: 92271632
Sample: PIPE 001 Lab ID: 92271632001 Collected:: 10/13/1510:15 Matrix: Water

)0
i!C��DERR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
Novemberl6,2012
Mr. Gary Myers
Safety and Environmental Manager L E
Plate Incorporated
105 Boldt Lane
St. Claire, Mo 63077
Subject: Issuance of NPDES Permit
NCO089206
Claire Sprayway Site Remediation
Mecklenburg County, NC
Dear Mr. Myers:
Division personnel have reviewed and approved your application for issuance of the subject
permit. Accordingly, we are forwarding the attached NPDES discharge permit. This pen -nit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Enviromnemal Protection Agency dated October 15,
2007 (or as subsequently amended)
There are two changes from the draft permit sent to you on September 26, 2012:
1. Due to changes in NC Statutes, an Authorization to Construct, and an Engineer's
Certification are no longer required for this facility. The Supplement to Permit Cover
Sheet has been revised to reflect this.
2. The Daily Maximurn limit for Tetrachloroethene has been corrected to 1,800 pg/ L
(from 18,000 [tg/ L).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable, you have the right to an adjudicatory hearing upon written request within thirty (30) days
after receiving this letter. Your request must take the form of a written petition conforming to Chapter
150B of the North Carolina General Statutes, and must be filed with the Office of Administrative
Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless such demand is made,
this permit remains final and binding.
1617 Mail Service Center, Raleigh, Noah Carolina 27699-1617
Location: 512 N, Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet wwwwaternuatitv,ora One
An Equal Opportunity l Affirmative AcfionE?nRloyer NofthCarolina

11 (919) 807-64 4.
Sincerely,9,,-,4rM 4
Charles Wakild
via email
tvnc`, strnv

STATE OF NORTH C.
DEPARTMENT OF ENVIRONMENT Al
DIVISION OF 'WATER
Permit NCO089206
ZOLINA
I NATURAL RESOURCES
VALITY
PE IT
TO DISCHARGE WASTEWATER 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,
Plaze Incorporated
is hereby authorized to discharge wastewater from a facility located at the
Claire Sprayway, Inc. Remedlade n Project
2 100 North Church Street
Charlotte
Mecklenburg County
to receiving waters designated as an unnamed tributary to Little Sugar Creek in the Catawba River Basin in
accordance with effluent limitations, monitoring requirements-, and other conditions set forth in Parts 1, 11, 111, and
IV hereof.
The permit shall become effective January 1, 2013.
This permit and the authorization to discharge sball expire at midnight on June 30, 2015.
Signed this day November 16, 2012.
Ciles Waki I Id P.E I Director
. I .. I -
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO089 06
A ly t\ -1d�
ltl'"
i ti; xis „tr�W�,�

Permit NCO089206
A. (2) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to Ceriodaphnia
dubia at an effluent concentration of 90%.
The permit holder shall perform at aminimum, quarterlythe "North Carolina
monitoring using test procedures outlined in
Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions or "North Carolina
Phase 11 Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions. The tests will be
performed during the months of January, April, July and October. Effluent sampling for this testing shall be performed
at the NPDES pertnitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit
limit, then multiple -concentration testing shall be performed at a minimum, in each of the two following months as
described in "North Carolina Phase It Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or
subsequent versions.
The chronie'value for multiple concentration tests will be determined using the geometric mean of the highest concentration
having no detectable impairment of reproduction or survival and the lowest concentration that does have a detectable
impairment of reproduction or survival. The definition of "detectable impairment," collection methods, exposure regirnes,
and further statistical methods are specified in the "North Carolina Phase 11 Chronic Whole Effluent Toxicity Test Procedure"
(Revised -February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring
Form (MR- 1) for the months in which tests were performed, using the parameter code TGP3B for the pass/fail results and
THP313 for the Chronic Value. Additionally, DWQ Form AT-3 (original) is to be sent to the following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Envirorrinental Sciences Section no later than 30 days after the
end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all concentration/response
data, and be certified by laboratory supervisor and ORC or approved designate signature. Total residual chlorine of the
effluent toxicity sample must be measured and reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the permittee
will complete the information located at the top of the aquatic toxicity (AT) test form indicating the facility name, permit
number, pipe number, county, and the month/year of the report with the notation of "No Flow" in the -comment area of the
form. The report shall be submitted to the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be required
during the following month.
Should any test data from this monitoring requirement or tests perfornied by the North Carolina Division of Water Quality
indicate potential impacts to the receiving stream, this permit may be re -opened and modified to include alternate monitoring
requirements or limits.
If the Pennittee monitors any pollutant more frequently then required by this permit, the results of such monitoring shall be
included in the calculation & reporting of the data submitted on the DMR & all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism survival,
minimum control organism reproduction, and appropriate environmental controls, shall constitute an invalid test and will
require immediate follow-up testing to be completed no later than the last day of the month following the month of the initial
monitoring.

NPDES Permit Standard Conditions
Page I of 18
PART 11
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period,
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 151, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values,
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Catendar_Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
cmwgleeSamtzle
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 ml- in
Director may designate the most appropriate method (specific number and size of aliquots necessary, the fitne interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
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Constant time/constant volume: a series of grab samples of equal volume collet
constant time interval. Use of this method requires prior approval by the Direct
used in situations where effluent flow rates vary less than 15 percent, The folla
Influent and effluent grab samples shall be of equal size and of no less than
Influent samples shall not be collected more than once per hour.
Permittees with wastewater treatment systems whose detention time < 24 b
samples at intervals of no greater than 20 minutes apart during any 2-bout
Permittees with wastewater treatment systems whose detention time excee(
grab samples at least every six hours; there must be a minimum of four san
period.
ous flow measurement
nfitoring that occurs without interruption throughout the operating hours of the
ed continually except for the infrequent times when there may be no flow or for
s on the flow device.
of the pollutant discharged over the day. For pollul
,c" is calculated as the average measurement of the
imple," above.)
P2
aily discharge" during the calendar month.
9
uning daily sampling shall be sampled 5 out of ev
ent will be so noted on the Effluent Limitations and Monitoring Page(s).
"the Divisiotf
sion of Water Quality, Department of Environment and Natural Resources.
ter discharged following all treatment processes from a water pollution control facility or other point source
treated or untreated.
h Carolina Environmental Management Commission
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes, Grab samples can be
collected manually. Grab samples must be representative of the discharge or the receiving stream, for instream,
samples).
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Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA,
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the sarnples and flow are representative of the discharge
during that sampling period.
Monthl i Avera c concentration limit
The arithmetic can of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
colif'orm, or other bacterial parameters or indicators, the geometric mean of such discharges,
c. tt lssuin�g Authority
The Director of the Division of Water Quality,
Quarterl Avera e Lconcentration limit
The arithmetic mean of all samples taken over a calendar quarter.
Severe dame
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and pertnatient loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
upset
An incident beyond the reasonable control of the Perritittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Avery conc�cntratmn �Iftnit�
rhe arithmetic mean of all "daily discharges" of a, pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges,
it B. General Conditions
try to CoMrdv
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a pert -nit renewal application [40 CFR 122.41 ].
a, The Pennittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirentent.
K The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 :ISC 1319(d) and 40 CFR
122.41 (a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or litnitation implementing any of such sections in a lee it issued under section 402
of the Act, or anyrequirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
Version 1110912011

NPDES Permit Standai
imprisonment of not more than I year, or both. In the case of a second or subsequent conviction fc
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of viol&
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
[33 USC 1319(c)(2) and 40 CFR 422.41(a)(2)]
c. Any person who knowing4y, violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act,
condition or limitation implementing any of such sections in a permit issued under section 402 of
who knows at that time that he thereby places another person in inu-ninent danger of death or Seri,
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of
15 years, or both, n the case of a second or subsequent conviction for a knowing endangerment i
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction
the imminent danger provision, be subject to a fine of not more than $ 1,000,000 and can be fined
$2,000,000 for second or subsequent convictions. [40 CFR 122.4 1 (a)(2)]
f Under state law, a civil penalty of not more than $25,000 per violation may be assessed against as
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit,
Carolina General Statutes § 143-2 t 5.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section
306, 307, 308, 318 or 405 of this Act, or any Perron, condition or limitation implementing any of
in a permit issued under section 402 of this Act. Administrative penalties for Class I violations ar
exceed $16,000 per violation, with the maximum arnount of any Class I penalty assessed not to c,
$37,500. Penalties for Class 11 violations are not to exceed $16,000 per day for each day during v
violation continues, with the maxitnum amount of any Class 11 penalty not to exceed $177,500.
1319(g)(2) and 40 CFR 122.41 (a)(3)]
2. Rqty�Miti ,ate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or di
11. -- n,FV$YLtt4 -- " ---- ---- —
CFR 122.41(d)].
1 Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part ILCA), "Upsets" (Part 11.C.5) and "Power Faitur
(Part II.C.7), nothing in this permit shall be construed to relieve the Pennittee from any responsibilities, liabilit
or penalties for noncompliance pursuant to NCGS 143-215.3, 1,43-215.6 or Section 309 of the Federal Act, 33
1319, Furthermore, the Pennittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4; Oil and Razardous Subs !qpe �Liabiliry
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Perin ittee
from any responsibilities, liabilities, or penalties to which the Perarittee is or may be subject to under NCGS 143-
215.75 et seq. or Section. 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Pro WrtyAigbi5
The issuance of this pen -nit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR t 22.41 (g)]
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters,
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7. Severability
, Fhe provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 15013-231.
8, Duty to Provide Information
9. Duty to Real
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shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
i permit or to determine compliance with this permit. The Perinittee shall also furnish to the Peralit
ity upon request, copies of records required by this peritut [40 CFR 122.41(h)].
ly
wishes to continue an activity regulated by this permit after the expiration date of this permit, the
apply for and obtain a new permit [40 CFR 122 A 1 (b)].
lermit
is not authorized to discharge after the expiration date. In order to receive automatic authorization to
ad the expiration date, the Permittee shall submit such information, forms, and fees as are required
authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
cen granted by the Director. (The Director shall not grant permission for applications to be
than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Pennittee that has not
vat at least 180 days prior to expiration, or any Permittee that does not have a permit after the
has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
-overtures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
ii.rements
s, reports, or information submitted to the Pennit Issuing Authority shall be signed and certified [40
applications shall be signed as follows:
,orporation- by a responsible corporate officer. For the purpose of this Section, a responsible
ate officer means: (a) a president, secretary, treasurer or vice president of the corporation, in charge
incipal business function, or any other person who performs similar policy or decision making
xis for the corporation, or (b) the manager of one or more manufacturing, production, or operating
es, provided, the manager is authorized to make management decisions which govern the operation
regulated facility including having the explicit or implicit duty of making major capital investment
mendations, and initiating and directing other comprehensive measures to assure long term
m-nental compliance with environmental laws and regulations; the manager can ensure that the
,ary systems are established or actions taken, to gather complete and accurate information for permit
ation requirements; and where authority to sign documents has been assigned or delegated to the
pr in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
,ranking elected official (40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a, above or by a duty authorized representative of that person. A
person is a duly authorized representative only &
(1) The authorization is made in writing by a person, described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Perron Issuing Authority [40 CFR 122.22]
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it Standard Coi
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c. Changes to authorization: If an authorization tinder paragraph (b) of this seci
a different individual or position has responsibility for the overall operation,
satisfying the requirements of paragraph (b) of this section must be submitte
together with any reports, information, or applications to be signed by an aw
12122]
d. Certification. Any person signing a document under paragraphs a. or It. of th
certification [40 CFR 122,22]. NO OTHER STATEMENTS OF CEWrIFIC,
7 certify, under penalty of faux that this document and all attachments were
42. Permit Actions
This permit may be modified, revoked and reissued, or terminat
Pennittee for a permit modification, revocation and reissuance,
or anticipated noncompliance does not stay any permit conditioi
may cause this Division to initiate action to revoke the permit.
Section C. Oneration and Maintenance of Pollution Controls
I. Ce
rtified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water of
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and gradefor
system, and, for each classification must [T1 5A NCAC 08G .020 11:
a, designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type at
least equivalent to the type and grade of the system;
b. designate one or more Back-up operator(s) in Responsible Uharge (Back-up 0RUs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception ofno backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORQ and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
)o, a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORQ.
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(3) within seven calendar days of vacancies in both ORC and Bach -up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Glass I facility (or the Back-up ORC when acting as surrogate for the ORC) must:
Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each glass 11 111 and IV facility (or the Back-up ORC, when acting as surrogate for the ORC)must:'
Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
Properly manage and document daily operations and maintenance of the facility
Comply with all ether conditions of 15A NCC 08m0204.
2 Proper C)Seration ° nd Maintenance
The Pertnit ee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permince to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122A1(e)].
NOTE Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 12.41(c)].
4. Rypgssin ofTreattn�ilities
a. Bypass not exceeding limitations [40 CFR 122.1()()]
The Pertnittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b, and c. of this section.
b. Notice [40 CFR 122.41( )()]
( 1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall subunit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II..6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Pen -nit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime.' This
condition is not satisfied if adequate backup equipment should Have been installed in the exercise o
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Perruittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Pentrit Issuing Authority may take enforcement
action against a Pertnittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
,ect of an upset [40 CFR 122.4 1 (n)(2)]: An upset constitutes an affirmative defense to an action brought for
-icompliance with such technology based perrint effluent limitations if the requirements of paragraph b. of
i condition are met. No determination made during administrative review of claims that noncompliance was
ised by upset, and before an action for noncompliance, is final administrative action subject to judicial
,icw.
nditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affinnative
�ense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
,
dence that:
An upset occurred and that the Permittee can identify the cause(s) of the upset;
The Permittee facility was at the time being properly operated; and
The Permittee submitted notice of the upset as required in Part 11. E.6. (b) of this permit,
The Pennittee complied with any remedial measures required under Part 11.13.2. of this permit.
rden of proof [40 CFR 122.41 (n)(4)]: The Perinittee seeking to establish, the occurrence of an upset has
� burden of proof in any enforcement proceeding.
ed Substances
sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
i ch materials from entering waters of the State or navigable waters of the United States except as permitted
Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in it
sal practices.
'ailures
mittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0 1
the discharge of untreated or inadequately treated wastes during electrical power failures eithe
rate power sources, standby generators or retention of inadequately treated effluent.
Monitoring and Records
Version 1110912011

NPDES Pennit Standard Conditions
Page 9 of 18
NC DENR /Division of Water+Quality /Surf
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. Flow Measurements
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Uertification Section (919 733-3908 or htq)://p
boratory certifications.
hose personnel are conducting testing of field_,
tboratory certifications,
,tent with accepted scientific practices shall be selected
ients of the volume of monitored discharges. The
ire that the accuracy of the measurements is consistent
selected shall be capable of measuring flows with a
,3,e rates throughout the range of expected discharge
librated at a minimum of once per year and maintained
nt with the accepted capability of that type of device.
id monitoring location prior to installation.
)ump logs, or pump hour meters as specified in Part I of
tall not be subject to this requirement.
the Division. Permittees should contact the Division's
�rtified parameters only must bold the appropriate field
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41
6, Records Retention
Except for records of monitoring inforination required by this pen -nit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
all calibration and maintenance records
all original strip chart recordings for continuous monitoring instrumentation
copies of all reports required by this permit
copies of all data used to complete the application for this pen -nit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41
Version 1110912011

NPDES Permit Standard Conditiorti
Page 10 of 18
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements,;
c. The date(s) analyses were performed;
il. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f The results of such analyses.
8. Insnection and Entry
The Pertnittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Perntittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept Linder the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i,)].
Section E
L Change in Pisehare
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the pennit.
2. Planned Chan yes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.4 1 (1)], Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 1,22,42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of pen -nit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anti cinated Noncom oliance
The Permittee shall give advance notice to the Director of any planned changes to the pen-nittedfacility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4: Transfers
This pen -nit is not transferable to any person without prior written -notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215. 1, in
particular NCGS 143-215. 1 (b)(4)b.2., and may require modification or revocation and reins ante of the permit, or
a minor modification, to identify the new pennittee and incorporate such other requirernents as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute,
Version 1110912011

NPDES Permit Standard Conditions
Page I I of 18
5.
Monitoring results shall be reported at the intervals specified elsewhere, in this pen -nit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (F)MR) (See Part ILD.2) or forms
provided by the Director for reportingresults of monitoring of sludge use or disposal practices.
b. If the, Pertnittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the, calculation and
reporting of the data submitted on the DMR.
6.I`we -four Hour Re ortin
a. The Permittee shall report. to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Pennittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports tinder this section if the oral
report has been received within 24 hours.
c. Occurrences outside non-nal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Nonc�Iiaqce
The Permittee shall report all instances of noncompliance not reported under Part ILE.5 and 6. of this perm, it at the
time monitoring reports are submitted. The reports shall contain the information listed in Part 11.E.6. of this permit
[40 CFR t2141(1)(7)].
& Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a penitapplication or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9.Noncomtslince Notification
The Permittec shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility-, or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, ete.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. A)Lailabilit of Re` arts
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the to shall be available for public inspection at the offices
of the Division, As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NC GS 143-
215 I (b)(2) or in Section 309 of the Federal Act.
Version 1110912011

11. Penalties for Falsifi ati2 of Rep!Ltts
The C:' A provides that any person who knowingly makes any
valuation.
�tection Section
A`I°"t"t N°I'K)N: Central Files
1617 Mail Service Center
Raleigh, .North Carolina 27699-1617
Version 1110 12011

NPDES Pernrit Standard Conditions
Page 13 of 18
PART.111
OTHER REQUIREMENTS
Section A. Construction
a, The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Pennittee is exempted from such AtC permit requirements
under Item b. of this Section.
li. In accordance with NCGS 143-215. 1 (a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the pen -nit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. GroundwateK_arnitor n
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Chan es in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on;a routine or frequent basis, of
any toxic pollutant which is not limited in the perrint, if that discharge will exceed the highest of the following
11notification levels";
(1) One hundred micrograms per liter (100 gg/L);
(2) Two hundred micrograms per liter (200 gg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 ptg/L) for 2,4-dinitropbenot and for 2-methyl-4,6-dinitrophenoll- and one milligram per liter (I mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not firmted in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) Five hundred micrograms per liter (500 pg/Q;
(2) One milligram per liter (I rng/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D.
The Perritittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
Version 1110912011

PART IV
SPECIAL CONDITIONS FOR MUNICIPAL F)
Section A. Definitions
In addition to the definitions in Part II of this ennit the following definitions apply
Indzrut i)ischare or dustrial Clser
Any non-doniestic source that discharges wastewater containing pollutants into a P+
307(b), (c) or (d) of the CWA. ;[40 CFR 4033 (i) and. 0) and 1 A NCAC 02H ,0 0
Interference

NPDES Permit Standard Conditions
Page 15 of i
All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:'
I Any new introduction of pollutants into the POTW from, an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of C;WA if it were directly discharging those pollutants;
and
2. Any; substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the tinne of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the; POTW.
Section C. nici Control o �"olt to is roria Industrial LTscrs.
I . Effluent limitations are listed in Fart I of this permit. Other pollutants attributable to inputs from Industrial Usens
discharging to the POTW may be present in the Pertnittee's discharge. At such time as sufficient info cation
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards,
. Prohibited Discharges
a. The Pemittee shall develop and enforce their Pretreatment Program to implement the prohibition against the::
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 0211.0900 and 40 CFR 403. [40
CF"R 403. (a)(I)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [oil CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestrearas with a closed cup flashpoint of less than 140 degrees Fahrenheit or CO degrees Centigrade
using the test methods specified in 40 CFR 2 >1.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with PH lower
than 5.0, unless the; works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts :which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flaw rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the, PC)TW resulting in Interference, but in no
case heat in such quantities that the temperature, at the POTW Treatment Plant exceeds 40'C (I04°F)
wiless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants' which result in the presence of toxic gases, vapors, or fusses within the POTW in a quantity that
may cause acute worker health and safety problems; or
() Any trucked or hauled pollutants, except at discharge points designated by the POTW,
c. The Pennittec shall investigate the source of all discharges into the POTW, including slug loads and Tither
unusual discharges, which have the potential to adversely impact the Perrnittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the: appropriate Regional: Office.
Any information shall be provided orally within 24 hours from the time the Perm.ittee became aware of the
circumstances`. A written submission shall also be provided within 5 days of the time the Pennittee becomes
aware of the circumstances. The written subnrission, shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
Version 1110912011

NPDES Permit Standard Conditioiis'4
Page 16 of 18
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the PerTnittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under. Section 307(b) of the Act as amended (which includes categorical standards and
dFP1VVvU Otaw ptkatQatillunt Intiglaill, 4,j appivinlutv-
Section D. Pretreatment Prig gLams
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identiflication of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Pernuttec shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Pertnittec with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [I 5A NCAC 02H .0903(b)(I 3), .0905 and.0906(b)(2); 40 CFR 403.8(f)(2) and 403.91
1 Monitorina Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
locali limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts 11.13 and ILE.5.). [15A
NCAC 02H .0903(b)(16),.0906(b)(3) and.09051
4. Headworks Analvsis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this Hermit (or any subsequent pennit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.441. The Pernrittee shall develop, fit
accordance with 40 CFR 403,5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b)and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
Version 1110912011

AlkqTZIaM COMPANY ;Pt x lk'­' f;. c'0 4 mjz".'-"d"
March 30,2015 via Regular Mail
NCDENR - Division of Water Resources RECEIVED/NCOENR/DWR
Attn: Michael L. Parker APR 6 2015
610 East Center Ave., Ste. 3 01
Mooresville, MC 28115 WOROS
k4OORESVILLE REGIONAL OFFICE
RE: Notice of Violation - Effluent Limitation
Tracking Number: NOV-201 S-LV-0205
Church Street Remediation Site WWTP
NPDES Permit NCO089206
Mecklenburg County
Dear Mr. Parker:
The Discharge Monitoring Report for August 2014 (the DMR) triggered this Notice of Violation
(NOV). As I indicated during our call on Thursday, March 26, the DMR included an inaccurate
value for flow during the month which resulted from transcription errors. The purposes of this
letter are to:
• List the errors;
• Present a summary of how flows are typically calculated;
• Provide copies of the raw data for the period in question; and
• Submit a corrected EFFLUENT reporting form for August 2014.
The transcription errors on the DMR include the daily flow rates reported for August 7 through
August 13. The values entered into the form are ten times the actual discharge values as a result
of the mistaken transcriptions. The actual, calculated flow rates for several periods in early- to
mid -August are presented on page 2 of this letter; a comparison of these flow -rate values with
those reported in the DMR demonstrate the decimal shift.
Discharge rates are typically calculated from the flow meter readings collected from the pump -
and -treat (PT) system on a regular basis. The calculation is made first by taking the difference
in cumulative flow between two measurement dates, then dividing that quantity by the number
of days between measurement events. This calculated flow rate is then assigned to all days bet-
ween measurements. For example, the daily flow rates for August I through August 6 are given
by the following formula.
(1422240 — 1211828) gal gal
Flow = 6 day = 35,069 day
Flow = 0.0351 MGD
The following table presents the P&T flow meter readings and the calculated flow rates for the
period of August I through 13, inclusive. The table references two data sources: the operations
and maintenance logs (OM log) and the Operator in Responsible Charge (ORC) forms. Copies
of the relevant field documents are provided in Attachment A.
www.liesch.com 6 WWWterratoo.com
Liesch Associates, ATerracon Company * 13400 ISth Avenue North , 7631489-3100 , Fax:[phone] , Minneapolis, MNSS441

r
March 30, age 2
Date
Source
Cumulative
volume al
Plow
MGD
08/01/2014
08/07/2014
QM to
QRC
1,211 828
1,422240
n t,
0.0351
08/08/2014
QM log
1,451 921
0.0 97
08/14/201.4
QRC
1,666,340
0.0357
n/c - not calculated
OM log - operations and maintenance lob
QRC - Operator in Responsible Charge form
The EFFLUENT form for August 2014 has been updated to present the correct flow information
for the month. The updated form is provided as Attachment B.
Please feel free to contact me by phone [phone]) or e-mail (da crcic c tetracc�n.coltt with
any comments or questions.
Sincerely,
LIESCH, A TERRACON COMPANY
David A. Jerde
Delegation of Signature Authority - Claire Sprayway Site Reediation
Project Manager 1 Senior l=lydrogeologist
Enclosure
cc. Gary Myers - Plaze Incorporated (via e-mail)
N;`Prollects -100„ 11'067655 Working f 31esvDR FIS (Proposal- 2015-03-.eta rya rhnr It rdoc x
www.taesch.com www:te"Atonxem,
Uesch Assoelates, A Terraton Company - 13400 15th Avenue North , 7 3/489.3100 = Pax. 7631489.3101 Minneapolis, MN 55441

Former Claire Mfg Remedial Systero Monitoring (p.1)
Initials
Data Ist, Aq FILTRATION
sib
WATER FLOW Sag #1
reading units Rag #
gpm Cart.
gal Sag # JD -tFIS
`.
MAINTENANCE
SVE EFFLUENT
Pict reatift
tppm
R O4 R
RWOS R
RW06 R
RW07 Rw07
RWO8 GRWOO
RWO9 R
RW10 RW10
N:\Projects\2006\MP067655\Working Files\Calculations-Analyses\Ply, -Cps\Claire NC omForms.do k
P&T SYSTEM
SVE VACUUM

Former Claire Mfg
Initials .....�.:
Date -rfD
Remedial System Monitoring p. )
WATER FLOW Sag
reading units Bag
Rpm Cart.
gal Bag #3
MAINTENANCE
SVE EFFLUENT
PID reading units
PPP
SVE BUBBLER TEST
P&T SYSTEM
7,,,. ,
ID Percentn
Air Water
i3 Ci =10071t
I5
I7
tE
19
SVE VACUUM
Location
Inflro ;
Manifold
5 (p
bA filter
z
bit blower
monthly
RWO1
RW0
RWO3
RWO4
RWOS
RW06
RWOT
0
RWOS
4j 14
N:\Projects\2006\MP067655\Working Files\Calculations-Analyses\Ph. - p \Claire NC omForms.docx Terra on

«
RUMOR
=i
DWQ rom Mil-1(11/04)

♦
Facility Status: (Please cheek one of the fallowing)
# #
♦
a M a t A r r
Neal McElveen/Te con -Dele ation ofAuthorit
Permittee (Please print or type)
Signature of Permittee*** Date
(Required unless submitted electronically)
Gary Myers, Safety and Environmental Manager
Plaze Inc. 105 Bolte Lane, Saint Clair, MO 63077 704 50 -1777 6/30/201
Pennittee Address Phone Number e-mail address Permit Expiation slate
ADDITIONAL CERTIFIER LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification: No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Cade assistance may be obtained by calling the NPUES Unit at (1) 807-6300 or by visiting
http://portal.ncdenr.org/web/Wq/swp/Ps/npdes/appforrns,
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
* ORC On Site?: {SRC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204.
*** Signature of Perm ttee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state ;per 1 SA NCAC 2B .0506(b)(2)(D).
Page 2

/ :
M 6 f OR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor Secretary
March 2, 201
Mr. Cary Myers
Safety and Environmental Manager
Plaza Incorporated
105 Boldt Lana
St. Claire, MO 63077
Subject: Notice of Violation Effluent Limitation
Tracking Number: NOV-2015-L -0205
Church Strut Remediation Site WWTP
NPDES Permit NCO08 206
Mecklenburg County
Dear Mr. Myers:
A reviewof the August 2014 self -monitoring report for the subject facility revealed a violation of the
following; parameter at Outfall 001:
Date Parameter Reported Value Permit Limit
8/31 /14 Flow' ` 0.105 MGD 0,05 MGD (Monthly average)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The
Division of Water Resources may pursue enforcement actions for this and any additional violations. If
the violations are of a continuing nature, not related to operation and/or maintenance problems, and
you anticipate remedial construction activities, then you may wish to consider applying for a Special
Order by Consent (SOC).
Ms. Marcia Altocco or myself at [phone].
Sincerely
Michael L. Parker, Regional Supervisor
Water Quality Regional Operations Secti
Division of Water Resources, NCDENR+
cc: Wastewater Branch
Central Files (MSC 1617-basement)
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] i Customer Service: 1-877-623-6 48
Internet: hftp:/Ipodal.nodenr.org/webtwq

v ,psi
January 24, 2014
Point Source Branch
Surface Water Protection Section
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1 f 17
r�
Subject- Delegation of Signature Authority ahwvk
Claire Sprayway Site Remediatioin
NP'DES No. NCO089206
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following
individuals for all permit applications, discharge monitoring reports, and other
inforination relating to the operations at Claire Sprayway Site Remediation as required
by all applicable federal, state, and local environmental, agencies specifically with the
requirements for signatory authority as specified in 1 A NCAC 2B.0C.
Name Title
David A. Jerde Senior Project Hydrogeologst, Liesc erracon
M. Neal McEly en Environmental Services Manager, Terracon
If you have any questions regarding this letter, please feel free to contact me at (3 )
+629-4f1.
Sincerely;
,F.
ar�l yers
Safety and Environmental Manager
Plaze Incorporated
cc Mooresville Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit

AA 0 01FAFA
NCDENR F I L
North Carolina Department of Environment and Natural Resources
a.�
Pat McCrory John E. 3kvarla, ill
Governor Secretary
April 30, 2014
r. 'chary Myers
Safety and Environmental Manager
Plaza Incorporated
105Soldt Lane
St. Claire, Missouri 63077
Subject. Notice of Violation — Effluent Limitation
Tracking No. NCV-2014-L-0206
Claire Spraywy Site Remediation
NPDES Permit No. NCO089 06
Mecklenburg County
Dear Mr. Myers:
A review of the December 2013 self -monitoring' report for the subject facility revealed violations of the
following parameter at`Outfall 001.
ate Parameter Reported Value Permit Limit
12119/13 TSS 51 .6 mg/L 45.0 mg/L (Daily maximum)
12/31/' 3 TSS 51. 6 mg/L 30.0 g/L (Monthly average)
Remedial actions, if not already implemented, should be talon to correct the noted any problems.
The Division of Water Resources may pursue enforcement actions for this and any additional
violations. If the violations are of a continuing nature, not related to operation and/or maintenance
problems, and you anticipate remedial construction activities, then you may wish to consider applying
for a Special Order by Consent (SC).
If you have questions concerning this matter or to apply for a SOC, please do net hesitate to contact
Ms. Marcia Allocco or myself at (70) 663-1699.'
Sincerely,
a
Michael L. Parker, Regional Supervisor
Water Quality Regional Operations -Section-- - -
Divsion of Water Resources, NCDENR
cc. Point Source Branch
R. Roele, MCWQF'
MA
Mooresville Regional Office
[vocation: 61+0 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] t, Fax: [phone] E Customer Service: 1-877-23-6748
Internet: hftp://portal,ncdenr.org/webtwq
An Equal Opportunity � Affirmative Ac0on Employer— 309; Recycled110% Post Consumer paper

AlreffS= COMPANY K e <
April 21, 2015
NCDENR - Division of Water Resources
Attn: Michael L. Parker
610 East Center Ave., Ste, 3 01
Mooresville, MC 28115
RE: Notice of Deficiency - Monitoring Limitations
Tracking Number: NOD-2015-MV-0060
Claire Sprayway Church Street Remediation site
NPDES Permit NCO089206
Mecklenburg County
WOROS
MOORESVILLE REGIONAL OFFICE
The Discharge Monitoring Report for May N14 (the DMR) D triggered this Notice of eficiency
(NOD). The NOD pertains to the absence of effluent monitoring during the month for volatile
organic compounds (VOCs) as required under the permit. The purposes of this letter are to-
• Note the conditions that resulted in the missed monitoring for VOCs; and
• Describe remedial actions implemented to prevent a recurrence. I
There were several operational problems with the system during the month, ranging from failure
of the totalizing flow meter to design modifications and construction to update filtration systems
used to comply with the TSS discharge limits of the NPDES pennit. The initial sampling was
postponed owing to the operational challenges. The lack of monitoring on the prescribed sampl-
ing schedule was not effectively communicated to other field staff and, as a consequence, the
discharge sample was inadvertently not collected in May 2014.
To prevent recurrence under similar circumstances, we have implemented a calendar -based,
email notification reminder system. The system provides a mechanism by which our field staff
is able to confirm that the monitoring requirements are met on a monthly basis. The system has
performed as expected over the twelve months following implementation.
Please feel free to contact me by phone [phone]) or e-mail (Aajerde) Lerracon.corn ,t with
any comments or questions.
HM=
MIUM=
David A. Jerde
Delegation of Signature Authority - Claire Sprayway Site Remediation
Project Manager / Senior Hydrogeologist
cc: Gary Myers - Plaze Incorporated (via e-mail)
www.lfoschcorn 44 www.t4wraco".CO M
Liesch Associates, A Terracon Company w 13400 15th Avenue North < 763/489-3100 ,, Fax: [phone] < Minneapolis, MN 55441

11
im nt and Natural Resources
Pat McCrvr Donald van der Tart
Governor Secretary
January 07, 201
M. beat McElveen, PE
Plate Incorporated`'
105 Boldt Lane
St. Claire, My 630!77
Subject: Acknowledgement ofPerrnit Renewal
Permit NCO089206
Mecklenburg County
Dear Mr. McElveen:
Xisting Permit expires.
Gryb (9.19) 807-63 83.
Sincerely,
Val
Wren Tttedford
WastewaterBranch
cc: Central Files
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N, Salisbury St. Raleigh, North Carolina 27604
Phone: 19-80 -6 €301 Fax. [phone]/Custonier Service: 1-677-62 -6746
Intemet w ncwater.orc
An Equal OpportunityWfirmative Adon Employer

HYDROGEOLOGISTS a ENGINEERS " ENVIRONMENTAL SCIENTISTS
December 31, 2014
Forth Carolina Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center Water 0 teal°'
Raleigh, North Carolina 27699-1617 Permitting ion
Subject: NPDES Permit Renewal Application — Short Farm C-GW
Permit No NCO089206
Claire Spr yway Site Remediation Project
Charlotte, Mecklenburg County, North Carolina
To Whom It May Concern:
Enclosed please find an NPDES'Permit Application — Short Form C-CW for the renewal of permit for
the surface water discharge from the groundwater remediation system at the former Claire Sprayway,
Inc. property located at 2100 North Church Street in Charlotte, NC. Included as attachments to the
permit application are the following:
A USGS topographic map and supplemental maps from Charlotte Mecklenburg Stormwater
Services illustrating the location of the outfall 001.
B The most recent analytical data from the remediation system effluent stream.
The most recent analytical data from the remediation system effluent stream collected on December 11,
2014, revealed no contaminants over the laboratory method detection limits.
e are requesting that the effluent limitation for flow from the remediation system monthly average be
increased from 0.05 MGD to 0.07 M D.
www.liesch.com
LIESCH AssocIATES, INC. ■ 1340015TH AVENUE NORTH - IVIINNEAPOUS, MN 55441 • 763f489-3100 FAX: 763J489-3010

Page
NPDES Permit No: NCO089206
Claire Sprayway Site Remed ation
Charlotte, Mecklenburg County, North Carolina
e trust the enclosed information satisfies your requirements for renewal of NPDES permit for the
remediation system. Please ;contact David Jerde by phone at 76-489-3123 or e-mail at
david.jerdea.liesch.com if you have any questions.
Sincerely,
LIESCH ASSOCIATES, INC.
tor
.David A. Jerdex M. Neal McElveen P.E.
Project Manager I Hydrogeologist Environmental Services Manager / Terracon
Attachments
Cc: Gary Myers, Plaze Incorporated
www.liesch.com
THE LIESCH COMPANIES - MINNEAPOLIS " CHICAGO a Los ANGELES * MADISON 0 MILWAUKEE PHOENIX

NPDES PERMIT APPLICATION - SHORT FORM M C- GW
For discharges associated with groundwater treatment facilities.
Mail the complete application to;
N. C. Department of Environment and, Natural Resources
Division of Water Quality j NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NCO089206
If you are completing this farm in computer use the TAB key or the u - dawn arrows to move from one
field to the next. To check the bores, click your mouse on top of the box. Otherwise, please print or type.'
1. Contact Information.
Owner Name Mr. Gary Myers, Safety and Enrivonmental Manager
Facility Name Plaze Incorporated
Mailing Address 105 Eoldt Lane
City St. Claire
State / Zip Code MCA, 63077
Telephone Number (636)629-3 00 e t 141
Fax Number (636)629-000
e-mail Address gmyers plaze.com
2. Location of facility producing discharge.
Check here if same as above
Street Address or State Road 2100 North Church Street
City Charlotte
State / Zip Cade NC, 28206
County; Mecklenburg
3. Operator information:
Df the firm, consultant or other entity that
or in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
. Ownership Status:
Federal
Page I of 3
Consultants
Plymouth
MN, 55441
[phone]
(76)489-3010
State ❑ Private Public
0-GW 03105

t �
ID S PERMIT APPLICATION SHORT FORM C GW
-
For discharges associated with groundwater treatment facilities.
S. Products recovered:
Gasoline ❑ " Diesel fuel ❑ Solvents to Other
6. Number of separate discharge points: l
Qutfall Identification number(s) 00"l
. Frequency of discharge: Continuous ® Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration:
S. Treatment System Design flow 0.07 MGD
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfa 1, including
latitude and longitude).
Upper Little Sugar Creek via star water collectionsystem and unnamed tributaay. Outfall
001 is a stormwater catch basin located off the southeast property boundary at latitude
35.243812 and log tude-80.82;1671-(aerial photograph with location marked is attached). Maps
of storsewer also attached showing locations of discharge to both the unnamed tributary and
Upper Little Sugar Greek:
10. Please list all additives to the treatment system, including chemicals or nutrients, that have
the potential to be discharged.
Treatment is air stripping for removal of trichloroethane, dichloroethene, and other volatile
organic co ponds from groundwater to achieve applicable surface water standards.
No chemical additives are used.
11. Is this facility located on Indian country? (check one)
Yes ❑ No
12. Additional Information
Ali applicants (including renewals):
A US S topographical map (or copy of the relevant portion) which shows all outfalls
A summary of the most recent analytical results (effluent data, if available) containing the
maximum values for each chemical detected
NEW Applicants only:
Engineering Alternative Analysis
➢ Description of remediation treatment system components, capacities, and removal efficiency
for detected compounds.
If the treatment system will discharge to a storm sewer, written approval from the
municipality responsible for the sewer.
A list of any chemicals found in detectable amounts at the site, with the maximum observed
concentration reported for each chemical (the most recent sample must be collected less
than one year prior to the date of this application)
➢ For petroleum -contaminated sites - Analyses for Volatile Organic Compounds (VOC) should
be performed. Analyses for any fuel additives likely to be present at the site and for phenol
and lead should also be performed.
Page 2 of 3 G- W 03/05

NPDESPERMIT APPLICATION - SHORT FORM C • GW
For discharges associated with groundwater treatment facilities.
For sites contaminated with solvents or other contaminants - EPA. Method 624/625
analysis should be performed.
1. Applicant Certification
I ;certify that I am familiar with the information contained in the application ;and that to the
best of my knowledge and belief such information is true, complete, and accurate
M. Neal, McElveen PE Dele ation of AuthoritA Envirt n. Services Mana gr
Printed name of Person Signing Title
-�7A--Acl 0 �W t'-- I /?- / 1!5
Signature of Applicant late
North Carolina General Statute 143-215.6 (b)(2) provides that. Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plane, or other document files 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.)
Page 3 of 3
-GW 03/05

Attachment A

0 1,900
Former Claire Mfg. - Charlotte, NC
3,800 beet
Apr 12
Figure
1

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14
Qutfall 001
R
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,s
Unnamed tributary of Little Sugar Creek is piped in at this location, l
Northing '
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+w"o-+rn a9.. ;: .9 .an .. ...m G:»,r� .� ��Fi.-sw.g.,a,.w 9.§^., ,Yu n,.$�.,°n, �.+.•b„

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Charlotte-MecklenburgStorm Water Infrastructure - No. Tryon & W. 24th St. ����•g� r� � �� ��� � � ��`�fl� ���»
weampWa4aftaes rt my 'U ar asgu+'�rvf #ro- x�afa�sn,can o^4 a ^lar� a rve�Mw natn +eft wait 3R! .
stmafY s ' 9+^. inap t a a ear °�, t++r c �«�s s< t aaa«. �•« «. ar�x, F.�itm. r=,dk rise . «t rs �. xxM:
Vw** VWX 0, fix'I'l aiaa.axtaret 3 re n", u$40e
t�t�h K ar, rs.cr trip aa, h Iam ..fix «.mr� ,.. wear�rst rr ina;
a21t h t asuw h�ciYw ro hu d e+ txY «+t #ewr 1lnaav Ja.a uw roree&hd nr #Ma+ „a , ««¢. 'Str+

Attachment B

Pace Analytical Services, Inc.
e 9800 Kincey Ave. Suite 100
`-* 1Xka Nuntersville, NC 28078.
wwwpscsbbswm [phone]
December 18, 2014
Analee Farrell
Terracon
2020 Starita Rd
Suite
Charlotte, NC 28206
RE: Project: Claire Site M1 0676 6
Pace Project No : 922 9188
Dear Analee Farrell:
Enclosed are the analytical results for sample(s) received by the laboratory on December 11, 2014.
The results relate only: to the samples included in this report. Results reported herein conform to the
most current TNI standards and the laboratory's Quality Assurance Manual„ where applicable, unless
otherwise noted in the body of the report.
Analyses were performed at the Pace Analytical Services location indicated on the sample analyte
page for analysis unless otherwise footnoted.
If you have any questions concerning this report, please feel free to contact me.
Sincerely,
Nicole Benjamin
nicole.benjamin a@pacelabs. om
Project Manager
Enclosures
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.. Page I of 1

Pace Analytical Services, Inc.
/� . +r a
III-Vica�
9800 Kincey Ave, Suite 100
Nuntersville, NC 28078
i
[phone]
t
CERTIFICATIONS
Project: Claire Site MP067655
Pace Project No. 92229188
Charlotte Certification IDS
9800 Kincey Ave. Ste 100, Huntersville, NC, 28078
Florida/NELAP Certification : E876 7
North Carolina Chinking Water Certification #: 37706
Kentucky UST Certification #: 84
North
Carolina Field Services Certification #: 5342
West Virginia Certification #: 357
North
Carolina Wastewater Certification # 12
VirginiaNELAP Certification #: 460221
South Carolina Certification #: 99006001
Asheville Certification IDS
2225 Riverside Drive, Asheville, NC 28804
North Carolina Wastewater Certification #: 40
Florida/NELAP Certification #: E87648
South Carolina Certification#: 99030001
Massachusetts Certification #: M-NC030
West Virginia
Certification #:-356
North Carolina Drinking Water Certification #: 37712
VirginiaNELAP Certification#: 460222
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc,.
Page 2 of 16

Race Analytical Services, Inc.
Cyr 9800 KinceY Ave. Suite 100
w
Huntersville, NC 28078
(704)87-09
4
SAMPLE SUMMARY
Project: Claire Site MP067655
Pace Project No.: 92229188
Lab 1D Sample 1D Matrix Date Collected Date Received
92229188001 NPDES-Dec Water 12111/1412,21 1 /1111412:45
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Race Analytical Services, Inc,.
Page 3 of 1

Pace Analytical Services, Inc.
/�Wce"Vbl*
9800 KinceyAve, Suite 100
Muntersvilie, NC 28078
[phone]
SAMPLE ANALYTE COUNT
Project: Claire Site MP067655
Pace Project No.. 92229188
Analytes
Lab ID Sample ID
Method
Analysts Reported Laboratory
92229188001 NPDES-Dec
EPA624
GAW 35 PASI-C
M 2540D
MDW 1 PA I -A
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc.:
Page 4 of 1

14
Pace Analytical Services, Inc.
#
acepica
9 00 Kincey Ave, °Suite 100
Huntersviile, NC 28078
Ww
[phone]
PROJECT NARRATIVE
Project. ' Claire Site MP067655
Pace Project No. 92229188
Method. EPA 624
Description: 624 Volatile Organics
Client: Terracon
Date: December 18, 2014
General Information.
1 sample was analyzed for EPA 624. All samples were received in acceptable condition with any exceptions noted below.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below.
Initial Calibrations (including MS Tune as applicable):
All criteria were within method requirements with any exceptions noted below.
Continuing Calibration.
All criteria were within method requirements with any exceptions nested below:
Internal Standards.
All internal standards were within QC limits with any exceptions noted below.
Surrogates:
All surrogates were within QC limits with any exceptions noted below.
Method plank:
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike.
All laboratory control spike compounds were within QC limits with any exceptions noted below:
Matrix Spikes:
All percent recoveries and relative percent differences (RPps) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were within method acceptance criteria with any exceptions noted below:
Additional Comments.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 5 of 16

r 4
Pace Analytical Services, Inc.
+[e
" ytic tJ
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
WWWpacelaimmm
P
(704)875-092
PROJECT NARRATIVE '
Project: ' Claire Site MP067655
Pace Project No.: 9218
Method:: SM 2640D-
Description: 2540D Total Suspender! Solids
Client: Terracon
Date: December 18, 2014
General Information:
1 sample was analyzed for SM 2 a40D. All samples were received in acceptable condition with any exceptions noted below.
Hold Time:
The samples were analyzed within the method required hold times with any exceptions noted below:
Method Blank;
All analytes were below the report limit in the method blank, where applicable, with any exceptions noted below.
Laboratory Control Spike:
All laboratory control spike compounds were within QC limits with any exceptions noted below:
Matrix Spikes:
All percent recoveries and relative percent differences (RPDs) were within acceptance criteria with any exceptions noted below.
Duplicate Sample:
All duplicate sample results were Within method acceptance criteria with any exceptions noted below:
OC Batch: WET134816
D5: The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
• DUP (Lab ID: 1353715)
. Total Suspended Solids
Additional Comments:
This data package has been reviewed for quality and completeness and is approved for release.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
without the written consent of Pace Analytical Services, Inc..
Page 6 of 16

�_,WC6
lyfical
wowpWOW&COM
1
Project: Claire Site MP067655
Pace Project No.: 92229188
Sample:NPDES-Dec
Pace Analytical Services, Inc.
9800 Kincey Ave. Suite 100
Huntersville, NC 28078
[phone]
ANALYTICAL RESULTS
b ID: 92229188001 Collected: 12/11114 12:20 Received: 12/11/14 12:45 Matrix: Water
Reoort
624 Volatile Organics
Analytical Method: EPA 624
Benzene
ND ug/L
2,0
1.7
1
12111/14 21:32
71-4 -2
Bromodichloromethane
NO ug/L
2 0
1:7
1
12/11/14 21:32
75. 7-4
Bromoform
ND ug/L
2.0
1:5
1
12/11/14 21:
7 -2 -2
Bromom thane
NO ug/L
2.0
10
1
12/11/14 21:32
74-83-9
Carbon tetrachloride
NO uglL
2.0
1.9
1
12/11/14 21:32
56-23-5
Chlorobenzene
ND ug/L
2.0
11
1
12/11114 21:3
108-90-
Chloroethane
ND u/L
2:0
16
1
12111/14 21:32
75-00-3
Chloroform
ND ug/L
2.0
1.9
1
12/11/14 21:32
67-66-3
Chloromethane
ND ug/L
2.0
15
1
12/11/14 21:3
74--3
Dibromochlorom thane
ND ug/L
2:0
1.8
1
12/11114 21:3
124-48-1
1,2-Dichlorobenzene
ND ug/L
ZO
1,5
1
12/11/14 21:32
95-50-1
1,3-Dichlorobenzene
ND ug/L
2.0
1;5
1
12111/1421,32
541-7 -1
1,4-Dichlorobenzene
ND ug/L
2.0
1;5
1
12/11/14 21:32
106-46-7
11-Dichleroethane
ND ug1L
2:0
1:8
1
12/11/14 21,32
75-34-
1,2-Dichloroethane
NO ug1L
2.0
1,8
1
12/11/14 2132
107-06-2
1,1-Dichioroethene
NO ug/L
2.0
19
1
12/11/14 21:32
75-35-4
cis-1,2-D€chloroethene
NO uglL
2,0
1:8
1
12/11/14 21:32
156-59-2
trans-1,2-Dichloroethene-
NO ug/L
2.0
18
1
12/11/14 21:3
156-6 -5
1,2-Dichloropropane
NO ug/L,
2.0
1,7
1
12/11/14 21:32
78-87-5
cis-1,3-Dichloropropene
ND ug/L
2.0
16
1
12/11/14 21:32
10061-01-
trans- 1,3-Dichloropropene
NO ug/L
2.0 ;
1:6
1
12/11/14 21:32
10061-02-6
Ethylben ene
NO ug/L
2.0 '
16
1
12111/14 21:32
100-41-4
Methylene Chloride
NO ug/L
2.0
1.9
1
12/11%14 21:3
75-09-2
Naphthalene
ND ug/L
&0
2:0
1
12111/14 21:3
91-20-3
1,1,2,2-Tetrachloroethane
ND ug/L
2.0 -
1.5
1
12/11/14 21:32
79-34-5
Tetrachloroethene
NO u/L
2.0
1:8
1
1/11/14 21:32
127-18-4
Toluene '
NO ug1L
2.0
1,6
1
12/11114 21:32
108-8 -3
1,1„1-Trichloroethane
ND ug/L
2.0
1:9
1
12111/14 21:32
71-5 -6
1,1,2-Trichloroethene
NO ug/L
2,0
1.7
1
12/11/1421: 2
79-00-5
Trichloroethene
NO ug/L
2.0
1-.8'
1
12/11114 21 :32
79-01-6
Trichloro iuoromethane
NO ug/L
2.0
1:7
1
12/11/14 21:32
75-69-4
Vinyl chloride
ND ug/L
2.0
15
1
12/11/14 21:2
75-01 4
Surrogates
4-Bromofluorobenzene (S)
98 %
70-1 0
1
12/11/14 21:32
460-00-4
Toluene-d8 (S)
98 %
70-130
1
12/11/14 21:32
20 7- 6-5
1,2-Dichloroethare-d4 (S)
95 °l0
70-130
1
12/11/14 2132
17060-07-0
2640D Total Suspended Solids
Analytical Method: SM 2540D
Total Suspended Solids
ND mg1L
2:6
2.6
1
12/17/14 11:17
REPORT OF LABORATORY ANALYSIS
This report Shall not be reproduced,
except in full,
Date: 12/18/2014 09:31 AM
without the written consent of Pace Analytical Services, Inc..
Page 7 of 16

Eaa ��%�i / / Pace Analytical Services, Inc.
�V�iy��t a 9800 KinceyAve. Suite 100
Huntersville, NC 28078
WwwPKeWsWM [phone]
QUALITY CONTROL DATA
Project: Claire Site MP067655
Paces Project No.: 92229188
QC Batch: MV/29603
Analysis Method: EPA 624
QC Batch Method: EPA 624
Analysis Description: 624 MSV
Associated Lab Samples: 92229188001
METHOD BLANK: 1349776
Matrix: Water
Associated Lab Samples: 92229188001
Blank
Reporting
Parameter
Units
Result
Limit
Analyzed Qualifiers
1,1,1-Triehloroethane
ug/L
ND
2.0
12/11/14 09:15
1,1,2,2-Tetrachloroethane
ug/L
ND
2.0
12/11/14 09:1
1,1,2-Trichloroethene
ug/L
NO
2.0
12/11/14 00:15
1,1-Dichloroethane
ug/L
ND
2.0
12111/14 09:15
1,1-Dichloroethene
ug/L
ND
2.0
12/11/14 09:1
1,2-Dichlorobenzene
ug/L
ND
2.0
12/11/14 09:1
1,2-Dichloroethane
ug/L
ND
2.0
12/11/14 09;15
1,2-Dichloropropane
ug/L
NO
2.0
12/11/14 09:15
1,3-Dichlorobenzene
ug/L
NO
2.0
12/11/14 09:15
1,4-Dichlerobenzene
ug/L
ND
2.0
12/11/14 09:15
Benzene
ug/L
ND
2.0
12111/14 09:1
Bromodichloromethane
ug/L
NO
2.0
1111/14 09:15
Bromoform
ug/L
ND
2.0
1/11114 09:15
romomethane
ug/L
ND
2.0
1/11/14 09:15
Carbon tetrachloride
ug/L
ND
2.0
1111/14 09:15
hlorobenzene
ug/L
ND
2.0
12/11/14 09:1
Chloroethane
ug/L
ND
2.0
1/11/14 09:15
Chloroform
ug/L
ND
2.0
1/11/14 09:15
Chloromethane
ug/L
ND
2.0
1/11/14 09:15
cis-1,2-Dichloroethene
ug/L
NO
2.0
12/11/14 09:1
cis-1,3-Dichloropropene
ug/L
ND
2.0
12/11114 09`.15
Dibromochloromethane
ug/L
ND
2.0
12111/14 09:15
thylbenzene
ug/L
ND
2,0
12/11/14 09:1
Methylene Chloride
ug/L
ND
2.0
1/11/14 09:15
Naphthalene
ug/L
NO
5.0
12/11/14 09:15
Tetrachloroethene
ug/L
ND
2.0
12//11/14 09:15
Toluene
ug/L
ND
2.0
12111/14 09:15
trans-1,2-Dichloroethene-'
ug/L
ND
2.0
12111/14 09:15
trans-1,3-Dichloropropene
ug/L
NO
2.0
12111/14 09:15
Trichloroethene
ug/L
ND
2.0
12/11/14 09:15
Trichlorofluoromethane
ug1L
ND
2.0
12/11/14 09:15
Vinyl chloride
ug/L
ND
2.0
12/11/14 09:15
1,2-Dichloroethane-d4 (S)
°le
97
70-130
12/11/14 09:15
4-Bromofluorobenzene (S)
%
104
70-130
12/11/1409:15
Toluene-d8(S)
°l
97
70-130
12/11/14 09:15
LABORATORY CONTROL SAMPLE:
1349777
Spike
LCS
LCS %Rec
Parameter
Units
Cone.
Result % Rec Limits Qualifiers
1,1,1-Trihloroethane
ug/L
20
22.8
114 52-162
Results presented on this
page are in the units indicated by the "Units" column except where an alternate unit is presented to the right of the result:
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full.
Date: 12/18/2014 9:31 AM without the written consent of Pace Analytical Services, Inc.. Page 8 of 16

Pace Analytical Services, Inc.
lac*es
Aw4ftlHuntersviile,
9800 KinceyAve. Suite 100
NC 28078
[phone]
I
QUALITY
CONTROL: DATA
Project: Claire Site MP067655
Pace Project No.: 92229188
LABORATORY CONTROL SAMPLE:
1349777
Spike
LCS
Les
% Rec
Parameter
Units
Conc.
Result
% Alec
Limits
Qualifiers
1,1,2,2-Tetrachloroethane
ug/L
20 _
1.8
109
46-157
1,1,2-Trihloroetane
ug1L
20
19.8
99
52-150
1, 1 -Dichloroethane
ug/L
20
19A
97
9-155
11-Dichloroethehe
ug/L
20
209
104
1-234
1,2-Dichlorobenzene
ug/L
20
20.1"=
100
18-190
1,2-Dichloroethane
ucg/L
20
22.0
110
49-155
1,2-Dichloropropane
a /L
20
18.0
90
1-210
1,3-Dichlorobenzene
ug/L
20
19:8
99
9-156
1,4-Dichlorobenzene
ug/L
20
20A
102
1 -190
Benzene
ug/L
20
19:0
95
37-151
Bromodichloro `thane
ug/L
20
20.3
102
35-15
Bromoform
ug/L
20
19.9
99'
45-169
Bromomethane
ug1L
20
20.0
100
1-242
Carbon tetrachloride
ug1L
20
23.5
117'
70-140
hlormbenzene
ug/L
20
20.1
101
37-160
hloroethane
ug/L
20
17.6
88
14-230
Chloroform
ug/L
20
21.0
105
51-138
Chloromethane
ug/L
20
19.5
98
1-273
cis-1,2-Dichloroethene
ug/L
20
19.9
100
8-146
cis- 1,-Dichloropropene
ug/L
20
18.1
91
1-2 7
Dibromochloromethane
ug/L
20
20.0
100
53-149
Ethyibenzene
ug/L
20
20.7
104
37-162
Methylene Chloride
ug/L
20
20.1
100
1-221
Naphthalene
ug/L
20
1&9
94
70-130
Tetrachloroethene
ug/L
20
15.5'
77
64-148
Toluene
ug/L
20
19.0
95
47-150
trans-1,2-Dichloroethene
ug/L
20
20.2
101
54-156
trans-1,3-Dichloropropene
ug/L
20
19:6
98_
17-18
Trichloroethene
ug/L
20
20.0
100
71-157
Trichlorouoromthane
ug/L
20
22.7
114
17-181
Vinyl chloride
ug/L
20
17.7
89
1-51
1,2-Dichloroethane-d4 (S)
°la
93
70-130
4-romofluorobezene (S)
°l
103
70-130,
Toluene-d8 (S)l0
98
70-130
MATRIX SPIKE SAMPLE:
14977
92228444003 Spike
Ms
MS
% Rao
Parameter
Units
Result
Cone.
Result
% Rec
Limits Qualifiers
1, 1, 1 -Trichloroethane
ug/L
ND 20
266
13
46-171
1,1,2,2-Tetrachloroethane
ug/L
ND 20
22:6
113
73-159
1,1,2-Trichloroethane
ug/L
ND 20
20.8
104
64-15
1,1-Dichloro thane
ug/L
ND 20
22.3
112
43-172
`d,1-Dichloroethene
ug/L
ND 20
24.8
124
48-18
1,2-Dichlorobenzne
ug/L
ND 20
20A
102
54-154
1,2-Dichloroethane
ug/L
ND 20
23,2
116
42-171
Results presented on this page are in the units indicated by the "Units"
column except whore an alternate unit Is presented to the night of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/1812014 09.31 AM
without the written consent of Pace Analytical Services, Inc.,
Page 9 of 16

Pace Analytical Services, Inc.
it
9800 Kincey Ave, Suite 100
Huntersville, NC 28078
[phone]
QUALITY CONTROL DATA
Project: ; Claire Site MP067655
Pace Project No.: 92229188
MATRIX SPIKE SAMPLE:
1349779
92228444003
Spike MS
M
% Rec'
Parameter
Units Result
Conc. Result
% Rec
Limits Qualifiers
1,2-Dichloropropane
ug/L
ND
20
20:3
102
55-157
1,3-Dichlorobenzene
ug/L
ND
20
20:6
103
57-148
1,4-Dichlorobenzene
ug/L
ND
20
209
104
58-149
Benzene
ug/L
ND
20
213
107
54-163
Bromodichloromethane
ug/L
NO
20
2&5
138
56-1 2
Bromoform
ug/L
NO
20
30.1
151
53-151
Bromomethane
ug/L
ND
20
159
79
10-200
Carbon tetrachloride
ug/L
ND
20
33A
166
41-175
hlorobenzene
ug/L
NO
20
216
108
67-15
Chloroethane
ug/L
NO
20
19.4
97
23-200
Chloroform
a /L
4,6
20
273
113
51-166
hloromethan
ug/L
ND
20
21.5
107
40-17
cis-1,2-Dichloroethene
ug/L
ND
20
226
113
45-174
cis-1,3-Dichioropropene
ug/L
ND
20
21:9
110
38-146
Dibromochloromethane
ug/L
NO
20
28A
140
65-144
Ethylbenzene
ug/L
ND
20
22.1
110
57-152
Methylene Chloride
ug/L
ND
20
21 .8
106
40-17
Naphthalene
ug/L
ND
20
15A
77
70-130
Tetrachloroethene
ug/L
ND
20
18:3
92
59-15
Toluene
ug/L
NO
20
21.3
105
47-12
trans-1,-Dichioroethene
ug/L
NO
20
22:7
113
47-178
trans-1,3-Dichioropropene
ug/L
ND
20
246
13
39-148
Trichloroethene
ug/L
ND
20
22:6
113
60-15
Trichlorofluoromethane
ug/L
ND
20
272
136
42-19
Vinyl chloride
ug/L
ND
20
20A
101
46-176
1,2-Dichloroethare-d4 ()
%
93
70-130
4-Bromofluorobelzene (S)
%
97
70-130
Toluene-d8 (S)
°
99
70-130
SAMPLE DUPLICATE: 1349778
922 8444001
Dup
Max
Parameter
Units Result
Result RPD
RPD
Qualifiers
1, 1, 1 -Trichloroethane
ug/L
ND
NO
30
1,1,2,2-Tetrachloroethane
ug/L
NO
NO
30
1,1,2-Trichloroethane
ug/L
NO
ND
30
1,1-Dichlor thane
ug/L
ND
ND
30
1,1-Dichloroethee
ug/L
ND
ND
30
1,2-Dichlorobenzene
ug/L
ND
ND
30
,2-Dichleroethane
ug/L -
ND
NO
30
1,2-Dichloropropane
ug/L
ND
NO
30
1,3-Dichlorobenzene
ug/L
ND
ND
30
1,4-Dichlorobenzene
ug/L
ND
ND
30
Benzene
ug/L
ND
ND
30
Bromodichloromethane
ug/L
NO
ND
30
Bromoform
ug/L
ND
ND
30
Results presented on this page are in the units indicated by the "Units" column except where an alternate unit Is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/1812014-09:31 AM
without the written consent of Pace Analytical Services,
Inc;.
Page 10 of 1

Pace Analytical Services, Inc.
t e
�-AWce ica
9800 incey Ave. Suite 100
Nuntersville, NC 28078
Wivixpacowscom
i
[phone]
QUALITY CONTROL DATA
Project: Claire Site MP067655
Pace Project No.. 92229188
SAMPLE DUPLICATE: 1349778
92228444001 Cup
Max
Parameter
Units Result Result RPD
RPD
Qualifiers
Bromomethane
ug/L
NCI ND
30
Carbon tetrachloride
ug/L
ND ND
30
Chlorobenzene
ug/L
ND NCI
30
Chloroethane
a /L
ND ND
30
Chloroform
ug/L
2A 22 6
30
Chloromethane
ug/L
ND ND
30
cis-1,2-Dichloroethene
ug/L
ND ND
30
cis-1,3-Dichioropropene
ug/L
ND ND
30
Dibromo hloromethane
ug/L
ND ND
30
thylbenzene
u/L
ND ND
30
Methylene Chloride
ug/L
ND ND
30
Naphthalene
ug/L
ND ND
30
Tetrachloroethene
ug/L
ND ND
30
Toluene
ug/L
ND ND
30
trans-1,2-Dichloroethene
ug/L
ND ND
30
trans-1,3-Dichloropropene
ug/L
ND ND
30
Trichloroethene
ug/L
ND ND
30
Trichlorofluoromethane
ug/L
ND ND
30
Vinyl chloride
ug/L
ND ND
30
I,2-Dichloroethane-d4 (S)
%
91 96 6
4-Bromofluorobenzene (S)
%
99 99 0
Toluene-d8 (S)
%
97 98 0
Results presented on this page are In the units Indicated by the "Units" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2014 09:31 AM
Without the written consent of Pace Analytical Services, Inc..
Page 11 of 16

Pace Analytical Services„ Inc.
�t e
9800 Kinney Ave. Suite 100
i
Huntersville, NC 28078
w:pftVW& orr,
[phone]
QUALITY CONTROL DATA
Project: Claire Site MP06766
Pace Project No. 92229188
QC Batch: WET134816
Analysis Method: SM 2540D
QC Batch Method: SM'2540D-
Analysis Description: 2540D Total Suspended Solids
Associated Lab Samples: 922229188001
METHOD BLAND: 135712
Matrix: Water
Associated Lab Samples: 92229188001
Blank reporting
Parameter
Units result Limit Analyzed Qualifiers
Total Suspended Solids mg1L
ND 2.5 12/17/14 11:17
LABORATORY CONTROL SAMPLE: 1353713
Spike LCS LCS % rec
Parameter
Units ' Cone. result % rec Limits Qualifiers
Total Suspended Solids mg1L
250 256 102 90-110
SAMPLE DUPLICATE: 1353714
9222963001 Dup Max
Parameter
Units result result rPD rPD Qualifiers
Total Suspended Solids mg/L
6.6 7.2 9 10
SAMPLE DUPLICATE; 1353715
2229933001 Dup Max
Parameter
Units result result rPDrPD - Qualifiers
Total Suspended Solids mg1L
309 209 39 10 D6
Results presented on this page are in the units indicated by the "„Unite" column except where an alternate unit is presented to the right of the result.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2014 09:31 AM
without the written consent of Pace Analytical Services, Inc- Page 12 of 16

Pace Analytical Services, Inc..
e t f e 0800 Kincey Ave. Suite 100
Huntersville, NC 28078
.:� 04
8y5 9092
QUALIFIERS
Project: Claire Site MP067655
Pace Project No:: 92229188
DEFINITIONS
DF - Dilution Factor, if reported, represents the factor applied to the reported data due to changes in sample preparation, dilution of
the sample aliquot, or moisture content.
NO - Not Detected at or above adjusted reporting limit.
J Estimated concentration above the adjusted method detection limit and below the adjusted reporting limit.
MDL - Adjusted Method Detection Limit.
PQL - Practical Quantitation Limit:
RL - Reporting Limit.
S Surrogate
1,-Diphenylhydrazine (8270 listed analyte) decomposes to Azobenzene.
Consistent with EPA guidelines, unrounded data are displayed and have been used to calculate % recovery and RPD values.
LCS(D) - Laboratory Control Sample (Duplicate)
M(D) - Matrix Spike (Duplicate)
DUP . Sample Duplicate
RPD - Relative Percent Difference
NC - Not Calculable.
SG - Silica Gel - Clean -Up
U - Indicates the compound was analyzed for, but not detected.
N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270, The result reported for
each analyte is a combined concentration.
Acid preservation may not be appropriate for 2-Chloroethylvinyl ether, Styrene, and Vinyl chloride.
Pace Analytical is TNI accredited. Contact your Pace PM for the current list of accredited analytes.
TNI - The NELAC Institute.
LABORATORIES
PASI-A Pace Analytical Services -Asheville
PASI-C Pace Analytical Services - Charlotte
ANALYTE QUALIFIERS
D6 The relative percent difference (RPD) between the sample and sample duplicate exceeded laboratory control limits.
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12/18/2014 09:31 AM without the written consent of Pace Analytical services, Inc.. Page 13 of 16

Pace Analytical Services, Inc.
9800 Kincey Ave, Suite 100
Huntersville„ NC 28078
[phone]
QUALITY CONTROL DATA CROSS REFERENCE TABLE
Project: Claire Site MP067655
Pace Project No,: 9222918
Analytical
Lab ID Sample ID
QC Batch Method QC Batch Analytical Method Batch
22291801 NPDES-Dec
EPA 624 MSV129603
92229188001 NPDES-Dec
SM 2540D WET134816
REPORT OF LABORATORY ANALYSIS
This report shall not be reproduced, except in full,
Date: 12118/2014 09:31 AM
without the written consent of Pace Analytical Services, Inc.;
Page 14 of 1

NPDES Unit
Surface Water Protection Section
Attention: James McKay
Date: July 23,
NPDES STAFF REPORT AND IR
County: Meckle
NPDES Permit No.:
GENERAL L INFORMATION
Facility and address: Pla e Incorporated
105 Boldt Lane
St. Claire, MO 63077
, 01
L. Parker, Environ
Discharge points:
a. Classification: C
D. KIV4`
c. Des,
will
strei
with
wh
Cret
wasl
und(
pipil
id: 350 14' 35'"
nude: 80 ° ' 1"'
30834
,rater a section of Charlotte's storm water collection system located in the
t adjacent to North Tryon Street. The wastewater will them travel underground
n the City's storm water collection system ;z� 15 0 yards southeast to a paint
e the SW drainage pipe intersects with an unnamed tributary to Little Sugar
(also piped). From this point, the storm drain system carrying the
,water/UT/SW flow travels z 120 yarns northeast where it is piled
rground through a railroad right-of-way. It is � 0.3 mile from where the SW
g enters the RR yard to where the piping outlets into the train segment of
Little Sugar Creek.

*vx'
Ma
NCD1
North Carolina Department of Env
Division of A
terly Eaves Perdue
Charles Wi
terror
Dire
June 29
(Y MYERIS,
Elam" AND F,NVIRONME'NTAL MANAGER
ZE INCORPORATED
BOLD I" LANE
JAIR, MO 63077
Subji
Plaz(
Med
- Mr. Myers:
rocessing permit applicatio
.oral information requests.
ions, please coat tames McKay at'
you may leave a message, and they Zvi
Sincerely,
M
)t of your pen -nit application,
gee n assigned the number listec�
.tig a Staff Report from the M(
r.state.nc.us/birns/
raptly.
--- .,-r ......
a if necessary. To
widing a timely
Dina Sprinkle
Point Source Branch
NCO089206
NOMMMOMSurface Water Protection
aldt, P.E., The Uesch Companies, Inc., 13400 1501 Avenue North, Nfinneapolis, NIN 55441
a Center, Raleigh, North Carolina 27699-1617
Salisbury St. Ralegh, North Carolina 27604 One
6300 k FAX: [phone] NofthCaf
waterquality.org
ity k Affirmative Action Employer vvlatffirz

s.k
North Carolina Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit Application — short Form C-GW
Claire Sprayway, Inc. Remediation Project
2100 North Church Street, Charlotte, NC
Dear Sir/Madam:
Enclosed please find three copies of an NPDES Permit Application Short Form -GW for a
proposed surface water discharge from a groundwater remediation system proposed for
construction/installation at the former Claire Sprayway, Inc. property located at 2100 North
Church Street in. Charlotte, NC. Included as attachments to the permit application are the
fallowing:
iIr rtw .e �w'- .� •
isTable summarizing recent groundwater
blended influent to the treatment system s.:':• including probable dischrt
for the outfall rt r
Engineering Alternatives Analysis, including the required local government
review form, several figures illustrating the conceptual remediation system
design, tables outlining the current e' present value costs of • +
remediation system, which has been identifiedonly ealternative,
Charlottecorrespondence from the USGS regarding low flow conditions for the proposed
outfall, and correspondence from 1
prohibition on acceptance of treated groundwater discharges in the sanitary
sewer and acceptance of the proposed discharge in the municipal separate storin
sewer system t
I IESCH COMPANIES, INC. a 13400 15TH AVENUE NORTH N MINNEAPOLIS, MN 55441 a 763/489-3 100 a FAx: [phone]

Page 2
June 21, 2012 -
trust the enclosed information satisfies your requirements for issuance of an NPDES pennit
for the proposed remediation system. Please call me at 763/4 9- 1 2 if you have any questions
regarding this application or the proposed remediation system..
Sincerely;
LIESCH ASSOCIATES, INC.
x
Bruce Rehwaldt, PE (AZ, CA, IA, Mid, WI) LEEI .AP
`c: Gary Myers, Plaze Incorporated
Dana Wagner, L.iesclt
w.\sa\6201 i8I\npdes\ltri20424npdes.doc
www.fiesch.com
THE LIE CH COMPANIES a MINNEAPOLIS 8 MILWAUKEE a PHOENIX a Los AN ELES

NPDES PERMIT APPLICATION = SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.-
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality NPDES Limit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPI)ES Permit Number N400 _.
If you are completing this form in computer use the TAB key or the up -- down arrows to 'move from one
field to the next. To check the bates, click your mouse on tarp of the box. Othentise, please print or type.
1. Contact Information:
Owner Name Cary; Myers, Safety and Environmental Manager
Facility Name Plaze Incorporated
"ling Address 105 Boldt Lane
City St. Claire
State Zip Cede MO, 63077
'telephone Number (636)9-3400 et 11
Fax Number (636)6:9-000
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same'as above El
Street Address or mate Road 2 100 North Church Street
City Charlotte
State / Zip Code NC
County Mecklenburg
. Operator Information:
Name of the firm, consultant or ether entity that operates the fucilityt (Note that this is not referring to the
Operator in Responsible ible Charge or ORC)
Name Lxiesch Associates, Inc.
Mailing Address 1300 15th Avenue North
City Plymouth
State / Zip Cade MN 55441
Telephone Number (6) -3 1 00
Fax Number [phone]
4. Ownership Status:
Federal 0 State
Page i of 3 C-GW 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - GW
For discharges associated with groundwater treatment facilities.
5. Products recovered:
Gasoline El Diesel fuel El Solvents 0 Other
6. Number of separate discharge points: 1
Outfall Identification number(s) QO 1
7. Frequency of discharge: Continuous Intermittent
If intermittent:
Days per week discharge occurs: Duration:
S. Treatment System Design flow 0.05 Initial and 0.03 Sustained MGD
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitudet.
Upper Little Sugar Creek via stormwater collection system and unnamed tributary.
Outfall 001 is a storm sewer catch basin located off the southeast property boundary at latitude
35.243812 and longitude -80.821671 (aerial photograph with location marked attached). Maps of
storm sewer also attached showing location of discharge to both the unnamed tributary and
Upper Little Sugar Creek.
10. Please list all additives to the treatment system, including chemicals or nutrients, that have
the potential to be discharged.
Treatment is air stripping for removal of trichloroethane, dichloroethene, and other volatile
organic compounds from groundwater to achieve applicable surface water standards.
No chemical additives are to be used.
11. Is this facility located on Indian country? (check one)
Yes El No 0
12. Additional Information
All applicants (including renewal
A USGS topographical map (or copy of the relevant portion) which shows all outfalls
A summary of the most recent analytical results (effluent data, if available) containing the
maximum values for each chemical detected
NEW Applicants only:
)OEngineering Alternative Analysis
> Description of remediation treatment system components, capacities, and removal efficiency
for detected compounds,
> If the treatment system will discharge to a storm sewer, written approval from the
municipality responsible for the sewer.
> A list of any chemicals found in detectable amounts at the site, with the maximum observed
concentration reported for each chemical (the most recent sample must be collected less
than one year prior to the date of this application)
> For petroleum -contaminated sites - Analyses for Volatile Organic Compounds (VOC) should
be performed. Analyses for any fuel additives likely to be present at the site and for phenol
and lead should also be performed.
Page 2 of 3 C-GW 03/05

NPDES PERMIT PLICATION - SHORT FORM C - Gam''
For discharges associated with groundwater treatment facilities.
For sites contaminated with solvents or other contaminants - EPA Method 6 S
analysis should be performed.
13. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
ern. M ers Safell and Environmental 11}l
Printed name of Person Signing Title
Si' e drApplichnt Date
MINIMUM
�-
Page 3 of 3 - W 03/05

r
t
\yRZO
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r
0
r Fasting () 'i45�xoo.�463
Unnamed tributary of Little Sugar Creek is piped in at this location.we
Rlorthing {Y} 543396.72143
?,
0 Storm Structures Parcets An qa re '.a paq s n 1«aa. end sor wore rt"D 19 state ax»rtwie&rtk ehi"V
Plane rS rth Carairoa F d 3200 at Protecded Caord Hats Ct si_m. u a
She �+C$ rindh An'€8 GnYt Yq�'} fiaki M STORM 1
-Storm Pipes Building C�e {{ g y ® Tryon t $$ WATER
..®.... 4.rha ��.i lt�r'" E' �C i9�3tD 6"� 0�' 4'4 t{S+ Re�f�` 5t6"C +CtuB" . a 4t� i. K,trad 1te-@:7eoopliodt as to
re Water sererpwwi ds nawarnrnty,. "'`. ;.�'"
a-ant.1e...a, , n altothe av I.1 ep yraernlale,nwdlt Th v"`jn be tees
^•••, Storm Drainage Paved cary �Yl@tPFi@YA. ac aay other earrc¢i aE kha data Peeapntutl. Thcse xirtal rat bs r.rnrsanecFtn tteslegal
(,+� r� bo ument a"; are not to be used wdms pn Purpanes The data BTa tdsrsh0 not be held bath Par any edois irr
Streams E[ II Other it.. e". or far de—gea..4 Prom tt e�r uespa. P try sournen Ina. 1,4ith the. d i.—itt tginpiled ,s i
kla Fansixttud ro_"fiGirt+n UiiaiCrnaairatt 'these data ranrtol be resold in 1harr prenant t,arm

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s
sI.
2 i 0 N CHURCH S
AX
Easting (X) 1458290.279 49
Northing (Y) 549366.97263
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Q 2100NChurch_StormStructures All data a n,app.ng grade. ar fesc and Berta the NAD i W es siaiw ckuatrwuo- erenDu p
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l�}/p�{�t
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210ONChurch_StormDrainage Charlotte -Mecklenburg Storm Water Infrastructure - No.. Tryon & 24�th St.
sxpre^secs arrmplled, as to tha aceurary pre^wsrnn, timalinaas. '8crt �e+
Complet.nass, 0, anyy nIhe+aspen of the data pracantad Thasa data cangot be f onsimed in ha 7l9gai
Streams dounment and are nottoba used fardesign purpnves The dal. p,o durshaft nosh hstd+i for. -.,Wars a,
these data or fordamage ansinq from their usage. Pruvaq sovices from skfvch thewe data were CO Pled must
E__12100NChruchSt 1.O.Sultedforvedficatronorinro nxtian.T(ieaedatacarmniaoiesoldint6eirpresmiIon,

Well ID ! R -1
RW-2 j
RW-3 I
R - !
-5
RW-6
RW-7
RW-
RW-9
RW-10 !
Probable
like i
i
MW04 I MW04 /
MW09/
MW09/
MW06 /
MW09/
MW031 % MW031 /
MW031 /
MW07 /
F
Discharge
Blended
WQ
DW02
RW0
10/10D
10/101)
10/10D
MW03D
MW03D
MW03D
MW07D
Lima
'
i
{
1.
RW02
j
a
IInfluent
(uR/L)
Parameter
Expected concentration {ug/L)
1,1,1-Trichloroethane
41101
9180
8540
8540
_,.
9190]
8 it
11 0j
1130
1130
1881
{{
51701
2500
,
1,17Dichlerroethane }
26.1
17 5
151
151
- 16.7
151
18.6
18 6
18.6
0.9
57
20000
1,1-Dichloroethene
8510
60
1314010
1 400
5540
13�400
2060
2060
0610
8
6620
1500
1F2-Dichloroethane
26.3
13.7
9.9
39.9
13
33.9
5.25
US
5.25
1.91
19
37
1, ,5-Trimeth lbenzene
25.
„ _2 .3
2.67
2.67
25.3 ,.
_ .2�,671
_ 5.25
.25
5.25
0.75
10
630
30
_`! e . _
2-Butanone (MEK)
126
126
13.31
13.3
126
13.3
26.3
26.3
26.3'
15.8�
51.3
26C?00
Benzene
25.3
25.
2.67 `
2.67
2.3 i
2.67
5.25
5.25
5.25
035
10
51
Chloroform ,
25.3
25.3
3.53
3 53
25.3
3.53�
5.25
5.25
5.25
0.75
10,3'
D chlorodifluoromethane I
25. 1
_ 25.3
5.03
5 03
25.6
.03
5.25
5.25
5.25
1.65 °
10,91
__ __,
lsopropylbenzene (Cumene
25.3
25.3
2.67
2.67
25.3
2.67
5.25
US
5.25
0.75
lol
p-Xylene
1871.
50 5
5.33
533
50.5
5.33
_ 10.51
10.5
10.5
1.51
33.7
800
_,
Methylene Chloride 1
, ,...
50.51
50.51
5.33
5.33�
50.5
.33
10.5
..
10.5
e .
10.5
8.051
20.71
.
Meth Y 1-tert-butY 1 ether
25.3+
25 3
2 67
2.67
25.3
I67
5.25
5.251
5.25
0.75
101
1500
Naphthalene i
25.3�
25.3
9 8
9.8
25.3
5.25�
0.751
12.2�
12
n Propylbenzene
25.3
25.3
2.67
2.67
25.3
2.671
5.25
5.25
5.251
0.75
10
o- ylene
25.
.3 2
4.93
4 93
25.3,
4.93I {
5.25
5.25
5.25
0.75
10.77
800
p-lsopro yltoluene t
25.3
25.3
2.67f
2.67
25.3
2'*671
5.251
5.2 1
5.25
1).7 �
10j
Styrene
25.3
25.3 i
2.671
._
2.67
25.3
Tetra chloroethene
99.3
25.3
3.871
3.87(
25.3'
1871
5.25
5.25
US
0.75
17I'll.8
.3
Toluene 1
253
253
2.67
.67
___
25.3
2.67
5.25
_1 I'll,
5.25
e 5,25
0.75
10
11
Trichloroethene
25.3
25,3
18.2
18 2
26.6
18.21
e 13.3
13.3
13.3
0.75
17.2
3t3
_
trichlorofluoromethane
87.8
32
1t}'
105
4305
1741
_ .
174
174
48.6
1t}5
_
67000
W:\sa\6201781\NPDES\NPDES 2k-fwd.xism

LIENCH
Liesch Associates, Inc. ■ 1,3400 15th Avenue North a Minneapolis, MN 5441
Phone: [phone] a Toll Free: (800) 338-7 14 ■ Fax: [phone]
MEMORANDUM
TO Liesch Project File SA1620178
FROM Bruce Rel waldt; Jonna B elland
BATE: May 7, 012
RE Engineering .Alternatives Analysis -- Claire Facility, Charlotte, North Carolina
Liesch Associates, Inc. (Liesch) was retained by Claire -Spry, , Inc. (Claire), now owned by
Plaze, Inc., as the Registered Environmental Consultant (REC) to prepare an Engineering
Alternatives Analysis (EAA) for the former Claire Manufacturing site located at 2100;North Church
Street, Charlotte, North Carolina (the Property). The Property is a rectangular plot of land consisting
of approximately 0.8 acre bordered on the southeast by North.. Tryon Street, on the southwest by 24�h
Street, and on the northwest by North Church: Street, Figures 1., IA and 2 show the Property
location and the Property Layout. The locations of all existingmonitoring wells and proposed
remediation wells are also illustrated.. on Figure 2.
Preparation of this EAA has been: completed in conjunction with an NP DES application for a
proposed groundwater remediation system discharge for the Property. This EAA is for a non -
municipal application, groundwater° remediation treatment system; therefore, the flow projections
are based on engineering design considerations rather than population projections. A description of
the proposed project follows. Projections for flow, evaluation of technical and financial feasibility,
and Local Government Review are provided in later sections.
STEP 1. Background and Project Description
Liesch has reviewed the potential restrictions identified in the EAA guidance document and do not
believe that the identified restrictions will pose an impediment to an NPIES discharge from this
location. While the discharge is to an unnamed tributary to Little Sugar Creek that is anticipated to
have 7QI4 low -blow discharge estimates of zero; the treated groundwater discharge will be well -
aerated and is expected to contain insignificant concentrations of oxygen -consuming waste. A
description of the remediation system and contact information are summarized below.
A. Contact Information
Contact information for the applicant, facility, and EAA prparer (Liesch) are as follows. The
facility is currently owned and occupied by Swofford Associates Epoxy Flooring who is not directly
involved in the remedial program for the site.

Page
May 7, 2012
Applicant
Plaze, Incorporated
Attn: Gary Myers, Safety and Environmental Manager
St. Claire, MO 63077
Phone: [phone], ext 141
Fax: [phone]
e-mail: 2rnversQ),Dlaze.com,
Facility
Swofford Associates Epoxy Flooring
Attn: Mike Bis
2100 North Church Street
Charlotte, NC 28206
Phone: [phone]
Fax: [phone]
e-mail: sb6500 vahoo.com
FAA Prevarer
Liesch Associates, Inc.
Attn: Bruce Rehwaldt
13400 15'h Avenue North
Plymouth, MN 55441
Phone: [phone]
763/489-3101
:Email: bruce.rehwaldt��liesch.com
B. Description of Proposed Project
The Property has undergone investigation into chlorinated hydrocarbon (COC) contamination of
soil and groundwater. Specifically; 1,1,1---trichloroeth e (TCA) and '1,1-dihloroethen (DCE)
have consistently been reported at concentrations above their respective drinking water standards
(the NCDENR 2L Groundwater Standard), The reports have concluded that the contamination was
from an on -site source, likely the aboveground storage tank used for TCA storage or its Taiping. The
DCE and several other CC C's present in the ground water are likely degradation products of the
TCA.
Can two occasions, remediation systems were designed and operated with some initial reduction in
contaminant levels. Later, the concentrations went up in some wells and appeared to be moving
under the Property. Data collected by Liesch (Phase I Site Assessment, November 2009) indicates
that TCA contamination in groundwater significantly exceeded the groundwater standard in

Page 3
May 7, 2012
monitoring wells MW-4 and DW-02, both by the former storage tank area, as well as in monitoring
well MW-9 located on the southwestern portion of the Property. The ICE contamination is also
present in concentrations above the groundwater standard in the same wells as the TCA and in
monitoring wells MW-6 and MW-7.
Low concentrations of trichlorofluoromethane were documented by Delta (Site Characterization
Report, December 1990) in upgradient monitoring well MW-1. Groundwater samples from four on -
site wells noted dichlorodifluromethane (DCFM) in 2007, 2009, or both. Concentrations are well
below the WQS of 1,400 micrograms per liter (gg/l). Monitoring well MW-8 shows the highest
concentration of DCFM at 11.6 gg/l. Based on the very low concentrations and the presence in an
upgradient well, this contaminant appears to originate from an off -site source.
C. Summary of Remedial Action Plan
Lies investigated potentially applicable technologies for rernediating the Property. Three
alternatives appeared to be feasible and those alternatives were analyzed as required under REC
Program guidance. Additional alternatives were screened but determined to not be feasible and a
full evaluation was not conducted.
Remedial alternatives were evaluated using the eight evaluation criteria shown in NCAR Section
.0306(l)(3)(A) through (H), as follows: A) protection of human health and the environment,
including attainment of cleanup levels, (B) compliance with applicable federal, state and local
regulations, (C) long-term effectiveness and permanence, (D) reduction of toxicity, mobility and
volume , (E) short-term effectiveness, i.e., effectiveness at minimizing the impact of the Property
remedial action on the environment and the local community, (F) implementability, i.e., technical
and logistical feasibility, including an estimate of time required for completion, (G) cost and (H)
community acceptance.
The evaluated alternatives included: dual -phase extraction; pump -and -treat; and electrical resistance
heating. Dual -Phase Extraction was determined to be the most feasible technology given the
aforementioned criteria. Implementation of the Dual -Phase Extraction system for the Property is
expected to consist of the following elements:
• Ten recovery wells in the locations shown in Figure 2 to capture groundwater and reduce the
head in both the primary and secondary flow pathways. Each well will include an automatic,
pneumatically -actuated total fluids recovery pump plumbed to a manifold leading to the water
treatment system, Additionally, each well will have an air line connected to a blower to provide
vacuum extraction of air from the screened intervals. All wells will be flush mount to minimize
interference with the Property owner's operations. A typical well installation schematic is
provided as Figure 3.
• A groundwater treatment system. Figure 4 illustrates a conceptual design for this system. The
water piping will exit the well casings below ground level and routed beneath the ground
surface to the treatment building, Treatment will likely consist of low profile air stripping to

Page 4
May 7, 2012
achieve a reduction in contamination levels meeting the required NPDES discharge limits,
Following the air stripper(s), there will be a sampling port to collect >samples for analysis. The
water will be plumbed directly to the storm sewer for discharge.
A vacuum/air management system. A conceptual drawing of this system is shown in Figure 5.
Piping from the well casing will lead to a manifold connected to a condensate knockout drum
followed by an air filter and then a blower. Provisions will also be made to provide makeup air
to the blower, The output from the blower will be vented to the atmosphere.
As specified in NCAR Section .0306(m), the final design plans and specifications will be submitted
as part of the preconstruction report.
D. Low Flow Data for Receiving Stream
Low flow data for the receiving water(s) was obtained from the US Geological Society (USGS) in
Raleigh, North Carolina. Correspondence from the USGS, including the low flow data, is provided
in Attachment A. Generally, the discharge from the remedial system will be to the storm sewer
beneath North Tryon Street. From the point of discharge, the storm sewer runs northeast along
North Tryon Street for approximately one-half block. It then turns to the southeast and discharges to
an unnamed tributary of Little Sugar Creek located along or within the railroad right-of-way.
Where the storm sewer discharges to the unnamed tributary, the unnamed tributary is actually
contained within underground piping running generally northeast through the rail yard.
Approximately one block northeast of the discharge point, the unnamed tributary resumes its course
overland and discharges to Little Sugar Creek near the projection of W. h Street.
As summarized in the USES correspondence, the 7QIO low flow discharge for the unnamed
tributary is very likely zero, given the small basin size and urbanized environment. Therefore, at
the USGS suggestion, formal low -flow characteristics were not determined for this location.
Formal low -flow characteristics were, however, determined for Little Sugar Creek at the point of
discharge for the unnamed tributary into Little Sugar Creek. Based on provisional low -flow
statistics at an active downstream continuous -record stream gauge on Little Sugar Creek, the low
flow estimates for Little Sugar Creek are:
FreqpSncy Discharge
7QIO 0.83 cfs
30Q2 12 efs
W7QlO 1.3 cfs
7Q2 1.4 cfs

Page'
May 7, 2012
STET' 2. Reasonable Projections for Flow
As discussed in the EAA Guidance Document, non -municipal flow projections for groundwater
remediation projects are based on engineering design considerationsand/or production projections
rather than; population projections. Based on information available from the remedial investigation,
Lieseh anticipates that ;discharge from the remedial system will be approximately 0.0 (35 gpm)
MGD at the initiation of operations. As drawdown stabilizes in the wells, flaw from the system is
expected to drop to . Lieseh anticipates constructing the remedial program i
two phases, beginning with installation and pilot testing of the recovery wells. Upon completion of
the pilot tests, more precise flow projections will be prepared and used to appropriately size the
remediation equipment.
STEP 3, Evaluate Technologically Feasible Alternatives
As discussed in the EAA Guidance Document, discharges from groundwater remediation systems
are required to evaluate whether wastewater treatment plant (W'VV'"TP) connection, land application,
infiltration galleries, in -situ groundwater remediation wells, or closed -loop groundwater
remediation wells are viable disposal alternatives.
A. Connection to an Existing WWTP
The Charlotte -Mecklenburg Utilities (CCU) was contacted to - determine whether remediated
ground water could be discharged directly to the CMU sanitary sewer. CMU responded that CMU
has discontinued accepting groundwater discharges. Specifically, the City of Charlotte Sewer Use
Ordinance prohibits discharge of groundwater in Section 23-7 (14) without the permission of the
CMU-System, Protection (SP). SP stated that at this time that it cannot grant discharge privileges to
the owners of the former Claire Manufacturing facility making this treatment alternative infeasible.
Correspondence from CMU can be found in Attachment B. A letter from Charlotte -Mecklenburg
Stormwater Services acknowledging that it will accept the proposed discharge to the municipal
separate storm sewer system (MS4) provided that the discharge is NPUES permitted.
B. Land Application
The Property is located. at 2100 North Church Street, Charlotte, North Carolina. This location is
within an urban setting in Charlotte, NC. As such, land application is not a feasible alternative for
wastewater disposal from the site due to land constraints within the city:
C. Infiltration Galleries
The chosen remedial alternative, dual -phase extraction, utilizes the combined processes of
groundwater depression and vapor recovery from unsaturated soils and fractured. bedrock. Applying
a vacuum to the wells extracts soil vapor and also enhances groundwater recovery. Liquid flow
rates are increased due to the increased pressure gradient applied on the system. In some

Page 6
May 7, 2012
configurations, the vacuum increases the effective drawdown locally near the pumped well without
significantly lowering the water table surface away from the pumped well. Due to the above -
described processes, and because the in situ soils are relatively impermeable and the footprint of the
project site is relatively small, on -site infiltration is not a feasible alternative for wastewater disposal
from the site.
D. In -Situ and Closed -Loop Groundwater Remediation Wells
Neither in -situ nor closed -loop groundwater remediation wells are considered feasible alternatives
for wastewater disposal from the site as these installations would conflict with the remediation
strategy for the site.
E. Direct Discharge to Surface Waters
Surface water discharge has been deten-nined to be the only technically and economically feasible
alternative for disposal of treated groundwater from the on -site remediation system. Generally,
discharge from the remedial system would be to the storin sewer beneath North Tryon Street. From

Page 7
May 7, 2012
Description
Current Value
20-Yr Present Value
(2012 only)
(inflated only,
not discounted)
NPDES Discharge Construction Estimate
$14,720
$14,720
2012 Recurring Cost Estimate
$36,568
$915,250
2012 Lost Opportunity Costs
$0
$0
Total Costs
$11288
$929,970.00
\\CyRO\pr $\sa\6201781 \NPDES\EAA.doc

F U,
1
Art
G
i
R 7 2 12
.hment & Local Government Review 1°rants
have statewide significance anc
respond within the 15-daay perio&
Instructions to the Local Government: The nearby cityand/or county govermnent which may hav
jurisdiction over any part of the land on which the proposed facility of its a putternutces stye to he
required to complete and return this form to the applicant within 15 days of teceipt< The form must t
notari e&
Name of local government_
(City 'County)
Goes the city/county have jurisdiction river any fart of the lanai on which the proposed facility and its apputte
be located? Wag
s No ( I If no, please sign this forint, have it notarized, and return it to the applicant.
Does the city/countycity/county have in effect a zoning or subdivision ordinance? "es No [ )
It there is a zoning or subdivision ordinance in effect, is the, plan for the proposed facility consistent with the t
Yes j
of l
fate # 1
Stgaaattzre
State of —A) ) _ .- < County of
On this L9-T11 clay of Y\ i ;errs snail
name f O!Oto me known and
dcscrilaed it) and wh executed the foregoing document and lie (or she) acknowledged
and 1xing; duly suorn by nee, made caath that ahc statements iat the foregoing docuttient
Alt' Commission expires l -2a _ .(`;i n rture of Ntart' Public)_
} appeared before* rite, the said
known to sate to be the person
rtt ttalttttti�s

FIGURES

i
GRADE
GRANULAR FIL.L.
ENTNITE SEAL w
NEAT CEMENT GROUT
m C FT BELOW
GRADE
WATER TALL
( F�T EL6 RADE)
2 FT E ENTt NN7E CHIPS---,,,
-
HYDRATED IN --PLACE
FILTER --PACK STA ILI ER `- ---,
TO 2 FT ABOVE SCREEN
PNEUMATIC PUMP
(TOTAL FLUIDS)
TRANSDUCER..
o'
APPROXIMATE
TARGET 6ETI-I
MANHOLE COVER
SET IN CONCRETE
COMPRESSED AIR
WATER LINE (Ti TREATMENT)
2" 0 AIR LINE (TO BLOWER)
AIR VENT TO VACUUM BLOWER
` 4" DIA, LOW CARBON
STEEL PIPE CASING
gym- 4" LIA, STAINLESS STEEL
' WELL SCREEN
O 01 " SLOT SIZE
CONTINUOUS WOUND
FULL,: 30' SCREEN
INT. 20' SCREEN
DEEP: 0' SCREEN
3' X 4" CIA, STAINLESS STEEL
PIPE CASING (SUMP)
71
r www.liesch.enrn Former Claire Mfg. Site - Charlotte, NC Apr 12
P W8
j Hydrageologixts 6ngi—ers t En i""e't'l s't—fl,ts Figure
Reinediation Well Conceptual Design
Minneapolis +' Chicago * LosAngeles - Madison Milwaukee • Phoenix
s

EXHAUST TO
ATMOSPHERE
W/ SVE
EFFLUENT AIR STRIPPER
ATMOSPHERE
AIR WATER SAMPLE
PORT(TYP)
WATER TO TREATMENT TO
NPDES REQ.
NPDES DISCHARGE (Design to be Determined)
BLOWER
VALVE
(TYP)
RW-3
RW-1 RW-2 mm thru RW-10
RW-9
www.fiesch.com Former Claire Mfg. Site - Charlotte, NC Apr12
UsS H
Groundwater Conceptual Recovery System Figure
Minneapolis - Chicago LosAngeles Madison Milwaukee - Phoenix 4

TO ATMOSPHERE
ATMOSPHERE MAKEUP
AIR
f
4"0 PIPE
11
4"0 PIPE - AIR
FILTER
BLOWER �
VELaCITY
GAUGE (TYP)
CONDENSATE
KNOCKOUT DRUM
VALVE--,
(TYP)
4"0 PIPE
VACUUM—\j j
GAUGE
(TYP)
RW-1 RW2
2„0 PIPE
RW-3 GRADE OF BUILDING
RW-O

011
Easting (X) 1458290 279949
Northing (Y) 549366 972636 y
;'O, 2100,
N CHURCH 3
'8
N
ry¢4
2900KChurch_StarmStnraharae
,.-r
......
..---_87a0NChurch_StatmPiFnrs
F.I
�
g p
_....210p hurcn_srmoratnaga
Charlotte -Mecklenburg Storm Water Infrastructure - No. Tryon & W. 24th St.
C`t
�
-Streams
1e. x rr tt rM i.* 3�
i naMa 1 x., ws ary 3
710ONCM'uChHt
.. �&&G ,ct t'vnlror 5' tt�i}eK Yr&H i13 :ttMY ...baERViksr4Fy=tlrNi ..
Source: Charlotte-Mccidenburg Storm Water Services,
2042 www.fiesch.com
Projection: NAD83 UTM Zone. 17N
Former Claire Mfg. Site - Charlotte, IBC
l�
Storm Water Conveyance System
Hydrageaiagists Engineers � Environmental Scientists
��vv
iSurrounding
Minneapolis - Cos Angeles Milwaukee * Phoenix
Apr 12
Figure
f

TABLES

CLAIRE MANUFACTURING 2012 NPDES DISCHARGE CONSTRUCTION ESTIMATE
B. REHWALDT - 4/3/2012
Capital Costs
1 Connection Fees
L.S.
1
860.00
$
8%00
2 Equipment, Labor, and Installation Costs
a Mobilization (-10% of Construction)
L&
Lo
500.00
$
500.00
b Excavation/Trenching (2 feet wide by 3 feet deep)
L.F.
260
3,75
$
975.00
c Discharge Piping (4-inch PVC)
L.F,
160
5.80
$
928,00
d Pipe Bedding
L.F,
160
435
$
760.00
e Backfill Trench (12-inch backfill over bedding, on -site materials)
L.C.Y.
15
$
2.75
$
41.25
f Base Coarse (6-inch over trench length, compacted)
C.Y.
6
$
20.00
$
120.00
9 Connection to Storm Sewer (including asphalt roadway repair/restoration)
L&
1
$
2,500.00
$
2,500.00
It Miscellaneous Site Work/Restoration
LS.
Lo
$
250.00
$
250.00
3 Engineering Design/Construction Observation Costs
L.S.
Lo
$
7,786
$
7,786,00
TOTAL
$14,720.2!
W:1sa�620178 I \NPE)M[Claire NC EAA Engineers Estimates.x1s]Construction

CLAIRE MANUFACTURING - CHARLOTTE, NC CONSTRUCTION
ENGINEERING BUDGET
B. REHWALDT - 4/3/2012
monsstomL fsps sy-rAsK Hourly Rate,
$165.0
1 $100,00
-$126.00
$95.00
$82.00
$65.00-
TASKI
Uach Stalt�
Project
tot—ol
Senior
I I Project
Ch,1ricm
Direct/
SUBTOTAL
Man=
Engmcer;
'Designer
Technician
Teclimenw:
Subcontract
1. Plans and Specifications
1
6
12
2
$200
$2,607
II.BidAdministration/Pre-Bid/Response to Contractor Inquiries
1
4
$50
$615
111. Construction Quality Assurance (Job Site Coordination/Documentation)
1. Project Management/Site Meefings/Safety
4
2
$100
$960
2. Construction Observation (I days at 10 hours/day)
16
$500
$1,812
JIV. Construction Certification Report
2
4
4
4
2
$100
$1,464
Subtotal Hours
8
16
16
0
20
4
Subtotal Costs
$1,320
$1,600
$2,016
$o
$1,640
$260
$9501
$7,786
Notes:
W:\sa\620178 I \NPDES\[Claire NC EAA Engineers Estimates,xis]Construction

CLAIRE MANUFACTURING - CHARLOTTE, NC
RECURRING COST ESTIMATES
B. Rehwaldt4l3t20I2
P[20FESSIt>NKLP E$BYTA iC
Houxlyl a(e' 1 ,pfl
$1{YO.Qb $126.00' .
$95.00
$82.0Q
;865.Tt0 $-
�'lASK.'
. Li eb5ta1P Project
Project: `
rVaipa
Senibr
Project
Clerical DirecV,
SVBTCI''AL'
MAteger
'Entlineer
Designer
Technician
Technician
Subcontract
L Project Management
24
$3,960
11. Weekly Operation and Maintenance Labor
208
$2,500
$19,556
III. Annual Permit and Compliance Fees
$860
$860
IV. Reporting (Assumes Quarterly and Annual)
:2
4
4
4
2 $too
$1,464
Subtotal Hours.
26
4
4
0
212
2
Subtotal Costs
$4,290
$400
$504
s0
$17,384
$130 $3,460
$26,168
V. Laboratory Analytical Fees
# Samples
Cost
a. VOCAnalysis (weekly per .EAAGuidance)
52
$150
$7,800
b: BOD
52
$25
$1,300
c. Ammonia
152
1$25
$1,300
Subtotal Laboratory Costs
$10,400
Total Annual Recurring Costs
$36,568:
W:\sa\620178 NC FAA Engineers Estimates,xIsjConstruction

Table 3
2012PRESENT VALUE ESTIMATING TABLE
Prcect Clotre Manufacturing Facility, 21fl{i North Church St, Gharltte, NC
Nate: prior to enterin_ 2010 cost est into formulas in cells N , i arrd J 39, a avili need tca tletete fhe space rrrar tca the _ _ _
Prtacted Costs fiver 20 earPeriod
2012 Annual Operation and Maintenance Cost Estimate
(enter 2012 Cost estirnate In column rl formula) 36,568
Inflation Factor = 209°l0
Qlscrtunt l a e - 0:75%
Year n Inflated Annual Inflated and Discounted
Cost `
" Annual Cost
w
2012, $37,33201
�� , . 2 38,'1 '13
4 37,54
2014 3 $38909
_.
u
2016 5 ' $40,552 LL
$39,06 a
_ _ .
201716 $41 400 _
_
$39 585
018' L 7 $42,265
.... , .
2019!
$40,645
2020� 9 $44, 050
2021 .._ .. ..:10'..._. _,.. _._ $44971_,_..._ _
- $41,733
202 I L4 ,91..�
'
$42 288
- _ -'- --_45.� _ ..._ ._
02 12 $46,871
$42,851
2024 13 $47850
$43,421 ,
2025 14' $48850 ,
43,998 1
2026; 15 ` $49,871
$44,583 ,
2027 16, $50,913 '
m $45,176
17 $51,978
~$45,777
LL 4208
202418 $53 064
.
46,385
.... .. ...,_.... ..r._:: ... ...._ _......,_.. _. _....L. _. _._,_.�... ......... .._.__ _., _..m , . ...
2030. 19 $54173.
,. ,.. _.._
$47,00:
01. 20 $55,305
$47,628 r
Totals 50 $915 2w.
$8842,639_
_... _, ... _. �15 .__.. ..__
Current Value -not discounted
--
Present Value -discounted
Basis for this years payments
Current Value Present Value µ
_
2012 Capital Cost Estimate (refer to accompanying table)
$14,7 01
201 F2ecurnnc Cast Estimate (from above
_$14,720
$915,250 $842,639
_ _ ._
2012 Lost Opportunity Cost Estimate (enter 2012 cast estimate in column F formula T $0 $0 r L
TOTAL
$929,970 867,359
Page 1

ATTACHMENT A

Bruce Rehwaldt
From: John C Weaver [e-mail]]
Sent: Thursday, March 22, 2012 8:10 AM
To: Bruce Rehwaldt
C John C Weaver; Jeanne C Robbins; James C Finnerty; Rase U Pnni
Subject: Low -flow characteristics for Sta. 021440525 Little Sugar Greek at SRR bridge at Charlotte,
NC..Re: Law Flaw Request - Upper Little Sugar Creek
MUSGS
science for a changing world
U.S. Geological Survey North Carolina Water Science Center
3916 Sunset Ridge Road
Raleigh, North Carolina 27607
Efate: March 22, 2012
To: Mr. Bruce Rehwaldt, P, LFFD A, Project Manager
Liesch Associates, Inc,
13001th Ave N
Minneapolis, MN 55441
Mr. Rehwaldt,
In response to your inquiry about the low -flow characteristics for Little Sugar Creek at SRR bridge at Charlotte, NC`
(station id 0214640525, drainage area 6.53 semi) in Mecklenburg County, the following information is provided:
A check of the low -flow files here at the USGS North Carolina Water Science Center does not indicate a previous
determination of law -flow characteristics for this location on Little Sugar Creek. No US ES discharge records are known to
exist for the point of interest; however, USGS discharge records are available at a downstream continuous -record
streamgage on Little Sugar Creek at Medical Center Chive at Charlotte (station ld 02146409„ drainage area 11.8 sgmi).
Where no or insufficient data is available for a low -flaw analysis, a determination of low -flow characteristics is based on
assessment of low -flow yields at nearby location(s) where such statistics have previously been determined. The law -flow
characteristics that are provided have been computed by correlating the runoff characteristics at the downstream
streamgage on Little Sugar Creek.
Previously; published law -flow information' for streams in your area of interest...
For streams in Mecklenburg County, the most recently published low -flow information is a statewide report completed in
the early 1990fs. It is USES Water -Supply Paper 2403, 'Low -flow characteristics of streams in North Carolina" (Giese and
Masan, 1993). An online version of the report is available through ;http.,//qqbs.us s. ov/ws 1 40 1r - ort. df. The report
provides the low -flaw characteristics (based on data through 1988) via regional relations andat-site values for sites with
drainage basins between 1 and 400 sgmi and not considered or known to be affected by regulation and/or diversions.
However, please note the data and relations provided in the above -referenced report are applicable for ungaged rural
basins unaffected by development in the basin and thus should not be used for ungaged urban basins. No formal JSGS
study on the effects of development and urbanization on low -flow characteristics has been completed in North Carolina.
1

40525 Little Sugar Creek at SRR bridge at Charlotte, PVC (drainage area 6.53 sgml, at railroad bridge
im from Matheson Avenue)
ravisional low -flaw statistics at an active downstream continuous -record streamgage on Little Sugar Creek at
.rater Drive at Charlotte (station id 02146409, drainage area 11 8 s mi) were used to determine the low -flow
Ftics at your paint of interest:
he provisional low -flow analyses determined for the streamgage, the "low -flow yields are as follows:
law yield estimated at 0.13 cfsm
low yield estimated at 0.4 cfsm
-flow yield estimated at 0.1 cfs
)w yield estimated at 0.21 cfsm
„ • „ .aannual.R.
low discharge estimated at 0.83 cfs
low discharge estimated at about 2,2 cfs
+v­flow discharge estimated at about 1.3 cfs
aw discharge estimated at about 1.4 cfs
inual discharge or mean annual runoff estimatedat 10..E cfs
schare from the adjacent surficial aquifers into the streams and is governed by the ar
ae ground' for later discharge to strearns.
con6tions upstrearn from these points of interest,
rr IU CKIWI Vs martcHl
Invoice information..:
charge of $250.00 for accessing and processing information has been assessed to partially offset these casts, An
invoice covering the processing costs for these data will be sent via regular mail from the U.S. Geological Survey to the
billing address shown below. Instructions for sending your payment will be shown on the invoice.
Mr.. Bruce Rehwaldt, PE, I-EED AP, [project Manager
Liesch Associates, Inc -
1400 15th Ave
Minneapolis, MN 55441
This information is considered preliminary and subject to revision pending further analysis as further data were to become

available, and is made available through our cooperative program of water -resources investigations with the North
Carolina Department of Environment and Natural Resources.
Hope this information is helpful, If you have any questions regarding this information, please contact me at the phone
number or email address listed below.
Thank you,
Curtis Weaver
From: "Bruce Rehwaldt" <[e-mail]>
To: <lcweaver@usgsgov>
Gate: 02/2412012 12:41 PM
Subject: Low Flow Request - Upper Little Sugar Creek
Curtis —
e are preparing an Engineering Alternatives Analysis (E A) for a site located at 2100 North Church Street in Charlotte, NC. An
aerial photo of the property is provided for reference. As you know, we are required to submit summer 7Q10 and 30Q2 low flow
data with our submittal. The latitude and longitude for the property off Coogle Earth is:
5"14'39.03"N
80049'20A6` W
The discharge from the property would likely enter Upper Little Sugar Creek approximately 2000 feet southeast of the above
address. Please let me know what my options are for delivery, and also the costs. I reviewed Water Supply Paper 2403, but didn't
see the information there. Please call me on either phone below if you have any questions or need additional information,
Bruce Rehwaldt, PE LEER API'Project-manager/Engineer I,LiieschAssodates,Incg
Phone. [phone] Mobile: [phone]
Fax. 763,489, 3101 1 E-1'M1aii: brute.rei°t"i aldtc"li liesch.co
Please consider the environment before printing this email.
The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged
material. Any review, retransmission, dissemination or other use of, or taking of any action ,in reliance upon, this information by persons or
entities other~ than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from
any computer.
(attachment "locationlatlon.pdf" deleted by John C Weave r/W RD/USGS/DO 1)
3

ATTACHMENT B

Charlotte -Mecklenburg
STORM WATER
600 E. FOLIruh `rtrcclt
(��"5:1
T1:���i��..t� 1 �r)tC� �, (^ 8 ill'
-
Tc1 704336.22191
Services
September 30, 2010
Mr. Larry Christensen
Liesch Associates, Inc.
13400 15`{''Avenue N.
Minneapolis, MN 55441
Re: Groundwater Remediation System
Claire-Sprayway, Inc
2100 North Church Street
Charlotte, NC
Dear Mr. Christensen.
Charlotte Storm Water Services is the agency responsible for the management and
operation of the City of Charlotte's municipal separate storm sewer system (MS4). The
system operates under NPDES permit NCS000240 which requires the City to maintain
and enforce a local pollution control ordinance. The City's pollution control ordinance
allows for the discharge, of treated contaminated groundwater to the MS4 provided that it
is properly; treated and discharged via a NPDES permitted facility.
We Have reviewed the NPDES permit application for the above referenced facility site
and Have no objection to the facility discharging to our MS4 provided that the discharge
is NPDES permitted and that it is properly treated such that it meets all of the
requirements and effluent discharge limitations as defined in the facility NPDES permit.
Should you have any questions or need additional inforination,please contact Steve
Jadlocki at 704-3 6-43 8.
Sincerely,
4 4
Daryl Hammock, PE
Water Quality and Environmental Permitting Manager
To rcl-orr Inollution, c.ill: 70 r>C6_-i500 a',
M�►� 0 rc F)0rr dIr i r t,c rr�rl�IcIni , irl ',Il
cini- htCit; :t,-) mit�ttcr tI1arIIIC�1. 0i:�

t if
North Cl'aroli
WELL,
VELL CONTRACTOR:
'm Department of Envirrinn
ISTRU('TION RECORD
'Ces- Division of iiVatel, Quality
31
1F CASING IS 0-0 FT. Above Land Sur
ZIAN I THOMAS
'Top of casing terminRi �at/or below land surface may require
a variance in accordance
with 15A NCAC 2C .0118.
It Contractor (Individual) Name
'OLOGIC
e. YIELD"(gpm):, NIA
METHOD OF TEST N/A
EXPLORATION, INC.
—
f: DISINFECTION: TypR
Amount NO,
41 Contractor Company Name
ZEET ADDRESS 176 COMMERCE BLVD
9WATER ZONES (depth):
Front--- To--
Frorn-- Tc--
'ATESVILLE NO 28625
From—-— To-—
From To
Cityor Town State Zip Code
From To---
From ro----
)4_)- 8727686
;a code- Phone number
6. CASING:
Thickness/
1L INFORMATION:
Depth
Diarner Wehiht tdaterial
2 INC A SC 40 PVC
*E WELL ID #(if applicable) MW-31
Frorn 0,0 'To 31,5
--- —
Ft --
From To
FL
A,TE WELL PERMIT#(if applicable)
Fr orp Trf—
Ft.
IQor OTHER PERMIT #qf applicable)__
7� GROUT: Depth
Material Method
. USE (Check Applicable Box) Monitoring K Municipal/Public f.-I
Tial/Commercial 0 Agricultural [] Recovery L] Injection
0,0 2&0
Fronn-- To
Portland bentonile SLURRY
Ft,—
From--'ro—
Ft.
lationD Other 0 (list use)
Frorn-- To—
Ft.—
TEDRILLED 0 05/25/10-05/28/1
8, SCREEN: Depth
Diameter Slot Size Material
1E COMPLETED AM 0 PM LJ
From 31,5 To 46,5
Ft. 2,0 in. -010 in. PVC
11. LOCATION-
Fromr— Tq_
Ft,— in. — in,
ry: CHARLOTTE — COUNTYMECKLENBURG
From — To —
Ft— in. ­ in.
'= NORTH CHURCH STREET 28206
9. SANDIGRAVEL PACK:
:reet Name, Numbers, Community, SubditAsion, Lot No., Parcel, Zip Code)
Depth
Size Material
POGRAPHIC I LAND SETTING:
Frorn 30,0 To — 46.5
F_040 FINE SILICA SAND
t
lope []Valley "]Flat []Ridge 0 Other
From—TQ—
Ft.
(check appropriate box)
From To
Ft,
rITUDE May be in degrees,
ininutes, seconds or
10. DRILLING LOG
NGITUDE in a decimal format
From To
Formation Description
itude/Iongitude source: EIGPS CITopographicmap
0,0 1'0
'GRAVEL
(location of we# must be shown on a USES topo map and
1.0 20.0
RED SILTY CLAY
attached to this form it not using GPS)
212 3_4 0
BROWN SILTY CLAY
CILITY- is the name of the business where the well is located.
261- 2 :5 2
34 R 46,5
TAN SILTY CLAY
CILITY 10 #hf applicant
ME OF FACILITY FMR CLAIRE MANUFACTURING
REST ADDRESS 2100 NORTH CHURCH STREET
HARLOTTE NC 28206
City or Town State Zip Eode
,ONTACT PERSON CLAIRE - SPRAYWAY
0AILtNG ADDRESS 1005 WESTGATE DRIVE
ADDISON IL 60101 11. REMARKS:
City or Town state Zip Cade- BENTONITE SEAL FROM 28.0 TO 30.0 FT
krea code - Phone number
to By GERTIPY THAT THIS WELL WAS CONSTRUCTED IN ACC
NELL DETAILS: CA WELL CONSTRUCTION STA RD$ AND THAT A cal;
TOTAL DEPTH: 46,5 FEET RV A WELL CONSTRUCTION
To L OWkIER,
s.
r. DOES WELL REPLACE EXISTING WELL? YES Cl NO M SIGNATURE OF CERTIFIED WELL CONTRACTOR
WATER LEVEL Below Top of Casing: ­ 20.0 FT, BRIAN THOMAS
(Use "+" if Above Top of Casing) PRINTED NAME OF PERSON CONSTRUCTING THE
emit the original to the Division of Water Quality within 30 days. Attn: Information Mgt.,
r Mail Service Center— Raleigh, NO 27699-1617 Phone No. [phone]ext668.
ELL
FormGW-1b
Rev. 7105

i
RESIDENTIA L
WEIJ, CONSTRUCTION RECORD
-NON
North Carolina Department Sal Eirvitonme nt and
Natural Resources- Division of Water Quality
Na tj
"a . r ,ia... e. # 4.< S.. "TOR CERTIFICATION # 2581
. WELL CONTRACTOR:
cl, TOP OF CASING IS 0,0 FT, Above Land Surface*
BRIAN THOMAS
*Top of casing terminated atlor below land surface may require
as variance in accordance with 15A NCAC 2C .011&.
Weil Contractor (Individual) Name
e, YIELD (gran): N/A METHOD OF TEST N/A
GEOLOGIC EXPLORATION, INC.
_
f. DISINFECTION: Type NIA Amount NIA
Well Contractor Company Name-----•
17 COMMERCE BI)VD
STREET ADDRESS �'
g. WATER ZONES (depth):
From To From To ._____
STATESVILLE NC 28625
From-
Frona Ta To
City or Town state Zip Code
FromTo Front To
C 872-7i36
________.
�)
Area code- Phone number
essi
CASING: Thickness/
2. WELL INFORMATION:
0.0 DepthT'17.0 D"came#er Weiqht Material
Ft.2INH SCFi�o PVC
SITE WELL Its #(if applicable) -'!1
From To
From Tca Ft,
STATE WELL PERMIT#(if applicable) _.
Foam To Ft,-
DWQ or OTHER PERMIT (if applicable)
7„ GROUT: Depth a1 Method
WELL USE (Check Applicable Box) Monitoring Municipal/Public
l
Industrial/ ornmercial El Agricultural C1 Recovery 0 Injection C
Portland
From 0'0 To 13.0 Ft. Porlantl Banton+te SLURRY
Irrigationo tither 0 (list use)
From To Ft.
From To Ft.
DATE DRILLED ti1l1911ti - ti71f22f1Q
8. SCREEN: Depth Diameter Slat Size Material
TIME COMPLETED AM ❑ PM C1
17.0 32.0 2.0 010 PVC
From To Ft. in. in.
. WELL LOCATION:
From To Ft, in. in.
CITY: CHARLOTTE COUNTY MECKLENBURG
From To Ft. in. in.
2100 NORTH CHURCH STREET 28206
9. SANDIGRAVEL PACK:
(Street Name, Numbers, Community, Subdivision, Lot No., Parcel, Zip Cade)
Depth Size Material
TOPOGRAPHIC f LAND SETTING:
From 15,0 1-0 32.0 Ft, 20-40 FINE SILICA SAND
C7 Slope D Valley Cl Flat D Ridge 0 Other
From To Ft.
(check appropriate box)
From To FL
May be in degrees,
LATITUDE
--
minutes, seconds or
10. DRILLING LOG
LONGITUDE � � in a decimal forrmaat
From To Formation Description
Latitude/iangitude source: ciGPS LiTopographic map
0.0 1,0 GRAVEL
(location of well must be shown on a USES topo reap and
1.t? 12.0 RED SILTY CLAY
attached to this farm if not using GP)
1 0 LAN SILTY CLAY
. FACILITY- is the name of the business where the well is located:
gel
FACILITY ID #(if applicable)
NAME OF FACILITY FMR CLAIRE MFG, INC
STREET ADDRESS 2100 NORTH CHURCH STREET
CHARLOTTE NC 28206
City or Town State Zip Cade
CONTACT PERSON CLAIRE-SPRAYWAY, INC
MAILING ADDRESS 1005 WESTGATE AVENUE
ADDISON IL 60101
11. REMARKS:
City or Town State Zip Code
BENT NITS SEAL FROM 13.0 TO 15.0 FT
Area code - Phone number
EBY CERTIPY THAT THIS WELL WAS CONSTRUCTED IN ACCORDANCE WITH
. WELL DETAILS,
i5 NGA 2C WELL CONSTRUCTION STr ARDS, ANC? THAT A SAY of THIS
32.0 FEET
�e VAS SSE,41 PROVIDED To E L QWNER.
a. TOTAL DEPTH:
01f2JliQ
Is. DOES WELL REPLACE EXISTING WELL'S YES {w NO ZI
SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
. WATER LEVEL. Below Trap of Casing: 19.0 FT,
BRIAN THOMAS
(Use "+" if Above Top of Casing)
PRINTED NAME OF PERSON CONSTRUCTING THE WELL
Submit the original to the Division of Water Quality within
30 clays. Attn: information Mgt., Form G' -1b
1617 Mail Service Center — Raleigh, NIC 27699-1617 Phone No.
[phone] ext 568. Rev. 7/05