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HomeMy WebLinkAboutNC0086517_Regional Office Historical File Pre 2018 (5)PpFr' NPDFS l E1211'llT NO,. NCil086517 PERMIT VERSION:4.O E F E DPERMIT STATUS: Active FACILITY NAME trateway Village remediation site CLASS: PC-1 � q COUNTY: M,,klenburg OWNER NAME. Gateway Village ! LC ORC: Glynn Fredrick Price ORC° CER,r NUMBER- 985800 GRADEI , r>c°-1 _ . I C; IlAS CHANGED: NoE r l"t Al t ' �s=,§ t5CEI # CDENR eDMR PERIOD- 04- 019 (August 2019) VERSION: "1.0 STATUSProcessed _— --- 21 SAMPLING LOCATION: TION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGr2 * ,{N{ @OQ FN y "v00tP 00400 < 0531f I F+1'31+ 77093 79189, r. 4 a E Oat, t'iratE tcxmp=rsite ilrah :.t ± ,k Fs.w 0111e(N,FC Nmh'IB ZA")6u.A U,, 24006"k W, N/R/N owd su m,7,1( 1>Crctai+ cell : �¢uI t I t7t? ik.25 1` t} [ 03f, 9 0.0131 _ ._..._ ._...W I0.01 4 ....__..._..�....._.. _ .,.,.— -�.,� .mm t2O t1134 _,_..._...-_.._._. ...�. ..:.,�.,-...._.....y.�.:: +3 u.t) E 33 _._.._ ._..._, ..�..._ ...._......�_.. t"+ G ifE33 I' I' Cif ....._._______.........,__ ........_...... ........_..._ ...�.,.. 00131 :: 2d1 to (Fiat _..,....... _. .,..,....: .N-.....,.... ...W ..,.-.. ..... 22 tt. W7 23 E 0,007 (}.(?l) 77 0,0077 2^ 0,0077 0,0077 ._ _...._.. ..... .._. .......... Qt)fi77 0 0077 N i�strl ,c,cr�, ci.t�„Ir. 9,05 30 720 313 M ti hY Avcra+,r: 0,009071 0 i) 0 IY +4 NU,i ().0134 6,74 0 Q 0 +k I i+ennniam: 0,001:2 6,73 0 0 t) 4a" No Rcp o ting Rea on: ENFRE SF No Hock-Rcuse lteeNcle; ENL'W'FI IR No Vi` itmion Adverse Wernher; tNOFLOW = No FlowHOLIDAY : No Visitation Holiday ~ M1T 0 N(`0086517 PERMIT VERSION: .0 I2MIT t TA`i'U4t Active I'Fk` NAME- (a<ttc3i°ay Villt4le retY4 dlatie t2 Site CLASS: PC' -I IINI'Y. Mecklcnhur PIAER NAME: Gateway Village L C' ORC: Glenn 1 redr ck Price SEP � 0 ORC C`C;RT NUMBEW 985800 GRADE: IlGl ORC HAS CHANGED: No CENTRAL rjLeS eDMi2 I'FialOD: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO >. S0050 00400 t 05-ko 32103. 32106 1'tIP30 11493 01042 6104A E N � .�.,. °,w �v¢el.lt' t7tTnt4r�e CVtoillh(4 t t4.1t'€{;Y�1,.. i,4uarwEty 1,1,,mhty Attrnthk {)tl.tr (, l' ti6CkCP44 M L 5 G a a 3nstenilau aus Y.inxb trraks Grab (;rak+ C'srnE n�he tlrnb Gish drab G ram•.. C v C ,€ FLOW JAI l5S14-Wu ClI€.t3FORM CER-pCtiv t'4a t)(4, Y4ba'mit MON 2400 Curl. to, Z400 cH>r& till ltktrv' 11YL„`ti ai{ mg+r°� L�C,I tie!r1 IaYflatnt tt 92I t���i It 0,005 x 1I16 0.25 F' t AW5 6AJ <S 122 5:1 3 to tit}S U.tttt5 5 U 005 to {105 ' s ir.605 n 044i 0,0048 3 t)W48 14 U.YI{i-(.S Ott ft fYtY4S 1020 0.25 Y 00048 17 0J)044 )0041 Ll 22 0M044 r. 23 1046 0.25 Y 0 0014 2+ 0,00, 4 " 2a 0,0044 n.a)044 :e t) 00 4A 24 OJI044 alt n.ntra 32 102 0.'!S 3' t).UC1d4 kt�+xrXhi2 .LweYa(„e I,IenU; n ,f, 30 720 at r,�n42 c,rr a: n i404 s a n o Wity 3lxvtn'mnz o.ft05 6.81 0 I) 0 0 122 Si Wily 3lininlu x 0 i#t)d4 a'i.$4 0 0 t} {i l_"3 41 *** No Reporting Reason: FNFRIJSF1 No Flow -Rees !Recycle; F.NVWTHR No Visitation—Advensc Weather, NOFLOW -= No Flow; HOLIDAY No Visitation Holiday SECEN" fl � 2 2%1I`!' NC),. j('0 86517 PERMIT VERSION: 4.0 PERMIT STATUS: ,Active: LI T I` NAME: ; CialctvT}' V111it e PCtTi tIt fIC}t7 SIC CLASS: PC_1 CC3I NT1': �1 11er11itir (I�WNI:I2 NAi4•IE,CsiccaaaViltae L1,C t)RC: {i1ernT I'redt k I'riel C)RC CLCIT NUMBER. tI>f Ott GRADEi PC-1 ORC HAS CIIANGEDI No DNIR PER100: 07-2019 (July 2019) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) albs# 411055 09556 .. T(A'All 78389 78391 01091 F s u w 0 �' a tluarCct9y C,luttrtrrt5 t,7u.xrtCrh t)uarleu�ly 1tirn7ihly Chtnnorlr rtt�tl Crlrl'e Grab #. rah (aPat, 6rait? Grab Graf} Gwab #.E.ir3. ;l9Ahf.MPAF::. i%}r. K:Rt+(i t"f kl?LirN 7 P; WILL] TtILRC7F:Y 9: Id\[".. IIN d"'i, W, 2400 dik rrrt 8Mal u,n at; 'i m sji pl at (axl ' u�r't ti�Pl _.,_., ❑ `'� M t 1 I6 0"115 ... Y 5 < 5 18 3 4.. to,�....._ev....: „... .,. .. �.,.�....:. � ...�.... ....:.. _.._._.....__"_"__. 7 9 1100 11.25 Y iU 15 tclan #i.Ms 17 l3 #9 20 2t ,'5___(616 23 27 fl."a Y . 2n 2 2N 24 JQ trustily at xaa l.eE,t#la 13 tt urtitty 0xrra2c: s 0 ti {) 182 Mill N1»e6r»u . 5 €) 0 0 0 182 o ,q �r1tYYlAFbIRY; 5 0 0 182 t***Nt1 Reporting Reason: ENF7 USE-NoFiuw-Reuso:Reeye10; ENVWT'IIR--NoVisitati n .Adverse Weather: NOFLOW NoFlow� HOLIDAY-7 -No Visitation -holiday VOWNEIR 1, t" NO— NCtlt 86517 PERMIT" VERSION, �t,t} PERMIT" STATUS: Active NAMEa. Citttewzv Village rcrrt ediaatior7 site CLASS: PC-1 C.`C)E7NTY. Mecklenburg ME.: Gateway VitlsaPe L LC. ORC: Glenn Fredrick Price ORC C"ERT NUMRER: 985800 GRADE: PC-i ORC TLAS C"TEANC:ED: No eI)MR PERIOD: 07- 019 (July 2019) VERSION: 1,0 STATUS: Processed COMPLIANCE STATUS,. Compliant CONTACT CT PHONE 9:.ii699t 2841 SUBMISSION DATE: 08f29l t0l 9 08/13/2019 ORC/Certifier Signature: Glenn Price IE-Mnil:raalfieldtech(ii,,gmail,cotii Phone #:336996841 Date By this signatur , I certify that this report is accurate and complete to the best of my knowledg`. The permitte e 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 Cream the: tune the: permittee hicame aware ofthe cireuaiastances. A written submission shall also be provided within clays ofthe time the peranttee becomes aware of the circumstances. Ifthe facility is noncompliant, please attach as list of corrective actions being taken and at time -table for improvements to be made as required by part II.E;.6 of the NPDES permit, 08/29/2019 PermitteciSubmitter Si:nature:*** Robert C Foster III E-Nlail:rob, fostcr(catwoodplc.corn phone 9:704-357-5530 Date Pcrmittee. Address: 800 W Trade St Ste 100 Charlotte: NC 28202 Permet Expiration Date-. 06/30/2020 1 Certify, -Linder penalty oflaw, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information Submitted. Based on nay inquiry ofthe person or persons who naaanaged the system, or those persons directly responsible for gathering the information, tire information submitted is, to the best of nay 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. CERTIFIED LABORATORIES LAB NAME,,: Research & Analytical Laboratories, Inc CERTIFIED LAB )#: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 07-6300 or by visiting htt allaortal.taedemaarg/web/wq/seep/I)s/npdes/tortes. FOOTNOTES Use only units of uneasure rient designated in the reporting facility's NPI)ES 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 ofthe paar-arneters on the DMR filar entire monitoring. period. ** ORC on Sitc?: ORC" must visit facility and document visitation offacility as required per I5A NCxAC 8G .0204, *** Signature of Pernottee, if signed by other than the perinittee, then delegation of the signatory authority must be on filewith the state per I5A NC:AC 2B .050 a(b)(2)(D)� pppppp� N P 1) F, IS, PERMIT NO.: N('0086517 PERMIT VERSIOJ FACHATV NAME: Ciatewav Villa-e remediation site CLASS, JlC-1 L 0 2 2019 OWNER NAME- Gateway Village LIX ORC: Glenn Fredrick PriliP GRADE: PC-1, ORC HAS C"ANG FOE % f kAL FILES eDMR PERIOD- 05-2019 (May 2019) VERSION. 1.0 OVIR SECTION 5 PERMIT STATUS: Active COUNTY- Mecklenburg ORC CERT NUMBER:QAWVEUNCDF-NRiDWR STATUS: Processed WQROIS MOORS E ;wwA SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DIS HAFtGJE*: No 1 11foR 7704,1 IN, (in'b u 14 FLOW pH fs"; - F, 24006wk H,x 1440 dak W, Wall" Ll al rake 00 4 Wo 6 7 20 023 Y 0.00667 9 0.00711 10 0,00711 —112-711-- 114 0,00711 16 12211, y 0,007 C 1 17 19 0,0062 0A061 21 25 0.0062 6.71 5 .14 Z5 0.603105 OM0305 zit 0,0030 L) 1-1011 L- 31 0,00421 M-04y A--.g,, Lin,& a.os ari 720 0 Wih Nfi—'uu— S1.itfl7t6 6 71 1 0 No Rcporfing Reason: ENFRUSE -No Flow-Reuse,'Recycfe1NVW 1'11R No Visitmion - Adveme Weathm NOFLOW - No llowti HOLIDAY No Visitation - Holiday ppp— NPDES PERMIT NO.:: NCO086517PERMIT VERSION. 4O PERM IT STATUS. Active FACILIT"V NAME`. Gateway Village reawdiation site CLASS: 1'C-1 COUNTY: Meckicttlturg " OWNER NAME: Gateway Village LL.0 ORC : Glenn Fredrick Price: _ � C)RC CERT NUMBEW 985800 GRADE: PC-1 ORC HAS C HANCiI# W No el)MR PERIOD: 05_2019 (Mav 2019) VERSION: 1.41 STATUS: Processed COMPLIANCE STATUS- ( na (art CONTACT PHONE #. 3369962841 SUBMISSION DATE: 06f2O/2019 06l14/2019 ORCI(ertif4ier Signaturc: Glenn Price; E-Mail:ralf_ieldtech(%. ginaail.cont Phone 9:3.369962841 Date By this signature, I ceaEiC}> that this report is accurate and complete to the hest of my knowledge. The permitice shrill report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health tar the environment. Any information shall be provided orally within 24 hours front the time the pennittee becaane aware of the circumstances. A written submission shall also be provided within 5 days ofthe time the permittee becomes (aware ofthe circtaanstances. Ifthe facility is noncompliant, please attach a list of corrective actions being taken and a titre -tattle for improvements to be made as, required by part EI.Ew.6 of the NPD1=S permit. 06/20/2019 Perin itteetSubmitter Signature:*** Robert C Foster III E- ail :rob.foster u woodplc.corn Phone 4:704-357-5530 Date Permittee Address: 800 W Trade St Ste- 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 certi(,!, under penalty of'law, that this; document and all attachments were prepared under my direction or supervision in iacc+ardance with a system designed toassure that qualified personnel properly gather and evaluate the information submitted. Based oil any inquiry of the person or persons who managed tite systetn, or those persons directly responsible for gathering the infoa nation, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there tare significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations: Cf,'RTIFIIwD LrABO RA` TRIES LAII NAME. Research & Analytical Laboratories, Inc. CERTIFIEI) LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETJ-'-1'R CODES Parameter Code assistance may be obtained by calling the NPDE:S Unit (919) 807-6300 or by visiting htfp:ttportal.ncdeanr.org/web/Nkg/swptpslnpdestf`orms. FooTNOTES Use only units of measurement designated in tfae reporting facility's NPDE1S permit for reporting data. * Net 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 DNIR for entire monitoring* period. ** ORC on Site?:ORC; trust visit facility and document visitation of facility as required per 15A NC;AC. 8G .0204. *** Signature ofPermittee. If'signed by other than Cite permittee, that delegation of the :signatory authority must be on file with the state per 1 SA NCAC" 2B .0506(b)(2)(D), T 4NU : NCO086517 PERMIT VERSION: . � "� PERMIT STATUS: Active IVED Y N'AMEI Gateway Village remediation site CLASS: PC-i COUNTY, Mecklenburg FSF,R NAME. (atewa}Village last;; C)RC". Glenn Fredrick C'rie*AY C3RC CART NCIMIICR- 985800 : l't -- t)RC HAS C°IIANtsFI i r w ro "'AS cI)MR PERIOD:t}3-21119 (Ma4'ch's019) '1'I:RSICJN: i.tl +—)"°;s€ STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO �. 30030 00400 C0530 2i11"38 : 77003 78380 a $, � � *�' �u Pdeck.Iy Cti+4ntltly Athrrtilli hltxnthl3 tvf4ltltiri} i4tern€tziy ' Cd ti €mttmtt+neouv Gmb brat, rub firma a la o r'uiW III It;w -t'saa C'F'R7UC7IiV ca,anc�g ' T7:2(LE'I F:: 24000,,,k It,, 2400doll, It. t'ta:N m>3,zt �. str nrg<r) dacer�F uptt) �: u fi t 0.0I46 Z 0,014b 3 0.0146 .. 4' & 0.0146 7 u _ _ 0.0146_ 8 1030 0.25 3' 0,0146 10 :. ILOFFIM 0.0146«,. 13 1020 tY.<,4 A- 0.014ts 14 0,01215 tb 0,01215 17 ,sI It,c1121s ' In Iol5 ' 0i25 Y 0.0i215 fi.tar 4 <1 t 21 0.01 C2 xz Il tit 12 . EJ 0.0112 24 0,0112 23 0a11'2 zn MO 0.25 Y OM11^_ 27 Q00r>8 att tl.t7ffvR 29 0.4098 tt.0099 3I 0.009s 4lxxr�t6lr A ¢ a2e liPxttc 17.iiC,. 30 720 RI ntho,A ragr: 0.012584 0 0 0 Weill Vtnxlnturn: tl,tildb 6,61 () 0 0 Dolly rttiirntturn: U098 6,61 0 0 0 * * No Reporting Reason: LPiT"RUST - No glow-Rcuse/Recycicx ENV W tillt = No Visitation - Adverse Weathen NOFLOW .. No Flaw; HOLIDAY No visitation - f loliday IT NO.: NC00s6517 PERMIT VERSION: 4.0 PERMIT STATUS: Active Y NAME: Gateway Village renaediation site CLASS: PC-1 COUNTY: Mecklenburg NAME. Gateway Villa Lt C` ORC: filenn I redrick Price ORC C RT UMBER: 9858 0 OWNER RADE# PC-1 ORC HAS CHANGED: No eDMR PERIOD. 03-2019 (March 2019) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CON ACT PHONE #: 3369962841 `UBMISSION DATE: 04/3012019 04/16/2019 ORC/CertifierSignature: Glenn Price E;-Mail:ralfieldteela(�,gmiil.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the hest of my knowledge, `rite pern ittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any infortnationshall be provided orally within 24 hours from the tittle the pernuttee became aware of the circumstances. A written) submission shall also be provided within days of the; time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the N11DES permit. 04/30/2019 Perm itteetSubmitt r Signature:*** Hunter M Flicks E-Mail:liunter,hicks@amecfw.com Phone #:704-357-5554 Date Permitter Address: 800 lttif Trade St `ate 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systern designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the systean; or those persons directly responsible for gathering the information, the information submitted is, to the hest 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. CERTIFIED L,AE3Cl(tA`I"(BRIE LAB NAME,: Research & Analytical Laboratories, Inc CERTIFIED LAB #: 34' PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919)'807-6300 or by visiting http-//portal.ncdenr,org/web/wglswplps/tipdeslforins. FOOTNOTES 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 oil the DMR for entire monitoring period. a ORC on Site?: ORC must visit facility and document visitation of facility as required per I Sri NCAC 8G .0204. **:signature of Permittce: If signed by other than the permitter, then delegation of the signatory authority must be oil file with the state per 15A NCAC 2B :0506(b)(2)(L)). pus r ,. NC086517 k'C^dtMIT VERSION- RRa �' � ► ERMI T` STATUS: Active FGa!ewtni,,"Village Village remediatiun site CLASS: PC-1 � i COUNTY: Mecklenburg 11C ORC- Glenn Fredrick Price ORC" C'ERT NUMBER: 0 ORC HAS CHANGED: Nci t ,. 4E?: 02-2019 (February 2019) VERSION: 1,0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO f �����5146515 IUtlifiYl {'(Sg3i7 'Y ktF*31l V..��. 7af793 :. 7N3N4 **** No Reporting Reason. ENFRUSE No Fl w-Reuw/Reryc le; ENVA I'l IR � No Visitation -Adverse Weather: NOFLOW -- No Flow; HOLIDAY = No Visitation holiday NC.`00h6517 PERMIT VERSION. 4.0 CiEarew �' Village rcrrediariin site CLASS: I'C- FE {:raaevvay VillaPc I I�C: ORC: Glenn Fredrick Price ORC HAS CHANGED: No 'ERIOD: 02.2019 (February 2019) VERSION: L0 AANCE STATIJS ("a?rnphant CONTACT PIIONE #: 3:3f 9962841 PERMIT STATUS: Active COUNT't': Meeklenbtsr&, ORC CERT NUMBER: 985800 STA'rli : Processed SUBMISSION DATE: 03/22/2019 03/14/2019 ORC/Certifier Signature: Glenn Price E- Mail: ralfield txelt(crgmail,com Phone li:3369962841 Bute; By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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. If the facility is noncompliant, please attach ca list of corrective factions being taken and a time -table for improvements to be made as required by part ILE.6 o the NPDES pennit. 03/22/2019 Permittec;/Submitter Signature:*** Hunter M Ili�-k E-Mail.hunter.hicks(ei�aniecfw.cotia Phone 4:704-357-5554 Date Pennittee Address: 800 W Trade St Ste 100 Charlotte NC 25202 Permit Expiration Date: 06/.30/2020 I certify, tinder 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 property gather and evaluate the information submitted. Based on nay, inquiry of She person or persons who managed the systern, 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 theme are significant penalties for submitting false information. including the possibility offines and imprisonment for knowing violations; CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES. Glenn Price PARAML"-TI:R CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ticdenr,org/web/wq/swp/ps/nI>des/`firms. FOOTNOTE :S 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 to result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC~ 8G .0244. *** Signature of Perrnittee: If signed b}Bother than the perm ttec, then delegation of the signatory authority must be on file with the state per 15A NCAC 2I .0506(b)(2)(D). a� a ,.. IDES PERM1'1. NC}.: PPDPI"I'SrFRMIT rrO.. NC1086:517 PERMIT VERSION:4.0 PERMIT STATUS: Active ]FACILITY NAME: Gateway Village remediaitltln site CLASS. PC-1 COUNTY: Mecklenburg tlWNFR NA IL>: Ixatew`ay Village t.IA: ORC. Glenn Fredrick Price ORC CERI` NUMBER. 985800 GRADE- PC-1 ORC: HAS CHANGEM NO eDMR PERIOD."01-2019 (January 2019) VERSION: L0 STATUS. Processed SAMPLING LOCATION: EFFLUENT DI CHARGE NO.: 001 NO DISCHARGE* N4 (Continue) DINwl 011158 00556 'Ro'311 9k3fl'S 7$J91 W092 a s , + m m C2ma Eerly �IWart41'�Y.... t)aaaer Quarterk, hhQFltllli` I,tCS4CteFt? 3 (1APYL<Plw tiY3lt} tPi'!t: rtitl { riil {JYaE? Cire2(M1 K I1F\t1 NAhGNF,hii i?II"G Id.Qk t'Iitil7f?PF IhI'f lrF: CF: '1<:GRt7E9 F: Y,IM1C" 2404)ct ek n,,, 2400 d.nk It. VIBIN uti! liufl F25>/� asslt31i1 : utvl kt ,,( tr xtl t t, 25 y= i 6 a [000 {}:25 Y 1I . 12 14 t `.18 C243 U,iS Y 2a 21 .22 1011 0.23 5 (r <l{? 23 24 S 2i dd D? :X 30 3i *I .fl,f! •45 .X, I.J.& 3.% tt �ulr@ nvcrrrttre 0 0 0 0 0 0 �._.._,..... b><rt}Afiaxtntvmc 0 0 0.:..._...�._, {i 0 0 **** No Reporting Reason: ENFRUSE — No Flow-Reuse/Recycle; rNVw`C R = No Visitation Adverse Weather; NUFLOW = No Flow; HOLIDAY = No Visitation -- holiday ppppp' PD S PERMIT NC).: NC'0086517 PERMIT VERSION: 4,0 PERMIT STATUS: Active FACILITY NAME: Gateway Village rennediation site CLASS: PC-1 COUNTY: Lcckicnhurg OWNER NAME, Gateway Village IJ,CORC: Glenn Fredrick Price ORC CF,RT NUMBER:985800 GRADE. PC-1 ORC HAS CHANGED, No t NIR PERIODI 01-2019 (aauat 019) VERSION: Iu STATUS: Processed COMPLIANCE STATUS- C:.onip iant CONTACT PHONE #8..3369962841 SUBMISSION DATE. 02/25/2019 02/19/ 019 ORC/Certifier Signature. Glenn Price Ew-Mail.ralfieldt€ch@gi—riai€.ccirn Phone #.3369962841 Late By this signature, I certif that this -report is accurate and complete to the best of my knowledge. 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 permittee 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. If the: facility is noncompliant, please attach a list of'corrective actions being taken and a time -table for improvements to be made as required by part II. .6 of the NPDES permit. 0215120I9 Permittee/Serbmitter Signature:*** Etuntc;r M [ticks - Mail:hunter.laicks ec)amecfw.com Phone #t:704-357-5554 Date PerrnittecY Address: 800 W Trade St Ste. 100 Charlotte NC 28202 permit Expiration Date: 06/30/2020 I certify, under penalty oflaw, that this document and all attachments were prepared unclear my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on any inquiry of the person or persons who managed 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 lines and imprisonment for knowing violations. CERTIFIED LABORATORIES' LAB NAME: Research cot Analytical Laboratories, Inc. CERTIFIED LAB #it 34 PERSON(s) COLLECTING SAMPLES.- Cilenin Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 507-6300 or by visiting, http://portal, ncdcnr,oi k_Wweb/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES pertnit 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 entire monitoring period. * ORC on Site?: ORC must visit facility and document visitation of facility as required per 1 Sri NC.AC" S .020I. ** Signature ofPermittee. If signed by other than the perrnittee, then delegation ofthe signatory authority must be on file with the state per 15A NCC 2 .0506(b)(2)(D) I IFFPI),,,,p R Mrr NO.: NCO086517 I,,', PERMIT VERSION. 4,0 PERMIT STATUS: Active FACILITY NAMELitneway Village remediation site CLASS: IIC- I N'I'Yt Mcc VC - �jc klenburg tf.) �svay Village LLC OWNER NAME- LGateway ORC: Glenn Fredrick Price ORC CT RT NUMBER: 985800 FER 0 5 19 GRADE; PC-! ORC HAS CHANGED- No eOMR, PERIOD: 12-2018 (December 2018) VERSION: E0 CEN, i T,,,FATUSt Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO M),159 (10400 COMO 70faR 77093 78389 2Letkh Imahly Nlomhly g pit TSS c 121)(It, C.. CER71)(11V TO(lu"If, 2400 0.k It- VWX nad On 116 0,0116 0.0116 1212 y 0,25 0,0116 7 9 0,015 2 _21 L_A_77,L_-' 13 _0.014__ 14 ±,014 Is 0,014 Pd 2_OL4___ 17 0.014 is 19 0A14 0,014 21 620 )ZI ObJ4 0.0161 0163 24 '0163 0,0163 _.L)41 010 0112 10 1,12 ,.Wthly Awap Limit: 710 13 OM4291 0 0 0 0.0163 6-77 0 0 0 0A 116 6,77 0 t3 0 No Reporting Reason: ENFRUSE = No Flow-lleuse�'Recycle; ENVW'FHR - No Visitation - Adverse Weather, NOFLOW = Nu Flows HOLIDAY No Visitation Holiday 140_. NCO086517 PERMIT VERSION: 4.0 PERMIT STATIJS: Active FACILITY NAME: 0atewav Village rernediation site CLASS. PC-1 COUNTY: Mecklenbu L11 _1111urg OWNER NAME- CF_Iltelvayvfflqgc 1-4--c ORC. Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGEDNo eDMR PERIOD. 12-2018 (December 2018) VERSION. 1.0 STATUS-, Processed COMPLIANCE STATUS: Compliant CONTACT PHONE 3369962841 SUBMISSION DATE: 01,121/2019 01/18/2019 ORC,/Certifier Signature: Glenn Price E-Mail :ralfieldtech@ginail coin Phone 4:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permince 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 permittee becanne aware of the circumstances, A written submission shall also be provided within 5 days ofthe time the perritittee becomes aware of circumstances. Ifthe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE,6 of the NPI)ES permit. U i t U, C_ c" �c 01 /21 /2019 -i_� Perm ittee/Submitter Signature:*** Hunter M Hicks E-M ai 1: hunter,h ic ks@arnec fw. coin Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 certify„ tinder penalty of law, that this document and all attachments were prepared under toy direction or supervision in accordance with a system designed to assure that qUalified personnel property gather and evaluate the.. information submitted. Based on my inquiry of the person or persons who managed 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, CERTIFIED LABORATORIES LAB NAMEr Research & Analytical Laboratories, Inc. CERTIFIED LAB #t 34 PERSON(s) COLLECTING SAMPLES- Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,nedeiir.ore./web/wq/swp/ps/npde,,,,,Ifortils, FOOTNOTES 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 as result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC'i on Site?: ORC must visit facility and document visitation offacility as required per 15A NCAC 8G ,0204, *** Signature ot'Pertnittee: Ifsigned by other than the permittee, then delegation of signatory authority must be on file with the state per 15A NC AC 2B .0506(b)(2)(D). Pppp DES PERMI"1' NiJ1. : NCO086517 PERMIT VERSION. 4.0 E MIT STATUS: Active FACILITY NAME: Gateway Village remedi Lion site CLASS: PC-1 COUNTY: Mecklenburg OWNER NAME, Gateway Village LLC ORC: Glenn Fredrick Price JAN 0 9 2019 ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No CENTRAL FILES eDMR PERIOD: 11-201 ((November 2018) VERSION: 1,0 )R E 10 STATUS: Processed RFOEIVEDINCOFENRIDWR, K SAMPLING LOCATION: EFFLUENT DISCHARGE NO..- 011 NO DISCHARGE*: NO , WOROS : sseaul 00400 r. aTn�11 77N9 g Week. Munthl Mun11r1 Monthl �j{kttiill. Mant}c1 " � ddpp Chi R lnsWtaneous t.]T817 y' CIf8i4 G E C 6 Flow. Pn T86-Cm c Ckt1711CHV C-1,20CL TFTCLcrE i3rr et isro YAVN m d su m9A percent U94 ugA 1 0.00746 2 1300 0,25 Y 0M746.. 5 O01072 6 0,01072 7 1040 0,25 Y 0.01072 0.011 0.g11; 1u 0011. 11 0011 0,011 1d 0,011: is 1642 0.25 Y 0,011.: 14 01567001567 0.01567 19 0 01567 2e 0,01567 21 1000 0,25 Y a,01567 68$ 5 1 c1 22 0.01047 24 q 01017 0,01017 q 01017 34 0840 0.25 Y 0.01017 Mnatle9y Arerx2e LimM: 0,n5 3e 729 3.3 mlaetlhlyleve 0.011402 0 1 0 0 ' 0.01567 1689 0: 10 10 n.1y0.00746 6.88 q 0 0 +am o Reporting Reaww ENFRUSE -- No Flow -Et /Recycle„ ENVWTHR = No Visitation -- Adverse Weather; NOFLOW = No Flow; HOLIDAY =- No Visitation - Holiday Ppppp"' PPDES PERMIT NO.: NCO086517 PERMIT VERSION: 4.0 PERMITSTATUS; Active FACILITY NAME: Gateway Village remediation site CLASS: PC -I COUNTY: Mecklenburg OWNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE. PC-1 ORC RAS CHANGED: No eDMR PERIOD 11-2018 (November 2018) - VERSION: 1,0 STATUS- Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 3369962841 SUBMISSION HATE: 12/28/2018 12/19/201 ORC/Certifier Signature: Glenn Price' E-Mail: ralfieldtech(a gmail.com Phone #:3 6 962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittec 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 perittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permitme becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 12/28/2018 Permlttee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks amecfw.com Phone #:704-357-5554 Date Perittee Address: 800 Wfrade St Ste 100 Charlottc NC 2202 Permit Expiration Bate: 06/30/2020 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 managed the system, or thosepersons' 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. CERTIFIED LABORATORIES LAB NAME. Research &.Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price, tAI PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,ncdenr,otgtwcb/wq/.swp/Ps/npdcs/fonns. FOOTNOTES 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 DMl2 for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I SA N AC, 8G .0204. *** Signature of Perittee: If signed by other than the perittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B ,0506(b)(2)(D). PP, p NPAES PERMIT IN'O.. NCO086517 FACILITY NAME l atewaiy Village relnediat on site OWNER NAME: Gateway village LLC GRADE, PC, -I eDMR PERIOD: 10-2018 (October 2018) PERMIT VERSION. 4.0 PERMIT STATUS. Active CLASS: PC -I RE w t . COUNTY: Meeklenbur8 ORC,': Glenn Fredrick Price r a ORC CIE T NUMBER. 9 ORC ETAS CICANC1EIi. No VERSION: 1.0 E'N" $,�rr'at $ S'CATIJS. Processe€1 i `l6 �nRos SAMPLING LOCATION.- EFFLUENT 1 50050 00400 00530 32103 321AW TnP30 77093 41042 01045 a u s � Eu '} o Weakly Mtttcthly onthl M Quanerty. 2uagE toianthlp Mantitiy: C2uarturly t2uxtetly a h- Instnittixneuus Grab Grab Grub Cxrab Com osrte Grab Grab Drib Q t N C. O ,�' FLOW PH TSS W C'anc 3,i�I7CE Cnt.NFC3SPM CF.R7llC`t{V C-1,2tkCl': COPPER nt11N 2400 dod Firs 2400 OM, n. YJVN su . ing/1 u 11 ugil Mement u Il all u XI 7 000491 3 0.00491 4 1530 0,25 y O Oi ,1910,00408 6 0,00408 7 000408 0,00408 9 0950 US ly 0,00408 6.7 < 5 c 1 r, 1 < 1 203 1183 O,00790,0079 3. 0.6074 13: 6 0079 14 0,0079 i5 0,0079 16 a 0079 .. i7 0,0074 18 1311 0,25 Y' 0 01179 tv 0,00598 21} P @0598 21 a00598 21 000598 24H--4- 092t} t).24 Y Ot}t7598... ?5 0,00746 26 0 074€a 27 0,00746 28 0.00746 30 0.00746 31 nt«ririira}Arern0e i;tw+x0s 0.05 30 720 Mnne06g A�ctap;r, OM6427 (} 0 a. 0 205 383 baih^Atnxim— 0,0079.. 6.7 i? 0 (}. 0 205 383 Mitr hiixeimum: 10,00409 6,7 0 0 a 0 20$ 393 `*** No ReportingReasonn: UNFRUBE; -< No Flow-Reuse/Recycle; ENVW'THR No Visitation -. Adverse Weather„ NO LOW =- No Flow; HOLIDAY - No Visitation — Holiday NPDES PERMIT NO.: NC0086517 FACILITY NAME: Gateway Village remediatian site OWNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 10-2018 (October 2018) 2 7 PERMIT VERSION: 4.0 CLASS: PC- I ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION:1.0 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue 2J00 dark 11, 2400 510 1530 0950 0 25 0,25 YARN y 01051 Quarterly Grab LEAD ug/I <5 111055 18)056 TGP3R Quarterly. Quarterly Grab Quarterly Grab Grab MANCNESE OIL-CHSE CERI7DPF ug9 rog/1 pass/fail 5 < 5 r' 78J89 Monthly Grab TETCLI/FE ug/I 78J91 Quarterly Grab TCLROETE ug/1 ^< 111092 Quarterly ZINC 129 15 t7 18 20 21 22 23 24 25 27 28 29 311 31 1311 0920 0.25 0.25 Y Y Numbly Average Limit Daily Maximum DdnMinimum: 0 0 'r'.. No Reporting Reason: ENFRUSE - No Flow-Reuse/Recycle; ENVW"rHR N© Visitatitlel - Adverse at 3.3 1'. 0 NOFLOW = No Flow; HOLIDAY = No Visitation— Holiday 129 129 129 ppp"W"_ NPDES PERMIT NO.: NCO086517 PERMIT VERSION:4.0 PERMIT STATUS: fictive FACILITY NAME: Gateway Village rernediation site CLASS. PC-1 COUNTY: Mecklenburg OWNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD. 10-2018 (October 2018) VERSION. 1.0 STATUS. Processed COMPLIANCE STA't`Us. Cornpliant CONTA T PHU E #: 336 62841 SUBMISSION DATE: 11/26/2018 1 1/2612018 ORC/Certifier Signature: Glenn Price E-Maii:ralfieldteelm c� gmail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge: The pet notice shall report to the Director or the appropriate Regional Off ice 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 circumstances, A written submission shall also be provided within 5 days ofthe time the permittee becomes aware of the circumstances, Ifthe facility is noncompliant, please: attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILEA of the: NPDES permit. 11 /26/2018 Permitteet ubmitter Signature:*** 1lurrter M llic s E-Mail: hunter.hieksre.amecfvv.com Phone #:704-357-5554 Date Permittee Address: 800 W `Tirade St Ste 100 Charlotte NC 28202 Permit Expiration Lute: 06/30/2020 1 certify, under penalty of law, that this document and all attaehnments 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 managed 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. LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES; Glenn Prtce CEwrIF IEI71,:4 LABORATORIES ES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting littf :llport 1.ncdenr,org/webfrtglswp/ps/np(ics/forins. FOOTNOTES Use only units ofmeasurement designated in the reporting facility's NPI)ES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of`Permittee: If signed by other than the permnittee, their delegation of the signatory authority must be on file with the state per 15A NCAC" 213 .0506(b)(2), G)). ,Fp� MIT NO—. NC'tl PILITY NAME : Gateway 086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active Village; remediation site CLASS: ASS: 1I -1 � COUNTY: : Meuklenharg EC"FIV R NAME. Ciate� ay Village LLt ORC : Glenn Fredrick Price "a CIRC: C1GR`I' NLIilIIIER: 985800 C:I1IEtt GRADE` PC:-1 CIRC' IIAS C`IIANC ED, Nt> It Z01 eDMR PERIOD: 09-2018 (September 2018) VERSION: 1.0 STATUS: Processed W), � SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 N4 DI SOW eE, w � I x 50054 04400 CW30 Tt3P38 77093: 71089 t"•• c. m .k • ". l'eekly Ment14 Monthly Monthly Monthly' h4on fy v' g. 4 y pnp m d 9 I lnstammeuus Gnat, Grit : r ompesite Crtab Czi Gh FLOW pat Ts5-Cone CER71WHv Ct,„.I)CE TETCLETE 2400 tnak H. 2404.1.k 11,s 4J61N m.>d :. su mg4 Ourech4 ugrl .. u 71 i 0 00215 2 0e0715 3 t700215 4 0,00215 . 5 0955 10,25 Y 000215 ... 0: 0,00906 7 1009116 a 0,00906 0,0006 sdt 1302 025 Y 0,00906 . tt 00161. t2 0 W56t2 13 fl 00568 14 OQGF5t56 d7 0,00568 t6 1100 0,25 Y 0,0068 7,01 e 5 1 t 19 01116 2dd O.Ct056 2 a 0,0056 12 0,0056 23 00056 24 1400 0.25 1" 0,0056 26 0,00491 37 0,00491 SR7 0.00491. tvTnn#Aly Averwlte [,Frt+k#; Q.45 dl) 72dt S.3 :htanthl} Acera4e: 0 0054X5 0 0 0 LAxitw• Mx+ximnm: 0100906 7.03 0 0 0 fiait5 Minnnum 0,00215 ***NoReporting Reason: :NFRUSE-NoFlow-Reuse/Recycle; C;NVWI•FlR No Visitation Adverse Weather, NC?E=C.CCaW No Flow; HOLIDAY=NoVisitttion— Holiday CMI"I' O.: NCt}aR6517 PERMIT VERSION: 4.0 PERMIT S I'r1'ii:tS: Active 1R1'LIT.Y%"",1NAME. Gateway Vi11ae r'ernediatican site CLASS: PC-1 OI7NTY. Iyfecktenbtarg ()hvF ME: 3aatewaY Village LI11, ORC: Glenn Fredrick Price ORC' CEEiT NLiahi"BER: r} 158a{) G ADE PC-1 ORC HAS CHANGE . No eDMR PERIOD. 09-2018 (September"2a18) VERSION: 1.0 STATUS: Processed COMPLIANCE STATLS Compliant CONTACT PHONE #: 3369962841 SUBMISSION DATE: 10/23/2418 10/19/2018 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech(-iiganail.cotii Phone #:336996 841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge: The percnittee 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 permittee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the permitteu becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILL6 of the NPDES permit. e c2 10/23/2018 Perenittee/Submitter Signature:*** hunter M 'Hicks E-Mail:It tinter. hick s�i),auaecfw.com Phone :704-357- 554 Date Perrnittee Address: 800 W Trade St Ste 100 Charlotte NC; 2 202 Permit Expiration Date: 06/30/202t1 1 certily, 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 nay inquiry of the person or persons who managed 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 aim aware that there are significant penalties for submitting fare infiarnfation, including the possibility oflines and imprisonment far knowing violations. CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CFRTIFIFD LAB #: 34 PERSON(s) COLLECTING. SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,ncdenr.org/,Avb/wq/swp/ps/npdes/forms, rg/web/wq/swp /ps/npdes/forms, FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as, required per 15A NCAC 8G.0204, *** Signature of'ermittee: 11'signed by other than the perrmttee, then delegation of the signatory authority must he on file with the state per 15A NCC 2B .0506(b)(2)(D), W 'S PERMIT NO.. N 4108551"7 PERMIT VERSION 4 PERMIT STATUS- Active u... ,ACILITY NAME. Gateway Village rentedif titan site CLASS: PC-1 COUNTY, t Lylesklen6urg OWNER NAME,. Gateway Village, LLC ORC. Glenn Fredrick Price � � ORC CEIRT NUMB t'I2 985800 OL MADE: PC-1 ORC HAS CHANCED: No aDNII2 PERIOD. {August 2Q 18} VERSION. l.0 f< I P "=C) STATUS, Processed t�` t SAMPLING LOCATION: E FFLUENT DISCHARGE NO.: 001 NO DISC � ". , OFFICE lt'w1 90Us9.: 00400 C0530 THP30 nm 18391 ' I'Cittt A4anittlY 1k'Illltt111 iYlbtttrtty i4ii11itt11 tItlilttit > CJ L1191 ntNne}n9 Grab Grab (,:tlnl sit& r#r&11 Gfab now pit ISS • Cat CEtRMCOV C-I.wct 9'Ll'CLM 340U truth tin 2400 dttk tins YON Z Sri i .:. sti nr x ereent k . ti t 0,0055 � 0.0055. 3 1550. 0.25 Y 0.0055 4 U0645:. 5 0,00645 6 0,00645 T 0,00645 s a.aa6a5 9 Ing: 0.25: Y 000645 to ,00195 tf 0,00445 is 0,00445 i3 0,00445 t4 0,0040 13 0915 0,25:' Y 100453 -. 631 S 1 t6 0.00263 tT 0,00263 tg 0.002629 t9 0,00263 2U a.00263 2t 0,00263 22 1053 0,25 Y 0.00263 23 0.00296 24 to0286 25 0.00206 2i 0,00286 3S 0.00286 29 0,0020 3D iO3S 0,25 Y t1.00136 st 0100215 M.Ody M."40 Lhutu 0„tlS 30 : 724 3.3 M.11t4t} Arcrngnz 0,004046 Q bnriy h1min-w OoQa645 631 0 : 0 0 17swH,v Mtntnrum:.00,15 6„71 0 0 0 •«* oReporting Reason: NFRIJSF, Nt}tlow-Reme/Recycle, PNVWTNR- NoVisitation- Adverse Weather, NOFLOW-No'Flowi-O IDAY-No Visitation - Holiday mppppp"' DES PERMIT NO.: NCO086517 PERMITVERSION, 4.0 PERMIT STATUS: Active FACILITY NAME: Gateway Village retnediation site CLASS: PC-1 COUNTY Mecklenburg OWNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER. 985800 GRADE: PC-] ORC HAS CHANGED: No eDMR PERIOD: 08-2018 (August 2018) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: CompliaCONTACT PHONE #: 3369962841 SUBMISSION DATE, 09/24/2018 09/24/20I8 ORC/Certifier Signature: Glenn Price -M sil:ralfieldtech ra gmaiI.com Phone :3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge: 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 permittee 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, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.13.6 of the NPIDES permit. C r dt i �t0. t "r 0 i ut 5 r t, 7 `�e5 09/241201 Perm ittee/ ubmitter Signature:*** hunter M Hick E-Mail: hunter.hicks@amecfw.com Phone #;704-357-5554 Date Pertnittee Address: 80O W Trade St Ste 100 CharlofteNC 28202 Permit Expiration Date: 06/30/2020 I certify, under penalty of law, that this document and all attachments were prepared udder 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 managed 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 offines and finprisonn ent for knowing violations. CERTIFIED LABORATORIES LAR NAME, Research & Analytical Laboratories„ Inc, CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price, RAL PARAMETER CODES Parameter Code assistance may be obtained by calling the NPIDES Unit (919) 807-6300 or by visiting http;//portal.nc(lenr.org/web/wq/swp/ps/tlpdes/forms, FOOTNOTES 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 tie parameters on the DMR for entire monitoring period, ** ORC on Site?. ORC must visit facility; and document visitation of facility as required per 15A NCAC SO.0204, *** Signature ofPermittee: If signed by other than the perraittee, then delegation of the signatory authority must be on file with the state per I 5A: CAC 2I3 .0506(b)(2)(0) RMIT NO.; NC0086517 PERMIT VERSION: , C PER Tf STATUS. Active mmppppp- p- PACILITY NAME: Gateway Village remediation site CLASS-PC-1COUNTY: ly(ecklenburg OWNER NAME. CsaCeway Village LLC ORC. Glenn Fredrick Price ORC CER T NUMBER. 985800 GRADE: PC I ORC HAS C14ANGED: YE N'( RAi,, F I LES eDMR PERIOD- 07-2018 (July 2018) VERSION. I.0 'Vv R I j STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 N4 DISCHARGE*: NO x "060 00408 C0530 S2kl53 JatBfi' "S°i#p3B 77tk93 01043 01049 lvSOrrUsly Qu.uterly: (,itkarterty atsthly okk#hly tw5usrterl QuBrker2 e = 2 ,..: weekly 14ioritltl «71 'c v }nSkiixtte'ttte#tU5 tirat) Grab Crab (,tab Com esae Crab Grab Crab f"Ilow OH T88-Caae II-nCE CHLRFr3RNI CES%.'1n4;H6` C-#,2nCE co"ER IRON 2400 eFndc It. 24Vt0 hk !#n XtRkN r2t d sU kn a t'$ Uril �rCetrf a*1 a ug,4. I 0o046... 2 0.0046 :.. 3 1445 0.25 8 00046 718 <5 1 2 ^=1 745 : 694 4 10,0024 5 11440 0.Z5 8 00024.:" 4 1 0,0063 7 0,0063 8 0,0063 t@ 0,006.3 WQR( )tl RE tv°'11,...% E ARE$ —ION L FICE ii ]025 0.23 Y 00063 12 0.0029 13 0,0029 14 0,0029 #5 00029 16 0,0029 17 1010 015 Y 0 0029 t8 0.0032 k9 0,00;1::... 0,0012 21 0.0032 22 00012 23 24 1110 0.25 : Y 0,0032 25 0,0055 a 00055" 37 0o(65. za 0 0055 '3a 00055 Mtmn #y Av—p Limit: U.tlS 30 720 td-dtky A-.gc 0004,345 0 0 2 0 745 694. May M-1—m. 0.0063 718 4 0 2 0 745 64d May 14W. m: 0.0024.... 718 0 0 2 0 745 ("4= **** No Reporting Reason: ENFT USE = No Flow-Reuse/Recyycle, ENVWTHR = No Visitation - Adverse Weather; NOFLOW a No Flow„ HOLIDAY -No Visitation - Holiday; NCO086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active atewa Village remediatriin site CLASS: PC-1 COUNTY: Mecklenburg ,way Village LI C ORC: Glenn Fredrick Price ORC C RT NUMBER: 985800 ORC HAS CHANGED: No 018 {July ?018) VERSION. 1.0 STATIJSa Processed w^v ! a^a s^a a xtirvl rai♦ !ti ly w^w! !ts^a i't a-a.ln u"+[!! a !w /w !t it.I'9 JxnnA iY.n n!t"V dY!! t Y'ti:/Y T'Y .6 YYJ"'L V/Y i 1 3o Reporting Reason: ENFRUSE —Nr Flow-Reusellrecycle; ENVWTHR = No Visitation --.Adverse Weather; NO LOW = No Flow; HOLIDAY = No Visitation — Holiday pp� C0086517 PERMIT VERSION: 4.0 PERMIT STATUS-, Active M Village rernediation site CLASS: PC- I COUNTY: Mecklenblg �LVtllagL LLC ORC. Glenn Fredrick Price ORC CERT NUMBER: 985800 ORC HAS CHANGED: No '(July 2018) VERSION: 1.0 STATUS. Processed k Compliant CONTACT PHONE #: 3369962841 SUBMISSION DATE. 08/20/2018 08/17/2018 '/Certifier Signature: Glenn Price E-Mail:ralficidtech@gmail.com Phone #.3369962841 Date s signature, I certify that this report is accurate and complete to the best of my knowledge, annittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, facility is noncompliant, please attach a list o MDES permit. Ler Signature:*** Flur the time the permittee became aware of the circumstances. A written submission shall also of the circumstances, actions being taken and a time -table for improvements to be made as required by part H.E.6 of I 0, (-(-- 0 _7P 2 W.7�4$ 08/20/2018 ,icks E-Mail:hunter,hicks@amecfw.com Phone #:704-357-5554 Date 2 Permit Expiration Date, 06/30/2020 )ersonnel properly gather and evaluate the information nquiry of the person or persons who managed the to the best of my knowledge and belief, true, knowing violation%. CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CERT IFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Lizz Nix -Denmark, RAL PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/Nvq/swp/ps/npdes/forins, FOOTNOTES 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 tire no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G *0204, *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per ISA NCAC 213 �0506(b)(2)(D). r C 0.: NCO086517 ).. �L rAME-(�G-L.�re-ay PERMIT VERSIOS: 4,0 E C F -"- V D, RMIT STATUS: Active I.RADEt: Village rernediation site CLASS. P(,,-1 R COUNTY: Mecklenburg -f 'R AUG 0 6 2018ORC CERTNUMBER: 985800 13 SAME: Gateway Village LLC ", ME. ORC: Glenn Fredrick Price " P(,_ PC I ORC HAS CHANGED. N 0 FILES ,-1 ��L CEN fto\L R5CEIVEDINIMFNFIVAIR DWR SEc7r'ONTATUS: eDMR PERIOD. 06-2018 (June 2018) VERSION- LO Prom,ed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: MOORESWUE REGIONAL OFFICE 500%0 04400 C0534 THP-IB 77093 78389 t It A: t Weekly A1-0111hly Motah�v Ll�� �ontloy Composite Grab Grab FLOW PH T8$ - Cm CER7DOW C, IID(E TIMCLETE Un 2400dod, ffr� Y/WN --r11-11-10.25 total S13 uig�l permit Y 0�01 —0,00124 2 3 not) 124 4 0o0424 5 0.00124 0950 0,25 Y 0,00124 0,00413 0A0413 0,00413 P OM413 o00413 ±40 0,25 Y 0,00413 6,77 5 1 <1 OM042 14 0-00142 OM42 0,0042 17 0,0042 0,0042 0.0042 0,0042 1410 10,25 B 0,0042 0,00512 0.00512 14 0.00512 0,00512 27 1445 0,25 B 0.00512 0,00614 29 0,006M 4 30 20 W.thly A—p� 0A04264 0 0 040Y,muimm 0,01 6,77 0 EtEEIE�A oAAYmW,u.= "on,"Ya — No Reporting Reason: ENFRUSE No Flow-Reuse/Recycle; 14',NVWTHR No Visitation - Adverse Weather� NOFLOW No Flow; HOUDAY = No Visitation - Holiday NO.: N0086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active NANIE: Gateway Village reinediationsite CLASS: PC -I COUNTY. tMjecklenburg NAME: Gateway Village LLC..: ORC: Glenn Fredrick Price CIRC CF.RTNUMBER: 985800 PPER DE: PC:-1 ORC HAS CHANGED. No eDMR PERIOD- 06-2018 (June 2018)VERSION: I.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHOr* # 3369962841 SUBMISSION' DATE: 07/12/2018 07/12/2018 ORC/Certifier Signature: Glenn Price E-Marl:ralfieldtcch(tx7gniail,cotn Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge: 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 permitter became aware of the circumstances. A written submission shall also be: provided within 5 clays of the time the perrnittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a tithe -table for improvernents to be made as required by part Il.E,6 of the`NPDES permit. 07/ 12/2018 Permitte /Subinstter Signature:*** Hunter M Hicks E- ail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Pennitteu Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration late: 06/30/2020 1 certify, cinder penalty of law, that this document and all attachments were prepared under Lily direction or supervision in accordance with a system designed' to assure that qualified personnel properly gather and evaluate the infortnation submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the infoaanation submitted is, to the best of my knowledge and Lehrf, true, accurate:, and complete. 1 am aware that there: are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Research & Analytical Labortories, Inc, CE FIFIED LAH #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling: the NPDES Unit (919) 807-6300 or by visiting http://pot-tal.ncdenr,org/wc b/wq/s /ps/npdes/fonns . FOOTNOTES 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 DNIR for entire monitoring period: * ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC- 8G .0204. *** Signature of Permittee: If signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per, 15A NC'AC> 2B .0506(b)(2)( ) NCO086517 PERMIT VERSION: 4.0 PE IT STATUS: Active CLASS: NTy: Mecklenburg raieway Village site PC-] .., „m ew:ay Village LLCa ORC: Glenn Fredrick Price # � � RC CE RT NUMBER: 985800 GRADE: PC-1 CJRC HAS CHANGED. No iE- a `� i i u, i fi I f" r�, eDMR PERIOD: 05-2018 (May 2018) VERSION. 1.0 () �t"� � a 8 U,^1 I ATUS: Processed .( WQROS SAMPLING LOCATION: EFFLUENT JENT DISCHARGE NO.: 001 NO t",Qf 0tbNQAL OFFICE + 50050 C0530 THM 770#1 78 89..Weekly 1100400. onO[fy: Monthly Mottthly Monthly "no;m,Instantaneousrab Grab Composite Grab Grab p ° FLOW pH 'Is;-C"tl C;ER70CHV C-1130CE TF.TCLETF, 2dWl0.01 Hrs 2480 clack Res VWN nt d su mg/1 percent iagii ¢ 1 0,01,3557 8 0.013557 J - OcYcg Q}24 l' 0.t)i.i5:57 0,00,S142 0.005142 8... 0.005142. v 0.005142 ttl : 0,005142 1620 US Y 0.005142 az i011 $7 3 ; 0,003657 ta' 0,003657 1S 0003657 16 - : 0.003657.:: 17 : 0,003657 Is 1120 0.25 Y 0.003657 19 0.005171 20 0,005171 04005171 23 0,005171 2a 0,005171 25' -1210 0.25 Y 0.005171 L93 •: S < 1 26. OOl 27 0.01 y 001 su 0.0I 3Y 0.01 Monthly Average 11not; U.05 34 720 ; t .aflia} .Average: L01,006839 0 0 0 Indly Alaxitnum: 0.073557 6.93 6 {) C1 Dotty minfmum: 0,003657 Cr. }3 **** No Reporting Reawn: ENFRUSE = No Flown-Reuse/Recycle, ENVWTI• R No Visitation Ad ea:SeWeather; NOFLOW -= No Flow; HOLIDAY No Visitation - Holiday MITNO.- NC008651 PERMIT VERSIONS 4.0 PEI I'I" STATUS: Active AME: 'Gateway Village rc:ittediation site CLASS: PC-1 COUNTY: Mecklenburg POWNFFRNAME:�!jtew, aty Village LL G ORC: Cs"lenta Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC- ORC HAS CHANGED. No eDMR PERIOD: 05-2018 (May 2018) VERSION: 1.0 STATUS- Processed COMPLIANCE STATUS, Compliant CONTACT PHONE #. 3369962841 SUBMISSION DATE: 06/18/2018 06/15/2018 ORC/Certifier Signature: Glenn Price E-Mail:ralf eldteeh(i ginail.com Phone 4:33 9 E 841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge, 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 permittee became aware of the circumstance: A written submission shall also be provided within 5 days of the time the permittec becomes aware of the circumstances, If the facility is noncompliant, please attach sa list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES pernn. 06/18/2018 L16_t� Perrnittee/Submitter Signature:*** hunter M Flicks E-Mail: hunter. hicksr�,antecfw.coin phone #:' 04-357-5554 Date Permittee Address: 800 W "Grade St Ste 100 Charlotte NC: 25202 Permit Expiration Date: 06/30/2020 I certify, under penalty oflaw, 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 managed 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. CERTIFIED LABORATORIES LAD NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #f 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODE Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting htip://portal,nedenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES 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 entire monitoring; period ** CRC on Site?: ORC must visit facility and document visitation of facility as required per 15A NC,AC" 8G .0204: *** Signature of Permittee: If signed by other than the permittee, their delegation of the signatory authority must be on file with the state per 15A NNCAC ,0506(b)(2)(D). ME: Gateway Village remediation site NAME: Gateway Village LLC FRAODU PC e tMR PERIOD: 04-201 £l (April 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Active - `w CLASS:PC-1 C)UN'TY: Mecklenburg ORC: Glenn Fredrick Price ORC CERT NuMSEI ItiV F-I dl JUN ORC IIAS CIIANGED- No VERSION: L0 �� $ �� FI°F-SSTA`I`US. Processed SECTION WQROS x $0050 00400 C"`0530 32103 32106 THP38 77093 01042 0104s * E t n •� w -• ww`ek1 Monthly 2�jonlhly Ruanefl 2umurlyMondd Mmrt111 { lvarlerl uartell a t5 a Instantaneous Grab Grab Grab Grab C'ozn tlsite - Csra, Csrsab titab FLOW PH TSS - Canc 1,2-ACE .. C HI.RFOR39 CER7DCHV C-1,2w% COPPER IRON 2400 clock nrs 2400d.dt nrs YIB.fY nagd Su EEL- Hg u 1 creellt ngtl n911 . ugt1 t 0,0127 0,0127 3 a35 0,25 t 20127 4 0.0131 4 0,0131 k 0,0131 7 0.013! 0,0131 1p 1040 0.25 Y 0.013t It 0.0065 12 0.0065 14 0n065 1s 0,0065 1G 0R065 i7 1020 0,2:5 Y 0,0065 &93 <5 <1 <.1 ,.1 <S- <25 lit 0005. 14 0.005 ar+ 0.005 21 0,005 2a o.tt05 23: 0.0M. a4 0.005 I!— PAM t7 1418 O.25 7'. 0,005 2$ 0.0126 21) 0,0126 ,a 0.012E Monthly.Averar0e 13.1t: 0AS 70 720 M.nthly ,4r erege; 0.00877 0 0 O 0 0 0 Etaily 0.0131 6.73 0 0 0 0 0 0 Daily Mialm.: 10,005 t .93 O 0 0 0 0 *** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVW'I'HR — No Visitation _. Adverse Weather; NOFLOW = No Flow; HOLIDAY — No Visitation — Holiday NCOO86 MEriay V PNAME. tiateway Villa 517 PERMIT VERSION. 4.O PERMIT STATUS. Active illage remediation site CLASS: PC -I Ptl'D COUNTY: Mecklenburg ge LLC ORC. Glenn Fredrick Price ORC CERT NUMBER. 9858O0 . ORC HAS CHANGED: No eDMR PERIOD.04-2018 (April 2018) VERSION. 1,O STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 0 1 N4 DISCHARGE*: NO (Continue) 010SY 01055 00556 TC.P38 78389 78391 01092. TOeFnaaerly QuurtMy..... Quarterly Quarterly Monthly Quarterl i uartedy. Grab Grab drub Grab Grab Grab Grub Q G t= O O 4 'r°. LEAD MAN NE4E 011,MM, CER17HPF TM LETE TCLROETE ZINC 2400 11.ck Hrs 2404 Clack. Ilrs Y/WIN u 1 uWI { es5/iail iF it a 't a ,�{ Y a 4 6 7 0 rn 1040 0.25 Y [14 15 - LG'-., 17 11920 0,25 Y < 5 . < 4 < 5 P . l .. < 3 < III 19 20 21 26.. 29.' 30 Moutbly Average Lira: 3.3 al-thb Avmge: 0 0 0 IIaily32axirrxum: 0 0.. Daily Albumum: 0 0 0 0 *** No Reporting Reason. ENFRUSE No Flow-Rouse/Recycle; ENV WTHR -• No Visitation -- Adverse Weather; Ni FLOW -= No Flory; HOLIDAY = No Visitation - Holiday PPFr_ NCO086517 * ��Coo'i ANIE, Gateway Village remediation site P ME 2--L V PPR NAME: �G2ateway Village LLC GRADE: PC-] eDMR PERIOD- 04-2018 (April 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4,0 PERMIT STATUS: Active CLASS. PC -I COUNTY: Mecklenburg ORC: Glenn Fredrick Price ORC CERT NUMBER, 985800 ORC HAS CHANGED: No VERSION. 1.0 STATUS: Processed CONTACT PHONE #: 336996284 t SUBMISSION DATE- 05/18/2018 I 05/17/2018 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech @)gmail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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 permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit, 05/18/2018 Permittee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks(&,amecfw,com Phone #:704-357-5554 Date Pertrattee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 00/30/2020 1 certify, Linder 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 managed 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. CERTIFIED LABORATORIES LAB NAMES Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,ncdenr,org/web/wq/swp/ps/npdes/forms. Use only units of measurement designated in the reporting facility's NPDES pennit 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 DNIR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G M04, *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B ,0506(b)(2)(D). VMIT NO.: NC:O08651 "7 PERMIT VERSION:4 0 PERMIT STATUS: Active fLIT.YM � COUNTY: Meckictiburgt} NER AME:AE» Gateway Village renledfatiun site CLASS: IBC-1 Gateway v mage LLC ORCs Glenn Fredrick Price / "M, CER I NU tM ER: 985800 GRADE: PC- 11 ORC His CHANGED: No MAY 0 2 7018 eDMR PERIOD. 03- 018 Mardi 2018) VERSION: 1.0 CENTNALSTATUS: Processed R SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*. NO "> $0050 04400 Ct7S30 rHP3f3 77093 78389 m t Weekly nnihly onthl Mondf1y Montlfly Monthty U y C} Instantaneous iirab grab („'UIII ilS1tC y' �y \lrab Grab mU G'4 O'E.i}W pH T;i.S-Case C"F:R7Dt:tEV G•1,21ycE TFTC'LET'C 2400 afnek Hxc 2400 c1nek firs WHIN n7*r1 su mil percent u I f 0940 015 :.. Y 0.0049I 2 0,01243 3 O.01243 4 0,01243 0,01243 t ' :01243 7 1157 0.25 y OY 01243.. ' O.O0199.:. v 0.00999 10 0,00999.. --WORMS 11 112 0,00999 2 ICI t3.00999 13 - 0,00999:. f4 0,00999 is 1202 0.25 tr OM999 r7 0.00976 19 .. 0.00976.. 20 : 1215 0.25 Y 0,00976.. 7.02 < 5 < 1 < 1 2i 0.0152 22... 0.0152 is 0,0152 26 0.0152 27 no 152 S za O.OI52 30 '. 1618 0.25 0.0152 31 O.U4265 3fnn#6d}`4vvrsOe Umit: OAS 30 720 33 D4ont6ty Averr.4e. 0,012028 0 0 0 DnOg Mnxtmuln: (t0152 7.02 0 0 0 Daily Pffnim.: 0.00491 7.02 0 0 0 **** No Reporting Reawn: ENFR€;tSE = No Flow-Reuse/Recycle; ENVWTHR - No Visitation - Adverse Weather; NOFLOW —No Flow; HOLIDAY = No Visitation - Holiday FP1FRM'T NO.: NC11086517 PERMITVERSION. 4.0 PERMIT STATUS: Active ILITI, MIT' - tj:ateway Village rentediation site CLASS: PC- I COUNTY: Mecklenburg ILITY NAME. 0 NER NAME: Gateway Village LLC ORC, Glenn Fredrick rnee VnIk, %,r,,n I A V IVI'DrAt. 705000 GRADE: PC-1 ORC HAS CHANGED. No eDMR PERIOD: 03-2018 (March 2018) VERSION: L0 STATUS: Processed COMPLIANCE STATUS. Compliant CONTACT PHONE #. 3369962841 SUBMISSION DATE- 04/16/2018 04/16/2018 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any infortnation shall be provided orally within 24 hours from the time the permince becarne aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit, �04/16/2018 nt tture:*** Hunter M Hicks E-Mail:hunter.hicks@ameefw.cont Phone #:704-357-5554 Date 3t Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 t this document and all attachments were prepared under my direction or supervision in accordance with a system designed .1roperly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the esponsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and contplete. I arn aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAML- Research & Analytical Laboratories, Inc, CERTIFIED LAB #. 34 PERSON(s) COLLECTING SAMPLES: Glenn Price, RAL PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://poi-tal,nedenr.org/web/wq/swp/ps/tipdes/fornis, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, * No Flow/Discharge Front 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 entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCA C 2B .0506(b)(2)(D) NPDES PERMIT NO.: NCO086517 FACILITY NAME: Gateway Village rernediatlon site OWNER NAME: Gateway Village LLC GRADE: P01 eDMR PERIOD- 02-2018 (February 2018) PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: PC -I 11= COUNTY: Mecklenburg ORC: Glenn Fredrick Price ORC CERT IUIT 0(1 CDENRDWR ORC HAS CHANGED: No VERSION: 1.0 E I STATUS: Processed R CTI , SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DWMARGIB)tfiNOL OFFICE p : 44 U v u t« G? = M R O o O * a, 50050 Weekly 410400 Manildp C0530 Monthly THP313 Monthly 77043 Monthly 78389 MOnthl' lnstantnnttous GrabGrin . C:ant_astkvn Grab Grnh FLOW pH TSS - Cone CERMCHV C-1,21)CE TETCLETE 2400 d.&. His 24000.& Hrs VIBIN 0gt1 sna nigh percent n 1 0.0062 2 1030 to Y 0,0062 3 0,0132 4 1 0.0132 5 0,0132 G ...' 0,0132 On 132 8 1012 0.35 i' 0.0132 9 10 ii (10159 0.0159 0.0159 12 0.0159 13 0:0159 14 is 0910 0,25 Y 0.0159 0,0105 6.73 5 1 < I is 0,0105 17 0,0105 18 0,0105 9 0.0115 20 0.0Iit5 2 1150 0.25 Y 0:0105 22 0.0049 23 0,0041) 24 0.0049 25 0:0049 26 OY 0049 29 0.0049.. 24 M-thly,A,—ge Lh.h: 0.0049 0AS 30 720 31 M-thly,X,—gee Ha ty M.xh—u: OnI0529 0,0159 6.73 0 0 0 0 0 0 WHY Ylnunt— 0.0049 6.73 0 1 0 1{) **** Net Reporting Reason: GNFRUSF — No Flow-Reuse/Recycle; ENVWTHR _ No Visitation -- Adverse Weather; NOFLOW = No blow, HOLIDAY = No Visitation --Holiday 7 PERMIT VERSION: 4.0 remediation site CLASS: PC-1 PERMIT STATUS: Active COUNTY. Mecklenburg OWNER NAME. Gateway Village LLC ORC: Gleral Fredrick Price ORC CERT NUMBER: 985800 GRADE. PA ORC HAS CHANGED: No eDMR PERIOD: 02-2018 (February 2018) VERSION: LO STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #. 3369962841 SUBMISSION DATE: 03/16/2018 03/16/2018 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gtilail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall reportto 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 pen-nittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. qnz� 03/16/2018 Perm ittee/Submi tier Signature:*** Hunter M Hicks E-Mail: It tinter. hicks(n) ,amccfw,com Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under nay 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 managed 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 arn aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portaLiicdeiir.org/web/wq/swp/ps/npdes/forms. FOOTNOTES 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 entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Pertnittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). b NPDES PERMIT NO.: NCO086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACT TV NAME: Gateway Village remediaticln site C1,ASS: PC-1 � COUNTY': Mecklenburg R� . $6WNER NAME. Gateway Village LLC ORC: Glenn Fredrick Price r ri� " bRC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No € ER eD R PERIOD. 12-2017 (December 2017) 'VERSION: I.0 "' STATUS: Processed FILE]"' E SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 50050 00400 C0530 1'11:1'31t 77093 78189 c W`ethly Monttity Monthly Mon hly Monthly MOnttdy Tnsturtlnnoons C;rah Crabcom xtslt+� Grab Grab z FLtitY 1,11 l;`*S-Cane 1.`Ett7NC,IIV G1121kt:E. TA7Y;I,.1':.TE 2400 «Wo k, 14. 2401) d-k Hn -`k/81N Ingd su mgil percciit . u 4I u *(I t 0.011883 0.011981 0.011333 11vCMVED1l k. NRIUM 4 0.011883 . s:.� t 149 0.25 Y 0,011883 o 0,013589 0o13589 �a . 8.... 0,013589 . ww 9 0.013389 to 0.0t 3589 tt :: 0013589 12 0,013589 13 0,013589 14 : 1220 0.25 Y 0.013589 6,81 < 5 < 1 < 1 3s 0.00812 it 0,00812 17 0A0812 18 10,00812 19 10945 0.25 Y OM812: a 000939 0,00939 x2 ' 0.00939 0400939 24 ": 0.01i939 z5 : 0,00939 26 0.00939 29 : 1048 0.25 y 0.00739 311 0.0143 31; 0.0143 ;NtunrLty A—gs Lmitt: Us 30 7Y0 3.5 Nyuud y Average. 0.01112-3 - 0 0 0 Way )44,hnum' 0,0143 fi.81 0 0 0 tlaiy 4iin ""' 0,00912 6.81 10 0 0 #*#* No Reporting Reason: FNFRUSE = No Flow-Reuse/Recycle; LNVWI'HR - No Visitation- Adverse Weather; NOFLOW No Flow; HOLIDAY = No Visitation - Holiday t NPDES PERMIT NO.: NCO 86517 PERMIT VERSION. 4.0 PERMIT STAT JS. Active FACIT ITY NAME: Gateway Village rennediation site CLASS. PC-1 COUNTY: Mecklenburg ;N'NER NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER:98580o GRADE: PC -I ORC HAS CHANGED. No eDNIR PERIOD. 12-2017 (December 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS. Compliant CONTA .`T �PHONIE #. 33C>9962841 SUBMISSION DATE. 01l191018 +r 01/19/2018 ORC/Certifier Signature: Glenn price E-Mail:ralfieldtech@ginaii.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The pertnittec 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 per itittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES pen -nit. 01/19/2018 Perini ttee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter•hicksCa;amecfw.com Phone #:704-357®5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date-, 06/30/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systemdesigned to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the: information, the mfonuation submitted is to the best of my knowledge and belief, true, accurate, and complete, I atn aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME. Research & Analytical Laboratories, Inc: CERTIFIED LAB# 34 PERSON(s) COLLECTING SAMPLES. Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http:/lportal.ncdenr.org/wcb/wq/swp/ps/npdes/forms. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NC:AC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the; signatory authority must be on file with the state per ISA N AC" 2B .0506(b)(2)(D). NPDES PERMIT NO.. NCO086517 PERMIT VERSION: 440 PERMIT STATUS. Active ` F FACILITY NIME: Gateway Village reanediation site CLASS. PC- COUNTY. Mecklenburg OWNER AME: Gateway Village LLC ORC. Glenn Fredrick Price M ORC CEWF NUMIIER.985800 GRADE. PC-1 ORC HAS CHANGED: cr eDMR PERIOD: (January 2018) 'VERSION: 1.0 ; vVR SECTION STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE°*. Nth «. a 50054 Ot1400 t'C?530 32103 32106 " THP30 77093 01042 01045 ' e " Weekly Mur7t#rl tvinnt111y Quarterly Quarterly unihiy Manthl Quarterly Quartet Inswntaneaus Grab Grab Grab Grata Coln.neite Grab drab Grab FLO N11, .. PH Y'49. Cou, I,2-DCE - CHIM )RM CER70cuv C-1,2acc CQPPCK IRON " 2400 dod:. Flex 2400 dock : 1Frs YAVN 1ngd s11 na;A ugA -.. ug,11 .percent t4;11 I 0,0143 2 1019 0.25 Y 0.014-1 3 0.0136. d 0,0136 s 0,0136 6:.. 0.0136 7 : 0,0136 8 U 136 a " 0M136 10 0,0136 1r 0,0136 12 1050 0,25 v 00136 13: 0.00843 " 14 0A 843 ; Is 1.110141 16 014 " 0.25 Y 0.00843". ". tv 0.0071-1 , 20 '. 0.00712 21 : Q.00712.:. " 22 GA0712 2a 0.00712 24 < 2.0071.. 25 " 1133 0.25 y 0.80712 6:58 <5.1. <:! <'1 <5 :KSt7 26 " ". 0.0062 21 :. 0.00623 31 0,00623 WathlyAwmge LWV 0,05 30 720 4Sanlhiy Aw.ge: 0.00967 0 0 0 0 0 0 paity llnximustes 0.0143 1r6:5l;. 10 0 0 0 0 0 0.0y Mluhnum 0.00623 6.55 0 0 0 0 0 0 **** No Reporting Reason. FN%RUSL No Flow-Reuse/Recycle; ENVWTHR = No Visitation — adverse Weather; NOFLOW = N0Flow; HOLIDAY = No Visitation -. Holiday NP ES PERMIT NO- NCO086517 PERMIT VERSION. 4.0 PERMIT STATUS: Active FACILITY NXME. Gateway Village remediation site CLASS: PC-1 COUNTY. Mecklenburg OWNE PN� MEt Gateway Village LLC GRC: Glenn Fredrick Price ORC CERT NUMBFR. 985800 GRADE: PC- t RC HAS CIIANGED: No eDMR PERIOD. 0 1 -2018 (January 2018) VERSION: 1.0 STATUS. Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: OOI NO DISCHARGE*: NO (Continue) �.. 01091 01055 00556 TGP39 7898,9 78391 41092 S u a - Quaricrl} Quarterly �ule hicnlhly 21 ari:rly Qu !ier Grab {grab Grab Crab :. : Grab Grab Grab. a 95 43 [= C tPj LEAD IDANGNESE 0111GRSE CERI70ef 1E"1CLETE TURDETE ZINC" 1 2400 clack Drs 2404 doel, Hrs S: &N a xll s A nigtl aSS?ra l u k U0 ugll :. 2 1019 0.25 Y 3 a S 6 7 8 4 10 -� 11 �' la - 13 la 15 16 19 l8 f' 19 1050 1014 :0.25 0.23 k' Y 20 21 12 23 as 1 p as 1133 o.2s v <s < s <s e1 s <10 as 27 a8 xv 3U :: 31 Mo0lhlylverage Limit: 3.3 NW,414p Average: 0 0 0 0 0 0 Daffy Maxima- 0 0 0 0 0 0 Dolly Minhvum: 0 0 0 0 0 0 tsNV WI'HR = No Visitation — Adverse ataiher: NOFLOW = No Plow, HOLIDAY w No Visitation _. Holiday NPDES PERMIT NO.: NCO086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Gateway Village rernediation site CLASS: PC- I COUNTY: Mecklenburg OWNEI NAME- Gateway Village LLC ORC. Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 0 1 -2018 (January 2018) VERSION: I .O STATUS: Processed COMPLIANCE STATUS. Compliant CONTACT PHONE .3309962841 SUBMISSION DATE: 02/2012018 02/20/2018 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech(r�ginail.coin Phone 4:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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 permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pentrittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 02/20/2018 .rmittce/Submitter Signature:*** Hunter M Hicks E-Mail hunter.hi 114 V-1P 0. +6S A rmittee Address, 800 W Trade St Ste 100 Charlotte NC 28202 Pen -nit Expiration Date: m06/301' ertify, under penalty of law, that this document and all attachments were prepared under my dire assure that qualified personnel property gather and evaluate the information submitted. Based or item, or those persons directly responsible for gathering the information, the information submit ;-,uratc, and complete. I am aware that there are significant penalties for submitting false informa gom mecfwPhone #,.704-357-5554 Date Ck jVvc-, - CA" 020 ction or supervision in accordance with a systern designed my inquiry of the person or persons who managed the led is, to the best of my knowledge and belief, true, tion, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB#: 34 PE RSON(s) COLLECTING SAMPLES: Glenn Price, RAL PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://Portal.nedcnr.org/web/Nvq/swp/ps/tipdes/forins. FOOTNOTES nits of measurement designated in the reporting facility's NPDES pen -nit for reporting data. '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 monitoring period. i Site?: ORC must visit facility and docurnent visitation of facility as required per 15A NCAC 8G .0204. are of Permittee: If signed by other than the perinittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B 1(1)). NPDES4'"ERMIT NO.: NCO057401 PERMIT VERSION: 4.0 PERMIT STATUS. Active F'AC4101,1ITY NAMF. The Hideaways WWFP CLASS: WW-1 COUN"FY. Iv ecklenbur tWNER NAME. Go Go Properties LLC ORC, Dustin Kyle Metr W ORCC:ERT NIIMIIERc DE. WW-4. ORC IIAS CHAINGE 5 t h.. eDMR PERIOD: 12-2017 (December 2017) VERSION: 1.0 ; , STATUS. Processed 5�# 8 SAMPLINGLOCATION: �.x1 EFFLUENT e.:001 ODI h'E"" OFFICE � '"e11 ("*to 08400 _. W ) :. C0310 C0610 Coma 31416 a Wekly Wezkly '� e month2 . NCCIW 2 }k' pMU11Li1 R±Ianthl 2 it month A.:mount G Insumumeous ('mob Grab tmm Grab Ckab Grain Gmb c° FLOW 't`FI.M 4- 1 FI$ GHLORINF Bob -Cone NO3-N-Cone 'p`S."�_Cone FCOLI Ink 14111 slink ff. 24(A) ditk Rrs 1"WN _mad deg s su u 9 t1 iii 1.... rag'1 m i Al l oml 1 0930 OAS Y NOFLOW 1400 025.. Y :NOFLOW. 3 1130 0,1.5 Y NOFLOW fi n 1020 015 Y NOFLOW 7. 1549 0,15 'Y NOFLOW v 11 1040 015 .. Y. NOFLOW. 12 13 1020 015 Y NOFLOW 14 I5 0942 ot5 Y NOFLOW: 16 ikI 1000 fols Y NOFLOW 19 20 LA Q15 Y NOFLOW 21 22 0855 E}.IS Y NOFLOW 23 24 35 HOLIDAY 26 HOLIDAY 27 1000 015 Y NOFLOW 2& 0855 0.15 Y NOFLOW 30 31 MDaddy Arotoge 0.111 14iMxlk}nW: * ** No Reporting Reason: I NFRUSE - No Flow-Reuse/Recycle; ENV W r R No Visitation - Adverse Weather, NOFLOW =- No Flaw, I10LIDAY - No Visitation Holiday NPOES PERMIT" NO.; NCO057401 . 1'V RNIIT' S k`1ts ION ,0 PtAMIT" "TATTtS; Active loor a 'CLASS: COUNTY: stec lairahurg FACILITY�.�: `ihe It ic3w�sa rs Li `E"t a��Lb`� i OWNER MANE. Go Go tics riics t i.Cw ORCtyca tier t: l fvtctre 'eta+r ORCC C"ERT NCPMBER; 11697 GRADF. W -4. ORC: 11.• S (4f ( 9(4 W No ei3 MR PERIM 12-2017 (Decenitter 2017) '4°1S12S1ONa t Ct STATUS: Processed ,(C0.N1PIAANCESTA4TIJS.Cwn tf"tCtHONK8657M4tRNMi'SIO DDT : ti24120101/24/2018 to re. nature.ancr 'I�a2i7#I1laatcl kttCrJ Date By this 'signature, 1 certify that this report is accurate and complete it) flic heal of ats} knowledge, The pertnittee shall report to the Director or the appropriate Regional Oft ice any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the tirtre the permince became aware ofthe circumstances, A written submission shalt also be provided within 5 days of the time the pets ittee becomes aa*,wre € f the circ tonetances. 1f the facility is noncompliant, please attach a list of corrective actions (acing taken and as time -table for improvements to be made as required by part ILE6 of the NPDES permit. Cf 1 /24/201 Perrot cc u' titter Si nature:*** Rae l ac l G Kramer l".-Nlaail: aichaae o ka in ".corn Phone #i:828-657-1810 Date Perim e d ss: 16104 York Rd Charlotte NC" 28278 Pernsit lsapirtation Date: 6/30/2020 1 certify, tinder pemt4 of law, that this document and all attachments eats were p cJtarared trader nay direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the: int'ormaation suhniitte 1. thiscd on my inquiry € fthe person or persons who managed the system, or those persons directly responsible; for gathering (lie inlormaation, the itiforataa ion submitted is. to the bast cif in)knowledge and belief; true, accurate, and complete. Lana aware that these are signifia.<ant peuatltics 1i" Submitting f t x fidi nati€an, including the possibility offines nes and imprisonment for knowing violations, ; C F"RT Il`ll'D 1.,r1BORMORll?S LAB PvirCMF* Watertech Labs, KACE Environmental. trac.. CERTIFIED LABM 05424 - PERSONtsj COLLECTING ECCT ING SAMP1. FS. t}ustsra �9etrct sari l'f'1RANI1 f`UR G'tlllls Parameter C ode assistance may be obtained by calling the Nlrl)LS l frtit (91cl) 07-6300 or by visiting http://pA)rtatl.ncdetir.t)rg/web/ q/s Ap/p /npdes/forms, l C><t'1N a'I LS Use only units of measurement designated in the reporting f acihtg's aPI)VS permit teas -reporting; data. * No FlowlDischarge From Site: Check this beat€ if no discharge occurs ;and, as it rerun. there are no data to be entered for all of the parameters can the 1J1u112 for entire monitoring period. ** O C2 on Site'?:O C, must visit facility and document visitation (if facility as reWtircd per 15A NC AC: 86 .0204, *** Signature of Pennittee: if signed by either that the p rm tire. dwil delegaatimi oNhe signatory authority must he on file with the state: per I5A NC ACC 2l M06(b)(2)(D)" NPDES PERMIT NO.. NCO057401 PERMIT VERSION. 4.0 FAAITY NAME; The Hideaways WWTP CLASS. WW-I ,OWNER NAME. Go Go Properties Ll;C ORC: Bustin Kyle Metreyeon GRADE. WW-4, ORC HAS CHANGED. No eDMR PERIOD. 12-2017 (December2017) VERSION. 1.0 Report Comments: "Phis plant is operating on a pump and haul basis until future notice. PERMIT STATUS. Active COUNTY. Mecklenburg ORC CIRT NUMBER. 11697 STATUS. Processed T NO.: NCO086517 PERMIT VERSION« 4.0 PERMITSTATUS: Active VIE. Gateway Village remediation site CLASS: PC-1 � fi� OUNTY. Mecklenburg K: Gateway Village-1--LC ORC. Glenn Fredrick Price ORC CERT NUMBER: 985800 ORC HAS CHANGED. No t, 11-2017 (Noveanber 2017) VERSION: 1.0 '91i, , ;' ) ION STATUS. Processed fl"FOMKATION PROCESSING UNIT 'A. PLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE M ORESVU IRE,GIe,)?+AL.OFFICE 1 4 E 2400 a.d, o Hre ' a 2400 d.d—, : 1015 H. 015 ' IVIN Y t stlrr5aa Weokly;. la:ttantzanetus FLOW nt tl � 0.003t,9I 0.003614 0.003614 ot3aara Murtthly. Omb p!i su t1153p lw9xxat6iy.. Grab `[`u'S-C+ene mg/ y 1 TtlFxtt Ntuntttty t`onx ns to CEt271)C11V gterce.ut 7T1193 ultth(p C3rab C-i,26C.E r ag, t 7Niti9 Montlliy Grab 4 ;. 0.005743 5 1 0M5743 6 0,005743 7 0.011574.1 8 ': _ 0.005743 9 OM5743 to i)74b 0 25 Y 0,005743 It 0M8625 14 : 1305 : 0,25 Y 0,00862.5 6.83 < 5 < 2 < 1 15 0.013329 16 '. 0.013329 17 : 0.013.329 18 ' 0,013329 19 O.O19329 24 (.013329 21 1030 U5 Y 0.013329 23 :. 0,014763. ) 014763 26 - O.O14763 27 0,014763 29 040 0.25 Y 0 014711 0.010186 13unt7xt}'riYerst�e U.W 9,as 30 720 33 Mtintlrly heerue. 0.010238. 0 1 10 0 IAaity Ataxdxnum: 0.014703 6,83 0 0 0 Ttaity Ytinirnurit: 0.003614 16,83 0 10 o **** No Reporting Reason: ENFRUSE = No Flow-Reuseff(ecyale; lwNV W'I'HR = No Visitation -- Adverse Weather; NOFLO W = No Flow; HOLIDAY = No Visitation Holiday NPDES P ZRMIT NO.: NCO086517 PERMIT VERSION:4.0 PERMIT STATUS: Active FA AIJTY NAME: Gateway Village remediation site CLASS: PC -I COUNTY: iylecklenburg OWNER NAME, Gateway Village LLC ORC: Glenn .Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED. No eDMR PERIOD: 11-2017 (November"2017) VERSION- I STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PRONE #: 3369962841 SUBMISSION DATE: 12/18/ 017 1 /15/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com nail.corn Phone ##:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of any knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliancethat potentially threatens public health or the environment, Any information shall be provided orally within 24 hours from the time the per ittee 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, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by pant II.E.6 of the NPDES permit. 12/ 18/2017 Permittee/Subtmitter Signature:*** Hunter M Hicks E-Mail:tttcnter.hicksaamecfw.com Phone ##:704-557-5554 Date Pennittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 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 [managed the system, or those persons directly responsible for gathering the information, the information submitted is to the best of my knowledge and belief, trite, accurate, and complete. I am aware that their are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB [NAME.: Research & Analytical Laboratories, Inc. CERTIFIED LAB #:`34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (91.9) 807-6300 or by visiting http://portal.nedenr.orglueblwglswp/ps/npde /forms. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 86 M04. *** Signature of Pent ittee: If signed by other than the permitter, then delegation of the signatory authority must be on file with the state per 1 A NCAC 2B .0506(b)(2)(D). No** NC0086517 PERMIT VERSION. 4.0 PERMIT STATUS: Active NAME: Gateway Village rernediation site GLASS: PC -I COUNTY Mecklenburg VG.RAADE:PC-1 Iv4E:° Gateway Village LLC ORC: Glenn Fredrick Price RECEIVEURC CERT' NCSMIIER: 8S80t? {SRC HAS CHANGED: No t.i FItif eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 I : STATUS: Processed 0 a' SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 N4 DISCHARGE*: NO * 50050 00400 C0530 321013 32106. THP39 'T14rik3 .. 01042 #H04S a u r a E~ i Weekly : Monthly Monthly Quarterly (tuarterly Monthly Monthly Quarterly Quarte.ri t Instantaneous Grab Grab Grab Grab 2Ln� Crrah Grab Emit U [= 0 O O 7: FLOW pH: TSs-Cane I,2-DCE CHLRFORM, CE.R70CHV C-1,2DCE COPPER 11RON 2400 elaek Hrs 2400 clack Hrs YIIIJN nlgt( su nt8f1 ug/l ug/1.. percent u Tg4 u I ul*%( 1 0.0082 2 0945.. 0.25 y 0A082.. 3 00121 4 0.0121 5 O.O121 6 0.0121 :. 7 1 0.0121.:.. 9 0el21. 9 0.0121 10 :1.110 0.25 Y. 0A121:.. 68 <5 <1 r... <I <-1 -<25 11 0,0059 12 :. 0,0059:.... 13 0.0059 14 0.0059 1s: 0.0059 " 17 '. 0.0059 18 "a' 0.25 1: 0,0059 19 : 0,0022 .. 20 0.0022 21 0,0022 22 0.0022 23 0 0022 24 0.0022 28 0,0022.. . 26 : 0.0022 27 1 0750 025 Y- 0.0022 28 0.0036 29 0.0036 30 0.0036 31 0.0030 Monthly Average :L6n1t: 0.05 30 720 Monthly Average: 0,006277 0 0 0 10 0 0 Daily M.A.-: O.012I 6.8 0 0 tl O 0 0 Daily mi.ftnmu: 0.0022 6.8 0 10 O O 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle, ENVW'THR = No Visitation - Adverse Weather; NOFLOW - No Flow, HOLIDAY = No Visitation - Holiday NO.: NC0086517 PERMIT VERSION. 4.0 PERMIT STATUS: Active NAME" Gateway Village rentecliaeiou site CLASS: PC -I COUNTY: Mecklenburg Pf"DA"Ll R NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 :PG-1 t?RC HAS CHANGElls No eDMR PERIOD: 10-2017 (October 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGES`. NO (Continue) Q » b Ci a. 01.051 01455 00556 TGP3S 78389 78391 01092 Quarterly Grab Quarterly Grab Quarterly Grab Quarterly Grab Montlil}t Grab t,?uarEerly mb tjaa�terly Grab LEAD NIANGNESE OIL-GUSE CER17DPF TETCLETE TCLROETE ZINC . 2400 cluck Hrs 2400 clock Hre WBIN ugll ug" ntg11 ast,�fail u 11 ugll a i7 1 2 0945 ', 0,25 Y 3 4 5 6 7 8 9 i 10 1110 '.0,25 x <5 <5 <s. P- < I <1 207. 11 1x 13 14 1s 16 17 18 : 1000 - 015 Y 19 zo x1 22 23 24 26 '. 27 `- 0750 0.25 Y.. 28 29 30 .:.. 31 Monthly Average Limit: 3.3 41nntOty Ave age: 0 0 0 0 0 207 Daily m—l.mn: 0 a 0 0 0 207 Daily haftamn: 0 0 0 0 0 207 **** No Reporting Reasom ENFRUSE = No Flow-Reuse/Recycle; ENVWI'HR — No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday r ILME: Gateway Village rear IE,,: Gatc&ay Village LLC PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHO E #: 3369962841 SUBMISSION BATE: 11/20/2017 11/15/2017 ORC/Certifier Signature Glenn Price E-Ma l:ralfieldtech@gmail.corn Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge; 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 permittee became aware of the circurnstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II..6 of the NPDES'pertnit: 11/20/2017 Permittee/Subm tier Signature:*** Hunter M Flicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Pennit'Expiration Date: 06/30/2020 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 managed 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. CERTIFIED LABORATORIES' LAB NAME: Research & Analytical Laboratories; Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.nodenr,org/web/wq/swp/ps/npdes/forms; FOOTNOTES 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 entire monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D)• PERMIT VERSION: 4.0 ion site CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: I.0 1 NO.: NCO086517 PER ION: 4.0 PERMIT STATUS. Active . Gateway Village rentediation site CLASS. PC-1 CO TV:: ccklenburg _. Gateway Village LLC C1RC. Glenn Frexi 'ck. V F ORC CERT NU ER. 985800 GRADE- PC-1 � i7RC S C GEDs�tiI V 0 4, 2017 eD R PERIOD: 09-2017 (September 2017) VERSION: 1.0 STATUS. Process ed ,,. 1Wi" c,.-, r �w $N SAMPLING LOCATION EFFLUENT DISC E�� NO.: to it tl► I7�� G� IQ ;. + 50050 00400 C10530 TIMIS 77033 7@384 Wcekl xLtantirl monthlyMankhl Riantiil A,Sernthl ICS3talitaYtUS C'xeab : Ca site Grab 4 :c FLOW PH TSS-Coat CExtWITV c.1,2nrs TBTCLETE 2400 dmk an 12400 dwk on Y N mgd su rcent. : u 494 # 0.04271 2 0.04271 3 0,04271 4 0.04271 S 0,04271. 6 1015 0.25 Y 0.04271. 7 0.02069 0 0,02069 9 0.02069 e0 0,02069 to 0,02069 x2 0.02069 140 0.25 Y 1,02069 .. d4 0.02326 is 0,02326 x5 ,02326 i7 122325 0,02326 x* 1600 0,25 Y 0,02326 6.77 <5 < 1 < 1 2x 0.0162R ,01621 0,01628 25 0.01628 26 0,01628 27 0.01628 1040 a25 Y -01628 " 25 0,01023 "Ody AvwW 1kaW 0.05 30 726 3.3 MOMWY Awwl 0,023588 a 0 0 MaaC" 0.04271 6.77 0 0 0 ]EI %sail5Min9atacree 0.01023 6.7i 0 0 : 0 **** No Reporting Reason: ENFRUSF m o Flow-Reuse/Recycle, ENVWTHR No Visitation - Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday r il.: NCO086517 PE IT VE THIN: 4.0 PE STATUS: Active C: Gateway Villa e rexst `anon site CIAS : PC-1 C U : Mecklenburg O ateway Village LLC ORC: Glenn Fredrick PriceORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 09-2017 (September 2017) ION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE ##: 3369962841 SUBMISSION DATE: 10/18/2017 ,,mow ' 10/17/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com Phone ##:336 962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The per ittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. y information shall be provided orally within 24 hours from the time the permittee became aware of the circumstance& A written submission shall also be provided within 5 clays of the time the pennittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 o the NP)ES permit. 10/18/2017 Permittee/Suhmitter Signature:*** Bunter M hicks-il:hunter.hicks{amecfw.com Phone :704-357-5554 mate Permittee Address: 800 Vie Trade St Ste 100 Charlotte NC 2 202 Permit Expiration bate: 06/30/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision 'sion in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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. CERTIFIED LABORATORIES LAB NAME: Research 8c Analytical Laboratories, Inc. CERTIFIED LAB ##: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES knit (919) 807-6 00 or by visiting http://portal,ncdenr.org/web/Wq/Swp/Ps/npdes/f`onns. ; FOOTNOTES 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 d, as a result, there are no data to be entered for all of the pararneters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204, *** Signature of Permittee: If signed by other than the perinittee, then delegation of the signatory authority must be on file with the state per 15A NCC 2B .0506(b)(2)(D). OGRADE: R1 NO.- N O086517 PERMIT VERSION: 4.0 PERMIT' STATUS: Active ILITY NAME: Gateway Village remediation site CLASS: PC-1 IJ iTY: Mecklenburg OWNER ME Gateway Village LLC ORC: Glenn Fredrick Price FOR CERT NUMBER: 985800 PC-1 ORC HAS CHANGED: No � %dt, t. V 9' !N D RA,) R eD PERIOD: 08-2017 (Au t 2017) VERSION: 1.0 u"... TU : Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: i ,,.t Sol" 00400 C0530 THF38 77093 79399 a E q :" Waid'x1 Monthly Ma d 1, Monthly M�sntixl Manrhi u ca instaneasca4vs trm6 Crab Cam si#e limb drab g 'fS5-Coot FLOW: pH CEFt7bCklV C-2,.'H10E 2440 dark ffn 2400daek H» YAWN ##f d su m excen# i# n 1 0,0466 2 0.0466 3 0.0466 4 0.0466 b 0.0466 d 0.0466 7 0A466 g 1130 0,25 : Y 0,0466 6.58 <5 10 0,0184 12 0184 13 0,0184 16 0.0184: 17 1120 0.25 Y 0,0194 19 1,0169 19 2.0169 29 0.0169 21 O,0169 22 0.0169 1208 0,25 Y 0,0169 24 1,0077 0,0077 26 0.0077. z7 a0077 28 20077 29 1110 0.25 Y (t0077. 31 0,048' M-thly A—ge Limit, 0.05 30 720 3 S Monthly Average: 0,025226 0 - 0 : 0 Wity Aruba m: 0,048 6.58 0 0 0,0077 b.SB 0 0 EE *•*« No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; EINVWTHR = No Visitation — Adverse Weather; NOFLOW No Flow; HOLIDAY = No Visitation — Holiday rU .:1VC4086517: PERMIT VERSION: 4.0 PERMIT STATUS: Active H ITY NAME: Gateway pillage remediation site CLASS: PC I COUNTY. Mecklenburg OWNER NAME. <Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER. 985800 GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 08-2017 (August 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 3369962841 SUBMISSION DATE: 09/13/2017 C 09/13/2017 ORC/Certifier Signature: Glenn Price-Mail:ralfieldtech(a gmail.com Phone #/:3369962841 Date By this signature„ I certify that this report is accurate and complete to the hest of my knowledge. 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 permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 09/13/2017 Permittee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter,hicks@amecfw.com Phone #:704-357-5554 Date P rmittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 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 managed 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. CERTIFIED LABORATORIES LAB NAME. Research & Analytical Laboratories, Inc. CERTIFIED LAIC #: 34 PERSON(s) COLLECTING SAMPLES. Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr,org/web/wq/swp/Ps/npdes/forms. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I SA NCAC 8G .0204. *** Signature ofermittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D)• T NO.: NCO086517 jorACILITY PERMIT VERSION: 4.0 RECEIVED PERMIT STATUS: Active N :Gateway Villa s rernedlaiion site CLASS: PC-1 COUNTY: IvMecklenburg E P 1 : Gateway Village LLC ORC: Glenn Fredrick Price ORC C RT NUMBER: 85800 G DE: PC-1 ORC HAS CHANGED: No CENTRAL FILES eDMR PERIOD:07-2017 (July 2017) VERSION. 1,0 DWR SECTIONSTATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N4 SM50 C0530 32103 32106 THP39 "a" 01042 Dims �. s aakl ataOd Monthly Quarterly esi Monthly Monthl ! —ed v o Cnstantaneous Grab tHub Grab Grab Com aite drab (-b Grab n a iJ N+ 4 A Kow pH T88-Cone 1.2•ocE CHIAPORM CEIVOCHV C•1,2nC:E COPPER IRON UN elock 11" d"k fin VIWN tend an AA- 1 rce ! UNA 19Au 4 1 0.0393 2 0,0393 3 00393 4 0.0393 5 0,0393 6 0704 0.25 Y 0,0393 7 0,0272 a 0.0272 3 0,'0272 16 2105 015 Y 0,0272 11 0.0376 i2 0,0376 14 0.0376 Is 0,0376 is 0,0376 17 0933 0.2-1 Y 0.0376 18 0.0443 +1-94 (Y, : 3 0,0443 21 _ 0.0443 22 0.0443. 23 10,0443 24 �L0441 2$ 1008 0:25 Y 0,0443 6,69 < 5 < 1 9 <:1 < 5 32 26 0.0382 27 0.0:i82 25 0,0382 2s 0,0382 ae 0.0382 31 1153 0,25.:. Y 0.0382 Monthly AorW lkaft," 0,06 30 720 MraAW Axeraae: 0.039432 0 0 4... 0 0 32 n M — 0.0443 6.69 0 0 9 0 0 32. natty oar: 0A272 6.69 0 4»** No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation _ Adverse Weather„ Nt7FLOW =- No Flow, HOLMAY = $ 1c3 y ,g€e$ 4+1aaL0Rtt(t } r t CE "Fy-1 -�,., .�.. .. .'f 1PE NO.. NCO086517 rACH PF IT VERSION: 4.0 PE IT STATUS: Active `I'Y N Gateway Village rcmediation site CLASS: PC-1 COUNTY: Mecklenburg U "]R N Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 G D : PC -I ORC HAS CHANGED: No eDMR PERIOD: 07-2017 (July 2017)VERSION: I.0 STATUS: Processed SAMPLING LOCATION EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N (Continue) a 91.451 01055 90566 TGP38 793 78391 0109.1 Quarterly QUa "o Qt15tLCTI QIFa(fCTI tl9tilE S rE a° $. Grab Grab Crab Utah Grab Grab Grab F O LEAD MAI3GNESE 01"RSE CERTIOPP 'rETGLETE : TCLR.QETE ZINC «icrk Rrs clock era VAWu' u xtl. Srra( U u U i 1 E 3 4 5 14 15 t6 17 0935 :.: 0.25 Y 18 19 39 21 Z2 23 +.0-,8 zs 0,25 Y <5 <5 <5= PASS ! <d <10 as Z9 39 31 1153 0.25 . Y . . M6neelyA EiaWt9: ... s.s Mautbly Am 0.. 0 0 0. 0 0 Doily mha. 10S. {j Q Q 0. ci 10 *•** No Reporting Reason. ENF'RUSE = No Flow-Reuse/Recycle; F. THR = No Visitation — Adverse Weather, NOFLOW — o Flow: HOLIDAY = No Visitation — Holiday F, FPE T NO.: NCO086517 PERMIT RSION: 4.0 PERMIT STATUS: Active TY N ": Gateway Village remediation site CLASS: PC -I COUNTY: Mecklenburg NA i Gateway Village LLC ORC: Gl Fredrick Price ORC CERT ER: 985800 : PC-1 ORC HAS CHANCED: No eDMR PERIOD: 07-2017 (July 2017)VERSION.- L0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 3369962841 SUBMISSION DATE: 08/16/2017 08/16/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com Phone #:3369962841 Bate By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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 permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit.' 08/16/2017 PermitteelSubmitier Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357.5554 Date Permittee ,Address; 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 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 can my inquiry of the person, or persons who managed 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 infournation, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Research and Analytical Laboratories CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal,ncdenr.org/web/Wq/swp/ps/npdes/fonns. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G ,0204, *** Signature of Perrnittee: If signed by other than the Permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 0 GRADE: PC -I PERMIT VERSION. 4.0 RECE E_ T STATUS: Active site CLASS: PC-1 JUL 3 1 ZW COUNTY. Mecklenburg ORC Glenn Fredrick Price ORC CERT NUMBRIMAMUMCDENRIDWR ORC HAS CHANGED: Nii GENTRAL FILES DWR SECTION VERSION: 1.0 STATUS Processed DISCHARGE NO.: 001 NO WQRO I _ ' IL OFFICE: som 00400 COW THMR 77093 79389 a a e. `� Mnnthi MnnOily Montiit. M2 tiel... �, Weekly_ Monthly Grab Cnm nsite Grab 2E±— G`I A Instantaneous Grab I IQ ,'.�,. FLOW PH US -Cone CER71wmv C-1,2DCP TETCLETE 1240 dock 19. 2400 dock R. WON d su ptl 17CHCCnt U 1 i. 0,0227 2 0.0227 0.0227 + 1 0.0227 0.0227 0,0227 a 0.0227 1010. 0,25 Y 0.0227 9 0.0414 to 0,0414 tl 0.0414 12 0.0414 13 0,0414 14 1055 025 Y 0,0414 is 0.0423 16 0.0423 17 0,0423 i0 0,0423 19 On423 20 1200 1015Y4 0,0423 6.78 < 5 < 1 < 1 21 0.0467. 12 0.0467 23 0.0467 24 0.0467 35 0.0467 26 1010 0.25 Y 0.047 2T 0.047 28 0.047 29 2047. 30 0,047 Monthly Average LiwW 0.05 300 720 3.3 Monthly Averegc 0.03841 0 0 0 D*W Maxhn.w. 0.047 6.78 0 0 A y Mtoi unm: a.o2s7 6.7g o 0 0 **** No Reporting Reason: ENFRUSE = No Flow-Rcuse/Recycle; ENVWTHR = No Visitation — Adverse Weather, NOFLOW = No Flow; HOLIDAY = No Visitation Holiday GRADE: PC-1 eDMR PERIOD: 06-2017 (June 2017) COMPLIANCESTATUS: Compliant PERMIT VERSION: 4.0 CLASS. PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: L0 CONTACT PHONE #: 3369962841 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SUBMISSION DATE: 07/12/2017 OR Signature: Glenn Price E-Mail:ralfieldtech@gmail.cotn Phone #:3369962841 By this signature, I certify that this report is accurate and complete to the best of my knowledge. M 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 permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part H.E.6 of the NPDES permit, 07/12/2017 Permittec/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Pennittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 PermitExpiration Date: 06/30/2020 1 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 property gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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. CERTIFIED LABORATORIES LAB NAME- Research & Analytical Laboratories, Inc, CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/Wq/swp/ps/npdcs/forms. FOOTNOTES Use only its of measurement designated in the reporting facility's PDES permit for reporting data. * No Flow/Discharge Pram 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 entire monitoring period. ORC on Site?: OR must visit facility and document visitation of facility as required per 15A NCAC 8G "0204, *** Signature of Permittee: If signed by other than the peonittec, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 13 T NO.: NCO086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active E: Gateway Village remediation site CLASS- PC-1 ECEIVED "OUNTY. Mecklenburg OWNER NAME: Gateway Village LLC ORC, Glenn Fredrick Prip ORC CURT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No JUN 2 7 2017 eDMR PERIOD: 05-2017 (May LT ZI 'VERSION. 1.0 STATUS: Processed CENTRAL FILES DWR SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO fi $054 0440 Mots TURIB 77093 78389 mo a-mt—hly a a Instantaneous -- Grab Grab Gom nsite Grate Grab FLOW pti coftc TETCUTE ItO�,k 11" 1440clack Tore Y#EiN land so S-4 1U151 L 1050 0.25 y 0.0181 0,0191 04181 9 0,0181 9 to Itoo 0,25 y 0,0181 6.62 tt 0,0382 to 0,03" U382 14 0,0382 0 0 ,E 3'2 10.0392 0.0392 1020 0,25 y 20392 003 0,0 041 0,0041 su 0.0041 10,0041 12 10.0041 0.0041- 0,0041 25 — —1,0041 L 1020 0,23 y WHI41 27 0,0244 28 0,0244 U244 LO-28 y 0.0244 at 0.0227 Nbathly Average UmW no$ 30 110 Mand0y, Averast: 0,019342 0 0 DAY W.1.4- OM82 6,62 0 10 0 0saystodanou. 'JU041 j&62 h0 0 No Reporting Reason: ENFRUSE == No Flow-Rcuse/Recycle; ENVW"rflR = No Visitation Adverse Weather; NOFLOW No Flow; HOLIDAY No Visitation - Roliday RECEIVED/NCDFNR/DWR WOROS MOORESVILLE PFGIONA[ OFFICE ES PT NO.: NCOO865 t7 PERMIT VERSION.- 4.0 PERMIT STATUS: Active ILITFACME. Gateway Village remediation site CLASS: PC-1 COUNTY- Mecklenburg OWNER N: Gatewa Village Li C ORC: Glenn Fredrick Price ORC CERTNUMBER: 985800 GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD. 05-20I 7 (May 2017) VERSION: I.0 STATUS Processed COMPLIANCE STATICS: Compliant CONTACT PHONE : 9197323621 SU13MISSION DATE: 06113/2017 06/13/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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 providedorally within 24 hours from the time the permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 06113/2017 Permittee/Submitter Signature.*** Bunter M Hicks E-Mai :hu ter.hicks@amecfw.com Phone #:70 -357- 554 Hate` Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 1 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 quali0ed personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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. CERTIFIED LABORATORIES LAB NAME: Research At Analytical Laboratories, Inc. CERTIFIER LAB ff:34 PERSON(s) COLLECTING SAMPLES, Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 07-6300 or by visiting http:/Iportal ned nr.org/weblwq/s /ps/npdeslforms. FOOTNOTES 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 entire monitoring period. ** ORC on Site? {SRC must visit facility and document visitation of facility as required per 1 SA NCAC 8G .0204. *** Signature ofPetrnittee. If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(13)(2)(D) NO.: N O08 517 PERAHT ION: 4.0 � P T" STATUS: Active Gateway Village rc cdiation site CLASS: PC-1 ��m V � � : Mecklenburg OVVNER NA Gateway Village LLC ORC: Glenn Fredrick PriceM AY 3 1 0 1PRc CART $ GRADE. PC-1 ORC HAS CHANGED. No ; i' AL, I eDMR PERIOD: 2017 (A ri12017) ION: 10 DWIR t; , 1 AiATUS: Processed t`I+`9�tal�i SAMPLING LOCATION: EFFLUENT DISCHARGE .: 001 NO Dt'��� sow Mo C0630 32103 31146 T"30 77850 41642 . 41045 �' � �' - tCl€I rVlilfti}At Moathl ] 1 MCiAPht A3onihl Crt rt Insta Ameous Grab Grata Crab Gmb {:u itc t3tab Grab FLOW PH T55> Cn®r 1,2-o" CHLRF G1,20CB C0 R IRON Hre Nr4 Y d su t 0,009463 2 0.009463 3 0,009463 4 1040 0.50 Y 0.005463 6.88 c5 <I <:I <1 <5 1<25 5 0.013383 s 0.013393 7 0,013383 0.013383 # 0.013383 sa 1210 0.25 Y 0,013393 ct 0.00485 k2 0.00485 23 0.00485 is 0.00485 t5 0.00485 16 0.00495 47 O. 85 i8 t34o 0.25 Y 0,00485 49 0.014362 :0143412 21 0,014362 0,014362 0.014362 24 0,014362 25 0.014362 28 1115 0.25. Y 0,014362 27 0.015067 2a O.OI5067 " ,015067 30 0.015067 MoM Sty Avmp LhWt: ,. 30 720 mmuldir Ave " 0.01107 0 0 0 0 0 0 0.015067 6.1s 10 0 a 0 0 Mloimam: 11.0048s 6.a o 0 10 0 0 n ***" No RePorting Rmon; FNFRUSF = No Flow-RcusetRecycie; FNVWTHR= No Visitation - Adverse Weather; NOFLOW = No Flow; iTOMAY - No Visitation - Holiday s P T FACIL N FPE LITY NAZI NO.: N O086517- PERMITVERSION: 4,0 PERMIT STATUS: Active 1E: Gateway Village remedtaton site ' CLASS. PC -] COUNTY: Iviecklenhur OWNER NAME. Gateway Village LLC ORC. Glenn Fredrick Price ORC CERT NUMBER. 985800 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 04-2017 Apri1(!1 ?} VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.'. 001 NO DISCHARGE*: NO (Continue) 9tMMSt 01955 9955b I rcr^an raeao a9ast 9Y993 era i w erl jonlhly er1 erl a Crab Grab Coat, E Grub : Grab Crab Grab cI u s c is t<Nmaa nuxx.:vrSE oc>ast: "Mraar TETCLETE resaxoi<wr>. zrtvc de¢k An .1"k on VIEW � UMIAfaktUSAu a 4 tO4O 0.50 Y <5 <5 <5 PASS <E1 e10 5 b 7 9 ' 19 1210 0.25 Y ;.: 14 tb :. to 134D 0.25 Y tit zt 33 25 Eb 1115 0,25 Y 29 39 At"My Ava.Vt.hnh: 93 MoatkiY AvaW, 0 0 0 0 0 0 M vm: 0 0 0 0 0 % 0 0 0 10 * "** No Reporting Reason: ENFRUSF = No Flow-Reuse/Recycle„ FNVWTHR = No Visitation — Adverse Weather; NOFLOW - No Flow; HOLIDAY = No Visitation — Holiday S PERMIT NO.: NC0086517 FACILITY NAME: Gateway Village remediation site OWNER NAME: Gateway Village LLC GRADE: PC -I eDMR PERIOD: 04-2017 (April 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: PC -I ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 3369962841 PERMIT STATUS: Active COUNTY: Mecklenburk ORC CERT NUMBER: 985800 STATUS: Processed SUBMISSION DATE: 05/09/2017 05/09/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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 permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 05/09/2017 Permittee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 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 managed 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. CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMI5 ES: Glenn Price PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portat.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). S T NO.: NC0086517 FACILITY NAME: Gateway Village remediatio OWNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 03-2017 (March 2017) 1409 gift* 4 10 11 12 13 14 15 16 17 18 19 11 24 25 26 31 PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR 2400 elect 0940 1008 _1030 1148 1007 ore 0.25 0.25 0.25 0.25 0.25 Was Y Y Y Y Y Weekly Instantaneous FLOW mad 0,007467 0,010657 657 0.010657 0,010657 7 0.010657 0.010657 0.0109 0.0109 0.0109 0.0109 0.0109 0,0109 7 0.011957 0,011957 9 0.011957 7 0.011957 0.009667 0,009667 0,009667 0,009667 0.009667 0.009667 0,009463 0.009463 0,009463 0.009463 Monthly Avenge Limit: !deathly Average: 0,010549 Deily Maximum: 0.011957 Deny Mlnlmn. 0.007467 00400 Monthly on 6.76 6.76 6.76 C0530 Monthly Grab T88 -Cone R ECEIV THP3B Monthly Composite CER7DCHV percent ED MAY 0 3 '2I117 CENTRAL F ILES ©WR SECTI0 N R 77093 Monthly Groh C-1,2DCE 6L.LE REEK N tL OF 76389 Grab TETCLETE ECEIVE MAY CENTRAL FILE CDWR SECTI©y <1 0 0 •°•• No Reporting Reason; ENFRUSE =No Flow-Reuse/Recycle; ENVWTHR = No Visitation — Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation — Holiday C <1 3.3 0 0 PERMIT NO.: NC0086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Gateway Village remediation site CLASS: PC-1 COUNTY: Mecklenburg ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 ORC HAS CHANGED: No VERSION: 1,0 STATUS: Processed CONTACT PRONE #: 3369962841 SUBMISSION DATE: 04/11/2017 OWNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 03-2017 (March 2017) COMPLIANCE STATUS: Compliant 04/11/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmaiLcom Phone #:3369962841 Date By this signa is ort is accurate and complete to the best of my knowledge. 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 permittee 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 04/11/2017 Permittee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 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 managed 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. LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by s ht ://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 'IT NO.: NC0086517 PERMIT VERSION: 4.0 "' PERMIT STATUS: Active l"Y NAME: Gateway Village remediation site CLASS: PC-1 RECE '" E D COUNTY: Mecklenburg WNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price APR E0 U p ( ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No CENFI AL FILES' eDMR PERIOD: 02-2017 (February 2017) VERSION: 1.0 DWR SECTION STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 2400 clock Iles 24100 clock Hrs Y(B/N 27 NOFLOW NOFLOW NOFLOW NOFLOW NOFLOW NOFLOW NOFLOW 1)0000 00400 C0510 '1"HYJB Weekly 77093 78389 Monthly Monthly Monthly Monthly Monthly Instantaneous Grab Grab Composite Grab Guth FLOW 0.00896 pll ras - Conc CER7HCHV MOO C-42DCE TE'TCLETE ug 1 ugiI EIVECINCCEW WQROS VIL..E REGIO' AL, OFFICE 28 0.00090 Monthly Average llortg 0.00 720 J.J Mouth!), Average: 0.004992 0 0 0 Daily Oin.Immn' 000096 6.77 0 0 0 Hotly 0llninaum. 0,004 6.77 n t] *`** No Reporting Reason: ENFRUSB No Flow-Reuse/Recycle; ENVWTHR = No Visitation -- Adverse Weather; NOFLOW = No Flow; HOLIDAY — No Visitation — Holiday IT NO.: NC0086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active TY NAME: Gateway Village remediation site CLASS: PC-1 COUNTY: Mecklenburg WNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 02-2017 (February 2017) VERSION: 1,0 STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 3369962841 SUBMISSION DATE: 03(23/2017 03/23/2©17 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech@gmail.com Phone #:3369962841 Date By this signature, i certify that this report is accurate and complete to the best of my knowledge. The permitte 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 perrnittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part Il,E.6 of the NPDES permit. 03/23/2017 Perin ittee/Subtrritter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amec Pernittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 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 managed the system, or those persons directly responsible for gathering the information, the infonn.ation 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, LAB NAME: Research &. Analytical Laboratories, Inc CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price CERTIFIED LABORATORIES PARAMETER CODES corn Phone #:704-357-5554 Date Parameter Code <tsststance tnay be obtained by calling the NPDES Unit (919) 807-6300 or by visiting httpJ/portaLncdenr,org/web/wq/swp/ps/npdes/forms, FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D), NO.: NC0086517 Y NAME: Gateway Village remediation site WNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 01-2017 (January 2017) PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1,0 SAMPLING LOCATION: EFFLUENT PERMIT STATUS: Active COUNTY: Mecklenburg RECEIVED RC CERT NUMBER: 985800 MAR 01 1Q17 RECEl f nlL-LJENR/MA? STATUS: Processed CENTRAL FILES DWR SECTION DISCHARGE NO.: 001 NO DISCHARGAiict Date:. Composite Sample Time E "' i3 � E O u O .No Reporting Reason****. 50050 00400 C0530 32103 32106 T110311 77093 01042 01045 Weekly Monthly Monthly Quarterly Monthly Monthly Quarterly Quarterly Inslnntancous Grab Grab Grab _Quarterly Grab Composite Grab Grab Grab FLOW pH INS-ConeI,2-DCE CIILRFORM CER7DC:HV C•l,2DCE COPPER IRON 2400 clock Hrs 24011 clock Hra Y/D/N mgcl su no/I ug/I ugil percent u0/1 ug/I ug/I 1 0,00012 2 0.00012 3 1138 0.35 Y 0.00012 6.03 < 5 < 1 < 1 < 1 3430 < 25 4 0 5 0 6 0 7 0 u 0 9 0 t0 1020 0.25 Y 0 11 0.00015 12 0,00015 13 0,00015 14 0.1)0015 15 0.00015 16 0,00015 17 0,00015 IN 1018 0.25 Y 0.00015 19 0.0002 2u 0.0002 21 0.0002 22 0.0002 23 0.0002 24 0,0002 25 1020 0,25 Y 0,0002 26 0 27 0 29 0 29 0 30 (} 31 0 Mon Illy Average limit: 0.U5 30 72U Monthly Average: 0.000095 (I 0 0 0 3430 0 Daily Maximum 0.0002 6,83 0 0 0 0 3430 0 Daily Minimum: 0 6,03 0 0 0 0 3430 0 **** N( eporting Reason; ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation - Adverse Weather: NOFLOW = Nu Flow; HOLIDAY =No Visitation -Holiday ' NO.: NC0086517 PERMIT VERSION: 4.0 Y NAME: Gateway Village remediation site CLASS: PC -I WNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: 1.0 4 6 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) 2400 dock Mrs 240 lira 0.35 1'/R/N Y 011151 Quarterly Grab LEAD <5 01055 Quarterly Grab MANGNESE ug/1 7 00556 TCP31( 78389 78391 Quarterly Quarterly Monthly Quarterly Grab Grab Grab Cxrab OIL-CRSE CERI7DPF TETCLETE TCLROETE pass/fail ugli ug/1 <5 55 <.1 <t 01092 Quarterly Grab ZINC 827 9 10 Il 12 13 14 15 16 17 I8 19 20 21 22 23 24 25 26 27 28 29 30 31 **** No Report 1018 1020 0.25 0.25 0.25 Monthly Average Llmit: Monthly Average: Dolly Maximum) Daily Minlmnnu 0 0 7 7 7 3.3 0 0 0 0 Reason: ENFRUSE = No Flow-Reuse/Recycle; ENV WTHR "= No Visitation— Adverse Weather; NOFLOW -- No Flow; HOLIDAY = No Visitation — Holiday 827 827 827 NO.: NC0086517 PERMIT VERSION: 4.0 PERMIT STATUS: Active Y. NAME: Gateway Village remediation site CLASS: PC-1 COUNTY: Mecklenburg WNER NAME: Gateway Village LLC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: LO STATUS: Processed COMPLIANCE STATUS: Compliant CONTACT PHONE #: 3369962841� SUBMISSION DATE: 02/22/2017 02/14/2017 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech(r�gmail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best ofmy knowledge. The pennittee 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 pennittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for tprovements to be made as required by part ILE.6 of the NPDES permit. 02/22/2017 Permittee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Pennittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systetn designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed 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. CERTIFIED LABORATORIES LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price, RAL PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES pennit 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Pennittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NC0086517 PERMIT VERSION: 4,0 PERMIT STATUS: Active COUNTY: Mecklenburg WNER NAME: Gateway Village EEC ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 'V NAME: Gateway Village remediation site CLASS: PC -I GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: 1.0 STATUS: Processed Report Comments: * Effluent Flowmeter changed out prior to visit on 1/25/17. Flows were estimated for the week prior to the change out, T NO.: NC0086517 Y NAME: Gateway Village remediation site NER NAME: Gateway Village LLC GRADE: PC-1 PERMIT VERSION: 4.0 CLASS: PC-1 RECEDED ORC: Glenn Fredrick Price ORC HAS CHANGED: NJ AN 31 2011 eDMR PERIOD: 12-2016 (December 2016) VERSION: 1,0 CENTRAL FILES DVVii SECTION SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE* 6 MOCRESV91.LERrG8("h1A) FlCE- PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 RED LIVED/NCDENR/DWR STATUS: Processed E E H 9 Operator Arrival Time F w in tt 50080 00400 C05311 THr36 77093 78389 Weekly Monthly Monthly Monthly Monthly Monthly Instantaneous Grab Grab Composite Grab Grab FLOW pH TSS -(:une CER7DGHV C-I,2DCE TETCLETE 2400 clock 14rs 2400 dock Firs Y/HWN mgd su mgll percent ug/l ugll I 1038 (1.25 B 0,0001 2 0 a 0 4 0 5 0 6 0 7 1125 0.25 Y 0 9 0.000063 9 0.000063 in 0.000063 11 0.000063 12 0.000063 13 0.000063 14 0.000063 15 1 156 0.25 B 0.000063 6.89 < 5 < 1 < 1 I6 0.000114 17 0.000114 18 0.000114 19 0.000114 20 0.000114 21 0.000114 22 1032 0.25 B 0,000114 23 0,000166 24 0.000186 25 0.000186 26 0.0(10186 27 11.000186 28 0,000186 29 1107 0,25 Y 0,1100186 30 0.00012 31 0.00012 Mon hip Average Limit: 0.0 30 720 3,3 Monthly Avenge: tt.000095 0 0 0 Daily 6txsmtum: 0.000186 6.89 0 p 0 Daily 3 infant : 0 6.89 0 0 0 ...• No Reporting Reason: ENFRUSE = No Flow-Reuse/Recycle; ENVWTHR = No Visitation .- Adverse Weather; NOFLOW = No Flow; HOLIDAY = No Visitation - Holiday T NO.: NC0086517 PERMIT VERSION: 4.0 .Y NAME: Gateway Village remediation site CLASS: PC-1 VNER NAME: Gateway Village LLC GRADE: PC -I eDMR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: l.0 CONTACT PHONE #: 3369962841 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SUBMISSION DATE: 01/19/2017 01/11/2017 ORC/Certifier Signature: Glenn Price E-MaiI:ralfieldtech@gmail.com Phone #:3369962841 Date By this signature, 1 certify that this report is accurate and complete to the best of my knowledge. 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 01/19/2017 Perini Sub Signature:*** Hunter M Hicks E-Mail:hunter:hicks w,com Phone #:704-357-5554 Date Pennittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 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 managed 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. LAB NAME: Research & Analytical Laboratories,, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: each Powell, RAL CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I5A NCAC 2B .0506(b)(2)(D)• S PERMIT NO.: N00086517 FACILITY NAME: Gateway Village reln.ediation site OWNER NAME: Gateway Village LLC GRADE: PC -I eDMR PERIOD: 1 I-2016 (November 2016) 2400 clock 4 9 tll 13 IS 19 20 PERMIT VERSION: 4,0 CLASS: PC-1 ORC: Glenn Fredrick Pri ORC HAS CHANGED: No VERSION: 1,0 SAMPLING LOCATION: EFFLUENT DIS 2400 eluek 1104 10111 Iles 0,25 0.25 0,25 50050 004041 y Instantaneous Monthly - rah CO930 Monthly Grab PERNITI' STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: IVNc�I:Narowt i�c STATUS: Protesscd WQROS MOORESV)LLE REGIONAL OFFICE 001 NO DISCHARGE*: NO TIIP311 Munlhly 77093 Munlhly n15d 11.0066 0.006P 0,001125 0.00825 0.00825 0.(111825 0.(01925 000825 11.00825 0,007417 0.007417 0,007417 (1.1107417 0.007417 0.0094,5 0,00945 ((.00045 0.009'4 pll Sri 6.64 T99 - Cone percent V 79399 Monthly (irate C-1,211C'1: 1 TETC'L5T16 21 r I((27 23 24 25 27 28 29 30 0.25 Monthly Average Limit 0.119945 490001 (1,00ll 0.0001 (1.0001 0,011111 OAS 4 Daily Ma%haulm 0.00445 Uaily 3lin honor 0.0001 6.68 6,68 *95* No Reporting Reason: FNFRUSE = No Flow-Reusc'Rccycle: ENVWTHR = No Visit( tot 30 0 0 720 0 Weather; NOPLOV' No Flow; HOLIDAY No Vision( day 3,3 ( 0 OWNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 1 I -2016 (November 2016) COMPLIANCE SiA"I US: Compliant :S PERMIT NO,: NC0086517 PERMIT VERSION:4.t1 TY NAME: Gateway Village remedintion site CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.(1 CONTACT PHONE#: 336996284 PERMIT s7 AT COUNTY: Meek ORC CERT NUMBER: 986800 STATUS: Processed SUBMISSION DATE: 12/22/2016 12/14/2(116 ORC/Certifier Signature: Glenn Price E-Mail:ralfieldtech[)gmait.coin Phone #:3369962841 Date By this s certify tthis report is accurate and complete to the best of my knowledge. fhe 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 permittee became aware of the circumstances. A written submission shall also he provided within 5 days of the time the permittee becomes aware of the circumstances. If Mc facility is noncornpliant, please attach a list ofcorrective actions being takers and a time -table for improvements to be made as required by part ILE.6 of the NPDES pennit. 12%22/2016 Perini Sub Signature;*** Hunter M Hicks E-Mail:hunter.hicks@amecfw.com Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Pennit Expiration Date: 06/30/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision ita aecortianee 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 managed 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 tines and imprisonment fo knowing violations. LAB NAME: Research & Analytical Laboratories, tnc. CERTIFIED LAB 4: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price, RAI CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/fonns. FOOTNOTES Use only units of measurement designated in the reporting 'facility"s NfDES 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204- *** Signature of Penmittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I SA NCAC 2B .0506(b)(2)(D). NO.: NC0086517 Y NAME: Gateway Village remediatiol OWNER NAME: Gateway Village LL.0 GRADE: PC -I eDMR PERIOD: 10-2016 (October 20I6} 4 7 10 11 12 13 14 15 16 17 10 19 21 22 PERMIT VERSION: 440 CLASS: PC -I ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active 3 COUNTY: Mecklenburg ORC CERT NUMBER: 985800 Rt ,. Zvi/ r , ` .. w R STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCH 2400 duck Ms 2400 clock 104(1 1319 0.25 0.25 0.25 Y/13IN 50050 Weekly Instantaneous FLOW mod 0.001 167 0.0(11 167 0,001167 Y 0.001167 0.009533 0.t1(19 0.009533 0009533 0.009533 t3 0.1N195:13 0.0071 0.0(I71 1.0071 0.0071 0.0071 (L(((171 0.0071 0.0071 0.0071 0.007 13 0,0071 0.007833 00400 C0530 Monthly Monthly Grab Grab PII TSS - Cone su mg/1 6.62 a9 32103 Quarterly Grab 1,2-DCE uel 32106 Quarterly Grab CH LREORM TIII'3tt 77093 Monthly Cottrl:aaaite Grab y CER7DC11V C-I,2DCE pawn ug/1 <1 01042 Quarterly Grab COPPER ug/1 <5 01045 Quarterly Grab IRON <1 25 23 24 25 26 27 29 30 31 1125 (1.25 Monthly Average Urn 0.007833 0,007033 0.007833 0,007833 0,007833 0,0066 0.(K166 0.0066 0.0066 0.05 Monthly Averages 11 0116A8.3 0.(109533 Daily Minimum: O.00I I ti7 30 6,62 0 6.62 O 0 0 O (i 0 •••• No Reporting Reason: FNFRUSE - No Flow-Reuse/Recycle, ENVWTHR = No Visitation - -Adverse Weather; NOFI-OW - N v 720 0 L,.,r. V f,...lEi 71 NOV 2 3 201hI CENVRAL FILE' DWR SECTIO (I 0 O liday 0 MITNO.: NC0086517 LITY NAME: Gateway Village reinediation site OWNER NAME: Gateway Village LLC GRADE: PC-1 eOMR PERIOD: 10-2016 (October 2.016) 3 4 5 6 7 9 10 1 I 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PERMIT VERSION; 4,0 CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue 0 Es, E Total Compos 2400 dock Hrs Operator Arrival Time 2400 cluck 1040 1506 1319 1125 Operator Time On Site ORC On Site?•• Hr) V/B/N 0,25 0.25 0.25 0,25 01051 Quarterly Grab LEAD Monthly Average 1,1m1t:' Monthly Average: Daily Maximum: 0 Daily Minimum: 0 5 01055 00556 Quarterly Quarterly Grab Grab MANGNESE 011,GRSE ug/I ing/I rt 5 5 0 0 TGP3B Quarterly Grab CER17DPC rota/rail 0 78389 Monthly Grab TETT LUC 33 0 0 78391 01092 Quarterly Grab Quarterly Grab TCLROVIT, ZINC ug/1 uttil < I < 10 **** No Reporting Reason: ENERUSE = No Flow-Reuse/Recycle; ENV WTHR = No Visitation — Adverse Weather; NOFLOW No Flow; HOLIDAY — No Visitation — Holiday 0 0 TY NA NO.r NC00116517 PERMIT VERSION: 4.0 ay Village renlediation site CLASS: PC-1 INNER NAME: Gateway Village LC.0 TRADE: PC-1 MR PERIOD, 10-2016 (October 2016 Compliant ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE# 0RCICvertifier Signature: Glenn Price E-Mail By this signature, certify that this report is ura g to nd complete to the best of my knowledge. PERMIT" STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985tt00 STATUS: Processed SUBMISSION DAZE: 1It16/2016 5/2016 coin Phone #:3369962841 Date The pennittce 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 tirne the penmittee became aw provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -gable for improvements to be made the NPDES permit. Per Perm ittee/Submittet tee Address y, under penalty of ircumstan'es, A written submission shall also he req ed by part II.E.6 of 016 Signature:*"** Hunter M Hicks E-Mail:hunter.hicks(c ant ade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 it this document and all attachments were prepared under my direction or super; to assure that qualified personnel properly gather and evaluate the information submi system, or those persons directly responsible for gathering the information,' ccurate, and complete. 1 am aware that there are significant penalties for subrn knowing violations. LAB NAME,: Research c Analytical CI:R`CI["11 I) LA #: 34 Pt RSON(s) COLLECTING SAMP Use only units oft * No Flow/Dtscha for entme mono ** ORC o} Site`I *** Signature of Pi aboratoiies, Inc; ES: Glenn Price, RAL ••om Phone #:704-357-5554 Date accordance with a system designed d. Based on my inquiry of the person or persons who managed the bd is, to the best of my knowledge and belief, true, ion, including the possibility of fines and imprisonment for CERTIFIED i ABORATORIES PARAMETER CODES nce may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting littp.//portaLnedenr org/web/wq/swplps/npdes/fo FOOTNOTES easurement designated in the reporting facility's NPDES permit for reporting data, e From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the paratneters on the DMR oring period. ORC must visit facility and document visitation of facility its required pe.r 15A NCAC SG ,02(l4. red by other than the pene, then delegation of the signatory authority must he on file with the state per 15A NCAC 2B PDES PERMIT N(.: N00086517 a FACILITY NAME: Gateway Village remediation site OWNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 09-2016 (September 2016) PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: I PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER S $ STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISe 1A NO_ 8 e E u F F F Operator Arrival. Time c F O 0.. cn o e rE 50050 00400 C0530 TIIPSH 77093 78399 Weekly. Monthly Monthly...... Mantlrly.... Monthly... Monthly lrralanianeous Grob Gtab .... Composite Grab Grab FLOW pH TSS-'Cane CER7DCHV C-i,2DCE TETCLETE 2400¢Hack Firs 2400 clock Iles Y/BJN mgd su mgo pereen) ug/1 ug/l T 0001589 2 0 00)309 `- 3 0 1015({9 4 0.00ts89 N V 0 J. 2016 5 f1 )01589 0.00IS$9 C NTx FILES 7 11.00:IS89 D ECTION 8 1333 025 Y 1)001589 9 (1:0)10214 IU 0000214 II (( (((10214 12 (1.000214 13 _ 0.000214 14 0.000214 15 i{W5 0.25. Ii 0,000214 16 0.00055 0.00055.. 18.. 0,00055 19 0.00055 20 0.00055 21 0.00055 22 0.00(155 23 1000 0.25 08 0:001)55 6.84 5 < 1 " : 1 24 0.00278 25 0.00278 26 (1;00278 27 0.0027g 2t1 1202 O.25 13 0.00278 29 000t1fi7 30 0,001167 Monthly Average Limit: U.OS- 30 720 3.3 Monthly Average: 11.001 )61. 0 0 0 Dolly Maximum: 0.1)0278 6 84 0 0 0 Daily Mlnlmnm: 0.000214 6.84 oReporting Reason: FNFR) SE= No Flow-ReusefRecycle, t'NVVV"TFIR-=NoVisitation—AdverseWeather; NOFLOW No Flow; HOLIDAY=NoVisitation— Holiday PDES PERMIT NO.: NC0086517 PERMIT VERSION: 4.0 PERNIJ I STATUS: Active FACiLi'i'Y NAME: Gateway Village rernediation site CLASS: PC-1 COUNTY: Mecklenburg OWNER NAME: Gateway Village lit ORC: Glenn Fredrick Price ORC CERT NUMBER: 985800 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 09-2016 (September 2016) VERSION: 1.0 STATUS: Processed COMPLIANCE: Compliant CONTACT PHONE #: 3369962841 SUBMISSION DATE: 10/19/20 ORC/Certifier Signature: Glenn Price By this signature, I c a a d e g ail.com Phone #:3369962841 report is accurate and complete to the best of my knowledge. 10/1 2016 Date The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens`publie health or the environment. Any information Shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also he provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 10119/2016 Permittee/Subtnitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@amec Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Permit Expiration Date: 06/30/2020 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 managed 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. LAB NAME: Researc CER"1"1FlED LAl3 #: 34 PERSON (s} COLLE:C FIN Parameter Code assistance h & Analytical 1 aborai CERTIFIED LABORATORIES SAMPLES: Zach Powell, RAL PARAMETER CODES Phone #:704-357-5554 Date y be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portaLncdenr.org/web FOOTNOTES 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 ofthe parameters on the DMR onitoring period. Site'?: ORC must visit facility and document visitation of facility as required per I SA NCAC 8G .0204. Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority trust be on tile with the state per 15A NCAC 2B .0506(b)(2)(D). P)ESPER1NO.; NC0086517 FACILITY NAME: Gateway Village remediation site OWNER NAME: Gateway Village LLC GRADE: PC-1 eDMR PERIOD: 08-2016 (August 2016) 2 4 6 7 10 12 13 14 15 16 17 19 20 21 22 23 24 25 26 27 28 29 30 31 2400 clock PERMIT VERSION: 4,0 CLASS: PC-1 ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1,0 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER', 7155> tlli"')£'N'`'°"`r,`wt )itJ)DW STATUS: Processed VV'bh RO5 MOO!RES5r {L! E REG ONAF. 9CE SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO Firs 2400 clock 0951 1115 0916 1330 Hrs 0.25 0,25 0.25 11.25 0.25 Y/B/N Y Y Monthly Average Limit„ Monthly Average: Daily Maxlmum: Daily Minimum: 5(1050 100400 Weekly )Monthly Instantaneous 1 Grab FLOW (pH mgd (sn 0.0001 12 0.000112 0.0001 12 0.11(H)1 12 0.000566 0,000566 0000566 0.000566 0,000566 I) 0 16.7 0,00062 0.0082 0.0(1082 0.00082 (61J0082 1100082 2 0.00082 0,00082 0.00082 0.002975 0,002975 0.002975 0.00297,5 9 0.05 0,01)0824 0.002975 16 7 6.7 C0530 Monthly Grab TSS - Cone me,11 5 30 IJ THP3B 77093 Monthly Monthly Composite CER7DCHV C-1,2DCE percent utol REVS D CENTRAL FILES DWR SECTION 720 No Repot -ling Rcaon. LNFRUSF No Flow -Reuse RccyeIc ENVW'I"HR-NoVisitation --Adverse Weather; NOFLOW-No Flow; HOLIDAY-NoVisitation - -Holiday 78389 Monthly Grab TETCLETE <1 3.3 0 0 S PERMIT NO.: NC0086517 FACILITY NAME: Gateway Village rernediation site OWNER NAME: Gateway Village LLC GRADE:: PC-1 eDMR PERIOD: 08-2016 (August 2016) COMPLIANCE: Compliant ORC/Cer PERMIT VERSION: 4.(f CLASS: PC -I ORC: Glenn Fredrick Price ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 3369962841 PERMIT STATUS: Active COUNTY: Mecklenburg ORC CERT NUMBER: 985800 STATUS: Processed SUBMISSION DATE: 09/20/2016 09/19/2016 ier Signature: Glenn Price E-Mail:ralfieldteeh( gtnail.com Phone #:3369962841 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. 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 permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the pen becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part ILE.6 of the NPDES permit. 09/20/2016 Permittee/Submitter Signature:*** Hunter M Hicks E-Mail:hunter.hicks@j,amecfw.com Phone #:704-357-5554 Date Permittee Address: 800 W Trade St Ste 100 Charlotte NC 28202 Pemnt Expiration Date: 06/30/2020 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 managed 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. LAB NAME: Research & Analytical Laboratories, Inc. CERTIFIED LAB #: 34 PERSON(s) COLLECTING SAMPLES: Glenn Price CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/form~. FOOTNOTES Use only units ofineasurement 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 entire monitoring period. ** ORC on Site?: ORC must visit facility and document *** Signature of Permittee: If signed by other than the pert .0506(b)(2)(D). itation of facility as required per I5A NCAC 8G .0204. n delegation of the signatory authority must be on file with the state per I5A NCAC 2B EFFLUENT PDES PERMIT NO, NC 0086517 DISCHARGE NO, 001 MONTH June YEAR 2016 FACILITY NAME Gateway Village LLC CLASS 1 COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Zach Powell CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DATE DATE Operator Arrival Time: 2400 Clock Operator Time On Site 50050 01042 I 01051 I FLOW Enter Parameter 01092 78389 81574 00530 00400 Code Units> 34316 32103 78391 00556 01045 01055 TGP3B c• EFF Above Name and Below G%5 c xw V Weekly Quarttriy Quaintly QUarlrrly louth{y M61It{Mly 1•1prittFly MnuthI)` Q41arICr{y Quartcrli' QuarterQuarts{' HRS 1112S Yrnr GD m/1 /I 11 /1 m'11 s.u, /1 /1 u+/I m /i /1 /1 P/F ®®-® 0.0049 ill 0049 6 ®® 0.0049 8 ®®® 0.0049 t ,tag �3\nm 42"xh YtE!4,.1P. Y?;; rk�?• "� :'�` 10�0948 B 0.0049 ;a}'.�Y\?'�2 0.0042 'vja. 14 ®®® 0.0042 .. r,1\r :) s i. r�\. ?""x.,.:*.,.\H. A: }.��1.,., �5 ..;;`.��.:, g„.�i,\ <,s. "ix•, Y..3 £'F.. ?3`.?,�.,s,,,•'\\��:ia"r�Fe;s$,.,:�3'�ti,.Z.�i�r?: ...:a�„14��',,�\.:F., .,�?tr�. .. *F r1 ,s ?ti:. Y' `'`� 3t ,\? v t,., �t �> t,"� „�.,. i;.�t� ,�°,S,ct^\,.��,:... U.»I+„n \`.,,,,...fig �,�Vj,. ..:. .. irr.\:.. 16 0.6.k g y 18®® +...0068 ms}(\'Ig,T±>£,lY?\ry \,.. } �y �� ,;g tgi`? t4:4 "f '" ggg r4 a' G1 `' , g�rs�;£(: ,s!:.. t', ,: li 3 3. �i• z. :.. t.Z??a #0.0068 r,'P3;,�,N',\:`'.?,11sk1U ✓?Yy;,•°`»♦ }\"2`s.,�5"'? cS ltl ,,,.,`:, i;<�, �,1,�?''x t"r<,;: ..:.r=.w'$3''�� r,.. tit.u\.?�+ ., ,,gg, giYa,'.4i'd'n3C ,S a...', 0.0068 0.0039 -__�-�--�-��-- >. 0 0039 ?244C 0.0039 0.0039 30 1046 0.25 B 0.0039 AVERAGE 0.0049 6.61 ��---�- ��y RAi,H tSM 0.0039 k` y o#Flt+» 6 61 €r'li. h�'�i5 g?y? -�- `g 'x3�iz - g �S4 Y ":: 2 :,..,"' i,. \ ., 3., ,.l,Z.�f�3x �S24z?G31"� ..,�.. .�,�,. ".v, 3,, r , ,s�.ifi••, , o`t,..�., a, , „xt� ..rl�' lv�.,;�, rl�. S.o %5 r�>r, wSr. �'»..n. \�`4 ,� ��a l\ T.� �v*'s*•N �`��' 'ri. ,, Monthly 1,lmlt 0.0500 S.9Ah1P8.9r{ 4„9%l 4 7{IM/45i) =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant The pennittee 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 permitte 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. If the facility is noncompliant, please attactra list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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 infonnation, 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," (A Pennittee Jease prin ype) Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No, Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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? ORC must visit facility and document visitation of facility as required per 15ANCAC8G,0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must he on file with the state per 15ANCAC213.0506 (b) (2) (D). Copy DEM Fonu MR-1 (I 2/93) July 18, 2016 Attn: Central Files NCDEQ Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: DMR Summary June 2016 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina Amec Foster Wheeler Project: 6228-15-0251 Attention Central Files: amec foster EWi arowri UG 0 6 WQROS MOORESVILLE REGIONAL OFFICE ENE) JUL 21 2u b CENTRAL FILES DWP SECTION Amec Foster Wheeler Environment & Infrastructure, Inc. (Amec Foster Wheeler) is pleased to submit this DMR Summary for the above -referenced site. The DMR indicates the facility did meet the permit requirements. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, Amec Foster Wheeler Hunter M. Hicks, P.E. Senior Engineer Enclosures Correspondence: Arnec Foster Wheeler Environment & Infrastructure, Inc. 2801 Yorkmont Road Suite # 100 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704)357-8638 Licensure NC Engineering F-1253 NC Geology C-247 amec fw.co WG AUG 12016 OA AUG0 3 RESEARCH & ANALyTICAL LA ©RAT©RIES, INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 6/28/2016 Lab Sample ID: 20790-01 Collection Date: 6/21/2016 10:55 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time pH SM 4500 H+B-2000 Temperature (Thermometric) SM 2550B Total Suspended Solids (TSS) SM 2540 D-1997 6.61 Std. Units 6/21/2016 1055 25 °C 6/21/2016 1055 <5 mg/L 5 JB 6/24/2016 NA = not analyzed P70, Box473 ESEARC NA[yT Ab )RAToRIES, INC Analytical/Process Consultations A Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 21 June 2016) I. Volatile Organics Parameter Tetrachloroethene Quantitation Effluent Limit (mg/L) f mg/LZ 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 20790-01. Sample Date 06/21/16 Sample Time (hrs) 1055 = milligrams per Liter = parts per million (ppm) BQL = BeloQuantitation Limits Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Research and Analytical Laboratories Weekly Visitiation Log AMEC — Gateway Village Permit #: NC 0086517 Charlotte NC Month: Date Year: Time Flowmeter Reading Total Flow Gal/Day Hrs On -Site „ pos oo Nc-17coo L/cjc Jo 35- 46,5s-01 2.010-0 /aqs- )50 7 0 c loco 0 (0-7 / 042 / 35-3 crt 3722 0 1300 6.2r Comments: Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Relinqu Date 0-zl-! (P Relinquished By Phone Time Comp. Grab Date/rime r. G to3,D Date/rime Job No. Project Monthly Sampling Sampler Name (Please Print) Samp Temp dC Res. CI. Sample Matrix (S or W) Chlorine Removed YorN ved By Sample Location / I.D. Effluent TB 4 CHAIN OF CUSTODY RECORD Water / Wastewater a Misc. Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS (Volatiles by method 601) On Ice Requested Analysis * See Remarks pH: Temp: Sample Temperature at receipt 2 -� °C TB EFFLUENT NPDES PERMIT NO, NC 0086517 DISCHARGE NO, 001 MONTH May YEAR 2016 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc, (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 CERTIFICATION NO. 34 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE J 141- (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 0 0)042 j 01051 j 01092 78389 81474 00530 00400 34316 32103 78391 00556 5 T 6 FLOW Enter° Parameter Code 12FF 1iJ Above Name and Units INF ri Below RS HRS VI eek Y etau Qu RItCaIy g/1 Pg/i _ Pg hly uuthly' t}uarierh� +Ju y (luarterly (}xaraerly (Iuarter Qu g/1 ug/1 tng/I Iagll IIg/I P/F 0,006 4 0.t10 6 0.0085 .0 0 0.0085 0.0096 4 0.0096 6 0.0096 0.0096 0 0.012 0.0123 4 0.012 6 0.006 28 0.0066 0.0066 AVERAG 0088 <1 <1 <5 6.84 0.0065 <1 <1 <5 6.84 nthly Limit 0.050 8..9M/8,9D 4.9M/4.91) 30M/45D =>6<9 Copy DEM Form MR -I (12.193) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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." Permittee (Ple Signature of Perm tee* Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Pennittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No, Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc,us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B4O506 (b) (2) (D), Copy DEM Form MR -I (12/93) June 16, 2016 Attn: Central Files NCDEQ Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: DMR Summary May 2016 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina Amec Foster Wheeler Project: 6228-15-0251 Attention Central Files: amec foster wheeler WG RECEIVED JUN 22 Z016 JUN 21 Z016 CENTRAL FILES LWR SECTION Amec Foster Wheeler Environment & Infrastructure, Inc. (Amec Foster Wheeler) is pleased to submit this DMR Summary for the above -referenced site. The DMR indicates the facility did meet the permit requirements. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, Amec Foster Wheeler Hunter M. Hicks, P.E. Senior Engineer Enclosures Correspondence: Amec Foster Wheeler Environment & Infrastructure, Inc. 2801 Yorkmont Road Suite # 100 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704)357-8638 Licensure NC Engineering F-12S3 NC Geology C-247 amec tw JUN 23 2015 RESEARCh ANAtyTICAL LA ORATORIES, INC. For: Amec Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Parameter Method pH SM 4500 H+B-2000 Temperature (Thermometric) SM 2550E Total Suspended Solids (TSS) SM 2540 D-1997 Report of Analysis 6/10/2016 Lab Sample ID: 19822-01 Collection Date: 5/31/2016 11:14 Result Units 6.54 Std. Units 17 <5 rnglL. °C Rep Limit Analyst Analysis Date 5/31/2016 1114 5/31/2016 1114 AW 6/1/2016 P,O. 0ox 473 106 Short Street Kern v NA not analyzed North Carolina 27284 Tel: 336-996.2841 Fax: 336-096-0326 www.randalabs.com Page 1 ESEARCh NALyTICAL AbORATORIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 31 May 2016) 1. volatile Organics t Quantitation Effluent Limit lmg/L) (mg/L1 Tetrachloroethene 0.001. Cis 1,2-Dichloroethene 0.001. Dilution Factor Sample Number Sample Date Sample Time (hrs) mg L m milligrams per Liter parts per million {ppm) BQL BQL 19822-01 05/31/16 1114 BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841. Company AMEC- Gateway Village Street Address City, State, Zip Contact Phone Job No. Project Monthly Sampling Sampler Name (Please Print) Sapte„ Sign ttux• lc Number only) Date Relinquished By Relinquished By Time Comp. Grab Temp oc Res. CI. Chlorine Removed YorN Time Received By ) S Date/Time Received By Date/ t —lio iWlS Si Sample Matrix SS orWD Sample Location / I.D. Effluent 5 CHAIN OF CUSTODY RECORD Water / Wastewater Remarks: * Tetrachloroethene, Cis (Volatiles by method 601) dichloroetit Sample Temperature at receipt n Misc. TSS fed Analysis * See Remarks TB pil: Temp: l'1 °C "C EFFLUENT NPDES PERMIT NO. NC 0086517 FACILITY NAME Gateway Village LLC CERTIFIED LABORATORIES R & A Laboratories, Inc. DISCHARGE NO, 001 MONTH April YEAR 2016 CLASS I COUNTY Mecklenburg CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF' ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 cu 50050 FLOW e. EFF INF HRS SAM tigt 2 4 DAILY RATE Weekly MGDi 0.0112 0.01 12 6 1050 0.25 Y 0.0112 8 10 0.01 6 0.0186 GRADE 1 CERTIFICATION NO, 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWL 01042 ( 01051 101092 Enter Parameter Code Above Name and Units Below Quarterly Quarterly Quarterly DATE MVP 78389 81574 00530 00400 34316 32103 78391 00556 01045 01055 TGA3B Monthly Y=. ly S. U. ly Quarterly Quarterly Quarterly Quarterly QuarterlyQuarterly Quarterly u mg/I P/F 12 14 0.0186 0.0076 16 0.0076 18 0.0076 20 22 24 2 26 28 0.006. 0.0065 0.0065 0.01165 0.0065 30 0.0075 AVERAGE MINIMUM Monthly Limit 0.0105 0.0065 0.0500 <5 <5 <5 19.0 <1 19.0 <1 <1 <1 <5 <5 19M4191) 4.9M/4.90 30M/451) 6.78 6.78 >6<9 <1 <1 <1 <1 <1 <25 <5 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte became aware of the circumstances. A written submission shall also be provided within 5 days of the nine the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a tiine-table for improvements to be made as required by Part 11.E.6 of the NPDES permit. "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 a qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managethe 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 infonnation, including the possibility of fines and imprisonment for knowing violations." 5/e-tKhk, nature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street,. Suite 100 Charlotte,NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No, Certified Laboratory (3) Certification No, Certified Laboratory (4) Certification No, Certified Laboratory (5) Certification No, PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc,us/wqs and linking to the Unit's information pages. 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 OCCUITS 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: if signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D), Copy DEM Form MR-1 (12/93) RESEARCH & ANALyTICAL LA ORATORIES. INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 5/3/2016 Lab Sample ID: 17905-01 Collection Date: 4/19/2016 10:00 Parameter Copper, Total Method EPA 200.7 Iron, Total EPA 200.7 Lead, Total EPA 200.7 Manganese, Total EPA 200.7 Oil & Grease EPA 1664 B pH SM 4500 H+B-2000 Temperature (Thermometric) SM 2550B Total Suspended Solids (TSS) SM 2540 D-1997 Zinc, Total EPA 200.7 Result Units Rep Limit Analyst Analysis Date/Time <0.005 mg1L 0.005 KL 4/28/2016 <0.025 mg/L 0.025 KL 4/28/2016 <0.005 mg/L 0.005 KL 4/28/2016 <0.005 mg/L 0.005 KL 4/28/2016 <5 mg/L 5 DN 4/27/2016 6.78 Std. Units 4/19/2016 1000 17.9 °C 4/19/2016 1000 <5 mg/L 5 JB 4/20/2016 0,019 mg/L 0,01 KL 4/28/2016 Box 473 106 Short Street Kernersvitle, North Carolina 27284 Tel: 38tr-996-2841 Fax: 336-996-0 ral coo atilt„t: NA = not analyzed 26 www,randalabs.com Page 1 Chemical Analysis for Selected :Pararn ters and Water Sample (A AMEC-Gateway Village Project, collected 19 April 2016) Tetrachloroethene Cis 1,2-Dichloroethene Chloroform 1,2-lichlorc ethane Trichloroethene Sample Number Sample Date Sample Time (hrs) 0.001 0.001 0,001 0.001 0.001 1705-01 04/19/16 1000 Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEG- Gateway Village Street Address City, State, Zip Contact Sample Number Use Only) Date Phone Time fcw) o 1 W�l/!, /©cD ©Z Comp. Grab Job No. Project Quarterly Sampling Sampler Natue ,,(Ple se Print) l 9 t4e4 r I cs W Sampler Signature Temp ¢C Res. Cl. Chlorine Removed VorN Sample Matrix (S or W1 W Sample Location / LD. Effluent TB 10 4 CHAIN OF CUSTODY RECORD Water / Wastewater Q 2 Misc. Requested Analysis * See Remarks TB pia: 6.7 ' Temp: /7.9 Relinquished By Date/Time Received By 66 Remarks: * Tetrachloroethene, Cis 1,2 dichlorocthenc, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Trichloroethene, Chronic Toxicity (Volatiles by method 601) On Ice Sample Temperature at receipt •aC Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 04/27/16 Facility: GATEWAY VILLAGE NPDES#: NC0086517 Pipe#: 001 County: MECKLENBER X oratory Performin. Test R & A LABORATORIES, INC. Respon= ble Charge atory up so Comments: Final Effluent AMEC Project 18038-01 * PASSED: 2.05% Reduction * Work Order: 17900-01 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS # Young Produced Adult (L)ive (D)ead 1 2 3 4 5 25 23 26 25 Effluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 # Young Produced Adult (L)ive (D)ead pH Control Treatment 2 D.O. Control Treatment 2 lat sample 6.94 7.02 7.09 7.17 s t e a n ✓ d t 1st sample 8.6 8.6 8.4 8.4 25 26 23 24 26 24 Environmental Sciences Branch Div. of Environmental Management N C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 8 9 10 11 12 25 24 23 23 25 24 L L 7 8 9 10 11 12 25 23 23 22 24 23 1st sample 2nd sample 6.92 7.01 6.89 6.99 6.91 7.00 6.89 6.98 s s t e t e a n a n ✓ d r d t t 1st sample 2nd sample 8.6 8.6 8.3 8.5 8.5 8.3 8.3 LC50/Acute Toxicity Test (Mortality expressed as %, LC50 = 95% Confidence Limits combining replicates) 25 24 Chronic Test Results Calculated t = 1.089 Tabular t = 2.508 % Reduction = 2.05 t Mortality 0.00 Control 0.00 Treatment 2 Avg.Reprod. 24.42 Control 23.92 Treatment 2 Control CV 4.438% % control os producing 3rd brood 100% PASS FAIL Complete This For Either Test Test Start Date: 04/20/16 Collection (Start) Date Sample 1: 04/19/16 Sample 2: 04/21/16 Sample Type/Duration 2nd 1st P/F Grab Comp. Duration Sample 1 X Sample 2 X hrs hrs Hardness(mg/1) Spec. Cond.(gmhos) Chlorine(mg/1) Sample temp. at receipt(°C) Concentration Mortality Method of Determination Moving Average Probit Spearman Karber .___. Other D I L U T 48 190 S S A A M M P P 451 0.04 443 0.04 2.2 Note: Please Complete This Section Also start/end Control High Conc. pH Organism Tested: Ceriodaphnia dubia Duration(hrs).: Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) start/end D.O. 3.0 Client: Collector (Print): Collector (Signature: BIOA$ AY CHAIN O CUSTODY RECORD co Ad N Note: Original sent with shlpmen Copy retained by collector R b. Sox 473.10 art Street • Kern NPDES #: BIOASSAY Collector (Print): Collector (Signature: NP contact Aomori. Address: A O. Box 478.108 Short Street • kernersvile, North Cerngne 27284. 9S8-8B8-2841 • Pax 238-808.0328 ww^+erendalabs.co n Research and AnalydcalLaborator es Weekly Vi rt ation Log AMEC -Gateway 1i Hoge Pe it#: NC 11F:6517 Charlotte Nc week 1 V ek 2 leek Veek 4 peek peek 6 11ek EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH April YEAR - 2016 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGEDI 1 Mail ORIGINAL and ONE COPY 10: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE I CERTIFICATION NO. 98580Q ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE. I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 6/4-4 DATE 50050 01042 01051 01092 78389 81574 tlti530 004i10 34316 321it3 78391 il0556 01045 01055,,§ Enter Parameter Code Above Name and Units Below 0.0112 0.0186 0.0186 0.0065 0.0065 <1 <1 <S 6.78 <1 iPtros Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit ui Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Perrrtittee (Please print or type) Signature of Permitee*** Date (Required unless submitted electronically) 800 West Tjrade Street. Suite 100 Charlotte. NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2). Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. ARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2a.enr.state.nc.us/wgs and linking to the Unit's information pages. Use only units of meas nt designated in the reporting facility's NPDES fo * No Flow / Discharge From Site: Check this box if no discharge occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. ***Signature of Pennittee: If signed by other than the pennitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) m€ncl d ' r -4_ )16 EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO, 001 MONTH April YEAR 2016 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION Na 34 (List additional laboratories on the backside/page 2 of this fonn) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 X GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS c4(.,.t',s17M17vt ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DATE Operator Arrival Time: 2400 Clock Operator Time ©n Site ORC on Site? * 50050 01042 101051 1 01092 78389 81574 00530 00400 34316 32103 78391 00556 01045`'01055j'r'_'�;!, �+rI FLOW Enter Parameter Code Above Name and Units Below a 1;7.4 � a� u c y o ry U U ea A ry MOO d a •" i Chronic Toxicity EFF ( INF JAILY Copper �+ Weekly Quarterly Quarterly Quarterly Monthly Munihly Monthly Monthly Quarterly Quarterly Quarterly Quarterly Quarter) Quarter) HRS HRS Y/B MGD • 1 •/1 1 11'/1 :/I m/1 s.u. •/I µ_11 u. m /1 11 :11 - � ,. ®--� },?�iS, Y ?�.. bj��• . �,.3"�"�;n # t�#. \?4�'... � . S . y V �i 3C,.'� _--__---_-�--- � '�'\'i"Gx; � _ 6: _ .?`-%.� , _�--�_-_� 4�1 U'�. �C 1� w. ' �a''Vt4`"- '2a ,-�£:.<���....�y �:^.:' h;.. �e\.�..'?>,S :.�2 t _ *' a:_�;\ �� : 5... q�`v.„; }'� � : � 2� '. L�3 �<.;:: 1111Mt� 0.0112 1y\?.n --� 4 0.0112 050 M 25 l Y \�1 �j _ 5,_.,: 1 �.. i.-.a3 z��. .j .j �jl o.,,.J' I. M=Il 10 0.0186 ems,'..... 1 fl } 0.0076 EM 0.0076 1 --- __----___--_-- 5�3\��v, 20 0.0065 0.0065 <`�§4i�,.\£�£\`i i. i�ai\\� \a„??Z\.,� zf?•...,�\:�:;. r,£��,£�.� a;r�'};a ,.�,:�\v'\.�\\., 26 0.0065 11 ®®-® _®®® 0.0075 ;\1 \'3\'N 0.0065 <5 <5 19.0 <1 {1 <5 6.78 <I <1 <1 <5 <25 <5 P MINIMUM Monthly Limit 0.0500 8,9M/89D 4.9M/4.9D 30M/45D =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "1 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 a 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." Pe Please printt type) 7 Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. Use only units of measurement designated in the reporting facility's NPDES pefor reporting data. * No Flow / Discharge From Site: Check this box if no discharge occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Fonn MR-1 (12/93) 3 EFFLUENT OINPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH March YEAR 2016 FACILITYNAME Gateway Village LLC CLASS 1 COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc, CERTIFICATION NO, 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price GRADE 1 CERTIFICATION NO. 985800 PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 0 9 2 50050 FLOW EFF HRS HRS YHA ;',1.0001 '4,7151 **I 4,140$0,4106; 4 4141# 1C141740 10 ttit iMptitggINTI W tattiliVittNt 14 70,r,0140 iplot 440 16, 12, 20 22, 13 24 26 28 30 3 0 1128 tt 0932 t,ttlotiket 0.25 N' tt,tt 0.25 `ts AVERAGE "itttittttsit MINIMUM tteiiii4;4044"0:6"."(6)""t" Nlonthly Limit INF Weekly MGD 0.0113 to*OttiA 0.0113 0.0113 0.0113 ‘,:4=0;03.•33 0.0113 It" 0.0113tot NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 01042 1 01051 I, 01092 Enter Parameter Code Above Name and Units Below Quarterly piglt AMP4 IttlItigittEgt, 0.0012 41.0.06321',',7.; 0.0012 0.0 0.0012 011,0;00 J;ftliitgi 0.0012 „ttttitttIt(1.00124titit„ tittt,-trtt4,,ttittt, 0.0012 ti0.0217tAtta igettitttittt, 0.0217 0.0217 0.0087 0. 0.0087 0.0087 0.0087 0.0087 t"ttf0,0087,ttitttt,t',.tt:;tttttttItttt;, 0.0087 0.0 0.0086 0.0 0.0012 ttt/tIttisittgit,,,ttitt, 0.0500 Quarterly Quarterly: 1.14/1 "Igiou ofol, titittlettAtttt!it ,tittlpitittf ttt, ..IAIOS547.01bISI.051,4 10<4.01; :404,(30, Itt„, tttttttt„tittttttttt", 78389 81574 00530 Monthly Monthly Monthly <1 00400 Monthly S. U. 34316 Quarterly pg/I tlitatittntL ‘-tt't• ' QA„ 13 <1 <5 6.64 <5 6.64 <1 <1 <5 6,64 <1 <1 <5 6,64 8.9M/S.90 4.9Mil.913 30111i4S1) ,3,>6<9 2016 32103 Quarterly µg/I tttttttttttttitttt 78391 00M6 - mg/17,NR Quarterly QuarlerlY Quarterly Qualler1),Quarlel1Y AF/1 P/F tigt$10,4044.00,010:0147 ug/I mg/I it:ttinfftt, tttEtt",:ttytts0-",tr"tttipttt't,tt!ft itintit„ittt, - 4 'II*24114 h ttt,tfitkttt,itt tttzt„,ttt,:trtitt?,tttIttItt:,:tIttII4,ttitittiVII::2211,120,tit ti5tilttItitIttt tttittito","t",,,,ti tftltott,ttit tilt,itsgtitt it. OFFICE Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) r All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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." 800 West Trade Street, Suite 100 C Permittee Address a Signature of Perm tee*** Date (Required unless submitted electronically) otte, NC 28202 Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per I 5ANCAC8G.0204. *** Signature of Perinittee: If signed by other than the permitte, then the delegation of the signatory authority must be on tile with the state per I5ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR -I (12/93) RESEARCii & ANALyTICAE LAboRAT©RIES , INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 31 March 2016) I. Volatile Organics Parameter Tetrachloroethene Quantitation Effluent Limit (mg/L) (m/LI 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 16928-01 Sample Date 03/31/16 Sample Time (hrs) 0948 m igratns per Liter = parts per million ppm) BQL = Below Quantitation Limits RESEARCIi Llll; ANALyTICAI LA ©RAT©RIES. INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 4/8/2016 Lab Sample ID: 16928-01 Collection Date: 3/31/2016 9:48 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time pH Temperature (Thermometric) SM 2550B Total Suspended Solids (TSS) SM 2540 D-1997 SM 4500 H+B-2000 6.64 Std. Units 23 °C 3/31/2016 0948 3/31/2016 0948 <5 mg/L 5 AW 4/1/2016 1400 P.0, Box 47 eet Kernersville, North Carolina 27284 Tel: 336 996-2841 NA = not onolyzed 6-996-0326 www.randalabs.com Page 1 Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEG- Gateway Village Job No. Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time Comp. Grab Project Monthly Sampling Sampl Temp °C Res. CI. Please Print) Chlorine Removed Y or N Sample Matrix (S or W) Sample Location / I.D. a as c7 CHAIN OF CUSTODY RECORD Water / Wastewater 0 IL P,G (COD, N, Misc. Effluent 5 4 Requested Analysis * See Remarks Oi? TB 2 2 TB Relinquished By ate/Time IS35 Date/Time Received By eceived By Remarks: * Tetrachloroethene, C's 1,2 dichloroethene, TSS (Volatiles by method 601) pH: 6.641 Temp: Z;©C On Ice Sample Temperature at receipt °C EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH February YEAR 2016 - Weekly N MCI) 110142 0.0142 0,0142 FACILITY NAME Gateway Village LLC CLASS 1 COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 72 E 3 09511 0,27 4 0,0124 0.0124 0.0.124 0.0124 CERTIFICATION NO. 34 GRADE 1 CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * X " "t7 D\A! R (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) HATE BY 1II15 SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE '1'0 THE BEST OF MY KNOWLEDGE. 01042 I 01051 I 01092 Enter Parameter Code Above Name and Units Below Quarterly lig/1 Quarterly fig/1 Quartedy Rg/1 78389 EL' Monthly tig/1 81574 N Monthly ;LW' 00530 Monthly mg/I 00400 atonally S. U. 343 i 6 1. Quarterly µg/1 V„q.)FiOS MOCREF:NiLLE )M., or, FACE 32103 78391 00556 01045 01055 TGA313 Quarterly Quarter!): Quarterly Quarterly Quarterly Quarterly }ig/1 ug/I mg/1 tg /I P/F 8 0.0124 9 0.0124 0955 0,13 13 0.0124 0.0111 12 0.0111 0,0111 DWR S.CTION 14 0.0111 15 0,0111 6 0.0111 17 I lulO 1.21 0.0111 19 0.0123 20 0.0123 * 21 0,0123 .,.. 22 0.4) i 23 2,7 410123 • 77. 0.0111 <5 6,811 E 24 1040 0.22 Y 0.0123 26 0,0136 0.0136 27 0.0136 2s 0.0136 29 0,0136 AN FAZAGE 0.0124 MAX1611 NI 0,0142 0.0111 1460p. 1( 1/ Grab ) Niontlilv Limit 0.0500 <1 <1 <5 <5 6.80 6.80 Mi8.91) 4.9 N161.91) 30M/451) =>6<9 Copy 1.2EN1 Forai Mit- 1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facilitythcility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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 responsiblefor 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." Permittee type) Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o,enr.State.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 5ANCAC213.0506 (b) (2) (D). (op y DEM Form N11-1 (12793) For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 At: Hunter Hicks Client Sample ID: Effluent Site: Amec -G pH eway Village SM 4500 H+B-2000 Temperature (Thermometric} SM 2550B Total Suspended Solids (TSS) SM 2540 D 1997 Reseal' 6.80 Report o1 Lab Sample ID: 15437-01 Collection Date: 2/24/2016 11:52 td. Units Analysis Da 2/24/2016 "1152 52 P.0, Box 47 Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 NA ,= not analyzed Chemical Analysis for Selected Parameters and later Sample (A AMEC -Gateway tillage Project, collected 24 February 2016) olaille Organics EPA Method 601 Parameter Tetrachloroethene Cis 1,2-Dichloroethene Dilution Factor Sample Nubel Sample Date Sample Tiznc (h 0.001 0.001 parts per million (ppm) 1547-01. 02/ 4/ 1 Ei 15'2 Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD 2L G (BNA, Herb. t Pest.) 2 40 mi. Vials (VOA) HCL 250 mi.'G (TUX) 250 nil P (TUC) H2SO4 11, P,G (BOD, TSS, Unperserved, etc.) 11, G (Phenol, t it&Grease) H2SO4 s., 1L P,G (COIL N, P) 11280¢ 1L P,G (Metals, Hardness) HNO Misc. Company AMEC- Gateway Village Job No. Street Address Project Monthly Sampling City, State, Zip Sampler Name JP)ease Pry) Contact Phone Sampler Signature Sample Number (Lab Use Only) Date Time Comp. Grab Temp ° C Res. Cl. Chlorine Removed Y or N Sample Matrix (S or VV) Sample Location / I.D. Requested Analysis C \ E 4? 1'ul `L X VV Effluent 5 4 1 * See Remarks UZ TB 2 2 TB pH: 6 r0 Temp: /G® Rellii uis d By , te/Time Received By Remarks: * Tetrachloroethene, Cis 1 2 dichloroethene, TSS (Volatiles by method 601) Relinquished By Date/Time eceived y On Ice Sample Temperature at receipt w 3 °C EFFLUENT 1 NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH January YEAR 2016 i FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 X (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. CERTIFICATION NO. 34 GRADE 1 CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * LI DATE R EC E VE DINC DEN,R1DW R 9 q FIRS FIRS ft,1:71iinbt 441(ci: 2 4 6 0950 0.27 10 11 12 14 1020 0,22 15 ( 16 18 19 1010 0.23 20 50050 01042 I 01051 I 01092 FLOW Enter Parameter Code • EFT Above Name and Units INF Below 0 Weekly L. c. c. Quarterly Quarterly 1711/N M pg/1 i$040.0178 0.0178 pg/I 0.0178 0.0178 0.0178 0.0178 0.0122 0.0122 00122 .4. '4. 0.0122 0,0122 0.0122 0,0122 0.0122 Aut 0.0176 0.0176 Y 0,0176 <5 0.0193 <5 Quarterly ps/I 4 444 44 4, <10 78389 81574 00530 00400 34316 32103 78391 00556 01045 0105rIGMB MCORESViLLE VilEC1C4 atonally Al ou thly Monthly Monthly Quarterly Quallerly Qua, lerly Quarterly Quarterly Quarter!) Quarterly ttg/1 nig/1 s.u. µWI ttg/I ug/i nig11 pgll p.g/I P/F II40454",XtitAiltktia gtototti mitia 1.1g/1 ;160:17411: .41:011,6p,714, EL) INV.ORMAT 6.70 4.,4H4; '4.44.4.4441.;, ',444.44$44.4/ .<5 21 22 24 2S 26 27 28 1118 0.17 29 30 3 4 AVERAGE 0.0193 0.0193 0.0193 0.0193 0.0193 0.0193 0.0193 B 0.0193 0.0142 0.0142 0.0142 - 0,0164 <5 MAXIMUM 0,0193-w MINIMUM 0.0122 <5 CetiiK-#04din . Islontlily Limit 0.0500 <5 44444:W44 < 1 0 <10 <1 .<1 <I <1 <1 FEB 1 7 2016 "4.44,0404 440.0w .*:000.ztVME AO* iti*V4410 <5 6,70 <1 <1 '140410 <1,,N56 <5 8.9118.510 .1,9a1/4.911 JONI/450 6.7(1 <1 <I <I <1 <5 <5 <25 <25 <5 P P Sii.:041e!'„!`471t: AL, OFFICE Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the folio All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part ILE.6 of the NPDES permit. "1 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 a 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." Permittee Please prrint_or type) Signature of Pernitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 06/30/15 Pennittee Address Phone Number Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance tnay be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's �veb site at t o.ettestate.t c.tts/wqs and linking to the Unit's information pages. 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 occurrs and, as a r parameters on the DMR for the entire monitoring period. ** ORC On Site? : ORC must visit facility and document visitation of facility as required per I5ANCAC8G.0204, ***Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must he on file with the state per I 5ANCAC2B.0506 (b) (2) (D), there are no data to be entered for all of the Copy DEM Form MR -I (12/93) RESEARCh & ANALyTicA LAbORATORiES. INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Report of Analysis - 2/2/2016 . NC 434 NC #37701 i Client Sample ID: Effluent Site: Amec -Gateway Village Lab Sample ID: 14079-01 Collection Date: 1/19/2016 10:15 Parameter Method Result Units Rep Limit Analyst Analysis DatefTime Copper, Total EPA 200.7 <0.005 mg/L 0.005 AA 1/27/2016 Iron, Total EPA 200.7 <0.025 mg/L 0.025 AA 1/27/2016 Lead, Total EPA 200,7 <0.005 mg/L 0.005 AA 1/27/2016 Manganese, Total EPA 200.7 <0.005 mg/L 0.005 AA 1/27/2016 Oil & Grease EPA 1664 El <5 mg/L 5 SK 1/25/2016 pH SM 4500 H+B-2000 6.70 Std, Units 1/19/2016 Temperature (Thermometric) SM 2550B 13.3 °C 1/19/2016 Total Suspended Solids (TSS) SM 2540 D-1997 <5 mg/L 5 JB 1/20/2016 1615 Zinc, Total EPA 2003 <0.01 mg/L 0,01 AA 1/27/2016 NA not analyzed Box 473 106 Short Street Kernersyille, North Carolina 27284 Tel: 336-996-2841 Fax: 338-998-0326 www,randalabs.com Page ral_Wabasicv 1 d RESEARCH & ANALYTICAL LAbORAT©RIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 19 January 2016) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mii/L1 (mg/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Chloroform 0.001 BQL 1,2-Dichloroethane 0.001 BQL Trichloroethene 0.001 BQL Dilution Factor Sample Number 14079-01 Sample Date 01/19/16 Sample Time (hrs) 1015 per million (pp BQL Below Quantization Limits -Effluent Toxicity Report Facility: GATEWAY VILLAGE Laboratory Performing X Form - Chronic Pass/Fail and Acute LC50 Date: 01/28/16 NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG at: R & A LABORATORIES, INC. Si X ri)t' •per Si ure o Laboratory Supervisor n espo ble Charge Comments: Final Effluent An MEC Project 14148-01 * PASSED: 6.41% Reduction * Work Order: 14072-01 North Carolina Ceriodaphnia Chronic Pass/Fail Reproducti CONTROL ORGANISMS # Young Produced Adult (L)ive (D)ead Effluent %: 90% TREATMENT 2 ORGANISMS # Young Produced Adult (L)ive (D)ead pH Control Treatment 2 23 22 MAIL ORIGINAL TO: Toxicity Test Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 2 3 4 5 6 7 8 9 10 11 12 24 24 21 25 23 24 22 25 24 24 22 2 3 4 5 6 7 8 9 10 11 12 21 23 22 22 21 L L 1st sample 1st sample 6.97 6.68 7.05 6.77 e a n r d t lst sample D.O. Control Treatment 2 s t 8.6 8.6 8.4 8.4 6.95 6.89 s t 7.04 6.98 e a n r d t 1st sample 8.6 8.6 8.3 8.3 24 21 21 LLLL 2nd sample 6.93 6.89 7.02 7.00 s• t e a n ✓ d t 2nd sample 8.6 8.6 8.4 8.4 LC50/Acute Toxicity Test (Mortality expressed as %, combining LC50 = 95%c Confidence Limits replicates) 23 21 22 L L Chronic Test Results Calculated t = 3.267 Tabular t = 2.508 Reduction = 6.41 % Mortality 0.00 Control 0.00 Treatment 2 Control CV 5.296% % control orgs producing 3rd brood 100% Avg.Reprod. 23.42 Control 21.92 Treatment 2 PASS FAIL Complete This For Either Test Test Start Date: 01/20/16 Collection (Start) Date Sample 1: 01/19/16 Sample 2: 01/21/16 Sample Type/Duration 2nd 1st P/F Grab Comp. Duration D I S S Sample 1 X hrs L A A U M M Sample 2 X hrs T P P Hardness(mg/1) Spec. Cond.(pmhos) Chlorine(mg/1) Sample temp. at receipt(°C) Concentration Mortality Method of Determination Moving Average , Probit Spearman Karber Other 48 192 ...:.:::.. ) 725 0.03 Note: Please Complete This Section Also start/end start/end pH Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) Control High Conc. D.O. 713 0.03 3.1 Client: Collector (Print): ,? ,!*,✓t►r *� Collector (Signature: Phone Number: Sample Desoriptlon (see note') on • Temp' (°C). End -3 ample Type No. Of containers sent Temp Upon Arrival Analysis Required (acute, chronic bioassay) pte ptlon please use Effluent, Influent, Upstream, Post I-099ed in ,y Note: ' Or igirtai 88r►t with shipment Copy retained by collector. P.©. Box 473 108 Short Street O 'Cornwallis; North Caroline 87884 0 338-888-;?849 o Fax 388 www.rendalsbs.00m . 2 Client: Aykie C_ Collector (Print): Contact Parson. Collector (Signature: --- ' Address: Phone Number: BIOASSAY CHAIN Oi CUi`OIY CORD Coun pe #: 00 / • NPDES #: NIA);(_ 4 91 5i Sample Descsrtptlon (see notal ethod of Shipment: i Date/ Time Started •for Sample Efescriptio Note: Original sent with shipment Copy retahnsd by collector p Temp (°C). End /3 Sample Type No, of Comp. Drab containers sent Temp Upon Arrival (*CI Awe ase uge Effluent, P. O. Box 473.108 Short Street • Kerner fa, North Carolina 27284.33&BBB-2841 • Fax 3S8-p88-0328 www.r andalaba.aom Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Job No. Street Address Project Quarterly Sampling City, State, Zip Contact (Phone Sample Number (Lab Use Only) 0z Date Time Comp. Grab Sampler Name gjease Pr4t) Git�l 171c.e—._ Sampler Signature Temp oc Res. Cl. Chlorine Removed YorN Sample Location / I.D. Effluent TB GAIN OF CUSTODY RECORD u Water Requested Analysis * See Remarks TB pH: Temp: /3..3 Date/Time (`(5'•6 l,: IZ Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Tricbloroethene, Chronic Toxicity 'olatiles by method 601) On Ice / I Sample Temperature at receipt 3 0 oC EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. OO I MONTH December YEAR 2015 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 NO FLOW / DISCHARGE FROM SITE * X GRADE I CERTIFICATION NO. 985800 XB /a. GNATURE OF OPERATOR IN RESPONSIBLE CHARGE) tol' THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 201 E ENf/DWR ORC on Site? 50050 FLOW EFF Lxd INF 01042 01051 1 01092 Enter Parameter Code Above N.une and Units Below 78389 81574 00530 00400 34316 iJ 32103 78391 0 ,,Q�4S, ,0 FIRS HRS vnsm Weekly MGD Quarterly pg/I Quarterly µg/I Quarterly µg/I µg/I Montlrly µg/1 Monthly mg/I Monthly S. U. Quarterly µg/I Quarterly µg/I Quarterly Quarterly Quarterly Quarterly\ Quarterly ug/I mg/I µg/I µg/I P/F 0912 4 0.33 0.0110 0.0120 ECE[ Efir' JAN 2 9 ni6 0.0120 ENY AL FILES 0.0120 0.27` 10 0,0163 12 0.0163 0.016 14 0.0163 OA 0.0163 0,0163. .. 18 1012 0.35 0.0163 <1 6.72 19 20 0.0130 2 0,0130 22 0.0130 U940. 0.25 0, 24 0.0133 25 0 26 0.0133 0.01 28 0.0133 29 0:013. 30 1015 0,23 0.0133 0.0178 AVERAGE 0.0138 <1 <5 6.72 MUM .0178 6.72 MINIMUM 0.0110 <1 <I 6.72 Comp: (C) /:Grab (G) 0.0500 8.9 .I/s.9n 4 lit/49n 3UNI/45n =>6<9 OFFICE Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. Lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part Il.E.6 of the NPDES permit. "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 a 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 1.00 Charlotte, NC:' 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. Parameter Code assistance may he obtained by ca PARAMETER CODES NPDES Unit at at (919) 733-5(183, or by visiting the Surface Water Protection Section's h2o.enr.state.ne.us/wqs and linking to the Unit's information pages, Use only u 0 easurentent designated in the reporting facility's NPDES permit for reportin * No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a res parameters on the DMR for the entire monitoring period. ** ORC On Site? : ORC must visit facility and document visitation of facilil *** Signature of Permittee: If signed by other than the permitte, then the delegation 5ANCAC2B.0506 (b) (2) (D). re are no data to be entered for all of the as required per ISANCAC8G.0204. Copy DEM Fern' MR-1 (12/03) RESEARCII & ANALyTICAL LABORATORIES. INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 12/30/2015 Lab Sample ID: 13011-01 Collection Date: 12/18/2015 10:48 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time pH SM 4500 H+B-2000 Temperature (Thermometric) SM 2550B Total Suspended Solids (TSS) SM 2540 D-1997 6.72 21 Std. Units °C <5 mg/L 12/18/2015 12/18/2015 JB 12/23/2015 NA = not onolyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral coa basic v1d ESEARCh ANA1yTICAE LAboRAT©RIES, INC. Analytical/Process Consultations Chet Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 18 December 2015) I. Volatile Organics Quantitation EPA Method 601 Limit Parameter (mr, /L) Tetrachloroethene Cis 1,2-Dichloroethene Dilution Factor 0.001 0.001 Effluent (mgfLZ BQL BQL Sample Number 13011-01 Sample Date 12/18/15 Sample Time (hrs) 1048 a per Liter = parts per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations 996-284 CHAIN OF CUSTODY RECORD 2L G (BNA, Herb, / Pest.) 2.254()Omittil..GIV`ia(ITs (lox) [ICL 250 rill P (TOG) 112SO4 IL P,G (BOD„ TSS, Iitrpet-served, etc) IL G (Pilettol, Oil&Grease) 112SO4 IL P,G (COD, N, P) 112$04 IL P,G (Nlettils, Hardness) IINO3 .*** IL P,G (Cyani(ie) Na0II Sterne P,( (Colifortn) **4. sos company AMEC- Gateway Village Job No. Street Address Project illonth IY Sampling City, State, Zip Satnpler Name (Please Print) z L. 0.3 o Contact Phone Sampler Signature ... czt o (..) L... Sample Number (Lab Use Only) Date Time Comp Grab Teltlp °C Res. Cl. Chlorine Removed Y or N Sample Matrix (S or IV) Sample Location / I.D. - • Requested Analysis \'01‘--t? \ 17.-- IS tpuu X NV Effluent S 4 1 * Sec Remarks 02. TB 2 2 TB pH: 6).72 Temp: 2.1 •c Rei • quis ie 13y Dateffirne g-ff-is /5?5- Receicd By -Remarks: * Tetrachlorocthene, C's 1 2 dichloroethene, TSS (Volatiles by method 601) Relinquished By Date/Time 't, ceived 13 On Ice Sample Temperature at receipt °C EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH November YEAR 2015 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price GRADE 1 CERTIFICATION NO. 98500 ORC PHONE 336-996-2841 ; (, NO FLOW / DISCHARGE FROM SITE * [ I PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGLI, NC 27699-1617 .2Wry r'j. (SIGNATURE OF OPERATOR IN RESPONSII3LE CHARGE) 13Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. RECEI»{L;i.iAt Dr. /R?1..`,3Y". 50050 01042j 01051 j 01092 4r FLO V Enter Parameter Code c• EFF [ ( Above Name and Units +. INF to ✓ 0 78389 81574 00530 00400 34316 32103 78391I\ 2 I0 12 3 11 RS 1035 0.35 Weekly Quarterly Quarterly Quarterly. MGI) 0.0104 0.0104 0.0142 0.014 0.0142 0.0106 µg/I Monthly Monthly y Quarterly Quar S. U. Quart(' g/I ug/I 14 16 20 22 0.0106 0.0106 0.0201 0.0201 24 0.0110 26 28 0.0110 0.0110 0.0110 AVERAGE MINIMUM Monthly Limit 0.0125 0.0104 0.0500 <1 <1 8.9M/ 9D <1 <1 <5 6.86 6.86 4.9M/4.9D 30M/45D =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant 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 pemiitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "1 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 a 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. 1 am aware that there are significant penalties for submitting false information, including the possibili of fines and imprisonment for knowing violations." Signature of Permitee Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/w s and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must he on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCii & ANALyTICAl LABORATORIES. INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 11/25/2015 Lab Sample ID: 11845-01 Collection Date: 11/19/2015 11:10 Parameter Method Result Units Rep Limit Analvs% Analysis Date/Time pH Temperature (Thermometric) Total Suspended Solids (TSS) SM 4500 H+B-2000 SM 2550B SM 2540 D-1997 6.86 17.4 <5 Std. Units °C mg/L 11/19/2015 1110 11/19/2015 1110 YJ 11/21/2015 NA = not analyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral coa basic v1d RESEARCh & ANALYTICAL LAbORATORiES, 'NC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 19 November 2015) I. Volatile Organics Quantitation EPA Method 601 Limit Parameter (m€i:/L) Tetrachloroethene 0.001 Effluent (mg/L1 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number Sample Date Sample Time (hrs) $ 11845-01 11/19/15 1110 illion (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841. CHAIN OF CUSTODY RECORD Water / Wastewater 1 Misc. 11L 1P.G (BOD TSS,1 perser'ed, ete.) IL G (Phenol, C}Il Grease) R2S ()4 c� '" u' Company AMEG Gateway Village Job No. 1L G (DNA, lerh. t Pest) Street Address Project Monthly Sampling City, State, Zip � Sampler Name (P a/se Print a Contact Phone Sampler Signature Sample Number (Lab Use Only) Date Time Comp. Grab Temp °C Res. Cl. Chlorine Removed Y or N Sample Matrix (S or W) Sample Location / I.D. ' "' ^' Requested Analysis J �1 C 0 W Effluent 4 1 * See Remarks ( _ TB 2 2 TB pH: 4j- S' Ternp: (" `{ *=- TSS �-- Relinquikhed By It / late/Time .Received By Remarlls: * Tetrachloroethene, Cis 1,2 dichloroethene, Relinquished Date/Time d (Volatiles by method 601) On Ice Sample Temperature at receipt ,,. f °C EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH October YEAR 2015 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGEDI 1 Mail ORIGINAL and ONE COPY to: ..-- ATTN: CENTRAL FILES X r.„---- //' DIVISION OF WATER QUALITY * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) RECEWERNMENR/DWR 1617 MAIL SERVICE CENTER t, ,„..A BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS RALEIGH, NC 27699-1617 , 015 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. D FC - 1 2015 CERTIFICATION NO* 34 GRADE 1 CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * 2 .0050 0 04 01051 J 0 092 78389 81574 00530 00400 34316 32103 78391OFFICE FLOW Eutecodr Pararneter Above Name and Units el N N Chronic Toxici k Qurte carte Quattery outhly oath y OH unthty Quartcrly Qua et Qua erl n*rerly Q eri Uuarter Quarterly RS 2 HRS Yi -0,t4ex IN c; 11 TVS' ,,,4t,et 0.0102 P s. u. ftg./ lftg. PfI *114t "Ark plirtplp "s,:rommooto KOWA' , „%„4„ 0,,,,,44-A44A,,,,V,OleWfV&44,314„0,4,AA „A> 4,4,,,eow:NnZW10.94M0 6.-.Ad„MA,An4". ;AVNAI,r. 4 It 343-4,3410-11 tteftql,i10100a0380,36 0.0102 ine '2,431a1V11110•23,31127 ESSEVASSAISIMIllt " 6 1430 0.27 Y 0.0102 tti Mks teiSall &NS RUMS lietAINCIANINKOMatilit 1311,14 8 0.0065 10 sitelek 31410:0E144110)12PrelatlAMISINIV $111,01111611Clint IVA Mist atillsMit 0.0065 ms tato istosoissamigialitift 01001111SMS11 most, mvosmoo omouto #04 *a* 12 14 0.0065 Ske,„ th„,„„AirPitlitt„Satif Af.314,33.13 t130-$.* „41411":140330,10 owl lows#043,53:40, 0.0104 ts\r, ottot, oss, vossig ;mos Ago cog mom- "irt IMIA-1,0301016M 16 0.0104 4W,1100ACA 41440148 ClaittiOAS iiitAP WSW %WO 4,30* MON *MO 4101103;00 tteM iRiK0f3 18 0.01.04 *it 20 2 3'13,0411,111,MOSIO gliStAiNYCOMMISZOM SCOW e'ttaiatt,N*Sie, 0.0104 44'0$01.140,g :WA,* iranktrir 0.0030 WiCAM,P, 'OzW,ITzt„, ftg!* X.44.Air"kMk010 MORO' 24 .41 fatal '":`‘ L*714 614%. .11.txktV '3s • 2 A, 310,010 vogialsto pimq frowasof rtiti kmogoso VOW 0.0030 26 13,..0\43 333 31.33,,z3„1, 1.14,11(at 11,1111.4010311101 :4010,1* f4.04# $.04.430.146 4;st:.;',k3 0.0030 t 28 1030 30 �1i \;AM ailV 00030 ISSIMI31610111,2 Val nf,V014,41,10, NM ON elttl;tNtnfiWalt 0.0104 43410.403,CO3,,Mig QUIPOSO littartION MOW gl4113,,RAM SMIUMO: dillssaiess tstS, AVERAGE 'msIIva411 AC MAN Mgt 114A 44119840 MINIMUM 0.0030 <5 <5 29.0 <I Monthly Limit 0.0078 <5 <5 29.0 <I <I <5 6.75 3.6 <I <I <5 51 <5 P <1 <5 6.75 3.6 <1 <I <5 51 <5 P 14,00 :44)41, , 743' 3', 03' A 4 AsAA,V ,-sA AA A' AAV ',V, z , 0.0500 8.9M/a.90 4.9M/4.90 3.01/450 Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." µ Permitte Signature of Permitee*** (Required unless submitted electronically) 13.---) tr. 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the pennitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR -I (12/93) riRESEARCII & ANALyTICA LAbORATORiES, INC. Analytical/Process Consultations October 28, 2015 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TSS mg/L <5 Total Copper mg/L <0.005 Total Lead mg/L <0.005 Total Zinc mg/L 0.029 Oil & Grease mg/L <5 Total Iron mg/L 0.051 Total Manganese mg/L <0.005 RAL Sample Number: 10291-01 Date Collected: 10/13/15 Time Collected: 1045 per million < a Less than or Below Detection Limit ESEARCIi NAEyTICAI LABORATORIES NC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 13 October 2015) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mg/L) cr g/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Chloroform 0.001 0.0036 1,2-Dichloroethane 0.001 BQL Trichlor©ethene 0.001 BQL Dilution Factor Sample Number 10291-01 Sample Date 10/13/15 Sample Time (hrs) 1045 mg/ = milligrams per Liter = parts per mi ppm) BQL = Below Quantization Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab use Only) Date Relinquished By Relinquished By Phone Time Comp. Grab Date/Time /YSr Date/Tirne Job No. Project Quarterly Sampling Sampler Name Sampl Signature Temp Res. Cl.. (Please Print) Chlorine Removed YorN Sample Matrix (SorW) W Sample Location / I.D. Effluen TB ts� 4 z 10 •1 a, CHAIN OF CUSTODY .RECORD Water Wastewater 0 b Misc. Requested Ana * See Remarks TB pH: G.75 Temp: 741 Remarks: * Tetrachloroethenc, Cis 1,2 dichloroethene, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Trichloroethene, Chronic Toxicity (Volatiles by method 601) On IceV Sample Temperature at receipt Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Facility: GATEWAY VILLAGE Laboratory Performing e X Si X Date: 10/21/15 NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG & A LABORATORIES, INC. Responsible Charge oratory Supervisor Comments: Final Effluent A AMEC Project * PASSED: 1.81% Reduction * Work Order: 10294/10393 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced Adult (L)ive (D)ead Effluent %: 90% TREATMENT 2 ORGANISMS # Young Produced Adult (L)ive (D)ead 1st sample PH Control Treatment 2 D.O. Control Treatment 2 6.93 6.85 7.02 6.93 s t e a n ✓ d t 1st sample 8.6 8.5 8.4 8.3 23 24 21 25 22 24 23 25 21 23 23 24 22 2 3 4 5 6 7 8 9 10 11 12 22 23 24 22 21 24 21 lst sample 2nd sample 6.94 6.77 7.03 6.86 6.92 6.77 7.01 6.85 s s t e t e a n a n ✓ d r d t t lst sample 2nd sample 8.6 8.6 8.3 8.3 8.6 8.6 8.3 8.3 23 LC50/Acute Toxicity Test (Mortality expressed as %, combining replicates) 22 24 21 Chronic Test Results Calculated t = 0.788 Tabular t = 2.508 % Reduction = 1.81 % Mortality 0.00 Control 0.00 Treatment 2 Control CV 5.863% % control orgs producing 3rd brood 100% Avg.Reprod. 23.00 Control 22.58 Treatment 2 PASS FAIL Complete This For Either Test Test Start Date: 10/14/15 Collection (Start) Date Sample 1: 10/13/15 Sample 2: 10/15/15 Sample Type/Duration Grab Comp. Sample 1 X Sample 2 X Duration hrs hrs Hardness(mg/1) Spec. Cond.(pmhos) Chlorine(mg/1) Sample temp. at receipt(°C) LC50 = 95% Confidence Limits Concentration Mortality Method of Determination Moving Average Probit Spearman Kerber , Other D I L II T 48 190 41 1st S A M P 443 0.03 2.0 Note: Please Complete This Section Also start/end Control High Conc. pH Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DIIBIA ver. 4.32) start/end D.O. 2nd P/F S A M P 439 0.02 3.0 Cite Collector (Print): Collector (Signature: BIOASSAY CHAIN OIr CUSTODY RECORD County: /►c.k,.bw5 Pipe #: ee> 1 NPDES #:Ak-ave&S 7 4oncect Perso;i. Address: Phone Number: 8ampie Description (see note") 1O9-©1 Sample CoUectlo Date/ Time Started for Sample Deecri by: (Signature) (°C) End Sample Type Comp. irwtu Grab No. of ©rrntainere sent Temp Upon Arrival (°C► Post Cis, Etc. Date/Time /v15-IS ISo42 Note: Original sent with Shipment Copy retained by collector P.O. Sox 473.106 Short Street • Karneraville. North Carolina 27284.33B-888.2841 • Fax 338.888-ti32 www.randalaba.aom Client: BIOASSAY CHAIN O CUSTODY RECORD County, /' F.L Pipe #: " L NPDES 0: Ncc'O Collector (Print): �� a� Contact Collector (Signature: _— -- Address: Phone Number: Lab # (RAL only) Sample Description (see note') Sample n• 1©301301 Date/ Date/ Temp Time Time (°C) Started Ended End Sample Type No. of containers Comp. Grab Temp Upon Arrival (°C) Analysis Required (acute, chronic bioassay) for pie Desariptton please u$e Efflu Note: Original sent with shipment Copy retained by collector entr U P.O. Box 473.108 Short Street • Kernersvlle, North Caroline 27284.336.88E-284 www.randalebacom C12, Etc. 2 North Carolina Department of Environmental Quality Pat McCrory Governor December 7, 2015 CERTIFIED MAIL 7013 2630 0001 8998 2588 RETURN RECEIPT REQUESTED Mr. David L. Edwards Cousins Properties, Inc. 800 West Trade St, Suite 100 Charlotte, NC 28202 Subject: NOTICE OF VIOLATION Late Discharge Monitoring Reports (DMRs) Gateway Village remediation site NPDES Permit NC0086517 Mecklenburg County NOV-2015-LR-0048 Dear Mr. Edwards: Donald R. van der Vaart Secretary RECEIVE©/NCDENRfDWR DEC 30205 WQROS MOORESVILLE REGIONAL OFFICE This is to inform you that the Division of Water Resources did not receive the monitoring report for September 2015. This is in violation of Part II, condition D(2) of the NPDES permit, as well as 15A NCAC 2B .506(a), which requires the submittal of Discharge Monitoring Reports no later than the last calendar day following the reporting period. Failure to submit reports as required will subject the violator to the assessment of a civil penalty of up to $25,000 per violation. To prevent further action, please submit the reports within fifteen (15) days of receipt of this notice. If this facility is inactive or not constructed, you may submit a written request to suspend monitoring. The request should include a begin date and end date for the period of monitoring. Additionally, this letter provides notice that this office will recommend the assessment of civil penalties if future reports are not received within the required time frame during the next twelve (12 reporting months. The Division must take these steps because timely submittal of discharge monitoring reports is essential to the efficient operation of our water quality programs. We appreciate your assistance in this matter. If you have any questions about this letter or discharge monitoring reports, please contact me at 919-807-6307 or via e-mail at derek.denard@ncdenr.gov. ay Zimmerman, Direc Division of Water Resources cc: NPDES File Central Files resville Regional Office — WQ Regional Operations Richard Fanner [Richard.farmer@mecklenburgcountync.gov] 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-6300 \Internet: www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper t A EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 FACILITY NAME aVillaeLVillaC CLASS 1 COUNT 'CERTIFIED LABORATORIES R & A Laboratories, Inc, (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPYREC ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 2 4 EFF ar, INF 00 50059 JA N CENT Dw 01042 ,1 010 IVED MONTH September enbur CERTIFICATION NO. 34 YEAR 2015 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * i6(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) LU 81' THIS SIGNATURE, I CERTIFY THAT THIS REPRiW11:" clD PAID FILE8ccuRATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. „ TION ckii304 12 1016 01092 78389 81574 00530 LOW Enter Parameter Code Above Name and Units Below Weekly MGD 0.0114 tiA y Quarterly a thly Monthly Monthly pg m I 00400 Slot) thly S. u. 34 6 Quarterly 32103 Quarterly 78391' -1105A6' 01045 Quarterly Quarterly Quarterly m 'vzsv=zr, 11.11,1"Ii9;i41-v tatai?tit7= F73,11,:rail„ vt.w„ 0.0055 tlir ° r 1;44 N'4444',44k 1:7277,117-471r7r? 10 12 4 k 16 20 22 24 26, 0.0055 0.0057 $= 0.0057 0.0057 0.0112 0.0112 0.0112 =ittit VP;,C!,„ 0.0114 0.0114 28 0.0114 30 AVERAGE 0.0102 0. 9 NIININEUNI 0.0055, 31*633,1., Vi4 Monthly Limit 0. 0 lTMU <I <1 <1 L9M.'L90 .4„9M14.9l) .14)MA5D 6.76 \ate.tia. • „, 01055 TGA3 1:C Quarterl Quarterly 1 P/F sva.t. aattit WA' < 0: 44, ;"" 0`0019i Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT meet permit requirements 1 1 Noncompliant The permlttee 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 permltte 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, If the facility is noncompliant, please aft c a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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." Perm itte(Please print or type) Signature ofPermitee*** (Required unless submitted electronically) 800 West Trpde Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number ADDITIONAL CERTIFIED LABORATORIES /W/6 Date 06/30/15 Permit Exp. Date Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4). Certification No. Certified Laboratory (5)_ Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.no,us/wgs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8O.0204. *** Signature of Permittee: if signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per ISANCAC2B.0506 (b) (2) (D), Copy OEM Form MR-1 (12/93) RESEARCh & ANALYTICAL LAb©RAT©RI ES. INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 10/1/2015 Lab Sample ID: 9568-01 Collection Date: 9/23/2015 10:57 Parameter Method Result Units Analysis Date/Time pH SM 4500 H+B-2000 Temperature (Thermometric) SM 2550E Total Suspended Solids (TSS) SM 2540 0-1997 6.76 19.7 <5 Std. Units °C mg/L 9/23/2015 1057 9/23/2015 1057 YJ 9/28/2015 NA = not analyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 36-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral_coa basic_v1d RESEARCII 81 ANALYTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample JA AMEC-Gateway Village Project, collected 23 September 2015) 1. Volatile Organics Quantitation EPA Method 601 Limit Parameter (ma/L) Tetrachloroethene 0.001 Effluent (me/L) BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 9568-01 Sample Date 09/23/15 Sample Time (hrs) 1057 s per Liter = parts per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Phone Job No. Project o hly Sampling Sampler Name (Please Print Sampler Signature Ufl (Lab Use Ouly) Date Time Comp. Grab x Ter p Res. Cl. Chlorine Removed I' or N Sample Matrix (S or W) W Sample Location /1.D. Effluent No. of Containers G (BNA, Herb. 4 C A N OF CUSTODY RECORD Water / Wastewater trt 5 -Er L P,G (COD, N, u 0 0. Misc. Requested Analysis * See Remarks TB pH: Temp: / Relinquished By Daterfime Received By Remarks: * Tctrachloroethene, Cis 1,2 dichlorocthene, TSS (Volatiles by method 601) On 1/ Sample Temperature at receipt 3 "C January 8, 2016 Attn: Central Files NCDENR Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: DMR Summary September 2015 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina Amec Foster Wheeler Project: 6228-12-0004 Attention Central Files: amec foster wheeler Amec Foster Wheeler Environment & Infrastructure, Inc. (Amec Foster Wheeler) is pleased to submit this DMR Summary for the above -referenced site in response to NOV-2015-LR-0048. This information has already been sent to Mr. Derek Denard with the NC Division of Water Resources WQ Permitting Section. The DMR indicates the facility did meet the permit requirements. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, Amec Foster Wheeler Hunter M. Hicks, P.E. Senior Engineer Enclosures Correspondence: Amec Foster Wheeler Enviromnent & Infrastructure, Inc. 280I Yorkmont Road Suite # I00 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704) 357-8638 Licensure NC Engineering F-I253 NC Geology C-247 amec'fiv.com EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH July YEAR 2015 FACILITY NAME Gateway Village LLC CLASS 1 COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail d ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 RS ORC on Site? IIRS V U!I1IHI 6 0. 0 ekly GD 0.020 0.020 0. 0 BY THIS SIGN' ACCURATE AN r I GRADE 1 CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) REC ERTIFY THAT THIS REPORT IS E" E TO THE BEST OF MY KNOWLEDGE. 42 1 0105!0 0 2 78389 81574 00530 00400 34316 32103 78 9 Enter Paranieter Code Above Name and Units art*rty ua e wrter onthl onthly onth ant S.U. Quat e r. ta:WW2121° IA* MI y Quarterly Qua * y Quarterly Quart* r NRIDVVR V , WQROS tut e mule u mgll j pIl P/F 66 6 6-1‘661emax‘6,6m6r6-6_ 45'0'4 y IINEthiraZIAlige‘ 1,4 Vt. hvrt, Vrattitto4, , `616Y51.166,66 6S)66) 0.0197 60166, 11 t-re'04, 0.0 7 ,..666,66664* 4511 4 irni 6 54 7\1" 1,11.,,,AlaitLy,",1a... 1.114." `,11kleill; 11,44 1,911' 0.0197 0.0056 41W4, it 44(16 M; 16'\ 66, 11\6,1)66 11 NUUUI 11 22 0.0056 MI, illtOs* $*“01 6:46,fk;'4MtV ITAP, 11,r" .6.4rr'''l `"`41‘ "VP\ '(`4.N1u': .601N6 0.0 „.. 11 4 6 0. 0.0 ,mmomfg RmarIora mrkw 5,10‘6, 74, alw;” tmli% 4tr$11 06 2 0.0068 111 , 11.11 iflV 0 0. 6 -6611;816 11 5r:A AVE 0. verrtomorp, Monthly Limit 0.0056 <5 0.0500 4 6.7 .0 verwremmarsv wiwirry 25 <5 P lift6 :61610,4104 15.0 <1 <1. <5 6.73 1.0 3.9S1/8.90 4,91W4.91) .30M/4.50 6-66<9 .61 <5 Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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 kno ing violations." -M Qk4- V1 641 ct I "F 'F rt4e-LOCt Permitte Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCII & ANAEyTICAL LABORATORIES, INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 7/28/2015 Lab Sample ID: 6837-01 Collection Date: 7/21/2015 10:05 Parameter Method Result Units Rep Limit Analyst Analysis Date/Time Copper, Total Iron, Total Lead, Total Manganese, Total Oil & Grease pH Temperature (Thermometric) Total Suspended Solids (TSS) Zinc, Total EPA 200.7 EPA 200.7 EPA 200.7 EPA 200.7 EPA 1664 B SM 4500 H+B-2000 SM 2550B SM 2540 D-1997 EPA 200.7 <0.005 mg/L 0.005 AA 7/24/2015 0.025 mg/L 0.025 AA 7/24/2015 <0.005 mg/L 0.005 AA 7/24/2015 <0.005 mg/L 0.005 AA 7/24/2015 <5 mg/L 5 JB 7/23/2015 6.73 Std. Units 7/21/2015 1005 24.2 °C 7/21/2015 1005 <5 mg/L 5 JB 7/22/2015 1630 0.015 mg/L 0.01 AA 7/24/2015 NA = not analyzed P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www,randalabs.com Page 1 rat coa basic vtd An yti ai/Proc ss Ccansuitatians Chemical Analysis for Selected Parameters and Water Sample 1' AMEC-Gateway Village Project, collected 21 July 2015) olatile Organics Quantitati©n EPA Method 601 Limit Parane Tetracllorcethene Cis 1,2-Dichl oroethenc Chlorofo i -Dichloroethane Trichloroethene Dilution Factor 0.001 0.001. 0.001 0.001 0.001 u BQL BQL 0.001 BQL BQL Sample Number 6837-01 Sample Date 07/21/15 Sample Time (hrs 1005 itei parts per tniliion " (pprn) Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time Comp. Grab Job No. Project Quarterly Sampling Sampler Name Sampler Signature Temp eC Res. Cl. Chlorine Removed YorN le s Print) Sample Matrix (S or W) Sample Location / 1.➢. Effluent 4 2 CHAIN OF CUSTODY RECORD Water / Wastewater 2 Misc. Requested Analysis * See Remarks TB Relinquished By Date/Time pH: 73 Temp: 2. 4, Z. Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Trichloroethene, Chronic Toxicity (Volatiles by method 601) On Ice Sample Temperature at receipt RESEARCii & ANA[yTICAE LAbORATORiES, INC. Analytical/Process Consultations 30 July 2015 North Carolina Department of Health, Environment & Natural. Resources 1623 Mail Service Center Raleigh, North Carolina 27699-1623 Attention: Ms. Cindy Moore Subject: Bioassay Report Dear Ms. Moore: Enclosed please find the results of the Full Range chronic pass/fail bioassay performed by Research & Analytical Laboratories, Inc. for Gateway Village. All analytical procedures used are outlined in the North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedures, December 1984, revised February 1998. All physical parameters measured during the test were well within the prescribed limits as set forth in this manual. If you have any further questions or need any additional information please do not hesitate to call. Sincerely, RESEARCH & ANALYTICAL LABORATORIES. INC. Sidney L. Champion Vice President & Director of Laboratory Services SLC/af Enclosure P. ©, Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www.randalabs.com uent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/30/15 Facility: GATEWAY VILLAGE Laboratory Performing Tes X X NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG R & A LABORATORIES, INC. 5 natu a ofstaboratory Supervisor Comments: Final Effluent An AMEC Project * PASSED: 1.82% Reduction * Work Order: 6831-01/6954 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Tes Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced Adult (L)ive (D)ead 21 23 22 25 21 23 22 24 25 24 21 23 Effluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced Adult (L)ive (D)ead pH Control Treatment 2 D.O. Control Treatment 2 23 24 21 22 25 21 23 24 1st sample 1st sample 2nd sample 6.93 7.02 7.36 7.44 6.91 6.89 7.00 6.98 6.96 6,74 7.04 6.83 s s s t e t e t e a n a n a n ✓ d r d r d t t t 1st sample 1st sample 2nd sample 8.6 8.4 8.5 8.3 8.6 8.6 8.3 8.2 8.6 8.6 8.4 8.4 22 LC50/Acute Toxicity Test (Mortality expressed as %, combining replicates) LC50 = 95% Confidence Limits % -- 21 22 21 Chronic Test Results Calculated t = 0.717 Tabular t = 2.508 % Reduction = 1.82 % Mortality Avg.Reprod. 0.00 Control 0.00 Treatment 2 Control CV 6.424% % control orgs producing 3rd brood 100% 22.83 Control 22.42 Treatment 2 PASS FAIL Complete This For Either Test Test Start Date: 07/22/15 Collection (Start) Date Sample 1: 07/21/15 Sample 2: 07/23/15 Sample Type/Duration Sample 1 Sample 2 Grab Comp. X X Dura hrs n hrs D I L U T 2nd 1st P/F S S A A M M P P Hardness(mg/1) Spec. Cond. ()mhos) Chlorine(mg/1) ,,,,,,,,,, 0.03 0.03 Sample temp. at receipt(°C) ,,....C::: 3.3 3.3 Concentration Mortality Method of Determination Moving Average Prob Spearman Karber - Other 48 .......... ..... .......... ....... 190 352 107 Note: Please Complete This Section Also start/end start/end Control High Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) Analytical/Process Consultations BIOASSAY CHAIN OI= CUSTODY RECORD Client: A/Pee - �. !' � '��' County. ��'.i'�c+ Pips #: 4a / NPDES #: �(,�©©geo S/'? Collector (Print): L:oncact Persor+. Collector (Signature: Address: Phone Number: Lab 1 (RAI. only) Sample Description (see note*) Sample Collection Date/ Time Started Date/ Time Ended $14- Temp (°C) End Sample Type Comp. Grab No. of containers sent Temp Upon Arrival (°C) Analysis Required (acute, chronic bioassay) for Sample Description please use Effluent, Influent, Upstream, Post C12, Etc. Note: Original sent with shipment Copy retained by collector P.0, Box 473. 106 Short Street • Kernersvilie, North Carolina 27284.336-996-2841 • Fax 336-996-Ci326 www.randalabs.com Analytical/Process Consultations BIOASSAY CHAIN OF CUSTODY RECORD Client:/1#le( ' �� .�! r!(�e:- County1 Pipe #: 00/ NPDES #: Akcrz 8'(r, S-17 contact Verso(,. Collector (Signature: Address: Phone Number: Collector (Orin Lab RAL. only) Sample Description (see note*) Sample Date/ Date/ Time Time Started Ended on Temp (°C) End Sample Type Comp. Grab No. of containers sent Temp Upon Arrival (°C) Analysis Required (acute, chronic bioassay) for Sample Description please ur;:e Effluent, Intiuent, Upstream, Post C12, Etc. Note: Original sent with shipment Copy retainedby collector P. 0, Box 473. 106 Short Street • Kerna e, North Carolina 27284.336-986-2841 • Fax 336-996-C132 www.rendalabe.00m eNPDES PERMIT NO. NC 0086517 EFFLUENT DISCHARGE NO. 001 MONTH June YEAR 2015 FACILITY NAME Gateway Village LLC CLASS 1 COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this fornl) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price GRADE 1 CERTIFICATION NO. 985800 PERSON(S) COLLECTING SAMPLES Glenn Price ` ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 2 10 12 14 16 20 22 24 26 30 HRS FIRS 0930 0.20 B AVE 11 RAGE MINI Month MUM ly Limit EFT INF 50050 FLOW Weekly MGD 1 4417, 0.0176 0.0183 0.0183 The 0.0183 0.0180 0.0180 0.0180 0.0180 0.0112 0.0112 0.0245 0.0245 0 8 0.0182 0.0112 0.0500 NO FLOW / DISCHARGE FROM SITE * X (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS �k r 1 2 2015 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE U 01042 1 01051 101092 Enter Parameter Code Above Name and Units Below Quarterly Quarterly )1 Quarterly 78389 Monthly <1 <1 A.9M/8„91) 81574 Monthly 49M/4.9D 00530 Monthly mr/1 <5, 0 <5.0 30M/45D 00400 Monthly s„u. 444 6.70 6.70 =>6<9 34316 Quarterly 32103 Quarterly urn Quarterly WQROS nF`F CE TGA3B Quarterl 4 uarterly Quarterly /I • /l P/F Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part 11E6 of the NPDES permit. "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 a 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 imp isonment fo owing violations." (70-kW Signa ure orVermiee (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number i/zz iir Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o,enr.state.nc.us/wqs and linking to the Unit's information pages, 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCIi & ANAEy'TICAE LAb©RATORIES INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village project, collected 17 June 2015) 1. Volatile Organics Quantitation EPA Method 601 Limit Parameter (mg/L) Tetrachloroethene 0.001 Effluent (rng/L) BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number Sample Date Sample Time (hrs) 5523-01 06/17/15 0835 mg/L mills ra s per Liter = parts per illion (ppm) BQL = Below Quantitation Limits RESEARCk it ANA1yTICAE LABORATORIES, INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Report of Analysis 6/24/2015 Lab Sample ID: 5523-01 Collection Date: 6/17/2015 8:35 Parameter yyethod Result Units Rep Limit Analyst Analysts Datemme pH SM 4500 H+B-2000 Temperature (Thermometric) SM 2550E Total Suspended Solids (TSS) SM 2540 D-1997 Std. Units 20.4 °C <5 mg/L 6.7 6/17/2015 0835 6/17/2015 0835 5 JB 6/19/2015 NA Q not analyzed P.O. Box 473 106 Short Street Kemersville, North Carolina 27284 Tel: 336-996-2841 Fax: 336-996-0326 www.randalabs.com Page 1 ral coa basie v1d Research & Analytical Laboratories, Inc. CHAIN OF CUSTODCUSTODY ECORD Analytical / Process Consultations Phone (336) 996-2841 e / wasteltvate Company A EC- Gate,vap Village ob No. Address Project 11 on ly Samp g State, Zip Sa Name Prin Pho pte gnature le Number .ab Use Only) Date Time Co p, Te Grab Re* Chiori Rcmov Y or a pie p L) Rectnesfed An Effluent 4 Re pH: (. 7© Temp: 2-0 q ,,shed Re e Kec °ea xsy letttarks: * Tetrachioroethene, Cis l,2 diehloroethene, TSS Volatiles by method 601) On Ice Sample Temperature at receipt °C EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH May YEAR 2015 FACILITY NAME Gateway Village LCLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGEDI i Mal ���ii)� a r ;,�� nd ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RAL.EIGH, NC 27699-1617 W d' a) HRS HRS vnaIN 2 4 6 8 10 12 14 16 20 22 24 26 30 0940 0.23 AVERAGE MINIMUM Monthly Limit 50050 FLOW EFF INF Weekly MGD 0.0122 0.0122 0.0098 0.009 0.0098 0.0161 0.0161 0.0161 69 0.0169 0.0141 0.0098 0.0500 01042 QA CERTIFICATION NO. 34 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) RECEIVED/NM' BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOW LEDGIA it G 1 2 01051 101092 Enter Parameter Code Above Name and Units Below Quarterly /I Quarterly Quarterly 78389 Monthly <1 8.9M/8.91) 81574 Monthly <1 4.9M/4.9D 00530 Monthly m/1 <5.0 <5.0 30M/45D 00400 Monthly s.u. 6.82 6.82 =>6<9 34316 Quarterly µg/1 32103 Quarterly /1 WO"' 101001}111M. u'/1 ?ml Quarterly WORDS Quarter! /I uarterly Quarterly /1 P/F Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens ublic health or the environment. Any information shall be provided orally within 24 hours from the time the permitte 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, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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." Permittee Anv Signature of Permitee*** V 1 Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o,enr.state.nc.us/wo and linking to the Units information pages. Use only units of measurement designated in the reporting facilitys NPDES permit for reporting data. * No Flow / Discharge From Site: Check this box if no discharge occurrs 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? : ORC must visit facility and document visitation of facility as required per I 5ANCAC8G.0204. *** Signature of Permittee: If sig-ned by other than the permitte, then the delegation of the signatory authority must he on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) EFFLUENT 1`P DES PERMIT NO. NC 0086517 FACILITY NAME Gateway Village LLC CERTIFIED LABORATORIES (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 x (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) IIY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS �y �n�� ,CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. J DISCHARGE NO. 001 MONTH April YEAR 2015 CLASS_ I COUNTY Mecklenburg c. CERTIFICATION NO. 34 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * CEIVEO N EN WQROS 0050 0 042 101051 1 0 092 78389 81574 0030 00400 34316 3210 . FLOW Enter Parameter Code c• EFF (yJ Above Name and Units 0 0650 0.27 l* 0.0106 0.01.1 14 16 1t130 0.23 B 0. 4 20 0.01.84 4 0.0135 AVERAGE 0.0135 9 0.0106 <5 <1 .7 1/ <1 40.0 40.0 <5.0 .0 6.77 6 <5.0 .0 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) • All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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. 1 am aware that there are significant penalties for submitting false information, i cluding the possibilit of fines and imprisonment for knopingi:lations." nta atite ka f f a4 Lta.y. LLC. Per type) Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street., Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCH ANALYTICAL LA ©RATQRIES.INC. For: Amec -Gateway Village 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Effluent Site: Amec -Gateway Village Oil & Grease Copper, Total Iron, Total Lead, Total Manganese, Total Zinc, Total Total Suspended Solids (TSS) EPA 1664 B EPA 200.7 EPA 200,7 EPA 200,7 EPA 200.7 EPA 200.7 SM 2540 D-1997 Report of Analysis 5/1/2015 Lab Sample ID: 3282-01 Collection Date: 4/21/2015 10:06 <5.0 mg/L 5 JB 4/24/2015 <0.005 mg/L 0,005 AA 4/24/2015 <0,025 mg/L 0,025 AA 4/24/2015 <0.005 mg/L 0.005 AA 4/24/2015 <0,005 mg/L 0.005 AA 4/24/2015 0.040 mg/L 0,01 AA 4/24/2015 <5.0 mg/L 5 YJ 4/24/2015 NA = not analyzed P.O. Box 473 106 Short Street Kernersvitle, North Carolina 27284 Tel 336-996-2841 Fax: 336-99 -0326 www.randalabs.com Page 1 Chemical An {A AMEC-Ga I. Volatile Oran': EPA Method +6i Parameter Proce Consults lions or Selected Par ar; ters and Water Sample Gar° ae e rPr, t,collected 2 April 2015) Tetrachloroethene Cis 1,2-Dichloroethene Chlorofo 1 ,2-Dchloroethane l rich oroetliene Sample Number Sample Date Sample Time (r 'grams per Quantltation 0.001 BQL 0.001 BQL 0.001 0.001 "? 0.001 DOE 0.001 DOE parts per million (ppm) 3282-01 04/21/15 1006 BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) 3t Date Phone Time Comp. Grab Job No. Project Quarterly Sampling Sampler Name Sampler Signature Temp °C Res. Cl. Chlorine Removed YorN Sample Matrix (SorW) Sample Location / 1.D. Effluent TB of Containers 10 4 2 CHAIN ►F CUSTODY RECORD Water / Wastewater 2 Misc. Requested Analysis * See Remarks TB • pH:'' Temp: / S: 3 Relinquished By Date/Time e 4 S'Zf Date/Time Received By cam. f ed By Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Tricbloroethene, Chronic Toxicity (Volatiles by method 601) Sample Temperature at receipt ` '2_ t, °C EFFLUENT AP 0.PDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH March YEAR 2015 RECEIVEI CDENRIDWI FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 N (SIGNATURE OF OPERATOR IN RESPONSIIILE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. MAY . 9 2015 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * 0050 01042 j 01051 ] 01092 713389 81574 00530 00400 34316 32103 7839 .k FLOW Enter Parameter Code e. EFF ( Above Name and Units +�.0 IN (�"� 1lpinw eeklY - Qnarteriy Qua Qnarleeiy Monthly Moalhly Monthly Monthly Qnarieoly Qa9rierly Qnartor ly Quarterky Qna tetiy Qetarterly Qu 2S 11RS v anv N1GD 2 0.28 Y 0.0133 0.0128 0.0116 12 0.0116 4 0.0116 6 0.0116 0.0116 20 0800 0.18 Y 0.0116 r2,1 2 4 26 0.0052 0.0052 23 1 Y 0.0052 <5.0 6.79 �t2 40 89Ml89D 4.9M/4,9n 30M/45D =>6<9 Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "1 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 a 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, Intl ding the p_ossibility of fines and imprisonment for knowing violations." 66, FOsi-ez L&kWj Oi be ty:ai-Luei V Permittee (Plea p or type) Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state,nc,us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per I5ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per ISANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCii ANALYTICAL LAbORAT©R ES. INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample Ide (A AMEC Charlotte Project, collected 26 March 2015) 1• Volatile Organics EPA Method 601 Parameter Tetrachloroethene fed as Gaten'tr y Village Quantitation Effluent Limit (mg/L) (mg/L) 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 2359-01 Sample Date 03/26/15 Sample Time (hrs) 1050 mi s = parts per milli PM) BQL = Below Quantitation Limits ESEARC NA YTi CA LA o TORiES INC. For. Arnec -Gateway Village 2801 Yorkntont Road Charlotte, NC 28208 Attn: Hunter Hicks Client Sample ID: Site: Par Total Suspended eway Vrilage SM 20 D-1997 Report of Analysis 4/1/2015 Lab Sample ID: 2359-01 Cdiecb©n Date: 3 26/2015 10:50 Rea Limit , An ityst <5 mg/L 5 YJ /2© P. Box 4 ina 2284 36-996-2841 Fax 336-9-0326 NA = not onatyzea Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address Protect Monthly Sampling Chlorine Removed V or N Sample Location / LA. CHAIN OF CUSTODY RECORD Sample Temperature at receipt * Sec Remarks EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH February YEAR 2015 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 4 6 12 4 40 0.27 Y GRADE I CERTIFICATION NO. 98 800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS RECEIVED/NCDENR/DWR ACCURATE AND COMPLETE TOTHE BEST OF MY KNOWLEDGE. APR 1 4 2015 01042 101051 101092 - 78389 Enter Parameter Code Above Name and Units Below Weekly Quarterly 0.0127 0.0127 0.0117 0.0117 0.0120 Quarterly 81574 00530 Quarterly Monthly Monthly" Monthly f/ µg/I .. ......:Y:�. , 04 00400 34316 32103 78391 — 00 556 0 IL4* MOORES E L Monthly Quarterly Quarterly Quarterly. -Quarterly MAR 3 1 ' ,.<. gaft TGA3 B Fi GQ»NAL Quarterly Quarterly µg/1 , P1F 16 20 1607 0.22 0.0120 0.0120 20 22 0.0131 24 4 Y 26 0.0131 0.0131 Monthly limit 0.0500 <5.0 <5.0 8.9M/8.90 4.9M/4.91) 30M/450 7.11 =>6<9 FFICE Copy DEM Form MR -I (12/931 Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "I certify, under penalty of law, that this document and all attachments were prepared under nty direction or supervision in accordance with a system designed to assure that a 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, i eluding the possibility of fines and imprisonment for knowing violations." ' C V‘i Vteizi eir 0 v-) be-110i o Vi I la9e. Permittee ase p Signature o Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Pennittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages, 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per I 5ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on tile with the state per I5ANCAC213.0506 (b) (2) (D). Copy DEM. Form MR -I (I 2/93) RESEARCh & ANALYTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations March 5, 2015 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Iden Miscellaneous Effluent Parameters Unit Results TSS mg/L <5.0 RAL Sample Number: 1373-01 Date Collected: 02/27/15 Time Collected: 0955 ified as Gateway Village s per Liter = parts per million or Below Detection RESEARCII & ANALyTicA[ LABORATORIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample Identified as Gateway Village (A AMEC-Charlotte Project, collected 27 February 2015) I. Volatile Organics Quantitation EPA Method 601 Limit Parameter (mg/L) Effluent (me/L1 Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene Dilution Factor 0.001 BQL Sample Number 1373-01 Sample Date 02/27/15 Sample Time (hrs) 0955 Ilion (ppm) BQL Below Quantitation Limits CHAIN OF CUSTODY RECORD Research & Analytical Laboratories, Inc. Analytical / Process Con ions Phone (336) 996-2841 onrpany AM C- Gateway t'!page Sampter Name (Pleas P Temp Re. » Chlorin stmp1e c) Date Time Conrlt Grata Removed SYtntrlx Sample location / I.D. C `l. ' or N S or4' ew «, ., ., ter treated A On lee Sample l'emperature at re e ipt EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH January YEAR 2015 FACILITY NAME Gateway Village LLC CLASS I COUNTY . Mecklenburg CCRTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail OR L and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 e. EFF INF x (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE., GRADE T CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * 01042 101051 J 01092 Parameter Code Above Name and Units Below Quarterly Quarterly Quarterly Monthly 81574 110530 00400 34316 32103 y Manthly Quatterty Quarterly D/NCDENR/DWFt MAR 2 3 2015 WQROS 78391 0010001ktlaVIllialkAl. ©FFICJ Quarterly Quart y Quarterly Quarlerl) Quarterly trill ttt*%I PIF' 4 0.0090 30 0.0127 11.9 <5 6.72 <5 39.6 1* .9 1lonthly Limit 6.ti 00 <5.0 <5.0 6.72 6.72 $.0,1,S.91) 49M11I4.91) 3631N5D <5 39.6 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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 Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date AODI FIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.ne.us/wqs and linking to the Unit's intbrmation pages. 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 occurrs 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? ORC must visit facility and document visitation of facility as required per 15ANCAC8G,0204. *** Signature of Pennittee: If signed by other than the permitte, then the delegation of the signatory authority must he on tile with the state per I 5ANCAC2B.0506 (b) (2) (D). Copy DEEM Form MR-1 (12/93) RESEARCh ANAEyTCAE LAE©RAT©RES, INC. For: AMEC - Charlotte 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks Gateway Village Report of Analysis 2/17/2015 Client Sample ID: Site: Quarterly Sampling Effluent Amec-Gateway Village Lab Sample ID: 78-01 Collection Date: 1/20/2015 9:50 AM Parameter Method Result Units Rep Limit Analyst Analysis Date/Time Oil & EPA 1664 A <5.00 mg/L 5 JP 1/22/2015 Copper, Total • EPA 200,7 <5.00 ug/L 5 AA 1/27/2015 Iron, Total • EPA 200.7 39.6 ug/L 25 AA 1/27/2015 Lead, Total . EPA 200,7 <5.00 ug/L 5 AA 1/27/2015 Manganese, Total . EPA 200.7 <5.00 ug/L 5 AA 1/27/2015 Zinc, Total • EPA 200,7 11.9 ug/L 10 AA 1/27/2015 Total Suspended Solids (TSS) . SM 2540 D-1997 <5.00 rng/L 5 JB 1/21/2015 NA = not cnoiy P,O. Box 473 106 Short Street Kernersville, North Carolina 27284 336-996-2841 Fax 336-996-0326 .w,nv.randalabs.corn Page 1 of 1 SEARC NAlyTiCAL A 1 ORATORIES NC. Analyticd/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Proka, collected 20 January 2015) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter img/L1 (mt/L) Tetrachloroethene 0_001 BQL Cis 1,2-Dichloroethene 0.001 BQL Chloroform 0.001 BQL L2-Dichloroethane 0.001 BQL Trichloroethene 0.001 BQL Dilution Factor Sample Number 78-01 Sample Date 01/20/15 Sample Time (hrs) 0950 m&L = milligrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996.2841 Company Ate'' "C- at tvay Village Street Address City, State, Zip ptc rum Use ©nl Retinquislted By ob No. CHAIN OF CUSTODY"CORD a Pt*© et cart rly Sampllri'g Temp Time Comp. Grab DC Datcfl'ime Name (Pica+ P er Signuture Chlorine mpie Removed Matrix VorN SorW Received Rece ' ed By Sample Location / I.D. tnarlt: * Tetrachloroethene, Cis t, dichic Chloroform, 1,2 dichloroethane, Triehioroethcnc (Volatiles by method 601) ©mice Se. Anal. .Sceicnark. Ti3 _ pH: Temp: / (p 7 TSS, Cu, Pb, Zn, Fe, n, Sample 'Temperature at receipt °C RESEARCh & ANALYTICAL LAb0RATORIES, INC. s Consultations 30 January 2015 North Celina Department of Health., Envimnment & Natural Resources 1621 Marl Service Center Raleigh, North Carolina 27699-1621 Attention: Ms. Cindy Moore Subject Bioassay Report Dear Ms. Moore: Enclosed please find the results of the Full Range chronic pass/fail bioassay performed by Research & Analytical Laboratories, Inc. for Gateway Village. All analytical procedures used are outlined in the North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedures, December 1984, revised February 1998. All physical parameters measured during the test were well within the prescribed limits as set forth in this manual. If you have any further questions or need any additional information please do not hesitate to call, Sincerely RESEARCH & ANALYTICAL LABORATORIES, INC Sidney L. Champion Vice President & Director of Laboratory Ser ices SLGaf Enclosure PO. Box 473. 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 www.randalabs.com Efflue Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Facility: GATEWAY VILLAGE Laboratory Performing x Date: 01/29/15 NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG R & A LABORATORIES, INC. oratory Supervisor Comments: Final Effluent An AMEC Project * PASSED: 0.37% Reduction * Work Order: 45-01/223-01 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS # Young Produced Adult (L)ive (D)ead Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 1 2 3 4 5 6 7 8 9 10 11 12 21 Effluent `k: 90% TREATMENT 2 ORGANISMS 1 # Young Produced Adult (L) ive (D) ead pH Control Treatment 2 D.O. Control Treatment 2 1st sample 6.92 6.91 7.00 7.00 s t e a n ✓ d t 1st sample 8.6 8.6 8.4 8.4 23 22 23 23 2 3 4 25 21 22 1st sample 6.94 6.82 7.03 6.90 s t e a n ✓ d t 1st sample 8.6 8.6 8.3 8.3 22 23 21 24 25 23 21 24 22 24 7 8 9 10 11 12 21 23 2nd sample 6.95 6.83 7.04 6.92 $ t e a n ✓ d t 2nd sample 8.6 8.6 8.4 8.4 22 LC50/Acute Toxicity Test (Mortality expressed as it, combining replicates) LC50 = $ 95% Confidence Limits 9 -- 9 Method of Determination Moving Average Probit _ Spearman Karber -- Other 21 22 23 Chronic Test Results Calculated t = 0.160 Tabular t = 2.508 % Reduction a 0.37 % Mortality 0.00 Control 0.00 Treatment 2 Control CV 5.807% 9 control orgs producing 3rd brood 1009 Avg.Reprod. 22.58 Control 22.50 Treatment 2 Complete This For Either Test Test Start Date: 01/21/15 Collection (Start) Date Sample 1: 01/20/15 Sample 2: 01/22/15 Sample Type/Duration Grab Comp. Duration Sample 1 X Sample 2 X hrs hrs Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) Concentration Mortality start/end Control D I L U T 47 186 .......... Haia lst S A M P ::..fl,. : 435 0.03 3.4 Note: Please Complete This Section Also start/end High Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUSIA ver. 4.32) 2nd P/F S A M P iII1�YR:M:iit. 423 0.02 3.4 PA. Box 473.108 8hart 8kreet • Kerneradity North Cardne 27284 www.rende&abe.00m 4 RD. 4 7264 886-aas-2841 * Fa sasaas-ostee RESEARCIl & ANALyTICAE LA ORATORiES INC. For: AMEC - Charlotte 2801 Yorkmont Road Charlotte, NC 28208 Attn: Hunter Hicks BB&T Ballpark Report of Analysis 2/17/2015 NC 03-1 Z; •• NC 437701 Client Sample ID: Quarterly Sampling Effluent Site: Amec-BB&T Ballpark Parameter Total Suspended Solids (TSS) Method SM 2540 D-1997 Lab Sample ID: Collection Date: 79-01 1/20/2015 10:20 AM Result Units Rep Limit Analyst Analysis Date(Ti e <5.0 mg/L 5 JB 1/21/2015 NA 7. riot ric>}zec P.O. Box 473 106 Short Street Kernersville, North Carolina 27284 336-996-2841 Fax 336-996-0326 www,randalahs.eom Page 1 of 1 SEARC >': NA yTICA% ORATORIES, INC , rtucol/Process ConsuitatEOns Chemical Analysis for Selected Parameters and iUtrier Sample Identified as BB& T Ballpark (4 AVEC-Charlotte Project, collected 20 January S) 1. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mg/Li (nut;/L) Tetrachloroeihene 0.001 I3Q L Toluene 0,001 I3QL Dilution Factor Sample Number 79-01 Sample Date 01/20/15 Sampk Time (brs) 1020 i t3QL n Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- BB&T Ballpark Job N Street Address City, Stutc Zip Con ale (Lab Usc Only) Date Comp Grab ly Sang) N ' tinder Signature Chlorine Sumplc Removed Matrix Sample Location / I. . Cl. or N SorW Effluent TB T method 60 CHAIN OF CUSTODY RECORD • To water S, CI On keV Sample Temperature at receipt To city oc * Sce Remarks TB 30 January 2015 North Carolina Department of Health, Environment & Natural Resources 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Attention: Ms. Cindy Moore Subject Bioassay Report Dear Ms. Moore: Enclosed please fnd the rt supis of the Full Range chronic pass/fail bioassay performed by Research & ries, Inc. for BB&T Ballpark. All analytical procedures used are outlined in the North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedures, December 1984, revised February 1998. All physical parameters measured during the test were well within the prescribed limits as set forth in this manual. If you have any further questions or need any additional information please do not hesitate to call. Sincerely, RESEARCH do ANALPT7 ,04.7 DRAT© Sidney L. Champion Vice President & Director of Laboratory S�ces SLC/af Enclosure P.O. Box 473. 106 Short Street • Kernersvi le, North Carolina 27284.336-996-2841 • Fax 336-996-0326 www.randalabs.com Effluent Toxicity Report Form - Chroni Facility: BB&T BALLPARK Laboratory Performing est: & A LABORATORIES, INC. X Pass/Fail and Acute LC50 Date: 01/29/15 NPDES#: NC0089273 Pipe#: 001 County: MECLLENBERG Comments: Final Effluent ble Charge An AMEC Project eL. Laboratory Supervisor * PASSED: 1.85% Reduction * Work Order: 44-01/222-01 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS # Young Produced Adult (L)ive Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 1 2 3 4 5 6 7 8 9 10 11 12 21 22 23 23 22 21 25 23 21 24 22 24 Effluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced Adult (L)ive (D)ead 1st sample pH Control Treatment 2 D.O. Control Treatment 2 6.92 7.05 7.00 7.14 21 23 21 22 1st sample 6.94 6.65 7.03 6.74 25 21 23 21 2nd sample 6.95 6.66 7.04 6.75 s s s t e t e t e a n a n a n ✓ d r d r d t t t 1st sample 1st sample 2nd sample 8.6 8.6 8.4 8.4 8.6 8.6 8.3 8.3 8.6 8.6 8.4 8.4 23 LC50/Acute Toxicity Test (Mortality expressed as %, combining replicates) LC50 = 95% Confidence Limits 22 23 21 L L Chronic Test Results Calculated t = 0.791 Tabular t = 2.508 % Reduction = 1.85 t Mortality 0.00 Control 0.00 Treatment 2 Control CV 5.807W % control or s producing 3rd brood 100W Avg.Reprod. 22.58 Control 22.17 Treatment 2 PASS FAIL Complete This For Either Test Test Start Date: 01/21/15 Collection (Start) Date Sample 1: 01/20/15 Sample 2: 01/22/15 Sample Type/Duration 2nd 1st P/F Grab Comp. Duration D 4 I S S Sample 1 X hrs L A A U M M Sample 2 X hrs T P P Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) Concentration Mortality start Method of Determination Moving Average _ Probit _ Spearman Karber Other - pH 47 186 iY#ill i•iii 338 0.04 3.1 Note: Please Complete This Section Also end start/end Control High Conc. Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DIIBIA ver. 4.32) L.O. MEM 334 0,04 3.3 BIOASSAY 'CHAIN OF C ST Dy County: Collector (Print) : j( Copectar (Slgnarttr " for Sample Description please use Effluent. In, Note: ' Original sent with shipment Copy retained by collector. earn, Post C121 Etc. P.O. Bort 473.108 Short Eltrelet • Kernerenille,. North Der ctina 37384. 39&888-2841 • Fax 336-880-03Q8 www,rendelatracom BIOASSAY 'CHAIN ©F kCoutyc Copy rote RO. Box 473 109 Short Brest Y vd1 NP©Es 7294 6 888-983-2841 • Fox 388.888-0329 EFFLUENT NtTJES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH December YEAR 2014 CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFICATION Na 34 GRADE I CERTIFICATION NO, 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. ci 50050 01042 1 01051 1 01092 78389 FLOW Enter Parameter Code EFF [y] Above Name and Units INF [J Below 81574 00530 00400 34316 32103 78391 Wi-61OJ1+" T(A3B HRS HRS Y/B/N Weekly MGD 0.0103 Quarterly fig/1 Quarterly Quarterly Monthly ttg/1 µg/I Monthly µg/1 Monthly mg/1 Monthly Quarterly s. U. µg/I Quarter µgo Quarterly u g/I Quarterly Quarterly mg/I µg/I Quarterly Quarterly µg/I P/F 4 1048 0.17 0.0103 RE El 6 0.0113 8 0.0113 CENTRAL 10 1048 0.18 0.0113 12 0.0097 14 0.0097 16 0.0097 1039 0.15 Y 0.0097 <1 <1 <5.0 6.81 20 0.0110 22 1159 0.23 0.0110 24 0.0085 26 0.0085 28 0.0085 30 0.0085 AVERAGE 0.0099 <1 <1 <5.0 6.81 MINIMUM 0.0085 <1 <1 <5.0 6.81 Monthly Limit 0.0500 8.9M/8,9D 4.9M/4.9D 30M/45D =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte became aware of the circumstances. A written submission shall also be provided within 5 days of the tiine the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a thne-table for improvements to be made as required by Part ILE.6 of the NPDES permit. "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 a 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." 0. -Ix "ft,s-/e4,-- 0.41/2.Q__/e„r _5-1-11,( chit , 61,a..4-e_uoccy ( t 4 912- 1-4-t4 11-1-f4- 141 • t1-7C Permittelease print or type) 3 Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 06/30/15 Permittee Address Phone Number Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state,nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must he on file with the state per I5ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCH & ANALYTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations January 2, 2015 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and. Sampling Location Identified as Gateway Village Miscellaneous Parameters Unit Effluent Results TSS rrr /L <5.0 RAL Sample Number: 801764 Date Collected: 12/18/14 Time Collected: 1040 mg/L = milligrams per Liter = parts per million < - Less than or Below Detection Limit isESEARCIf & ANALyTICAL LA ©RAT©R I E S, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 18 December 2014) I. Volatile Organics Quantitation EPA Method 601 Limit Parameter (mg/L) Tetrachloroethene 0.001 Effluent (mg/L) BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor 1 Sample Number 801764 Sample Date 12/18/14 Sample Time (hrs) 1040 = milligrams per Liter = parts per million (pprn) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time 10 Comp. Grab Job No. Project Monthly Sampling Sampler Name Sampler Signature Temp °C Res. CI. Chlorine Removed YorN Sample Matrix (SorW) Sample Locati Effluent TB z 5 .a x 4 HA N OF CUSTODY RECORD Water / Wastewater z Misc. Requested Analysis * See Remarks TB Rel q d By Relinquished By Date/Time Recei Received s y Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS (Volat" ~ •y method 601) on Sample Temperature at receipt a pH: - ' / Temp: / 1 . o'C EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO, 001 MONTH December YEAR 2014 FACILITY NAME Gateway Village I,LC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUA 1617 MAIL SERVICE CENTER RALEIGH, NC 27699461FR 3-2015 LC QA GRADE 1 CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * FEB (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARG BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. eeytyyeeet, eee.ttett Yeeee, BYleytAeye yA yey At ye Vete; IWY, ,N-,„svgyv !tolo O,o,: EFF 50050 01042 I 01051 I 0109 FLOW Enter Parameter Code Above Name and Units Weekly 0.0103 0.0103 0.0113 0.0113 0.0113 WI MM. ee. SYS .i:oilattkoao y 0.0097 0.0097 0.0097 5.tiVOOOOSOO 0.0110 0.0110 gtaL'...7410 0.0085 .„, 0.0085 0.0085 0.0099 0.0085 .0 00 78389 81574 00530 00400 Quarterly QrnrKrIy Quvterty Monlhly Monlhly Monlhly 1Lete 41e),.` YeeAtea...e:e eVeneMelp Yd2yeey,', eSe4 At.,;:eyyt et" ANY",eatEl. Leetle1SE4 WEM1;161/4t lAtenelSet IOW MOM tiziONN, 1.0,00,eere, telettNrel lateeeeWee ROONOIO,o, yeAveeetlAY4 WM:Ls '',Netteeeee ete...yeyvyyty eNYYNAtAytte Stt&1t1ya, ytY0W Oo,40401: tee, etteeetelYS:', eilq4b0:4e WekkeattetieYet reAkeYelee Y.YeettAYA eYt ' 1:14.44,1 leVenne/t YeteteePete, Yeeteeelyeety tatyagtata'p; ele'l Value AooK r'WHOti eAe„V=1,0 feetunpuet ttleteatteeet eweeeeeeeet TnieeeNeek, AN; pietysfyqZ 46101901EQ ,esteietuye YetteeYeeyyty AWe eye, ere."tAkeee eNeedeeyee Ayt ttktete NAY. e etv kliiftgo nAleteeeey eeeeeeeyetee Yeeeee*Yeee, AIM AP, tynee, ye, .yeteyteeeYt PAS YAYeAerzy eeeee,Aue, 4eiket. eye 4,040pss eyetteeeyetee A'YeteetelYee Aeeveeetee eNeeeleeve eope,eee,„; Clyne, tANY Aitet, mut. eeetettetfEY1 .0.111Y,a,%4 yele4my,yoyz YeeeeeYeeee eeyeeeyeeee eP,YeyYeeyyneie ,yeeeeey, YY. ,Veye' mee4eere,,,, weV4e, ,e4,414Yee YEe.etYreY/Ak yeatteeltePU Weowekev ,,,,,eyee4YeA eYee;Yee,,A4, elteeeletteet, estAttOse, ltAYeE Vete teekt,IIE3 Yete..Yeeeo eeeyeeeetete 'fltetYYeeeteleyte gototROof <50 34316 2103 78391 0.456" "DATE ," „„F1, (JALFtY 'FB I 0 2015 . " OF"'fC 0iOE4 01055, 'TGA31 IonthIy Quarter! wirier Quarterly Quarterly Quarter ti, ig/ ug/I ',Yee Veyeeeqy egirAiee0e! yey.yue,,A0 e0YA lee zee. 5414.10.40/,' !eYttt44'lette.; Yy4AYWYKYVY teeepeityetey Neeete„eef, Aey teeyee eetteeteeseEe. NeeteeYeeety tyeeste.el.ety eyeeeueteeete oereln eeettettereete Yeetteleeteten 4*, ft,poz- 10(41111O exeEtuee.ele yee$A,A.Y. .ltut4teetYY, etteAgetetek 194111,6 tet0Yeryikey Yuyekeyeeete p..0114:„ 1,41/411h. .-1estteyet:, w Afteee **Meet', AttedeVyeete ele‘etteeette. '40,OOO;tooO, .YYAYAlky,',Yleyee .4 %Wit 040 11410 ofilesio torvki ohoolo .90 4,9M/49D 45 ..-->6.<9 Quarter uarlerly P/F Copy DEM Fonn MR-1 (12/93) ty Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "1 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 a 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, includin t e possi ility (fines and imprisonment for knowing violations." /9/►42..0 � � h� t✓nv c JZ1�rc,5'�2t c ► 1fe' 11 q , f14-et V4. iW kS Permitteilease print or type) Signature of Permiee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIF ABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visitin web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. ca ection Section's 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per I5ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must he on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR -I (12/93) EFFLUENT -NPDES PERMIT NO. NC 0086517 DISCHARGE NO, 001 MONTH December YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R 8. A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE L CERTIFICATION NO. 985800 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CFIARG BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, IJ 50050 01042 101051 101092 78389 81574 00530 00400 FLOW Enter Parameter Code a.• EFF Above. Name and Units INF 1 Below 34316 32103 78391 00556 01045 01055 TGA313 6 _10 12 14 16 IIRS HRS YmM 1048 0.17 1048 0.18 Weekly Quarterly Quarterly Quarleriy Mun2ttly Mauft F1(1 µg7 Itg/I µg7l _ µgn MGD 0 0 0.0103 0.0113 0.0113 0,0113 0.0097 0.0097 0.0097 ly S. U. Quarterly Quarterly Quarterly Quarterly Quarter! µg/f µg/I ` ugll mg/1 µg/I NTRA P/F 18 20 1039 0.15 0.0097 0.0110 <1 <1 <5.0 6.81 22 24 1159 0 0.0085 26 28 30 AVERAGE MINIMUM Comp. (C) / Grab (G) Monthly Limit 0 0.0085 0.0085 0,0085 0085 0.0099 {I.0.113`+` 0,0500 <I 6,81 6.81 9 9M11114.9r) 49M/4.91) 3OM1/450 Copy* DEM Form MR-1 (12/93) actlity Status: (Please check one of the folio \ All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant 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 permitte 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, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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," cf-vi re-,71c (-A=t1c1( e -F 64etAxcy, c t-h,(1,14-e4- oi„ Permittelease print or type) 2_'S 15 Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 06/30/15 Permittee Address Phone Number Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No, Certified Laboratory (4) Certification No, Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Pertnittee: If signed by other than the permitte, then the delegation of the signatory authority must be on Ole with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCH & ANALYTICAL LAbORAT©RIES, INC. Analytical/Process Consultations January 2, 2015 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TSS mg/L <5.0 RAL Sample Number: 801764 Date Collected: 12/18/14 Time Collected: 1040 1iisra per Lite r= parts per million < = Less than or Below Detection Limit RESEARCII & ANALyTiCAL LAbORATORiES INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 18 December 2014) I. Volatile Organics Quantitation EPA Method 601 Limit Parameter (mg/L) Tetrachloroethene 0.001 Effluent (meL) BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor 1 Sample Number 801764 Sample Date 12/18/14 Sample Time (hrs) 1040 mg/L milligrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Job No. Street Address City, State, Zip Contact Phone Project Monthly Sampling Sampler Name Sampler Signature Sample Number (Lab Ise Only) Date Time Comp. Grab Temp °C Res. Cl. Chlorine Removed V or N Sample Matrix (S or W) Sample Location / I.D. No. of Containers CHAIN OF CUSTODY RECORD Water / Wastewater tx. 0 L P,G (COD, N, P) IL P,G (Metals, H Misc. X Effluent TB 5 2 2 Requested Analysis * See Remarks TB ReIi pH: Temp: e/Time //vr Relinquished By Date/Time Received By Received Remarks: * Tetrachloroethene, Cis 1 2 dichloroethene, TSS (Volat sy method 601) On Ice Sample Temperature at receipt c9 EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH November YEAR 2014 FACILITY NAME Gateway Village LLC CLASS Ia COUNTY Mecklenburg _ CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED DEC 3 1 2014 Mail ORIGINAL and ONE COPY to: I / GRADE I _ CERTIFICATION NO, 985800 ORC PHONE 336-996-2841 ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 ELC NO FLOW / DISCHARGE FROM SITE (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) ` DIVA( BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE To THE BEST" OF 111Y KNOWLEDGE. 000 01042 ( 0101 ( 01092 78389 81574 00530 00400 34316 Above Name and Below kly Qaarie iy Q 0.0113 0.0105 0.0105 441 0.0103 0.0052 0.0500 ,9U 4,951/4.9D 3OM/4. OR IVED ATER 0' iLITY OFFICE Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) r o All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. ty c mpliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of tines and imprisonment for knowing violations." Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No, Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2menr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per I5ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation oldie signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCH & ANALyTICAL LABORATORIES, INC. Analytical/Process Consultations December 4, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TS mg/L <5.0 RAL Sample Number: 800094 Date Collected: 11/21/14 Time Collected: 1122 s Der Liter Ilion < = Less than or Below Detection Limit RESEARCH & ANA[yTICAE LAbORATORiES, INC. Analytical/Process Consultations Chen Anal izsis t r Selected Parameters aetd Water Sample (9 AMEC-Gatewt t> Village Project, collected 2.1 November 2014) I. Volatile Organics EPA Method 601 Parameter Tetrachloroethene Quantitation Effluent Limit cmg/L) (m /L) 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number Sample Date Sample Time (hrs) 800094 11/21/14 1122 s per Liter parts per rniiI (ppm) BQL - Below Quantization Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEG Gateway Village Street Address Job No. Project Monthly Sampling City, State, Contact nple Ntanibcr (Lab Use Only) Date Phone Time Comp. Grab Sampler Name Sampler Signature Temp °C Res. Cl. Please Ptint) Chlorine Removed YorN Sample Matrix Sample Location / I.D. (SorW) Effluent TB 2 4 CHAIN OF CUSTODY RECORD Water Wasteltattte a. (Cyanide) NaOH Misc. Requested Analysis * See Remarks TB Relit}{luished By Date/Time 1t/71I1ut /3k( Remarks: * TetrachloroetIlene, Cis 1 2 dichloroctltene, TSS (Volatiles by method 601) On Ice pH: Temp: pie Temperature at receipt Effluent NPDES PERMIT NO, NC0063860 (Discharge No.: 001 Facility Name: Harbor Estates INWTP Operator in Responsible Charge (ORC): Glenn A. Stovall Certified Laboratory (1): Water Tech Labs Inc CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and Ot ATTN: CENTRAL FILES DIVISION OF WAT 1617 MAIL SERV E RALEIGH, NC 27699-1617 Y to: 05 Fw- D 2 4 5 7 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 E 1- `E Q0 O O a 0 HRS 0950 0805 0750 1515 0805 0810 0800 800 0805 0800 1005 0755 0750 0805 0800 0755 0800 0750 holiday holiday E r � LO c d 0 HRS 0,5 2 2 2 2 2 2 2 2 2 2 2 2 50050 00010 FLOW w cc EFF INF © w J UJ Y/B/N MGD 0,014 0.014 B 0,012 Y 0,009 0C Y 0.011 16 Y 0.010 Y 0,007 0.009 0,009 0.009 Y 0.008 Y 0.008 Y 0.007 16 Y 0,010 0.009 0.010 Y 0.010 Y 0.009 15 Y 0.009 Y 0,008 Y 0,008 0,007 0.011 Y 0,014 Y 0,015 Y 0.015 15 0,021 0,007 0,016 0,020 AVERAGE 0,011 16 MAXIMUM 0,021 16 MINIMUM 0.007 Comp. (C)/Grab (G) Monthly limit Daily Maximum G 0,0416 NL 00400 2 r, UNITS 7.0 7.0 7.1 6.9 7.1 6.9 G 6/9 PERSON(S Month: November Year: Class: II County: Grade: II Phone: 7 2014 4-489-9404 (2) ) COLLECTING SAMPLES Operators (SIGNA RE OF OP ie TOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, 50060 El 0 U UG/L <20 <20 <20 <20 <20 <20 <20 <20 0 <20 <20 28 00310 00610 0 0 co N MG/L zw 0 <2,0 <0.2 <2,0 <0.2 <2.0 <0,2 <2.0 <0.2 0,0 0.00 <2.0 <0,2 <2.0 <0.2 C 15.0 22,5 C 4,0 20.0 00530 MG/L <2, 5 6,7 <2,5 3.6 2.6 6.7 <2,5 C 30.0 45.0 31616 cc cc O 2 J 0 #/100ML <1 <1 <1 <1 <1 G 200 400 00300 , 00600 0 0 Ca 0 >- 9,1 9,5 9.7 9.7 9.1 >5,0 z w (9 0 cr Z -J MG/L C NL JAN 6 2015 00665 ENTER PARAMETER CODE ABOVE NAME AND UNITS BELOW MG/L RECEIVED C NL DEC 31 2014 CENTRAL FILES COR SE3TIQN Facility Status: (Please check one of the following): All monitoring data and sampling frequencies meet permit requirements All monitoring data and sampling frequencies do NOT meet permit requirements Noncomp iant If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc, and a time table for improvements to be made. "I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Thomas J. Roberts, President, Aqua North Carolina, Inc. Permittee Signature of Permittee ** Date Permittee Address 202 MacKenan Court, Cary, NC 27511 Phone Number 704-489-9404 Permit Exp. Date JUNE 30, 2015 00010 Temperature 00076 Turbidity 00080 Color (Pt -Co) 00082 Color (ADMI) 00556 Oil & Grease 00600 Total Nitrogen 00610 Ammonia Nitrogen 00625 Total Kjeldhal Nitrogen 00095 Conductivity 00630 Nitrates/Nitrites 00300 Dissolved Oxygen 00310 BOD5 00665 Total Phosphorous 00340 COD 00400 pH 00530 Total Suspended Residue 00545 Settable matter 00720 Cyanide 00745 Total Sulfide 00927 Total Magnesium 00929 Total Sodium 00940 Total Chloride PARAMETER CODES 00951 Total Fluoride 01002 Total Arsenic 01027 Cadmium 01032 Hexavalent Chromium 01034 Chromium 01037 Total Cobalt 01042 Copper 01045 Iron 01051 Lead 01067 Nickel 01077 Silver 01092 Zinc 01105 Aluminum 01147 Total Selenium 31616 Fecal Col iform 32730 Total Phenolics 34235 Benzene 34481 Toluene 38260 MBAS 39516 PCBs 50050 Flow 50060 Total Residual Chlorine 71880 71900 81551 Formaldehyde Mercury Xylene Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at (919) 733-5083, extension 581 or 534. The monthly average for fecal coliform is to be reported as a GEOMET facility's permit for reporting data. C mean. Use only units designated in the reporting * ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B). ** If signed by other than the permittee, delegation of signatory authority must be on file with the State per I5A NCAC 2B.0506 (b) (2) (D). HARBOR ESTATES NC0063860 EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO, 001 MONTH October YEAR 2014 FACILITY NAME Gateway Village LLC CLASS_L COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 2 5 x DFC F.) 1 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. // GRADE 1 CERTIFICATION NO. 985800 I I DATE DATE Operator Arrival Time: 2400 Clock Operator Time On Site 50050 0 042 OIOM 01092 89 8 , 4 0053() 00400 34316 32103 78391005..6 01045 01055 TGA3B -. FLOW Enter Parameter Code Units .. Chloroform Manganese Chronic Toxicity EFF Above Name and INF Below 4. HRS HRS MGD 1 I g g 1 g I mgll g P/F 1;j1ES77 Al liA /ZIT ,,:,.'N ‘t.11irt ' „,„:„;,'„ :,-,e4 gia,',,,,I Rikitil teUtig, aftriai MIMI At afililfrOM ';Z:tAi.3, $Xiii41, i't zlkti;;Wittlaat ONIA Eiliftrogym Agtat NA:Saf Avittog! 01140 44,A), i :iitinfy egg ,; ,,::,,,,.,, Nir,;:o 'r:;,:',:i.o,',t'iv.: qviN.,,,,4:-, IIIIIIIIIIIIII 41 4icilit311/1111210111r1 0.0238 4,:‘,;, ...1.14,i4i •:•,- Si , 4 x „,11:4,:tksv., 111111111 .:,,,441,N 0.0238 sy71:*),z4:,, ':-, 'IVA fil.,447, 0.0238 *Olt 8 1220 i'Ar:r, .027 lir li ,''',101-,,, AtAtA L'41011iA14,,,,a fl 0.0238 iNfilte flwak Ntsam, leats Augootitti SIVA '1. ' qi:.',, i .-,,:,:s1:,,,''z:::y:, 411411;:eN 1 11:- '4 Bir>::;:*iAfi:: <'0 V4 1'20,NYVIVON 2030014$ EMVIC011ifitillang iiiiial Rif0 OiMin nt;:,:::::', Nit3A 0.0226 11.0t F '''' 4 Ptaiiiiiirt7i 1 '''Sit LW ..:.i Atiftcoi :',.,„,,,A',44 ,,',,,,,litil00 littotiriN ',k;01:1;:ntitat; eititA 4111IN It glop i?:Aoiogngg ,s,:zigvi 0.0226 &;isil arm r.,:.' 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IBIVLlttEIMISTLL-' 28 IMIMNIMall 0.0052 -Amit,v1, ,:,,4;tu 0.0052 30 0. 8 III klittalla 0.0052 :ZieF, ,tl.". Ztta A::teiVt 0:*:,04 1pfo IINVIV V,1:15124 .r::151:04 5.0 687 -4:04 5.0 687- Kedg Nikla t1154111-0 %WV SOON itaVi Sittgii 5,0 ifiCIC 182 $5:41i, ftg*:;'-.1. i'..;:heil, AVERAGE 0.0151 6 vacilltilfililir ':', • liTto:,,, ' at ,ilir: iiN 10 ,to...',:WAz 10 0.0052 .9 .9D 4.9 /4.9 4 6 9 Monthly Limit 0.0500 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant The permittee shall report to the Director or the appropriate Regional Offic,e'any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part ILE.6 of the NPDES pen -nit. "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 a 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 eluding th9 possibility of fines and imprinrnent for knowing violations." 1 ermittee *rint cr. pe) Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Pen -nit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr,state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per ISANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCIi & ANALyTICAL LAb©RATORiES�t INC. Analytical/Process Consultations November 10, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TSS mg/L <5.0 Total Copper mg/L 0.006 Total Lead mg/L <0.005 Total Zinc mg/L <0.010 Oil & Grease mg/L <5.0 Total Iron mg/L 0.182 Total Manganese mg/L <0.005 RAL Sample Number: 797741 Date Collected: 10/21/14 Time Collected: 1105 igrams per Liter = parts per million < = Less than or Below Detection Limit RESEARCH & ANALyT LABORATORIES INC. Analytical/Process Consultations A Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 21 October 2014) 1. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (m2/L) (mg/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Chloroform 0.001 0.002 1,2-Dichloroethane 0.001 BQL Trichloroethene 0.001 BQL Dilution Factor 1 Sample Number 797741. Sample Date 10/21/14 Sample Time (hrs) 1105 = milligrams per Liter = parts per illion ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time Comp. Grab Job No. Project Quarterly Sampling Name Sampler a Print P &0• ) 6� t�Gt Sampler Signature eleu Temp Res. Cl. Chlorine Removed Y or N Sample Matrix (S or W) Sample Location / I.D. CHAIN OF CUSTODY RECORD Water / Wastewater C7 fi Misc. Requested Analysis lids X Effluent TB 8 4 * See Remarks TB Time 073G Date/Time pH: 6 . 'T Temp: z ©, Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Trichloroethene On IceV (Volatiles by method 601) Sample Temperature at receipt oc RESEARCH & ANALyTICAI LAbORATORiES, INC. Analytical/Process Consultations 30 October 2014 North Carolina Department of Health, Environment & Natural Resources 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Attention: Mr. Lance Ferrell Subject: Bioassay Report Dear Mr. Ferrell: Enclosed please find the results of the Full Range chronic pass/fail bioassay performed by Research & Analytical Laboratories, Inc. for Gateway Village. All analytical procedures used are outlined in the North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedures, December 1984, revised February 1998. All physical parameters measured during the test were well within the prescribed limits as set forth in this manual. If you have any further questions or need any additional information please do not hesitate to call. Sincerely, RESEARCH & ANALYTICAL LABORATORIES, INC. Sidney L. Champion Vice President & Director of Laboratory Services SLC/af Enclosure P.O. Box 473 • 106 Short Street • Kernersville, North Carolina 27284 • 336-996-2841 • Fax 336-996-0326 wwvv.randalabs.com Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 10/30/14 Facility: GATEWAY VILLAGE NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG Laboratory Performing Teat: R & A LABORATORIES, INC. Comments: Final Effluent X Signateo Oper_tor in 4,,onsible Charge An AMEC Project aboratory Supervisor * PASSED: 5.86% Reduction * Work Order: 797736/79790 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 CONTROL ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 21 22 24 21 23 24 21 25 23 24 22 23 Adult (L)ive (D)ead Effluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 22 20 21 21 23 20 21 24 21 23 20 21 Adult (L)ive (D)ead Chronic Test Results Calculated t = 2.448 Tabular t = 2.508 t Reduction = 5.86 % Mortality Avg.Reprod. 0.00 Control 22.75 Control 0.00 Treatment 2 21.42 Treatment 2 Control CV 5.964% % control orgs producing 3rd brood 100% PASS FAIL pH Control Treatment 2 D.O. Control Treatment 2 1st sample 6.93 7.00 7.33 7.41 s t e a n ✓ d t 1st sample 8.6 8.4 8.6 8.4 1st sample 6.97 6.90 7.05 6.98 s t e a n ✓ d t 1st sample 8.6 8.3 8.6 8.3 2nd sample 6.96 7.04 6.91 7.00 s t a r t 2nd sample e n d 8.6 8.4 8.6 8.4 LC50/Acute Toxicity Test (Mortality expressed as %, combining replicates) Complete This For Either Test Test Start Date: 10/22/14 Collection (Start) Date Sample 1: 10/21/14 Sample 2: 10/23/14 Sample Type/Duration 2nd 1st P/F Grab Comp. Duration D I S S Sample 1 X hrs L A A U M M Sample 2 X hrs T P P Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) % % Concentration Mortality LC50 = 95% Confidence Limits Method of Determination Moving Average _ Probit _ Spearman Karber Other start/end 48 194 438 0.03 3 1 Note: Please Complete This Section Also start/end Control High f r.nn pH Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) D.O. 422 0.02 3 1 I/ Client: s n S ©ASSAY 'CHAIN OF CUSTODY RECORD ,t` e County: + dt Pipe #: 407 NPDES #: Collector (Print):(r?tt`+r¢ wcinrsct Pe+'so.,.• Collector (Signature: .. ,," '�„"'.,,„— Address: Lab # RAL only) 97736 Sample Description (see note*) uished. by: ( Signature) Shipment: Sar Date/ Time Started ple Collection Date/ Time Ended Phone Number: Temp (°C) End ple Type Comp. Grab No. of• containers sent Temp Upon Arrival (°C) Analysis Required (acute, chronic bioassay) mple Description please use Effluent, influent, Upsitrearn, Post C12, Etc. ived by: (Signature) ved by: (Sig .ogged in by: nitiais Date/Time Moved to bioassay dept. by: Initial Date /" '/ Time Note: Original sent with shipment Copy retained by collector P.O. Box 473 .0106 Short Street m Kernersville, North Carolina 27 84 0 336-99 www.randalabs.com 4 Fax 336-996-0326 Client: Collector (Print) L or a t 'e+'sore E A Ana!Acel/Process n TiCA1 El OASSAY 'CHAIN OF CUSTODY RECORD County: rr Pipe #:..QG/ NPDES #: C `)K,Q "✓ A Collector (Signature:µ Address•. Phone Number: qhied. by: ignature} gtnishl by; (Sig Ural ved by: (Sign ogged in b Moved • iaassay dept. by: Initials Date ' L� /� "1 irr e 7././5_ Note; Original sent with shipment Copy retained by collector P.O, Box 473 e 10S Short Street,' Kernereviller North. Carolina 7264 0 336-886.584'3 0 Fax 336.8 D9Ho32 www,randaleba,com Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 10/30/14 Facility: GATEWAY VILLAGE Laboratory Performing Ted X Signa X NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG R & A LABORATORIES, INC. Sigy! tu, `bpi L- .oratory Supervisor Comments: Final Effluent An AMEC Project * PASSED: 5.86% Reduction * Work Order: 797736/79790 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced Adult (L)ive (D)ead Effluent %: 90% TREATMENT 2 ORGANISMS 21 22 24 21 23 24 21 25 23 24 22 23 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 22 20 21 21 23 20 21 24 21 23 20 21 Adult (L)ive (D)ead Chronic Test Results Calculated t = 2.448 Tabular t = 2.508 % Reduction = 5.86 Mortality Avg.Reprod. 0.00 Control 22.75 Control 0.00 Treatment 2 21.42 Treatment 2 Contro 5.964 CV % control orgs producing 3rd brood 100% PASS FAIL Check One pH Control Treatment 2 D.O. Control Treatment 2 1st sample 6.93 7.00 7.33 7.41 s t a r t 1st e n d sample 8.6 8.6 8.4 8.4 1st sample 2nd sample 6.97 7.05 6.90 6.98 s t e a n ✓ d t 1st sample 8.6 8.3 8.6 8.3 6.96 6.91 7.04 7.00 s t e a n ✓ d t 2nd sample 8.6 8.4 8.6 8.4 LC50/Acute Toxicity Test (Mortality expressed as %, Complete This For Either Test Test Start Date: 10/22/14 Collection (Start) Date Sample 1: 10/21/14 Sample 2: 10/23/14 Sample Type/Duration Sample 1 Sample 2 Grab Comp. Duration x x hrs hrs Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) D I L U T 48 194 1st S A M P 438 2nd P/F S A M P EHEHHH 422 • 0.03 3.1 0.02 3.1 combining replicates) % %` % % 1 Concentration Mortality LC50 = 95% Confidence Li % -- s % Method of Determination Moving Average Probit Spearman Karber - Other start/end Note: Please Complete This Section Also start/end Control High r',n n pH Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) D.O. Clien Collector (Print); Collector (Signature: Lab # only) s7 1 I Relinq Sample scription ee note Relinquished by: (Signatc+ Method of Shipment: A AiricA. A1ORaES, INC 'ocean .Consultations BIOASSAY 'CHAIN OF CUSTODY RECORD to' e County: + t!' d► Pipe #: t %r NPDES #: L;cincaot Person.. Address: Phone Number: pia Collection Dbte! Time tarte Date/ Time Ended Temp (0C) End le Description please use Sample T Comp. hient, Influen ived by: (Signiature) togged In by: nitials Note: Original sent with shipment Copy retained by collector P.C. Box 473 m 10S Sho No. Of �ntainer sent Temp Analysis Upon Required Arrival (acute, chronic (°C) bioassay) pstream, Post Cl2, Moved to bioassay dept. by: Initials Date /0 "Z Z /Tirne Kernersville, North Caroline 27284 338.988.2841 www,randalabs,com x Client: Collector (Print): Collector (Signature: only) VP Sample Description (see _note *) it by: ignature) by: (Signr lure) hipment: IS °ASSAY 'CHAIN OF CUSTODY RECORD Sample Col lea Date/ Date/ Time Time Started Ended County: Pipe #:. CIO NPDES #: cAc>`s L0 1 � ►:,antact olt.• Address: Phone Number: emp (°C) End ' Temp No. Of ' Upon Re aired containers Arrival qu�h o (acute, chronic sent (°C) bioassay) pis l3�eseription please use Effluent, tr►ffluent, Upstre ved by: (Sig i.ogged in b Initials...._ .f Note: Original sent with shipment Copy retained by collector RO. Box 473 .0106 Short Street ° Kernerstrllle,' North. Carolina 97384 0 336-986»9841 0 Fax 336.996uCi92 www randalabs.Gom Post CI Moved t «icssay dept. by: Initials ©ate 1?.�?� Tim EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH September YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price GRADE I CERTIFICATION NO, 985800 PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY TIIIS SIGNATURE, 1 CERTIFY THAT TIIIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 0AA DATE ea E as a. 50050 01042 J 01051 ] 01092 78389 81574 00530 00400 34316 32103 78391 00556 01045 01055 TGA3B FLOW Enter Parameter Code Above Name and Units Below ,c E EFF IN1 Weekly Q0attet93 Quarterly Quarterly Monthly Monthly Mouthty Mouthy Quarterly Quarterly Quarterly Quartertyi)uarterlyQuarteil}Quarterly '§'. e\,`:a��0�' 11RS HRS c h vtam -.:�"• MGD f '� , µg/l ^a `t`w),:��`,�A µg/1 �S \ SW'� µfill t t., '€)ta . f �\.i±,�- �%Z);Y i µg/1 Z "5:\f � {F\fr.,Yl„,� It /1 a J' 2=1 m 11 k.n S� .; n s u. a t �:",, 2`c ? rthZ}�' YI�'Z'Yt µg/I § t ''s µg/l ug/I nn r/l µgll g/1 P!F 2 0.0186 „\`� 2fl'2v,. 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A written submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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, i teluding thepossibili,ty of fines and im i son n ent fear knowi tg violations." Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the pennitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) ESEARCii ANA[yTicAL LABORATORIES INC. Analytical/Process Consultations September 23, 2014 AM EC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemieal Analysis for Selected Parameters and Sampling Location identified as Gateway Village Niisccllaneous Parameters Unit TSS mg/L RAL Sample Number: Date Collected: Time Collected: Effluent Results 794959 09/16/14 II30 ns per million Mess than or below detection li ESEARCw, AL Ti AL LAbORATORiES NC Analytical/Process Consultations Chemical Analysis for Selected Parameters and r Vater Sample Identified as Gateway Village (4 AMEC Charlotte Project, collected lb September 2014) Volatile Organics Quantitation EPA Method 601 Limit Parameter img/L) Tetrachloroethene Effluent (me/L) 0.001 BQL Cis 1,2-Dichloroethene 0.001 Dilution Factor Sample Number Sample Date Sample Time (hrs) 794959 09/ 16/ 14 1130 s per Liter = pans per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY. RECORD stervare Company AIY1"EC- Cate ge b No. Street Address ject Ay?"0ntlrly Sampling City, State, Zip Sa Name Prin Coa►ta Phone 1 Signature Sample N (Lab Use only) Date fim Comp. b p CI Chlorine Sample Removed Matrix VaarN (Sor4V plc Location / 1. Requested An yeas W 4 Sce R Relinquished By Remarks: * Tc hcne Cis 1,2 dichloroethene, TSS (Volatiles by method 601) EFFLUENT DES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH August YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price OA PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 SEP2142014 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. n DATE 4 6 8 PO 10 2 Weekly 0.014 01042 01051 101092 78389 Enter Parameter Code Above Name and Units Below Quarterly Quarterly Quarterly Monthly µg/I µg/I If WOE 81574 Monthly 00530 00400 34316 Monthly Monthly Quarte mg/I s. u. 1v SMINVErn µg/I 32103 78391 00S5::,01045 01055 TGA3B Quarterly Quarterly Qua, g/1 ug/1 mg/I xy r. F3tiq 31. terl) Quarterly Quarterly I P/F 14 0 4 16 24 26 0.0153 0.0172 0.0172 soir 0.0186 r:ERAGE 0.0160 <1 <5.0 MINIMUM ArxO Wimr�o�� Monthly Limit 0.0500 <I 8.9M/8,9D <1 4.9M/4.90 <5.0 30M/45D =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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, in ding the ssibigy of fines andirnprinnipnt for knowing violati ns." Akt!--06,t) ee lease p or type) Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) Unit June 26, 2014 lyrical/Process C©nsultatlons AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: hunter Nicks Chemical Analysis for Selected Parameters ana Miscellaneous Parameters • L Sample Number: Date Collected• Time Collected: parts per million ling Effluent Results <1.0 788459 06/23/14 0948 vatic Identified -as Gateway Village Less than or Below Detection Limit Chemical Analysis for Selected Parameters and Water Sample ( AME+C Gateway Village Project, collected: 3 June 2014) L Volatile Organics EPA Method 601 Paramete Tetrachloroethene Cis 1,2-1Dichloroethene Dilution Factor Sa pie Number Sample Date Sarnple Time (firs s perLiter = part Quantitation 0.001 788459 06/23/14 0948 per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Relinquished By Phone Time ©9,fr Comp. Grab Date/Time Job No. Project Monthly Sampling Sampler Name Sampler Signature Temp °C Res. CI. Chlorine Removed Y or N Sample Matrix (SorW) Sample Location / I.D. Effluent TB 5 4 2 CHAIN OF CUSTODY RECORD Water / Wastewater C7 Misc. Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS On (Volatiles by method 601) Sample Temperature at receipt Requested Analysis * See Remarks TB pH: In . 6 Temp: / F-- `7 3 � oc EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH July YEAR 2014 CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price I I CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY ELC 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 50050 FLOW OFF NF Weekly HRS HRS Y'te/N MGD AVERAGE MINIMUM Monthly Limit 0.0052 0.0052 0.0052 0.0052 0.0052 0.0053 0.0053 0.0117 Yr> ri * 0.0117 0.0105 0.0052 0.0500 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFICATION NO. 34 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE. TO THE BEST OF MY KNOWLEDGE. I 01042 101051 J 01092 78389 81574 00530 00400 34316 32103 78391 "t105K6 -01045 •01055.°1'GA Parameter Code Above Name and Units uaimcrly tjuari µg/1 µg y Quw•tet ly Monthly Monthly Monthly Muuthts Q mg/I s. u .9M/8.91) 4.9M/4.91) 30M/45D =>6<9 ug/I mg/ Quart Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table made as required by Part 11.E.6 of the NPDES permit. improvements to be "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 a 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 penaltiessubmitting dig 1I possibility . . ,.. a.. p en violations." for false information, to ludin tof fines and i risonment for knowing pe Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr,state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on tile with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Date: 07/10/14 Facility: GATEWAY VILLAGE NPDES#: N00086517 Pipe#: 001 County: MECKLENBERG Laboratory Perfopming\Test: R & A LABORATORIES, INC. X X Si gny ure,pf '9perator in'Responsible Charge oratory Supervisor Comments: FinalEffluent An AMEC Project * PASSED: 3.24% Reduction * Work Order: 789198/78942 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 23 24 23 25 23 22 22 24 22 24 21 25 Adult (L)ive (D)ead L L Effluent %: 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 24 21 22 21 21 23 25 23 24 21 23 21 Adult (L)ive (D)ead L L L L L Chronic Test Results Calculated t = 1.353 Tabular t = 2.508 % Reduction = 3.24 % Mortality Avg.Reprod. 0.00 Control 23.17 Control 0.00 Treatment 2 22.42 Treatment 2 Control CV 5.470% % control orgs producing 3rd brood 100% PASS FAIL Check One pH Control Treatment 2 D.O. Control Treatment 2 1st sample 6.97 7.05 7.17 7.25 s t e a n ✓ d t lst sample 8.6 8.4 8.6 8.4 lst sample 6.95 7.04 6.93 7.02 s t e a n ✓ d t lst sample 8.6 8.3 8.6 8.3 2nd sample 6.94 7.02 6.93 7.01 s t e a n ✓ d t 2nd sample 8.6 8.5 8.4 8.3 LC50/Acute Toxicity Test (Mortality expressed as %, LC50 = 95% Confidence Limits combining Complete This For Either Test Test Start Date: 07/02/14 Collection (Start) Date Sample 1: 07/01/14 Sample 2: 07/03/14 Sample Type/Duration Grab Comp. Duration Sample 1 X Sample 2 X hrs hrs D I L U T lst S A M P 2nd P/F S A M P Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) 48 192 459 443 0.03 0.02 3.2 1.2 replicates) Concentration Mortality Method of Determination Moving Average Probit Spearman Karber - Other start/end Note: Please Complete This Section Also start/end Control High r,nn pH Organism Tested: Ceriodaphnia dubia Duration(hrs): Copied from DEM form AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) D.O. Client: BIOASSAY CHAIN OF CUSTODY RECORD County: , eC h4I Pipe #: a ( NPDES #: Collector (Print):, ('f 44 `+�, Contact Person. Collector (Signature: -� Address: Phone Number: Sample Description (see note*) Sample Collection Started W. Date/ Time Ended Temp (°C) End for Sample Description pieese use E riquished by: (Signature) f Shipment: Logged in by: Initials ple Type Comp. u Grab Terpp Upon Arrival (°C) nt, Upstream, Post C12, Et Analysis Required (acute, chronic bioassay) Moved to bioassay by: Initials at�" ' 6 Time Note: original sent with shipment Copy retained by collector P.O. Box473. 108 Short Street • Kerners+ritle, North Caroline 27284.33.99 www.rendalabe.00m 284 Fax 338.998.032 Client: Aiiiee Collector (Print): Collector (Signature: BIOASSAY 'CHAIN OF CUSTODY RECORD County: Pipe # rld / NPDES #: „ 4oneact Person, Address: Phone Number: ample Cod Date/ Time Ended Temp (°C) End Sample Type Comp. Grab No. of containers sent Terinp Upon Arrival (°C) Analysis Required (acute, chronic bioassay) for Sample Description please use Effluent, Influent, Upstream, Post C12, Et Note: Original sent with shipment Copy retained by collector P.O. Box 473. 106 Short Street • Kernersville, North Caroline 27284.33S-898-2841 • Fax 336.998-0328 www.randalabe.00m RESEARCIi & ANACyTICAL LAb©RAT©RIES , INC. Analytical/Process Consultations July 14, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results Total Copper mg/L <0.005 Total Lead mg/L <0.005 Total Zinc mg/L 0.018 RAL Sample Number: 789424 Date Collected: 07/03/14 Time Collected: 0845 s per Ltter parts per on < = Less than or Below Detection Limit RESEARCH & ANALyTICAE LAbORATQRiES, INC. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD WATER / WASTEWATER MISC. COMPANY JOB NO. --- NO. OF 'CONTAINERS 1 ,0 % � ry' y } r©o 00 o. C3 a * ^ ^ STREETADDRE S f PROJECT CITY, STATE, ZIP SAMPLER NA LEASE P CONTACT PHONE SAMPLERGNATURE SAMPLE NUMBER (LAB USE ONLY) DATE TIME COMP GRAB TEMP "C RES CI CHLORINE REMOVED SAMPLE (M MATRIX SAMPLE LOCATION / IA. REQUESTED ANALYSIS RELINQUISHED B �T #TIME 122e5 REC VED BY REMARKS: 3 ' °C RELINQUISHED BY DATE/TIME RE EIVED BY r / )// SAMPLE TEMPERATURE AT RECEIPT RESEARCII & ANAEyTICAE LAIC©RAT©RIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 01 July 2014) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mz/L) (m2/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Chloroform 0.001 BQL 1,2-Dichloroethane 0.001 BQL Trichloroethene 0.001 BQL Dilution Factor 1 Sample Number 789219 Sample Date 07/01/14 Sample Time (hrs) 0925 s per Liter = parts per million (ppm) BQL = Below Quantitation Limits RESEARCII & ANALyTICAL LABORATORIES, INC. Analytical/Process Consultations July 14, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TSS mg/L <1.0 Total Copper mg/L <0.005 Total Lead mg/L <0.005 Total Zinc mg/L <0.010 Oil & Grease mg/L <5.0 Total Iron mg/L 0.065 Total Manganese mg/L <0.005 RAL Sample Number: 789219 Date Collected: 07/01/14 Time Collected: 0925 s per Liter parts per million < = Less than or Below Detection Limit Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time O ??� Comp. Grab X Job No. Project Quarterly Sampling Sampler Name (' eye Print Sampler Signature Temp oC Res. Cl. Chlorine Removed YorN Sample Matrix (S or WI_ Sample Location / LD. Effluent TB 2 a: 4 CHAIN OF CUSTODY RECORD Water / Wastewater Misc. Requested Analysis * See Remarks TB Relinquished By 7 ate/Time e a790 Date/Time Received By L pH: 6 3 Temp: /7, Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS, Cu, Pb, Zn, Fe, Mn, O&G, Chloroform, 1,2 dichloroethane, Trichloroethene On Ice V (Volatiles by method 601) Sample Temperature at receipt oC EFFLUENT • NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH June YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALT>� 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 AUGt " 74' GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * n x (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DATE 0050 01042 j 01051 ( 01092 78389 81574 00530 00400 34316 32103 7839 716-6 646 1 Mit 0.0067 666 66. 61 0.0067 1606111, Y YN",;,„ 1 1 6 1120 0.30 Y 0.0067 <1 <1 3.5 6.63 8 ve 1 0.005 )0611166, 1166. dk 10 0.0053 5 6 11 0.0068 8 11 1 1 4 0.0068 a3 TiaM 648. 11 6 0.0068 1 0 20 2 0.006 0.0062 6 24 0.005 26 0.0053 28 0.005 30 0.0053 AVERAGE 0.0 NIMUM 0.00. ontlaly Limit 0.0500 .75 6.62 .9M/$.9D 4.9M/4,9D .}4M145D =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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, igicluding thi; possibility of fines and imprisonment for knowing violatio s." Signature of Permitee* * * (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Perrnittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs and, as a result, there are no data to be entered for all ofthe parameters on the DMR for the entire monitoring period. ** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCH & ANALyTICAI LAb©RAT©RIES, INC. Analytical/Process Consultations June 13, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Parameters TSS Unit Effluent Results 3.5 RAL Sample Number: 787244 Date Collected: 06/06/14 Time Collected: 1140 s per Liter parts per million < Leis than or Below Detection Limit RESEARCH & ANALyTiCAL LAboRAToRiEs, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (An AMEC-Gateway Village Project, collected 06 June 2014) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter ime/L) (mg/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 787244 Sample Date 06/06/14 Sample Time (hrs) 1140 igrams per Liter = parts per million (ppm) SQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AME - Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time Comp. Grab Job No. Project Monthly Sampling Sampler Name Sampler Signature Temp °C Res. Cl. (PI sc Prin teeta Chlorine Removed YorN Sample Matrix (SorW) Sample Location / I.D. W Effluent TB CHAIN OF CUSTODY RECORD / Wastewater r7 Misc. Requested Analysis * See Remarks TB Reli quis By Relinquished By Date/Time Receive Remarks: * Tetrachloroethene, Cis 1,2 dichloroethcne, TSS (Volatiles by method 601) pH: 6 - (v 3 Temp: / rzz . • Sample Temperature at receipt R ESEARCIi & ANALyTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations June 26, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Parameters TSS Unit Effluent Results <1.0 RAL Sample Number: 788459 Date Collected: 06/23/14 Time Collected: 0948 per =p per million < = Less than or Below Detection Limit RESEARCII & ANAEyTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample {A AMEC-Gateway Village Project, collected 23 June 2014) L Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mg/L) (m2/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 788459 Sample Date 06/23/14 Sample Time (hrs) 0948 1lion (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Onl)) Date Phone Time Comp. Grab x Job No. Project Monthly Sampling Sampler Name (Plia, Print) Sampler Signature Temp Res. Cl. Chlorine Removed V or N Sample Matrix Nv) IV Sample Location / I.D. Effluent 113 5 CHAIN OF CUSTODY RECORD 4 Water / Wastewater Misc. Requested Analysis * See Remarks TB H: I Temp: Or.? Relinquished By Remarks: * Tetraehloroethene, Cis 1,2 dichloroethene, TSS On lg" (Volatiles by method 601) Sample Temperature at receipt Senior Engineer Enclosures cc: David Edwards, Cousins Property Management Correspondence: AM EC Environment & Infrastructure, Inc. 2801 Yorkmont Road Suite # 100 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704)357-8638 Licensure NC Engineering F-1253 NC Geology C-247 ame July 25, 2014 Attn: Central Files Division of Water Quality 1617 Mail Center Road Raleigh, North Carolina 27699-1617 Subject: DMR Summary June 2014 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina AMEC Project: 6228-12-0004 Attn Central Files: AMEC Environment & Infrastructure, Inc. (AMEC) is pleased to submit this DMR Summary for the above -referenced site. The DMR for June indicates the facility did meet the permit requirements. In the previous month, the ORC for this site (Research & Analytical Laboratories) inadvertently did not collect samples in May. Once the mistake was realized, AMEC contacted Marcia Allocco with NC DENR and decided to take two samples in June. R&A sampled on June 6, 2014 and June 23, 2014. The results for both June sampling events are included with the DMR. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, AMEC Environment & Infrastructure, Inc. Hunter M. Hicks, P.E. Robert C. Foster, L.G. Associate Geologist amec.com EFFLUENT r NPDES PERMIT NO. NC 0086517 DISCFIARGE NO. 001 MONTH May YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. — CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES JUL U DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE I CERTIFICATION NO. 985800 NO FLOW / DISCHARGE FROM SITE * 6//f/V (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.LC I _ `z 4 01092 78389 81574 00530 00400 3431E 32103 78391 00556 01045 01055 TGA Enter Parameter Code Above Name and Units Below to P Coy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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, " luding the possibility of fines and impri onment for knowing violations." ilt C, )tx? Z.. f tx i-•f -c c ? cM � w. - r '. it —a EIS t C < n.,, .t � y 'Ake Signature of Permiee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must he on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) w RESEARCh & ANALYTICAL LABORATORIES, INC. Analytical/Process Consultations June 13, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Parameters TSS Unit Effluent Results 3.5 RAL Sample Number: 787244 Date Collected: 06/06/14 Time Collected: 1140 per Liter = parts per mithon =Less than or etow Detection Limit 1 RESEARCII & ANALyTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (An AMEC-Gateway Village Project, collected 06 June 2014) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mg/L) (mg/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 787244 Sample Date 06/06/14 Sample Time (hrs) 1140 per million (ppm) BQL Below Q Research & Analytical Laboratories, Inc. Analytical / Process Consultations CHAIN OF CUSTODY RECORD 2L G (IINA, Herb. ! Pest.) 2 40 ml. VieIs (VOA.) HCL 250 ml. C (TOX) 250 ml P (TOC) H.SO, IL P,G (ROD, TSS, Unperserved, etc.) IL G (Phenol, Gil&Grease) H$SO, IL P,G (COD, N, P) 1145O4 IL P,G (io1etals, Hardness) HNC}, IL P,G (C;vanlde); NaOH Sterile P,G (Colif(3rm) Misc. Company AMEC- Gateway Village Job No. _ Street Address Project Monthly Sampling City, State, Zip Sampler Name (PI se Print Contact Phone Sampler Signature q Gi Sample Number (Lab Use poly) Date "Time Comp. , Grab Temp °C Res. Cl Chlorine Removed Y or N Sample Matrix (S or FYI Sample Location / I.D. Requested Analysis " %f U X W Effluent 5 4 1 * See Remarks I f TB 2 2 TB pH: 6 e 6 3 Temp: l,ri1G iielh tluisl l IIy I) tcllime ,_Re ei d By Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS (Volatile by method 601) Relinquished By Date/Time Reed%cQ By v fan) Sample Temperature at receipt * \ °C ame June 24, 2014 Attn: Central Files Division of Water Quality 1617 Mail Center Road Raleigh, North Carolina 27699-1617 Subject: DMR Summary May 2014 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina AMEC Project: 6228-12-0004 Attn Central Files: AMEC Environment & Infrastructure, Inc. (AMEC) is pleased to submit this DMR Summary for the above -referenced site. The DMR for May indicates the facility did not meet the permit requirements. The ORC for this site (Research & Analytical Laboratories) inadvertently did not collect samples in May. Once the mistake was realized, AMEC contacted Marcia Allocco with NC DENR and decided to take two samples in June. R&A sampled on June 6, 2014 and will take an additional sample in June. The results for the first June sampling event are included with the DMR. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, AMEC Environment & Infrastructure, Inc. Hunter M. Hicks, P.E. Senior Engineer Enclosures cc: David Edwards, Cousins Property Management Correspondence: AMEC Environment & Infrastructure, Inc. 2801 Yorktnont Road Suite # 100 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704)357-8638 Licensure NC Engineering F-1253 NC Geology C-247 Robert C. Foster, L.G. Associate Geologist amec.com EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH April YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFICATION NO. 34 CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED 1 Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 RADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * n (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. OcAc ELC MAY .t 7 2t14 50050 01042 01051 01092 78389 81574 00530 00400 34316 32103 78391 00556 01045 01055 TGA3B it FLOW Enter Parameter Code t`= EFF lid Above Name and Units cv INF © Below Quarterly Quarterly Quarterly Monthly Monthly Monthly Monthly Quarterly Quarterly Quarterly Quarterly Quarterl Quarte Otis MGD 11../1 µg/1 µg/1 g/1 µ/1 mg/1 s. u. µg/1 µg/I ug/l mg/1 }tg/1 µgf Weekly AVERAGE 0.0124 ®® Monthly Limit 0.0500 8.9M/8.9D 4.9M/4.9D 30M/45D =>6<9 uarterl P/F Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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 thesossibility of fines and irpprisonment for knowing violations." Signature of Permitee* * * (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) Effluent Toxicity Report Form - Chronic Pass/Fail and Acute LC50 Facility: GATEWAY VILLAGE Laboratory Perfo X Date: 04/24/14 NPDES#: NC0086517 Pipe#: 001 County: MECKLENBERG Test: R & A LABORATORIES, INC. Comments: Final Effluent Responsible Charge AMEC Project e oratory Supervi so * PASSED: 0.371 Reduction * Work Order: 783266/78343 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS # Young Produced Adult (L)ive (D)ead 23 Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 2 3 4 5 6 7 8 9 10 11 12 22 24 21 22 25 21 22 25 22 24 Effluent $: 90$- TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 # Young Produced 22 Adult (L)ive (D)ead L 1st sample pH Control Treatment 2 D.O. Control Treatment 2 6.97 6.95 7.05 7.03 s t e a n ✓ d t 1st sample 8.5 8.5 8.3 8.3 1st sample 6.93 7.06 7.02 7.15 2nd sample 6.94 7.05 7.02 7.14 s s t e t e a n a n ✓ d r d t t 1st sample 2nd samp 8.6 8.2 8.2 8.6 8.5 8.4 8.3 LC50/Acute Toxicity Test (Mortality expressed as $, combining replicates) LC50 = 95$ Confidence Limits $ -- Chronic Test Results Calculated t = 0.133 Tabular. t = 2.508 $ Reduction = 0.37 $ Mortality Avg.Reprod. 0.00 22.67 Control Control 0.00 22.58 Treatment 2 Treatment 2 Complete This For Either Test Test Start Date: 04/16/14 Collection (Start) Date Sample 1: 04/15/14 Sample 2: 04/17/14 Sample Type/Duration Grab Comp. Duration Sample 1 X Sample 2 X hrs hrs Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) Concentration Mortality start Method of Determination Moving Average _ Probit Spearman Karber Other D I L U T 48 195 .......... 2nd 1st P/F S S A A M M P P 426 0.02 2.0 Note: Please Complete This Section Also d start/end Control High Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs): Min!! 460 0.01 2.0 Copied from D AT-1 (3/87) rev. 11/95 (DUBIA ver. 4.32) 9dE:f1 96E'7�E xeJ, i.I'9 .1agwnN auoyd CH1003U AQOLSf) AO IMMO A.'&'SS' uJa. aad.JAS '3404y JU!. c Lt> a ,d U otoalloo Aq pauietaj idol :,uauidiys yiinn tuas ieui6up :atoN -7-ry : uawdigS /0 Pot-ila, Cainleu6is) :Aq paysinbuilaa suopewsuo3 ssaoOJd/potvSieuv. .3a ®IVZ110(p Client: RESEARth AN LyTiCAl LAb®RATORES, I Analytical/Process Consultations B OASSAY `CHAIN OF CUSTODY RECORD County: Pipe #: C ' / NPDES #: i� 1 Collector (Print): �� •r Contact • Collor (Signature: Address: Phone Number: Lab # (RAL only) Sample Description (see noteR) Sample Collection Date/ Time Started Date/ Temp Time (°C) Ended End Sample Type Comp, Grab No. ©f• containers sent Temp Upon • Arrival, (°C) Analysis 'Required (acute, chronic bioassay) inquished by: (SSiignature) uished by: {Signature), Shipment: e Description please use Effluent, tnfluent, Upstream, Post Cl2i' Etc. cei ed by: (Signature) eived by: (Siena .ogged in b nitials_. Note: Original sent with shipment Copy retained by. collector Moved t• •loassay dept. by: Initials r"1. Date `f -/ ' Time P.D. Box 473 • 106 Short Street • Kernersvilla, North Carolina 27284.336-996-2841 • Fax 336-996-0326 www.randalabs.com RESEARCIi & ANALyTiCA[ LAb©RAToRiES, INC. Analytical/Process Consultations April 28, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Parameters TSS Total Copper Total Lead Total Zinc Total Iron Total Manganese Unit mg/L mg/L mg/L Effluent Results <1.0 0.007 <0.005 0.011 <0.025 <0.005 RAL Sample Number: 783267 Date Collected: 04/15/14 Time Collected: 0840 grams per Liter = parts per Less than or Below Detection Limit R ESEARCii & ANAEyTICAL LAb©RAT©RIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 15 April 2014) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mg/L) (mg/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Chloroform 0.001 BQL 1,2-Dichloroethane 0.001 BQL Trichloroethene 0.001 BQL Dilution Factor Sample Number Sample Date Sample Time (hrs) 1 783267 04/15/14 0840 iter = parts per million (pp BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 CHAIN OF CUSTODY RECORD Water / Wastewater 1 Misc. Company AMEC- Gateway Village Job No. V u ►'+ 2 44 11114 Vials (VOA) HCL 250 ml. G (TOY) 4w a` " V z IL G (Phenol, Oil&Grease) IL Oa 1 L PG (COD i4 P) ii,SC}, — IL P,G (l tats, hardness) O3 IL P,G ' (Cyanide) N*aOH Sterile P G {Col°sforrn Street Address Project iftarterly Sampling City, State, Zip Sampler Name (Ply e Print) per} © 4 Contact Phone Sampler Signature t Semple Number (Lab Use Only) Date Time Comp. Grab Temp "C Res. Cl. Chlorine Removed Y or N Sample Matrix (S or NV) Sample Location / IX. Retlucstetl Analysis } V %.flaunt 8 I. *Sec Itetnarks � ! TB ft { A 1 pH: , r� Temp: Relinquished D�te/Time /j G 7$1( Received By , I emarlcs: * Tctracltloroethene, Chloroform, Cis 1,2 dichloroethane, 1,2 dichloroethene, (Volatiles TSS, Cu, Pb, Zn, Fe, IVin, O&G, Trichloroethcne by method 601) Relinquished By Date/Time eceive y On Ie ✓ Sample Temperature at receipt CJC t "C EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH March YEAR 2014 FACILITY NAME Gateway Village LLC CLASS I COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn. Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 CERTIFICATION NO. 34 GRADE I CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * (SIGNATURE OF OPERATOR IN RESPONSIBLE CLIARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 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J-= Y 1:5i ", .� `' `: %,....,,Z• � is*+ri-r, -,r,,v�.= tZ'� � 2„..il reva., \ f +? .£ S ' 1 }'J,'.)� R ."( `. r^. r 2 ' Y i- 1, �<,.., € 1 \4 �,,.vvl -') �s. }\2'. ) .�' vJ, a5..°.a,", s, R: �, e,:.�.,.5i��v.A�...-.. a,r =rxsuei . )F}" �\v.s.;/'\. cv , 30 0.0101 , �."tca; ns ... �i'is„c,'.a. , „n. 3ti`„� `�xC�`%�ra\: ,;... .,.+, la°r, lY\i L, i'"5 ,l lr.xRb �;�„�:.{�b',�' CSJ2 '?'l@2:{{I'lG -41 �x..Z£tt1 ��:JZ.,.J.f.,;v.\a {/rs)�,.i 22; fZU "`�5 �€ k t �T�'x AVERAGE 0.0134 6.58 r ;- `q.� £�.f'� .. .i .J=aJ i�m.>ri�e,sv c\ f, ,,,£.., .�?i tYn r',' " 1, " .,`rzL, �r,. ,£.4 Et{i. vati �,.k��: \y,,�: : :� 1 L��v, .\ \\ - \ / � ll'as:f<,s" AAr s-. 5, tiZ - ,., *„ x\-,,,r't .,,.,.4 ,s3 S.:Cr„ t ,£".` .i�, <.i l.i co.,;.wt'`�, 3ra��� s,<.` �`� r . �:y✓S ��.Rm„ \_ Y £h MINIMUM 0,010 <1.0 6.58 4 .`}.$4, }€. _ ___ (Qi � `^�1 ">, :F� .'�'e:Y� xo, a°`�,7a, }i�-z,..£�{� s..z,.-:'.�ii5. C)\ .: 1kY 1 }�, :§5: ) 3Z r, ...,,YI,,Y rS 3t. .,-,__,, .. ., 4Yi US, II Y �{31 U .,,J>`�.�.7"Z. ., i� c,', V\3Z i\'i\h. ";) i,£Z S{, 7 2, .f S£, rr'; CY;`:£„f ,',��"��,`.�r z1s, 17 '2 i .k sc:x..:s.v S 4 ,. ?�'F;.}, il�w\\„ iC\, o�'.. i{,. ,..,/)`, S)`%, .ti✓r ,.�.;.^-„�'t�tfv �jy�3t�, Zz't ti\2`^, {4x�.,:y.,g. ;? }5 15 , ,l9 '� i t ♦1' Monthly Limit 0.0500 8.9Mt8.9D 4.9M/4.9D 30M145D =>6G9 Copy DEM Form MR -I (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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. 1 am aware that there are significant penalties for submitting false information, including the jibility of fuLissand imprisonment for knowing violations." Signature of Pennitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIEDCERTIFtED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o,enr.state.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the pennitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) RESEARCII & ANAlyricAl LAbORATORIES, INC. AnalytIcal/Process Consultations March 31, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Parameters TSS Unit Effluent Results <1.0 RAL Sample Number: 781025 Date Collected: 03/18/14 Time Collected: 1141 Liter = parts per million Less than or Below Detection Limit RESEARCh & ANAIrricAl LAbORATORiES INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (An AMEC-Gateway Village Project, collected 18 March 2014) I. Volatile Organics Quantitation Effluent EPA Method 601 Limit Parameter (mg/L1 (me/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 781025 Sample Date 03/18/14 Sample Time (hrs) 1141 mg/L = milligrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits Researcn c c Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEe- Gateway Village Street Address City, State, Zip tact Sample Number (Lab Use Only) `mil 045 0210 Date Phone Time Comp. Grab Job No. 1' 0 ct Monthly Sampling Sampler Name Sampler Signature Temp °C Res. Cl. Chlorine Removed YorN Reli ui ed By",/` TtelTimc Received By Relinquished By Date/Time Recei;j'd By Sample Matrix (S or W) Sample Location / I.D. TB 2 CHAIN OF CUSTODY . `CORD Water / Was ett `e, Misc. Requested Anal * See Remarks pH: Temp: Remarks: * Tetrachlo octhene, Cis 1,2 dichlorocthene, TSS (Volatiles by method 601) On Ice Sample Temperature at receipt 111 "C a e April 15, 2014 Attn: Central Files Division of Water Quality 1617 Mail Center Road Raleigh, North Carolina 27699-1617 Subject: DMR Summary March 2014 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina AMEC Project: 6228-12-0004 Attn Central Files: AMEC Environment & Infrastructure, Inc. (AMEC) is pleased to submit this DMR Summary for the above -referenced site. The DMR for March indicates the facility did meet the permit requirements. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, AMEC Environment & Infrastructure, Inc. Hunter M. Hicks, P.E. Senior Engineer Enclosures cc: David Edwards, Cousins Property Management Correspondence: AMEC Environment & Infrastructure, Inc, 280 Yorkmont Road Suite # 100 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704) 357-8638 Licensure NC Engineering F-1253 NC Geology C-247 Robert C. Foster, L.G. Associate Geologist amec.coin ,r EFFLUENT f NPDES PERMIT NO, NC 0086517 DISCHARGE NO.001 MONTH February YEAR 2014 FACILITY NAME Gateway Village LLC CLASS, 1 COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price CHECK BOX IF ORC HAS CHANGEDI Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 CERTIFICATION NO. 34 GRADE 1 CERTIFICATION NO. 985800 ORC PHONE 336-996-2841 NO FLOW f DISCHARGE FROM SITE * �I (SIGNATURE OF OPERATOR IN RESL'i NSI131.3,CHARGE) BY TIIIS SIGNATURE, i E'R'I'IFY THAT TIIISTRE'1'ORT 1S ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 0050 01042 1 010 1 1 01092 78389 81574 Enter Parameter Co Above Name and t111 Below eekly Qnarterly 0.0131 Quarterly Qua 0400 34316 32103 75391 00556 01045 01055 'L'G hly Monthly Monthly Monthly Qnarterly Ctnnrterty ¢unrterty Qaartet•ly Ut 0.0099 0 0.0099 2 0.0099 4 0945 0.37 Y 0.0099 20 1020 0.22 Y 0.0119 •1 <1 <I 6.4 2 4 0.0 6 0.0 0.0060 0 AVERAGE 0.0101 <1 {1 <1 6.47 0.0060 <1 <1 •<1 6.47 it 0.0500 8.9M/8,91) 4,9M/4.9U 301/45D =>6<9 Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 permitte 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. If the facility is noncoinpliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "1 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 a 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." LryLo /24.14,,o(i2.4.4 at) &Act., ,e2u,ia2ItC772 ,WeA 4/' PThittee (Please i&tikt or type)' Signature of Permitee*** Date (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at 112o.enr.state.nc,us/wys and linking to the Unit's information pages, Use only units of measurement designated in the reporting facility's NPDES permit for repotting data. * No Flow / Discharge From Site: Check this box if no discharge occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8C.i.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR -I (12/93) RESEARCII & ANALyTiCAL LAbORATORiESF INC. Analytical/Process Consultations March 4, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TSS mglL <1.0 RAL Sample Number: 779195 Date Collected: 02/20/14 Time Collected: 1031 mg/I. = milligrams per Liter = parts per million < -- Less than or Below Detection Limit RESEARCIi & ANAEyTICAE LAboRAToRfES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (An AMEC-Gateway Village Project, collected 20 February 2014) i• Volatile Organics Quantitation EPA Method 601 Limit Parameter (mg/L) Tetrachloroethene 0.001 Effluent (m2/L) BQL Cis 1,2-Dichloroethene 0.001 BQL Dilution Factor Sample Number 779195 Sample Date 02/20/14 Sample Time (hrs) 1031 = milligrams per Liter = parts per million (ppm) BQL = Below Quantitation Limits Research & Analytical Laboratories, Inc. Analytical / Process Consultations Phone (336) 996-2841 Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use Only) Date Phone Time 1031 Comp. Grab x Job No. Project Monthly Sampling Sampler Name lease Pr' t) Sampler Signature Temp OC Res. Cl. Chlorine Removed Y or N Sample Matrix (S or W) Sample Location / Effluent TB z Co) 404 z 5 2 ./6 4 2 CHAIN OF CUSTODY RECORD Water / Wastewater E kn c.; 1L P,G (Cyanide) NaOH cl Misc. Requested Analysis * See Remarks TB Re inq hed By Relinquished By 44i ate/Time c/a 0Sle Date/Time Received I 00 Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS On Ice (Volatiles by method 601) Sample Temperature at receipt 3 s pH: ee. lit 7 Temp: /14, EFFLUENT NPDES PERMIT NO. NC 0086517 DISCHARGE NO. 001 MONTH January YEAR 2014 FACILITY NAME Gateway Village LLC CLASSL COUNTY Mecklenburg CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price PERSON(S) COLLECTING SAMPLES Glenn Price ORC PHONE 336-996-2841 NO FLOW / DISCHARGE FROM SITE * I I CHECK BOX IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE I CERTIFICATION NO. 985800 (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. DATE Operator Arrival Time: 2400 Clock Operator Time on site ORC on Site?* 50050 01042 01051 0 092 78389 81574 005 0 00400 34316 32103 1 78391. 00556 45 01055TGA311 FLOWnter Parameter Code Above Name and Units Eelow ,11 .C. Chlori:iform 1,2-Dichloroethatie Trichloroethene Manganese Chronic Toxicity EFF lxi NE LJ DAILY RATE Weekly Quarterly Qua1edQuarterlyu*t terly Mouthly Mnthly Mw*hIy Monthly Quarterly Quarterly Quarterly Quarterly Quarterb QwuierbQuarterly ;57,."rWri,„4",:rfleftlY47.41 I1RS HES . MGD 0.0109 :tatalaii 0.0155 1 I *Ts laasiatAiraaVai ' ' • : 441114litt 1 a g 4'; anilidlaila tataaan gil m • 1 agamatia s,u. ttailatiaitaitialtaitatimataZali 1 vat g/1 Mai u+ ti s,,,:;' , ,st, aaaaatial g _fI,P /F dati NAM 2 ,'-'ntlt!*7 4 1008 • , 0. 2 471# B 'il ANS1111111114513,40111 0.0155 ilitlataloilifikailitititg itikentilli101011611111.11 6 37.15T.I1gd&4% itl4galtelnata *Aid tallaatiattgl 1•111011 kiln lift diall 1111111, 8 0.0155 '% -4 0 - '' '''%.,St,,,v .. a a. ilts ,„k1„..aillieraallatifilittlitil 0.0157 itlattralle samaNfiltailit Nal NO 1161,11 ,-; ' r7 ., - allineltriellillitellinatilitintillitIMIII1111111 Frit 11101111g 14k27,1011:\ 2 0.0157 41 "" .4 ''''16=1,1ii "isS biiike'TiVolPt 1 011iftlilitaillitWatiititiltOntattettOWNOW-01* MU Snit 14 COVINEWRIMMEW 16 0.0157 0.01518 7 '''''''''47VIVOUNItiONNOW5WOUNNIKOWINOWSMANASINAOCIMINANN ..„1',. _-ktls. ;*";,,k.„47Z si77';‘ IT 'Y , '1 >, A iti:itiit WM 064 atellitati iitkit to,s4,4t1.400 Nibitiallai MO tios wog pop,,,„:00e. ist3 goti,..,46 atio Nis ow ar gig" %,0066 we Olttratitatin" 20 ',, ,_,',w:, 0.0157 Ir ' XitAi. kikAtted . w ','. :Ws Atii 00157 ',,-41Z1- -t-,-,,, ' -,- '-': -itAtraiL ,,:liZ kNIP,tatttiOtiaikallRiaCaita atfotga'Aaawaaaaaattao 22 00129 ' ', , _ „,„ ,IK,„,.„ - aataal sow ma motaat mom sow 314011ald tifitiasaliatt liala 24 0.0058 VILUatali 0 alaittia WittaaliAlltialing PUB liiNIIMIAtaalba42111 26 0.0058 2-: 8 '''',A4 1-- ' i' - 2 haft31016011-14110100a 0.0058 ION lataidaglallAdiallinalWagilla 3Ni..:;41 0 0,0058 414 4.11)6011 RAW AkoxiA WilliktftintreiNti finin bittatiligatal tilaaalit liain A.: 'A .' ' a altaltillti IRO tat INN OW IN" Mae nelakall liMitettlAar alti AVFRAGF 0.0 26 91 5 43 1 1 1 1 <1.0 <1.0 AtilgtO!WhAglaidOWNCtic4rJA.iiar,AiAilit 6.33 <1 633 1 <1 1 <1 1 <5.0 5 .. 5.0 25 5 P MINIMUM0.0058 111111.9N7110T4s0.44-'4Agit•iillt.,x4ri, 12 <5 32 Monthly Limit 0.0500 8.9M/8,9D 4.9MA4,91) 30M/45D =>6<9 , Copy DEM Form MR-1 (12/93) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Noncompliant 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 pennitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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." (tit/A.01 x_ 1/ 14 nee (Pleas nt or type Signature of Permitee*** (Required unless submitted electronically) 800 West Trade Street, Suite 100 Charlotte, NC 28202 Permittee Address Phone Number Date 06/30/15 Permit Exp. Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No Certified Laboratory (3) Certification No Certified Laboratory (4) Certification No Certified Laboratory (5) Certification No PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.ennstate.nc.us/wqs and linking to the Unit's information pages. 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 occurrs 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? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the pet -mate, then the delegation of the signatory authority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). Copy DEM Form MR-1 (12/93) February 20, 2014 Attn: Central Files Division of Water Quality 1617 Mail Center Road Raleigh, North Carolina 27699-1617 Subject: DMR Summary January 2014 NPDES Permit No. NC0086517 Gateway Village Groundwater Remediation 800 West Trade Street, Suite 100 Charlotte, North Carolina AMEC Project: 6228-12-0004 Attn Central Files: a e FEB 2 5 2( 14 OA AMEC Environment & Infrastructure, Inc. (AMEC) is pleased to submit this DMR Summary for the above -referenced site. The DMR for January indicates the facility did meet the permit requirements. If you have questions or concerns, please contact the undersigned at (704) 357-8600. Sincerely, AMEC Environment & Infrastructure, Inc. Hunter M. Hicks, P.E. Senior Engineer Enclosures cc: David Edwards, Cousins Property Management Correspondence: AM EC Environment & Infrastructure, Inc, 2801 Yorkmont Road Suite # 100 Charlotte, North Carolina 28208 Tel (704) 357-8600 Fax (704) 357-8638 Licensure NC Engineering F-1253 NC Geology C-247 amec.com Environmental Branch Manager ECEIVED FEB 2 4 2014 CENTRAL FILES DWQ/BOG RESEARCh & ANAlyTiCAI LAbORATORiESF Analytical/Process Consultations January 31, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Effluent Parameters Unit Results TSS mg/L <1.0 Total Copper mg/L 0.012 Total Lead mg/L <0.005 Total Zinc mg/L 0.032 Oil & Grease mg/L <5.0 Total Iron mg/L <0.025 Total Manganese mg/L <0.005 RAL Sample Number: 777197 Date Collected: 01/21/14 Time Collected: 1110 s per Liter = parts per million ess than or Below Detection Limit Research & Analytical Laboratories, Analytical / Process Consultations Phone (336) 996-2841 / Company AMEC- Gateway Village Street Address City, State, Zip Contact Sample Number (Lab Use )nly) Date Phone Job No. Project Quarterly Sampling b. Sampler Name (Please Print) VI (.1, Sampler ture Temp Res. Chlorine Time Comp. Grab C Removed " V or N ./-21-/- /41 _b/0 Rel' quished By IPHnquishd Ily t)ate/Tinie Received By Received By Sample Matrix Sample Location I.D. cS or V9 TB 2 2 CHA IN OF CUSTODY RECORD Water / Wastewater z Misc. Requested Analysis * See Re TB pH: Temp: ,19, Remarks: * Tetrachloroethene, Cis 1,2 dichloroethene, TSS, Cu, Ph, Zit, Fe, 'Mn, O&G, Chloroform, 1,2 dichloroethane, Trichloroethene <Tr. Ice (Volatiles by method 601) Sample -Temperature at receipt 1-7 -7 7ek> RESEARCh & ANAlyTicAl LAbORATORiESF INC. Analytical/Process Consultations January 31, 2014 AMEC 2801 Yorkmont Road Charlotte, NC 28208 Attention: Hunter Hicks Chemical Analysis for Selected Parameters and Sampling Location Identified as Gateway Village Miscellaneous Parameters Total Copper Total Zinc mg/L mg/L Effluent Results 0.170 0.053 RAL Sample Number: 777351 Date Collected: 01/23/14 Time Collected: 1005 mg/L milligrams per Liter = parts per million Less than or Below Detection Limit RESEARCh & ANALyTICA1 LABORATORIES, INC. Analytical/Process Consultations Chemical Analysis for Selected Parameters and Water Sample (A AMEC-Gateway Village Project, collected 21 January 2013) 1• Volatile Organics Quantitation EPA Method 601 Limit Parameter (mg/L) Effluent (m2/L) Tetrachloroethene 0.001 BQL Cis 1,2-Dichloroethene 0.001 - BQL Chloroform 0.001 BQL 1,2-Dichloroethane 0.001 BQL Trichloroethene 0.001 BQL Dilution Factor Sample Number 777197 Sample Date 01/21/14 Sample Time (hrs) 1110 s per Liter = parts per million (ppm) BQL = Below Quantitation Limits luent To Report Form ail. and Acute LC50 Date: 01/30/14 Facility: GATEWAY VILLAGE NPDES: NC0086517 Pipe#: 001 County: MECKLENBERG Laboratory Performing Testy & A LABORATORIES, INC. X atory Sup Work. Order: 777195/77735 MAIL ORIGINAL TO: North Carolina Ceriodaphnia Chronic Pass/Fail Reproduction Toxicity Test CONTROL ORGANISMS # Young Produced Adult (L)ive (D)ead 25 Co ents: Final Effluent AMEC Project * PASSED: 18.68% Reduction * Environmental Sciences Branch Div. of Environmental Management N.C. Dept. of EHNR 1621 Mail Service Ctr Raleigh, North Carolina 27699-1621 2 3 4 5 6 7 8 9 10 11 12 21 22 23 25 23 23 21 23 24 22 21 Effluent % 90% TREATMENT 2 ORGANISMS 1 2 3 4 5 6 7 8 9 10 11 12 pH # Young Produced Adult (L)ive (D)ead Control Treatment 2 D.O. Control Treatment 2 1st sample 6.92 7.20 7.00 7.28 s t e a n ✓ d t 1st sample 8.6 8.4 8.3 17 19 20 18 19 20 17 18 1st sample 2nd sample 6.94 7.01 7.02 7.10 6.94 7.03 7.01 7.09 s s t e t e a n a n ✓ d r d t t 1st sample 2nd sample 8.5 8.3 8.2 8.6 8.6 8.4 8.3 18 LC50/Acute Toxicity Test (Mortality expressed as %, combining replicates) LC50 = 95% Confidence Limits 19 18 19 Chronic Test Results Calculated t = 8.468 Tabular t = 2.508 % Reduction = 18.68 % Mortality 0.00 Control 0.00 Treatment 2 Avg.Reprod. 22.75 Control 18.50 Treatment 2 Control CV 6.252% % control orgs producing 3rd brood 100% PASS FAIL Complete This For Either Test Test Start Date: 01/22/14 Collection (Start) Date Sample 1: 01/21/14 Sample 2: Sample Type/Duration Grab Comp.jDurat Sample 1 X Sample 2 X hrs hrs Hardness(mg/1) Spec. Cond.(µmhos) Chlorine(mg/1) Sample temp. at receipt(°C) Concentration Mortality Method of Determination Moving Average Probit Spearman Karber Other 01/23/14 1st n D I S L A U M T P 48 195 432 0.04 3.2 Note: Please Complete This Section Also start/end start/end Control High Conc. pH D.O. Organism Tested: Ceriodaphnia dubia Duration(hrs): 2nd P/F S A M P 432 0.01 3.2 Copied from DEM form AT-1 (3/87) rev, 11/95 (DUBIA ver. 4.32) W�m, .0u ' SamP|s ��� De�ohpoiu� y � oil i Tarn� | /\nm|yaie ,_^_, ' »_,~, / �,~~ / _ _ / u^,�/ � u*�r' / `�"'p V| T No uf � Upon | �equireriv Started ' Ennd dod | E Sample Collection r----------- ------� --� ' ` ^ --n— | ''�- `----' ("{�> ) ^ ' � ( 7 ............. |--------- - -T'-----F- -- ------'-- �---- '-o ` ' . . ^ / ^ YurSamp!eUescr/p\ion please use Wiuom' inf|ueo:' Upckaam. Post C�'. Etc, � - __-___ (5ignato/e) � ^ v Received by: (Signature) Dsue/Timo / ~�. - ^ �+m-L�~e~'"_ Recaiv�d by- <3ignatuie> y' ' �! 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