NCG210028_2020 DMR_20210111

Baxter
January 11 , 2021
NCDEQ Division of Energy, Mineral, and Land Resources
2090 US Hwy 70
Swannanoa, NC 28771
RE: Certificate of Coverage No. NCG210028
Year 2 — Period 2
Stormwater Discharge Outfall Monitoring Report
Baxter Healthcare Corporation
Enclosed is the semiannual SDO monitoring report as required by the General Stormwater Permit
NCG210028, Part II, Section B. All sample results are within benchmark limits as specified in the
Permit. Due to no discharge during the reporting period, samples were not obtained from STO 5 and 7.
If you have any questions regarding this report, please contact Corey Carpentier at 828-756-6636.
I certify, under penalty of law, that this document and all attachments were prepared under my direction
or supervision in accordance with a system designed to assure that qualified personnel properly gather
and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
system, or the persons directly responsible for gathering the information, the information submitted is, to
the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information including the possibility of fines and imprisonment for
knowing violations.
Sincere]
Corey Carpentier
Environmental Engineer
Enclosures: Semiannual DMR (Original + Copy)
Cc: Rick Styles
Baxter Healthcare Corporation
PO Box 1390. Marion, NC 28752
T 828.756.4151

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG210000
Timber Products
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit, Data Monitoring Report (DMRi Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the a22ropriatg DEMLR Regional Office.
Certificate of Coverage No�r..��N""CLG,,21 Z Person Collecting Samples:,ScmA �L't-'
Facility Namell))(T i. 4( \yV( (A ¢lf m'&t') Laboratory Name:
Facility County: M Laboratory Cert. No.: 9
Discharge during this period: gies ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes No
If so, which Tier (I, II, or III}?
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
24-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L 1100 or 50*j
00400
pH in standard units (6.0 — 9.0)
NCOIL
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Analytical Monitoring Requirements — Benchmarks in (Red)
Parameter
Parameter
OutfaliC0510l<j
Outfall
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
111111207-0
46529
24-Hour Rainfall in inches
h 11
011
C0530
TSS in mg/L (100 or 50*)
3
00340
Chemical Oxygen Demand in mg/L
(�[
(120)
I ) To L
Outfails to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L.
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations."
signature of PerrmittA d� Delegated Authorized Individual
J 3 i 120Z-(
Date

NCDEQ Division of Energy, Mineral and land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG210000
Timber Products
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater. NPDES Permit Data Monitoring Report [DMR] Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the gRLrgpriate DEMLR Regional Office.
Certificate of Coverage No. NCG21 b I b % Person Collecting Samples:W\ NO .b�WAR *i P40t
Facility Name: oy'10_ W"C h ov- c.OP-0OA4r%0 r) Laboratory Name: NP%
Facility County: Laboratory Cert. No.:
Discharge during this period: ❑ Yes EZ No (if no, skip to signature and dote)
Has your facility implemented mandatory Tier response actions for any benchmark exceedances? ❑ Yes WNo
If so, which Tier (I, II, or III)?
Part A: Vehicle & Equipment Maintenance Areas — Benchmarks in (Red)
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
46529
124-Hour Rainfall in inches
00552
Non -Polar Oil & Grease in mg/L (15)
C0530
TSS in mg/L 1100 or 50*)
00400
pH in standard units (6.0-9.0)
NCOI.
New Motor/Hydraulic Oil Usage in
gal/month
Part B: Analytical Monitoring Requirements — Benchmarks in (Red)
Parameter
Parameter
Outfall:%5
OutfaliSTO_7
Outfall
Outfall
Outfall
Code
N/A
Receiving Stream Class
N/A
Date Sample Collected MM/DD/YYYY
'
46529
124-Hour Rainfall in inches
C0530
TSS in mg/L (100 or 50*)
Chemical Oxygen Demand in mg/L
00340
(120)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA;
have a benchmark TS5 limit of 50 mg/L. All other water classifications have a benchmark of 100 mgJL.
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and comp!ete. I am
aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.'n n _
Signature of PermitteA or
Individual
(J316IQ
Date

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:.' deq.nc.govfabout/divisions/energy-mineral-land-resources;`
1 npdes-stormwater-gps
Permit No.: NICIGI'2! or Certificate of Coverage No.: N/C/G/Z J 10l0/1- of
FacilityName: L lY\
County: Phone No. (4 IS
Inspector:
Date of Inspection:
Time of Inspection: I I"11t> krOs
Total Event Precipitation (inches)
O9t�
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, 1 certify that this report is accurate and complete to the best of my knowledge:
(Signature of PermitteDesignee)
1. Outfall Des ription:
Outfall No. Structure (pipe, ditch, etc.):
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area:
Page 1 of 2
SWU-242, last modified 06/01'2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: 1 U. t� _
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): tqb 6 1_ .. __.
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
3 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
22 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
01 2 3 4 5
7. Is there any foam in the stormwater discharge? O Yes (V No.
8. Is there an oil sheen in the stormwater discharge? OYes O'No.
9. Is there evidence of erosion or deposition at the outfall? o Yes 0/No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe W6 bL((11 ryQ.j C. �}� { S S
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWU-242, Last modified 06/01/2018

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling oul this form, please visit https:.:-deq.nc.gov'about/divisions/energy-mineral-land-resources."
npdes-stormwater-gps
Permit No.: N_IC_I G/Zl 1 10l0l0/ d / or Certificate of Coverage No.: N_IC_IG_I 2-1 1 I ()lO121 DI
Facility Name: B j('�2& CALL
County: _�'� G �] Phone No. -2S 6 — `l 1
Inspector:
Date of Inspection:
Time of Inspection:
Total Event Precipitation (inches): d ,cl t1
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfal 1. The pre% ious measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signa ure of Permitt ty
esignee)
1. Outf ll Description:
Outfall No. Structure (pipe, ditch, etc.): P t PL
Receiving Stream:
Describe the industrial activities that occur within the outfall drainage area: W
Page l of 2
SWU-242, Last modified 06/01,2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors:
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Un am a-
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
] 2 03 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where I is no solids and 5 is the surface covered with floating solids:
(2) 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where 1 is no solids and 5 is extremely muddy:
1 2 ( l 4 5
7. Is there any foam in the stormwater discharge? O Yes G/No.
8. is there an oil sheen in the stormwater discharge? OYes c/ No.
9. Is there evidence of erosion or deposition at the outfall? O Yes iNo.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe ..e p_f 1} NKLmv �
Note: Low clarity, high solids, andlor the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWV-242. Last modified 06F011W 8

N,
Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance on filling out this form, please visit https:..:deq.nc.gov aboutldivisions.'energy-mineral-land-resources;'
npdes-storm water-gps
Permit No.: N_IC_I Gl21 I /d/ ()/ ()/ d/ or Certificate of Coverage No.: N_IC/G_12/ I / 0I61'2
FaciiityName: Ams�v-- Ut2
County: M d)OVaK,� \ Phone No. S1A- -)S4 - q 1
Inspector: r�
Date of Inspection: j t 11,GJ 20L& _
Time of Inspection:
Total Event Precipitation (inches): 019 11
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Per te r Designee)
1. Outfall Description:
OutfalI No.,� () : Structure (pipe, ditch, etc.): EL Pt---)
Receiving Stream:
Describe the industrialactivities that occur within the outfall drainage area:
Page I of 2
SWU-242. Last modified 06/01/2018

2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: �g4 Coib &
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): Lih u h a p,
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
V 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
(� 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
7.
8.
9.
a1 2 3 4 5
Is there any foam in the stormwater discharge? O Yes C No.
Is there an oil sheen in the stormwater discharge? oYes CS No.
Is there evidence of erosion or deposition at the outfall? o Yes �No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe n n ►.l I1 POE, N :t , �S 17E, M
Note: Low clarity, high solids, and/or the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
Page 2 of 2
SWLI-242. Last modified 06+01/2018