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NCG510532_Monitoring Report_20131219
NPDES DOCIMENT SCANNING COVER SHEET NPDES Permit: NCG510532 140 West Franklin remediation Document Type: Permit Issuance Wasteload Allocation Authorization to Construct (AtC) Permit Modification Complete File - Historical Monitoring Report Instream Assessment (67B) Environmental Assessment (EA) Permit History Document Date: December 19, 2013 Miss document is priatcfii an. reii a paper - iggn.ore any coateat o- 'r*ke re'erae *side ARG Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@att.net December 19, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED JAN 03 204 CEN RAL FILES 1W0(3UG Subject: NOVEMBER 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the November 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples were collected from outfall 001 on November 22, 2013 for the quarterly sampling event as required by the permit. Samples were sent to SGS Environmental Services, Inc. of Wilmington, North Carolina for analysis. Analytical results indicate that compounds were below the permitted daily maximum limits. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons Resogrce Group Fred Arfimons ORC Enclosures: cc: November 2013 DMR Mr. Scott Milke, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH November YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE I CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons CHECK BOX IF ORC HAS CHANGED ❑ Mail ORIGINAL and ONE COPY to: ATM: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 Ix (SIGNAT 01OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE,' CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE * /2-/7-l3 DATE 0 DATE Operator Arrival Time 2400 aock Operator Time On Site ORC On Site? ** 50050 34030 34371 34010 81551 1 22417 34696 01051 00530 00400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE TOLUENE TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) x . 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFX INF D DAILY RATE HRS HRS Y/B/N MGD UG/L UG/L UG/L UG/L UG/L UG/L UG/L mp,/I. UG/L UG/L 1 0.001219 2 0.001219 3 0.001219 4 1200 2 yes 0.001219 5 0.001144 6 0.001144 7 0.001144 8 0.001144 9 0.001144 _ 10 0.001144 11 1200 2 yes 0.001144 12 0.001023 13 0.001023 14 0.001023 15 0.001023 16 0.001023 17 0.001023 18 0.001023 19 0.001023 20 0.001023 21 0.001023 22 1200 2 yes 0.001023 ND ND ND ND ND ND ND 8 6.81 ND 4 23 0.000984 24 0.000984 25 1200 2 yes 0.000984 26 0.000984 27 0.000984 28 0.000984 29 0.000984 30 0.000984 AVERAGE 0.001067 MAXIMUM MINIMUM Comp. (C) / Grab (G) G , Daily Maximum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) 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 permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the permittee beco es 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 vl+ith 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." Scott Milke, 140 West Franklin, LLC Permittee (Please print or type) Signature of Permittee*** Date (Required unless submitted electronically) 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 February 28, 2017 Permittee Address Phone Number e-mail address Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit 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 15A NCAC 8G .0204. *** Signature of Permittee: if signed by other than the permittee, then the delegation of the signatory authority must be on tile with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 AmurrreJ4 PwRsa :c1wrc Laboratory Report of Analysis To: Fred Ammons Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 Report Number. Client Project: Dear Fred Ammor 31301472 40 West s, Enclosed are the results of the analytical services performed under the referenced project for the received samples and associated QC as applicable. The samples are certified to meet the requirements of the National Environmental Laboratory Accreditation Conference Standards. Copies of this report and supporting data will be retained in our files for a period of five years in the event they are required for future reference. All results are intended to be used in their entirety and SGS is not responsible for use of Tess than the complete report. Any samples submitted to our laboratory will be retained for a maximum of thirty (30) days from the date of this report unless other arrangements are requested. If there are any questions about the report or services performed during this project, please call Michael D. Page at (910) 350-1903. We will be happy to answer any questions or concems which you may have. Thank you for usir on any additional Sincerely, SGS North America Inc. g SGS North America Inc. for your analytical services. We look forward to working with you again lalytical needs. //4 Digitally signed by: Michael Page Date: 2013.12.13 09:29:37-05'00' Michael D. Page Project Manager m ichael. page@sg s. com Date P int Date 12/13/2013 N.C. Certification # 481 ANALYTICAL PERSPECTIVES IS NOW PART OF SGS, THE WORLD'S LEADING INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. 5500 Business Or. US • 28405 • Wilmington, NC t+1 910 3501903 1+1910 3501557 wnw.sgs com Member view SGS Grow ISGS SAI Page 1 of 25 Laboratory Qualifiers Report Definitions DL Method, Instrument, or Estimated Detection Limit per Analytical Method CL Control Limits for the recovery result of a parameter LOQ Reporting Limit DF Dilution Factor RPD Relative Percent Difference LCS(D) Laboratory Control Spike (Duplicate) MS(D) Matrix Spike (Duplicate) MB Method Blank Qualifier Definitions Recovery or RPD outside of control limits B Analyte was detected in the Lab Method Blank at a level above the LOQ U Undetected (Reported as ND or < DL) ✓ Recovery is below quality control limit. The data has been validated based on a favorable signal-to-noise and detection limit A Amount detected is less than the Lower Method Calibration Limit J Estimated Concentration. O The recovery of this analyte in the OPR is above the Method QC Limits and the reported concentration in the sample may be biased high E Amount detected is greater than the Upper Calibration Limit S The amount of analyte present has saturated the detector. This situation results in an underestimation of the affected anatyte(s) Q Indicates the presence of a quantitative interference. This situation may result in an underestimation of the affected analyte(s) Indicates the presence of a qualitative interference that could cause a false positive or an overestimation of the affected anatyte(s) DPE Indicates the presence of a peak in the polychlorinated diphenylether channel that could cause a false positive or an overestimation of the affected analyte(s) TIC Tentatively Identified Compound EMPC Estimated Maximum possible Concentration due to ion ratio failure ND Not Detected K Result is estimated due to ion ratio failure in High Resolution PCB Analysis P RPD > 40% between results of dual columns D Spike or surrogate was diluted out in order to achieve a parameter result within instrument calibration range Samples requiring manual integrations for various congeners and/or standards are marked and dated by the analyst. A code definition is provided below: M1 Mis-identified peak Note Results pages that include a value for "Solids (%)" have been adjusted for moisture content. Print Date: 12/13/2013 N C Certification # 481 5500Business Dr. US-28405.Wilmington, NC t +1 910 350 1903 1.19103501557 www.sgs.com Member DI the SGS Group ISGS SAI Page 2 of 25 aliim ANALV71CAL tlllp[CTIVd Client Sample ID Outfall 1-11-13 Sample Summary Lab Sample ID Collected Received Matrix 31301472001 11 /22/2013 16:00 11/23/2013 09:30 Water Print Date- 12/13;2013 N C Certification # 481 5500 Business Dr. US • 28405. Wilmington. NC t 419103501903 141 9103501557 www.sgs corn 6fember of me SfS arca !SOU! Page 3 of 25 ANALYTIC -AI PFRSVEC7wVE8 Outfall 1-11-13 SM 4500H-B - TI Case Narrative 1e pH was run outside of the method specified hold time. Pr,nt Date 12/13/2013 N C. Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t +1910 3501903 1 +1910 3501557 www.sgs corn Member of the SGS Group ISGS SAI Page 4 of 25 AtuarncA1. ►rnworcrnrc Client Sample ID: Lab Sample ID: 31 EPA 420.1 (SUB SM 2540-D SM 4500-H+ B p Detectable Results Summary Outfall 1-11-13 301472001-D Parameter Result Units Phenol 0.004 mg/L Total Suspended Solids 8.00 mg/L J .4 pH 6.81 S.U. pH at Temperature 8.1 C Print Date: 12/13/2013 N C Certification # 481 5500 Business Dr. US • 213405 - Wilmington, NC t +7 910 35C 1903 1.1910 3501557 www.sgs corn Member of the SGS Grout 1SGS SAr Page 5 of 25 IL- ANAtvricu PPRsPvc_Trvcs r• Results of Outfall 1-11-13 - 1 Client Sample ID: Outfall 1-11-13 Client Project ID: 140 West Lab Sample ID: 31301472001-A Lab Project ID: 31301472 Results by SW-846 8260B Parameter 1,2-Dichloroethane Benzene Ethyl Benzene Naphthalene Toluene Xylene (total) tert-Butyl methyl eth Surrogates 1,2-Dichloroethane-d4 4-Bromofluorobenze Toluene d8 Collection Date: 11 /22/2013 16:00 Received Date: 11/23/2013 09:30 Matrix: Water l Result ual DL LOO/CL Units DF Date Analyzed ND U 0.158 1.00 ug/L 1 11/25/2013 11:53 ND U 0.144 1.00 ug/L 1 11/25/2013 11:53 ND U 0.136 1.00 ug/L 1 11/25/2013 11:53 ND U 0.151 1.00 ug/L 1 11/25/2013 11:53 ND U 0.170 1.00 ug/L 1 11/25/2013 11:53 ND U 0.298 2.00 ug/L 1 11/25/2013 11:53 . r (MTBE) ND U 0.149 1.00 ug/L 1 11/25/2013 11:53 ne Batch Information Analytical Batch: Analytical Method Instrument: MSDt Analyst: BWS Pint Date: 12/13/2013 103 98.0 103 64.0-140 85.0-115 82.0-117 0/0 Ok 1 11/25/2013 11:53 1 11/25/2013 11:53 1 11/25/2013 11:53 VMS3077 Prep Batch: VXX4820 SW-846 8260E Prep Method: SW-846 5030B Prep Date/Time: 11/25/2013 08:17 Prep Initial Wt.Nol.: 40 mL Prep Extract Vol: 40 mL N.C. Certification # 481 5500 Business Dr. US - 28405 • Wilmington, NC t +t 910 3501903 1 +1910 3501557 www.sgs corn Page 6 of 25 Member of the SGS Group ISGS SAI _SOL wwLrnrx nwatocrnra r Results of Outfall 1-11-13 Client Sample ID: Outfall 1-11-13 Client Project ID: 140 West Lab Sample ID: 31301472001-D Lab Project ID: 31301472 Collection Date: 11 /22/2013 16:00 Received Date: 11/23/2013 09:30 Matrix: Water - Results by SW-846 6010C Parameter Result Qual DL LOQ/CL Units DF Date Analyzed Lead ND U 0.00607 0.0100 mg/1_ 1 11/26/2013 18:07 Batch Information Analytical Batch: Analytical Method Instrument: ICP1 Analyst: PSW Print Date. 12/1312013 MIP2207 Prep Batch: MXX3078 SW-846 6010C Prep Method: SW-846 3010A Prep Date/Time: 11/25/2013 11:40 Prep Initial Wt.Nol.: 50 mL Prep Extract Vol: 50 mL N C Certification # 481 5500 Business Dr. US - 28405 • Wilmington. NC t +1 910 3501903 f .1910 3501557 www.sgs.com Page 7 of 25 Member of the SGS Grow MSS S41 ANALVTICAL I'�/1R°FCTIVFR [ResultsofOutfaII111.13 N Client Sample ID: Outfall 1-11-13 Client Project ID: 140 West Lab Sample ID: 31301472001-E Lab Project ID: 31301472 Results by SM 2540-D Parameter Result Total Suspended Solids 8.00 Batch Information Analytical Batch: IN02862 Analytical Method: SM 2540-D Instrument: BAL10 Analyst: PPH Print Date 12:13:2013 Qual DL J 2.50 Collection Date: 11/22/2013 16:00 Received Date: 11/23/2013 09:30 Matrix: Water LOQ/CL Units DF 25.0 mg/L 1 Prep Batch: IN02862 Prep Method: SM 2540-D Prep Date/Time: 11/2612013 16:10 Prep Initial Wt.NoI.: 1 mL Prep Extract Vol: 1 mL Date Analyzed 11 /26/2013 16:10 N.0 Certification # 481 5500 Business Dr. US - 28405. Wilmington, NC t +1 910 3591903 tit 910 3501557 www.sgs corn Page 8 of 25 Member DI the SGS Group ISGS SAI MS_ -- Results of Outfall 1-11-13 X Poripsernrc. Client Sample ID: Outfall 1-11-13 Client Project ID: 140 West Lab Sample ID: 31301472001-F Lab Project ID: 31301472 Collection Date: 11/22/2013 16:00 Received Date: 11/23/2013 09:30 Matrix: Water - Results by SM 4500-H+ B pH Parameter Result Qual DL LOQ/CL Units DF Date Analyzed pH 6.81 0.0100 0.0100 S.U. 1 12/9/2013 9:41 pH at Temperature 8.1 C 1 12/9/2013 9:41 Batch Information Analytical Batch: 1N02874 Analytical Method: SM 4500-H+ B pH Instrument: PH1 Analyst: PPH Print Date. 12/13/2013 Prep Batch: IN02874 Prep Method: SM 4500-H+ B pH Prep Date/Time: 12/09/2013 09:41 Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL N.C. Certification # 481 5500 8usiness Dr. US • 28405. Wilmington, NC t +1 910350 1903 1+19103501557 www.sgs com Page 9 of 25 IAembe rdthe SGSGroup ISGSSAI ANA L'fnC.... 1'i Wa>EC?TVFA Results of Outfall 1-11-13 Client Sample ID: Outfall 1-11-13 Client Project ID: 140 West Lab Sample ID: 31301472001-D Lab Project ID: 31301472 Results by EPA 420.1 (SUB) Parameter Result Phenol 0.004 Collection Date: 11/22/2013 16:00 Received Date: 11/23/2013 09:30 Matrix: Water ual DL LOQ/CL Units DF Date Analyzed mg/L 1 12/12/2013 0:00 Laboratory: Envirochem Analytical Date/Time: 12/12/2013 00:00 Prep Method: Prep Date/Time: Print Date 12113/2013 N C. Certification # 481 5500 Business Dr. US • 20405 • Wilmington, NC t +1 9103501903 (+1910 3501557 www.sgs coin Page 10 of 25 Member IA the SGS Grout ISGS SAI ANALMTICAL PF.C.11Vtli - Batch Summary Analytical Method: SW-846 8260E Client Sample ID LCS for HBN 38125 [VXX/4820] LCSD for HBN 38125 [VXX/4820) MB for HBN 38125 [VXX/4820] Outfall 1-11-13 MW-4(124153MS) MW-4(124153MSD) Print Date: 12/13/2013 Prep Method: SW-846 5030E Prep Batch: VXX4820 Prep Date: 11/25/2013 08:29 Lab Sample ID Analysis Date 124202 11/25/2013 09:40 124203 11/25/2013 10:05 124204 11/25/2013 10:54 31301472001 11/25/2013 11:53 124270 11/25/2013 18:51 124271 11/25/2013 19:16 Analytical Batch Instrument Analyst VMS3077 MSD8 BWS VMS3077 MSD8 BWS VMS3077 MSD8 BWS VMS3077 MSD8 BWS VMS3077 MSD8 BWS VMS3077 MSD8 BWS N C Certification # 481 5500Business Or US 20405-Wilmington. NC t +1 910 350 1903 1.1 910 350 '557 ww•w.ssscorn Page 11 of 25 Membe+ of the SGS Grew iSGS SA1 SG$ /-- Method Blank AtU4,71CALP Blank ID: MB for HBN 38125 [VXX/4820] Blank Lab ID: 124204 QC for Samples: 31301472001 Results by SW-846 8260E Matrix: Water Parameter Result Qual DL LOQ/CL Units DF tert-Butyl methyl ether (MTBE) ND U 0.149 1.00 ug/L 1 Benzene ND U 0.144 1.00 ug/L 1 1,2-Dichloroethane ND U 0.158 1.00 ug/L 1 Toluene ND U 0.170 1.00 ug/L 1 Ethyl Benzene ND U 0.136 1.00 ug/L 1 Xylene (total) ND U 0.298 2.00 ug/L 1 Naphthalene ND U 0.151 1.00 ug/L 1 Surrogates 1,2-Dichloroethane-d4 103 64.0-140 % 1 Toluene d8 105 82.0-117 % 1 4-Bromofluorobenzene 99.0 85.0-115 % 1 Batch Information Analytical Batch VMS3077 Analytical Method: SW-846 8260E Instrument: MSD8 Analyst: BWS Print Date. 12/13/2013 Prep Batch: VXX4820 Prep Method: SW-846 5030E Prep Date/Time: 11/25/2013 8:29:17AM Prep Initial Wt./Vol.: 40 mL Prep Extract Vol: 40 mL N.C. Certification # 481 5500 Business Dr. US - 28405. Wilmington, NC t +1 9103501903 1+1 910 350 1557 www.sgs corn Page 12 of 25 Member of the SGS Grow, ISGS SAI ANAL,TKJU. 1'FRAaECTIV V L r- Blank Spike Summary ` Blank Spike ID: LCS for HBN 38125 [VXX/4820] Blank Spike Lab ID: 124202 Date Analyzed: 11/25/2013 09:40 QC for Samples: 31301472001 �•- Results by SW-846 8260E Parameter tent -Butyl methyl eth Benzene 1,2-Dichloroethane Toluene Ethyl Benzene Naphthalene Surrogates 1, 2-D ick to roet ha ne-d4 Toluene d8 4-Bromofluorobenze ar (MTBE) ne Batch Information Spike Duplicate ID: LCSD for HBN 38125 [VXX/4820] Spike Duplicate Lab ID: 124203 Date Analyzed: 11/25/2013 10:05 Matrix: Water Blank Spike (ug/L) Spike Duplicate (ug/L) Spike Result Rec a/o Spike Result Fige/21 CL RPD (%) RPD CL 5.00 5.02 100 5.00 4.73 95 47.0-142 5-9 30.00 5.00 5.45 109 5.00 5.01 100 76.0-124 8.4 30.00 5.00 5.39 108 5.00 5.04 101 76.0-119 6.7 30.00 5.00 5.34 107 5.00 4.98 100 75.0-123 7.0 30.00 5.00 4.95 99 5.00 4.54 91 76.0-123 8.6 30.00 5.00 4.84 97 5.00 4.06 81 67.0-122 18 30.00 Analytical Batch: VMS3077 Analytical Method: SW-846 8260B Instrument: MSD8 Analyst: BWS Print Date: 12/13/2013 99 103 64.0-140 104 104 82.0-117 101 101 85.0-115 Prep Batch: VXX4820 Prep Method: SW-846 5030E Prep Date/Time: 11/25/2013 08:29 Spike Init Wt.Nol.. 40 mL Extract Vol: 40 mL Dupe Init Wt Nol.: 40 mL Extract Vol: 40 ml N C. Certification # 481 5500 Business Dr. US • 28405 Wilmington, NC t 41 910 3501903 1.1910 3501557 www.sgs com Page 13 of 25 Member al am SG$ Group ISGS SO4 e-- Batch Summary ANALYt1CAL PERSPECTIVES Analytical Method: SW-846 6010C Client Sample ID MB for HBN 38137 [MXX/3078) LCS for HBN 38137 [MXX/3078] LCSD for HBN 38137 [MXX/3078] Outfall 1-11-13 Outfall 1-11-13(124205 MS) Outfall 1-11-13 (1242 05 M S D) Photo Waste(12415000P) Print Date 12/13/2013 Prep Method: SW-846 3010A Prep Batch: MXX3078 Prep Date: 11/25/2013 11:40 Lab Sample ID Analysis Date 124250 11/26/2013 17:36 124251 11/26/2013 17:42 124252 11/26/2013 18:01 31301472001 11/26/2013 18:07 124254 11/26/2013 18:13 124255 11/26/2013 18:19 124253 11/26/2013 18:31 Analytical Batch Instrument Analyst MIP2207 ICP1 PSW MIP2207 ICP1 PSW MIP2207 ICP1 PSW MIP2207 ICP1 PSW MIP2207 ICP1 PSW MIP2207 ICP1 PSW MIP2207 ICP1 PSW N C Certification # 481 5500 Business 0r. US • 28405 • Wilmington, NC t .1 910 3501903 f +1910 3501557 www.sgs com Page 14 of 25 Member of the SGS Grow ISGS S41 SG$ AMAIYTCAL i'VA11A4CTVW1 r Method Blank Blank ID: MB for HBN 38137 [MXX/30781 Blank Lab ID: 124250 QC for Samples: 31301472001 `. Results by SW-846 6010C Parameter Lead Batch Information Result ND Analytical Batch. MIP2207 Analytical Method 1 SW-846 6010C Instrument: ICP1 Analyst: PSW Print Date: 12/13/2013 Qual U Matrix: Water DL LOQ/CL Units 0.00607 0.0100 mg/L Prep Batch: MXX3078 Prep Method: SW-846 3010A Prep Date/Time: 11/25/2013 11:40:21 AM Prep Initial Wt.Nol.: 50 mL Prep Extract Vol: 50 mL DF 1 N.C. Certification # 481 5500 Business 0r. US • 28405 • Wilmington, NC t +1 910 3501903 f +1 910 3501557 www.sgs coin Page 15 of 25 Member of the SGS Grow ISGS SMI SGS ANALYTICA1. P®aNNICUUVP+ Blank Spike Summary Blank Spike ID: LCS for HBN 38137 [MXX/3078] Blank Spike Lab ID: 124251 Date Analyzed: 11/26/2013 17:42 QC for Samples: 31301472001 \• - Results by SW-846 6010C Spike Duplicate ID: LCSD for HBN 38137 [MXX/3078] Spike Duplicate Lab ID: 124252 Date Analyzed: 11/26/2013 18:01 Matrix: Water Blank Spike (mg/L) Spike Duplicate (mg/L) Parameter Spike Result Rec % Spike Result Rec % CL RPD (%) RPD CL Lead 0.400 0.390 97 0.400 0.382 95 80.0-120 2.1 20.00 Batch Information Anai;Lcal oatcl - MIP2207 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Pnri10ate. 12/13/2013 - Prep Batch: MXX3078 Prep Method. SW-846 3010A Prep Date/Time: 11/25/2013 11:40 Spike Init Wt.Nol.: 50 mL Extract Vol: 50 mL Dupe Init Wt.Nol.: 50 mL Extract Vol: 50 mL N C Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t .1 910 3501903 1+1910 3501557 www.sgs com Page 16 of 25 Member °1 the SGS Grua ISGS SAI Nut ANAL YTIC-41 I K AR>FC,-TV F4 e— Matrix Spike Summary Original Sample ID: 31301472001 (Outfall 1-11-13) MS Sample ID: 124254 MSD Sample ID: 124255 QC for Samples: 31301472001 `.-- Results by SW-846 6010C Analysis Date: 11/26/2013 18:07 Analysis Date: 11/26/2013 18:13 Analysis Date: 11/26/2013 18:19 Matrix: Water ♦ Matrix Spike (mg/L) Spike Duplicate (mg/L) Parameter Sample Spike Result Rec (%) Spike Result Rec (%) CL RPD (%2 RPD CL Lead ND 0.400 0.388 97 0.400 0.382 96 75.0-125 1.6 20.00 Batch Information Analytical Batch: MIP2207 Prep Batch: MXX3078 Analytical Method: SW-846 6010C Prep Method: SW-846 3010A Instrument: ICP1 Prep Date/Time: 11/25/2013 11:40 Analyst: PSW MS 'nit Wt./Vol.: 50 mL Extract Vol.: 50 mL MSD nit Wt.Nol.: 50 mL Extract Vol.: 50 mL Print Date'. 12/13/2013 N.0 Certification # 481 5500 Business Dr. US • 28405- Wilmington, NC t+1910 3501903 f +1910 3501557 www.sgs corn Page 17 of 25 Member of the SGS Group ISGS SAI ANALYTICAL 1NIA110rCTVri Batch Summary -- 1 Analytical Method: SM 2540-D Client Sample ID MB for HBN 38154 [I LCS for HBN 38154 Outfall 1-11-13 Outfall 1-11-13(1242 Print Date: 12/13/2013 Prep Method: SM 2540-D Prep Batch: IN02862 Prep Date: 11/26/2013 16:09 NO/2862] I N0/28621 )5DUP) Lab Sample ID Analysis Date 124323 11/26/2013 16:09 124324 11/26/2013 16:09 31301472001 11/26/2013 16:10 124343 11/26/2013 16:10 Analytical Batch Instrument Analyst IN02862 BAL10 PPH IN02862 BAL10 PPH IN02862 BAL10 PPH IN02862 BAL10 PPH N C Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t +1 910 3501903 t +1910 3501557 www.sgs.corn Page 18 of 25 Member o1 the StS Group ISGS S4) SG$ ANAL YTK•.A1. 1 i wrr.vrC.TtS ri r Method Blank Blank ID: MB for HBN 38154 [INO/2862] Blank Lab ID: 124323 QC for Samples: 31301472001 - Results by SM 2540-D Parameter Total Suspended Solids Batch Information Analytical Batch. Analytical Method Instrument: BAL1 Analyst: PPH Print Date. 12/13/2013 N02862 SM 2540-D Result ND Qual U Matrix: Water DL LOQ/CL Units 2.50 25.0 mg/L Prep Batch: IN02862 Prep Method: SM 2540-D Prep Date/Time: 11/26/2013 4:09:25PM Prep Initial Wt.Nol.: 1 nth Prep Extract Vol. 1 mL OF 1 N.C. Certification # 481 5500 Business Dr. US • 213405- Wilmington, NC t•1 910350 1903 f ♦1 9103501557 www.sgs com Page 19 of 25 Member of the SGS Group ISGS SAI �G9 raN Awu rnCN PFRSOEcrrvrx Blank Spike Summary Blank Spike ID: LCS for HBN 38154 [INO/2862] Blank Spike Lab ID: 124324 Date Analyzed: 11/26/2013 16:09 QC for Samples: 31301472001 Matrix: Water Results by SM 2540-D Blank Spike (mg/L) Parameter Spike Result Rec (%) CL Total Suspended Solids 500 460 92 80.0-120 Batch Information Analytical Batch: IN02862 Prep Batch: IN02862 Analytical Method: SM 2540-D Prep Method: SM 2540-D Instrument: BAL10 Prep Date/Time: 11/26/2013 16:09 Analyst: PPH Spike !nit Wt.Nol.: 1 mL Extract Vol: 1 mL Dupe [nit Wt.Nol.: Extract Vol: Print Date: 12/13/2013 N.0 Certification # 481 5500 Business Dr. US 28405 . Wilmington, NC t .1 910 3501903 I .1910 3501557 www.sgs tom Member of the SGS Group iSGS S41 Page 20 of 25 SG$ ANALYTICAL MIRAPCCRVC% r Duplicate Sample Summary Original Sample ID: 31301472001-E Duplicate Sample ID: 124343 QC for Samples: 31301472001 `. Results by SM 2540-D - PARAMETER Total Suspended Solids Batch Information Analytical Batch: IN02862 Analytical Method: SM 2540-D Instrument: BAL10 Analyst: PPH Analysis Date: 11/26/2013 16:10 Analysis Date: 11/26/2013 16:10 Matrix: Water Original (mq/L2 QL.al Duplicate (mq/L) Qual RPD (%) RPD CL 8.00 J 8.50 6.1 20.00 Print Date. 12/1312013 N.C. Certification # 481 5500 Business Dr. US - 28405. Wilmington, NC t+1 910 3501903 1 .1910 350 1557 www.sgs corn M<mbr+ of the SGS Grow 15G S Sol Page 21 of 25 envirochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 NCDENR DWQ CERTIFICATE #94. DIS CERTIFICATE #37729 SGS Environmental Services, Inc. 5500 Business Drive Wilmington NC 28405 Attention: Michael P ge Date of Report: Dec 13, 2013 Customer PO #: Report #: 2013-14891 Report to: Michael Page Project ID: 31301472 Lab ID Sample ID: 31301472 13-36355 Site:001 Test Collect Date/Time 11 /22/2013 Method Matrix Water Results Sampled by Client Date Analyzed Inorganic Phenols EPA 420.1 0.004 mg/L 12/12/2013 Comment Reviewed by: Report #:: 2013-14891 Page 22 of 25 Page 1 of 1 SG$ ANALYrICAA. PERSPECTIVES CHAIN OF CUSTODY SUS ANALYTICAL PERSPECTIVES 5500 Business Drive Wilmington, NC 28405 +1 910 3501903 WWW.SGS.COM CLIENT: V5''VVI,, � S • •, }:.I! ::. 1:+•:.:•::y ,L:• 1• ;!:;;r....i..LO.(:,. :: - :.. wr ', _ ' «:: Pac PHONE NO: (9l0 i 1 3 CONTACT:ivIh -a_� .! a e I `r•c o� PROJECT: 31 �.. SITE/ PWSID /WBS #: l3ati c = — REPORTS TO: Ebel: VVIstkoLe I t1 p% ge cQr SG S. Cohni o N toMP GRAB - rim' JAI ff. //////// l� REMARKS INVOICE TO: QUOTE N P.O. NUMBER ' : r' = '!t` i SAMPLE IDENflFICA11ON DATE TIME MATRIX ` & XC 1-:F:Ei!iirii.....,: :.Il. 31301 `n 2 0016 t /221i3 W ij::.i..r:::+ek t,i, i:il F`Lt Sit,:• • tt pit ':•:!•, :1l:il!� µ ii! i 1. '!':, a •• :ii ?.d{i iiiietirtl`tj qt� :,; •Lytu } a �1ipixtj . . ;.l.rtifiiti i::is:i.y,•._•ii,[1:Ltaiij.1•'t �; i (;;i,c c:.iiiriiti:3i!ii 1 COLLECTED/RELINQUISHED BY: (1) 464tA.U.- DATE �A TIME ., RECEIVED BY: ...... REPORT LEVEL: 0 Level I CI Level II 0 Level IV REQUESTED TURNAROUND TIME 0 Rush. 0 Standard y3 Ref fished By: (2) Date'S�' lime Received By: SPECIAL DELIVERABLES: State of Origin: 0 Trust Fund 0 DoD 0 EDD: Other: Relinquished By: (3) Date Time Received By. SPECIAL INSTRUCTIONS: 'a PeSt,A-S LAie 12-1114) .. •r:E_tl7ii ,.:......_.,;, _-,. .r-.. ».,151, t. . .i..... f . Lt ;-. t1 .rrrfx,, t: ...,...t ....--......:.c. � t t lit, .....rI :.:r' _ B , *l.1 ..;:>_...;..1,:._..1_.I . u. 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While - Retained by Lab Yellow- Retained by Glen SGSI all1L.- CHAIN OF CUSTODY 5011 ANALYTICAL PERSPECTIVES 6500 Business Drive Wilmington, NC 28405 +1 6110350 1903 VAVW3133tONI CUENT: AtokoNs keso urteC GtouP sqs Reference I: :.3430 i 472. PACE 1 CDPITAB11 Fketi At/0)1/400S maNEN°:(91q) Voi 51;75 PROJECT! #04111-/yotae.-$1618/PIV810 /W8ii: - -- I SAME TYPE =mum 1 REPORTS TO: MAW 0 ' N E R 8 it:0, um Aoo \, flii V 4 e kIli kr . 7 AMMO . INVOICE TO: OUOTE I OA) 1 LV P.O. NUMBER SAMPLE !CERTIFICATION DATE TIME MATADI WM/IL I rags goo 46 7 6 BOY/ rivii.E7, 114D cA , ..........._. ,yo_eivf.11,, • . . „ "I'LlemA 111 1**Alv.tiltir.: ' tingitt;Il:M uf ' , . ,,,,s,,,,,.„.7•11.‘ ft'sil 4.11'It'.;0114 SkIlk.; .J...4141FP COM 4 i IA • 7g OUISHEO BY: (1 . - TE /3 TIME Mt' RICER/EMU° ek. et>31- Wog? (2/20 REPORT LEVEL: 0 Level I 0 level II 0 Level IV RE011181111 TURNAROUND TINIE: CI Rushz fiendard Ralf — -)ad : .121 Date Ti Rscelved By VECIALDEUVEMBLES: State el origin. CI Trust Fund Ph0.3 /030 1 • 0 DO 0 EDD. Other Rellnquishad By: OD Oats Tints liscalved -. , SPECIAL INST70(18: 6, , it.e.. 1 Ce, . . S4LC41 cf4._( elati;:' r :11-y„,...1: .i.,4,.?! . , .4.z.' -, , ,..1.,, rtlir " M..' • 42: *01,..i...7.tf10-'3**;.11., t.,•rik,k 1 -iNI:',.; ....1 io itei • ''' ::*Ci! 1p. k ',c0P.st!al,:',RfTAPIY,B1.c.14.N. , ,Pir,i.-i":•i,,,:3*„ •••';':::...?.•4:,::,"Y' • ....• .r ssiiii Rceiviiiimpe . " • •• : • • Poijoiii..... ' ,s ;.•• ' ..•,•.';'.',.:';-.;.i r.•:•74:4,:i q:',;.0-:::. "'. ;, • .,.'"1.:.:71; tig* • i nig No.. • ' , ' '', :i:'. • . ,),.„ifit!"..- .v.i.r.c:: ' ,.. V.vrp,;••.!;1'..F.T.Q.11,i„....4i:i. lifP4',1*"....' .: 4: ' ' ' 4.1-..!'... • ' " ,4:.'"i:4::144:116 q.“ N.t.gt:' 2:: ' 1 1 . . 11.1 a-W.1', , , ., . •Ikil.... .. ANALYTICAL PERSPECTIVES IS NOW PART OF SOS. THE WORLD'S LEADING INSPECTION, VERIFICATION. TESTING AND CERTIFICATION COMPANY Wits. &Wiwi by tab Wags. Reulaud by Client Client: SGS North America Inc. Sample Receipt Checklist (SRC) Ammons Resource Group Work Order No.: 31301472 1. X Shipped Notes: Hand Delivered 2. X COC Present on Receipt ' No COC Additional Transmittal Forms 3. Custody Tape on Container X No Custody Tape 4. X Samples Intact Samples Broken / Leaking 5. X Chilled on Receipt Actual Temp.(s) in °C: 1.7 Thermometer ID#: Login-1 D Ambient on Receipt Walk-in on Ice; Coming down to temp. X Temperature Blank Present yes 6. X 7. Chlorine absent XI HNO3 <2 X HCL < 2 X Additional Preservatives verified (see notes) H2SO4 8. X Received Within Holding Time Not Received Within Holding Time 9. X No Discrepancies Noted Discrepancies Noted NCDENR notified of Discrepancies* 10. Comments: Sufficient Sample Submitted Insufficient Sample Submitted X No Headspace present in VOC vials Headspace present in VOC vials >6mm Inspected and Logged in by: JTH Date: Mon-11/25/13 00:00 *NCDENR must be notified when collection, holding time or preservation requirements are not met. Mi_11.7 Page 25 of 25 ARG 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@att.net November 24, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: OCTOBER 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the October 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. Water samples Witt be collected and analyzed as required by the permit in November 2013. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Enclosures: cc: October 2013 DMR Mr. Scott Milke, 140 West Franklin, LLC Mr. Mike Taylor. Chapel Hill RF-CEN E DEC 0 4 2013 CENT R AL F ILEA. DWC]/OG EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH OCTOBER YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CERT1F1ED LABORATORY (1) SGS Environmental Services. Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE I CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons ORC PHONE (919) 369-5679 CHECK BOX IF ORC HAS CHANGED u i NO FLOW / DISCHARGE FROM SITE * CLASS NA COUNTY ORANGE Mail ORIGINAL and ONE COPY to: AT1N: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 [?1,1, A OF P R IN RESPONSIBLE CHARGE) THIS SIGNATURE,1 CERTIFY THAT THIS REPORT IS CURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 0 - a A Operator Arrival Time 2400 Clack Operator Time On Site ORC On Site? ** 50050 34030 34371 34010 81551 22417 1 34696 01051 1 00530 1 00400 32103 03604 00556 1 FLOW BENZENE ETHYLBENZENE TOLUENg TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) Q. 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFX3 INF 0 ;� o� IfRS HRS Y/B/N MGD UG/L. UG/L UG/1. UGIL UG/L UG/L UG/L m//L UG/L , UG/L 1 0.001280 . 2 0.001280 _ 3 0.001280 4 1200 2 yes 0.001280 5 0.000770 6 0.000770 _ 7 0.000770 8 0.000770 9 0.000770 , 10 0.000770 11 1800 2 yes 0A00770 , 12 0.000981 _ . 13 0.000981 , 14 0.000981 _ 15 0.000981 _ , 16 2100 2 yes 0.000981 k , 17 0.000848 , . ( I8 0.000848 19 0.000848 , 20 0.000848 21 0.00084E 22 _ 0.00084E _ P 0.000848 24 0.000848 25 1200 2 yes 0.000848 , 26 0.000794 27 0.000794 28 900 2 yes 0.000794 _ 29 0.000794 30 0.000794 , 31 0.000794 AVERAGE 0.000897 MAXIMUM . MINIMUM Comp. (O /Grab (G) G _ Day Maximum 1.19 97 11 _ 670 19 12 25 30 6<pH<9 038 300 monitor DWQ Farm MR-1 (11) 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 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 lime -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 qualified personnel piuperly 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 belie& 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." Scott Milke, 140 West Franklin, LLC Pennittee (Please print or type) 1©-- VD -, ( 3 ignature of ermittee*** Date (Required unless submitted electronically) Permittce Address Phone Number e-mail address Permit Expiration Date 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 February 28, 2017 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit 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 Site9: 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 pennittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(bX2XD). Page 2 EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH SEPT YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE I CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons ORC PHONE (919) 369-5679 CIIECK BOX IF ORC HAS CHANGED ❑ Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGII, NC 27699-1617 NO FLOW / DISCHARGE FROM SITE * ( GSi NATURE OF OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO TIIE BEST OF MY KNOWLEDGE. /0- 2/ - DATE 0 DATE Operator Arrival Time 2400 Clock Operator Time On Site ORC On Site? ** 50050 34030 34371 34010 81551 22417 34696 01051 00530 00400 32103 03604 00556 FLOW c4 ca N w m W W W N w CO ,.] x F W TOLUENE TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) O. 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFF E1 INF ❑ DAILY RATE HRS HRS Y/B/N MGD UG/L UG/L UG/L UG/L UG/L UC/L UG/L mg/L UG/L UG/L 1 0.000047 2 0.000047 3 0.000047 4 0.000047 5 0.000047 6 1800 2 yes 0.000047 7 0.003110Eri9Ei 8 0.0031 10 V 9 0.003110 10 1700 2.00 yes 0.003110 IN O 1,/ n 6 2 Q 12 11 0.003131 12 0.003131 'vhi :NA' Ch .,luH.I tL ION 13 0.003131 ,.tr . n�„ `. ''r 'to' 14 0.003131 15 0.003131 16 0.003131 17 0.003131 18 0.003131 19 0.003131 20 1500 2.00 yes 0.003131 21 0.003131 22 0.003131 23 0.003131 24 1700 2.00 yes 0.003131 25 0.003798 26 0.003798 27 0.003798 28 0.003798 29 0.003798 30 700 2.00 yes 0.003798 AVERAGE 0.002645 MAXIMUM MINIMUM Comp. (C) / Grab (G) G Daily Maximum 1.19 97 11 670 19 12 25 30 6<pll<9 0.38 300 monitor DWQ Form MR-1 (11/04) 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 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. "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Scott Milke, 140 West Franklin, LLC Permittee (Please print or type) /0-24-13 e , f Permittee*** Date (Required unless submitted electronically) 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 Permittee Address Phone Number February 28, 2017 e-mail address Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.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 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 I5A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ARG Ammons Kesource Group 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@att.net October 21. 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: SEPTEMBER 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the September 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples will be collected from outfall 001 during October 2013 for the quarterly sampling event as required by the permit. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons source Group Fred Ammons ORC Enclosures: September 2013 DMR cc: Mr. Scott Milke, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill ARG Ammons Resource Grour 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 September 23, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 fremmons@att.net k.'**C1 41 C2/*644,51 /j Subject: AUGUST 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the August 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples were collected from outfall 001 on August 22, 2013 for the quarterly sampling event as required by the permit. Samples were sent to SGS Environmental Services, Inc. of Wilmington, North Carolina for analysis. Analytical results indicate that compounds were below the permitted daily maximum limits. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons so rce Group if Fred mrnons ORC Enclosures: cc: August 2013 DMR Mr. Scott Milke, 140 West Franklin, LLC Mr. Mike Taylor, Town of Chapel Hill EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH August YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE I CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons CHECK BOX IF ORC HAS CHANGED 0 Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE * SI A ' ' ► OP u'l• TOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Z3- 13 DATE DATE Operator Arrival Ttme 2400 aock Operator Time On Site ORC On Site? ** 50050 34030 134371 1 34010 1 81551 122417 1 34696 (01051 1 00530 1 00400 32103 1 03604 1 00556 1 FLOW BENZENE ETHYLBENZENE TOLUENg TOTAL XYLENES METHYL TERT BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFF*il INF 0 DAILY RATE HRS HRS Y/B/N MGD UG/L UG/L UG/L UG/L UG/L UG/L UG/L mg/L UG/L UG/L 1 0.000490 2 0.000490 3 0.000490 4 0.000490 5 1200 2 yes 0.000490 6 0.000409 7 0.000409 8 0.000409 9 0.000409 10 0.000409 11 1000 2 yes 0.000409 12 0.002685 13 0.002685 14 0.002685 15 0.002685 16 1130 2 yes 0.002685 17 0.000117 18 0.000117 19 0.000117 20 0.000117 21 0.000117 22 1200 2 yes 0.000117 BQL BQL BQL BQL 0.36 BQL BQL 5.00 6.66 BQL 5.00 NS 23 0.000598 24 0.000598 25 0.000598 26 0.000598 27 0.000598 28 0.000598 29 1500 2 yes 0.000598 30 0.000598 31 0.000598 AVERAGE 0.000787 MAXIMUM I MINIMUM Comp. (C) / Grab (G) G Daily Minimum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) 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 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. "9 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." Scott Milke, 140 West Franklin, LLC Permittee (Please print or type) 9-21{-13 Sign' ure of ' rmittee*** Date (Req u - . unless submitted electronically) 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 February 28, 2017 Permittee Address Phone Number e-mail address Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit 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 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 wrulumcu rvd Laboratory Report of Analysis To: Fred Ammons Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 Report Number. 31301105 Client Project: 140 West Dear Fred Ammons, Enclosed are the results of the analytical services performed under the referenced project for the received samples and associated QC as applicable. The samples are certified to meet the requirements of the National Environmental Laboratory Accreditation Conference Standards. Copies of this report and supporting data will be retained in our files for a period of five years in the event they are required for future reference. All results are intended to be used in their entirety and SGS is not responsible for use of less than the complete report. Any samples submitted to our laboratory will be retained for a maximum of thirty (30) days from the date of this report unless other arrangements are requested. If there are any questions about the report or services performed during this project, please call Michael D. Page at (910) 350-1903. We will be happy to answer any questions or concerns which you may have. Thank you for using SGS North America Inc. for your analytical services. We look forward to working with you again on any additional analytical needs. Sincerely, SGS North America Inc. N Digitally signed by: Michael Page Date: 2013.09.03 16:21:44 -05'00' Michael D. Page Project Manager michael.page@sgs.com P int Date 09/03/2013 Date N C Certification # 481 ANALYTICAL PERSPECTIVES IS NOW PART OF SGS, THE WORLD'S LEADING INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. 5500 Business Or. US - 28405 - Wilmington, NC t +1 910 3501903 f .1910 3501557 wwwsgs corn Membr of the SGS Group iSGS sal Page 1 of 25 sio r Laboratory Qualifiers Report Definitions DL Method, Instrument, or Estimated Detection Limit per Analytical Method CL Control Limits for the recovery result of a parameter LOQ Reporting Limit DF Dilution Factor RPD Relative Percent Difference LCS(D) Laboratory Control Spike (Duplicate) MS(D) Matrix Spike (Duplicate) MB Method Blank Qualifier Definitions " Recovery or RPD outside of control limits B Analyte was detected in the Lab Method Blank at a level above the LOQ U Undetected (Reported as ND or < DL) ✓ Recovery is below quality control limit. The data has been validated based on a favorable signal-to-noise and detection limit A Amount detected is less than the Lower Method Calibration Limit J Estimated Concentration. O The recovery of this analyte in the OPR is above the Method QC Limits and the reported concentration in the sample may be biased high E Amount detected is greater than the Upper Calibration Limit S The amount of anatyte present has saturated the detector. This situation results in an underestimation of the affected analyte(s) Q Indicates the presence of a quantitative interference. This situation may result in an underestimation of the affected analyte(s) Indicates the presence of a qualitative interference that could cause a false positive or an overestimation of the affected analyte(s) DPE Indicates the presence of a peak in the polychlorinated diphenylether channel that could cause a false positive or an overestimation of the affected analyte(s) TIC Tentatively Identified Compound EMPC Estimated Maximum possible Concentration due to ion ratio failure ND Not Detected K Result is estimated due to ion ratio failure in High Resolution PCB Analysis P RPD > 40% between results of dual columns D Spike or surrogate was diluted out in order to achieve a parameter result within instrument calibration range Samples requiring manual integrations for various congeners and/or standards are marked and dated by the analyst. A code definition is provided below: M1 Mis-identified peak Note Results pages that include a value for "Solids (%)" have been adjusted for moisture content. Print Date 09/0312013 N C. Certification # 481 5500 Business 0r. US • 28405 - Wilmington. NC t +1910 3501903 f +1910 3501557 www.sgs com Member el the SGS Gimp ISGS SAI Page 2 of 25 Client Sample ID Outfall Sample Summary Lab Sample ID Collected Received Matrix 31301105001 08/22/2013 12:30 08/23/2013 09:35 Water Print Date: 09/03/2013 N C. Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC 1 +1910 3501903 1 +1910 3501557 www.sgs.com Member of the SGS Group ISGS SAI Page 3 of 25 SG $__ 1111LIMEIP=1-- Client Sample ID: Outfall Lab Sample ID: 31301105001-G EPA 420.1 (SUB) SM 2540-D SM 4500-H+ B pH SW-846 8260E Print Date 09;0302013 Detectable Results Summary Parameter Phenol Total Suspended Solids pH pH at Temperature tert-Butyl methyl ether (MTBE) Result 0.005 5.00 6.66 10.9 0.360 Units mg/L mg/L J S.U. C ug/L J N.C. Certification # 481 5500 Business Dr. US • 28405 • Wilm'mgtan, NC t +1910 3501903 1.1910 3501557 www.sgs cum Page 4 of 25 Membee of Ae SGS armor MSS SA) its f— Results of Outfall Client Sample ID: Outfall Client Project ID: 140 West Lab Sample ID: 31301105001-D Lab Project ID: 31301105 Results by SW-846 8260B Parameter 1,2-Dichloroethane Benzene Ethyl Benzene Naphthalene Toluene Xylene (total) tert-Butyl methyl ether (MTBE) Surrogates 1,2-Dichloroethane-d4 4-Bromofluorobenzene Toluene d8 Batch Information �fi Result ND ND ND ND ND ND 0.360 103 97.0 99.0 Analytical Batch: VMS3001 Analytical Method: SW-846 8260E Instrument: MSD8 Analyst: BWS Print Date. 09103/2013 Qual DL U 0.158 U 0.144 U 0.136 U 0.151 U 0.170 U 0.298 J 0.149 Collection Date: 08/22/2013 12:30 Received Date: 08/23/2013 09:35 Matrix: Water LOQ/CL 1.00 1.00 1.00 1.00 1.00 2.00 1.00 64.0-140 85.0-115 82.0-117 Units ug/L ug/L ug/L ug/L ug/L ug/L ug/L DF 1 1 1 1 1 1 1 1 1 Prep Batch: VXX4727 Prep Method: SW-846 5030E Prep Date/Time: 08/23/2013 11:58 Prep Initial Vyt.Nol.: 40 mL Prep Extract Vol: 40 mL Date Analyzed 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 08/23/2013 11:31 N.C. Certification # 481 5500 Business Dr. US • 28405 • Wilmi gton, NC 141 910 3501903 f .1910 3501557 www.sgs corn Page 5 of 25 Member or the SGS Grow ISGS S41 .1L ANALYTCAL POKOCCTIVFA Results of Outfall Client Sample ID: Outfall Client Project ID: 140 West Lab Sample ID: 31301105001-C Lab Project ID: 31301105 - Results by SW-846 6010C Parameter Lead Batch Information Result ND Analytical Batch: MIP2126 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Print Date: 09/03/2013 Qual DL U 0.00607 Collection Date: 08/22/2013 12:30 Received Date: 08/23/2013 09:35 Matrix: Water LOQ/CL Units DF 0.0100 mg/L 1 Prep Batch: MXX2947 Prep Method: SW-846 3010A Prep Date/Time: 08128/2013 10:40 Prep Initial Wt.Nol.: 50 mL Prep Extract Vol: 50 mL Date Analyzed 08/29/2013 17:02 N C Certification # 481 5500 Business Or. US - 28405 • Wilmington, NC t +1 910 3501903 1.1910 3501557 www.sgs com Page 6 of 25 Member of me SG S G,oup ISG S SAi S� ,-- Results of Outfall ANALYTICAL PIR16C71vFs Client Sample ID: Outfall Client Project ID: 140 West Lab Sample ID: 31301105001-A Lab Project ID: 31301105 Collection Date: 08/22/2013 12:30 Received Date: 08/23/2013 09:35 Matrix: Water 4 Results by SM 2540-D Parameter Result Total Suspended Solids 5.00 Batch Information Analytical Batch: IN02721 Analytical Method: SM 2540-D Instrument: BAL10 Analyst: PPH Print Date 09103/2013 Qual DL J 2.50 LOQ/CL Units DF 25.0 mg/L 1 Prep Batch: IN02721 Prep Method: SM 2540-D Prep Date/Time: 08/23/2013 08:46 Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL Date Analyzed 08/23/2013 8:46 N C. Certification # 481 I5500Business Dr. US•28405 Wilmington, NC 1+19103501903 1.19103501557 wwwsgscom Page 7 of 25 Member of the SUSGrD ISGSSA) ANALYTICAL riltiPEC11Va Results of Outfall Client Sample ID: Outfall Client Project ID: 140 West Lab Sample ID: 31301105001-B Lab Project ID: 31301105 Results by SM 4500-H+ B pH Parameter pH pH at Temperature Batch Information Result 6.66 10.9 Analytical Batch: INO2732 Analytical Method: SM 4500-H+ B pH Instrument: PH2 Analyst: PPH Print Date 09103:2013 Qual DL 0.0100 Collection Date: 08/22/2013 12:30 Received Date: 08/23/2013 09:35 Matrix: Water LOQ/CL Units 0.0100 S.U. C DF 1 1 Prep Batch: INO2732 Prep Method: SM 4500-H+ B pH Prep Date/Time: 08/27/2013 15:57 Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL Date Analyzed 08/27/2013 15:57 08/27/2013 15:57 N C. Certification it 481 5500 Business Dr US - 28405 Wilrrmgtan, NC t «1 9103501903 f «19103501557 www.sgs corn Page 8 of 25 Member of the SGS Group 1SG S S41 Results of Outfall 1 Client Sample ID: Outfall Client Project ID: 140 West Lab Sample ID: 31301105001-G Lab Project ID: 31301105 Collection Date: 08/22/2013 12:30 Received Date: 08/23/2013 09:35 Matrix: Water Results by EPA 420.1 (SUB) Parameter Result Qual DL LOQ/CL Units DF Date Analyzed Inorganic Phenol 0.005 mg/L 1 08/28/2013 0:00 Laboratory: Envirochem Analytical Datefrirne: 08/28/2013 00:00 Prep Method: Prep Date/Time: Print Date' 09/03/2013 N.C. Certification # 481 5500 Business Dr. US 28405. Wilmington, NC t.1910 3501903 f +1910 3501557 wvrw.sgs coin Member pf the SGS Group ISGS SAI Page 9 of 25 ANALYTICAL P W 1V 1 -- Batch Summary Analytical Method: SW-846 8260E Client Sample ID LCS for HBN 36413 [VXX/4727] LCSD for HBN 36413 [VXX/4727] MB for HBN 36413 [VXX/4727] Outfall A10-H (D)(118637MS) A10-H (D)(118637MSD) Print Date: 09/03/2013 Prep Method: SW-846 5030E Prep Batch: VXX4727 Prep Date: 08/23/2013 08:14 Lab Sample ID Analysis Date 118695 08/23/2013 09:26 118696 08/23/2013 09:51 118697 08/23/2013 10:41 31301105001 08/23/2013 11:31 118720 08/23/2013 14:02 118721 08/23/2013 14:27 Analytical Batch Instrument Analyst VMS3001 MSD8 BWS VMS3001 MSD8 BWS VMS3001 MSD8 BWS VMS3001 MSD8 BWS VMS3001 MSD8 BWS VMS3001 MSD8 BWS N C Certification # 481 5500 Business 0r. US • 20405 Wilmington, NC t+1 9103501903 f +19103501557 www.sgs corn Page 10 of 25 Member of The SGS GIDue ISGS SA) SGS Method Blank ANALYTICAL PWAYi6CTTV6f Blank ID: MB for HBN 36413 [VXX/4727] Blank Lab ID: 118697 QC for Samples: 31301105001 Results by SW-846 8260B Parameter tert-Butyl methyl ether (MTBE) Benzene 1,2-Dichloroethane Toluene Ethyl Benzene Xylene (total) Naphthalene Surrogates 1,2-Dichloroethane-d4 Toluene d8 4-Bromofluorobenzene Batch Information Result ND ND ND ND ND ND ND 102 100 96.0 Analytical Batch: VMS3001 Analytical Method: SW-846 8260B Instrument: MSDB Analyst: BWS Print Date 09/03/2013 Qual U U U U U U U DL 0.149 0.144 0.158 0.170 0.136 0.298 0.151 Matrix: Water LOQ/CL Units 1.00 ug/L 1.00 ug/L 1.00 ug/L 1.00 ug/L 1.00 ug/L 2.00 ug/L 1.00 ug/L 64.0-140 82.0-117 85.0-115 0/0 Prep Batch: VXX4727 Prep Method: SW-846 5030E Prep Date/Time: 8/23/2013 8:14:38AM Prep Initial Wt.Nol.: 40 mL Prep Extract Vol: 40 mL DF 1 1 1 1 1 1 1 1 1 1 N C. Certification # 461 5500 Business Dr US 20405 • Wilmington, NC t +1 910 3561903 f +1 910 3501557 www.sgs corn Page 11 of 25 Membe,°fthe SGSGIDUD ISGSsal SGS1 ANAL VTSCAl. I YAS�pGT:VF. Blank Spike Summary Blank Spike ID: LCS for HBN 36413 [VXX/4727] Blank Spike Lab ID: 118695 Date Analyzed: 08/23/2013 09:26 QC for Samples: 31301105001 Results by SW-846 8260B Spike Duplicate ID: LCSD for HBN 36413 [VXX/4727] Spike Duplicate Lab ID: 118696 Date Analyzed: 08/23/2013 09:51 Matrix: Water Blank Spike (ug/L) Parameter Spike Result tert-Butyl methyl ether (MTBE) 5.00 5.15 Benzene 5.00 5.22 1,2-Dichloroethane 5.00 5.55 Toluene 5.00 5.31 Ethyl Benzene 5.00 5.17 Naphthalene 5.00 4.62 Surrogates 1,2-Dichloroethane-d4 Toluene d8 4-Bromofluorobenzene Batch Information Analytical Batch: VMS3001 Analytical Method: SW-846 8260E Instrument: MSD8 Analyst: BWS Print Date. 09/03/2013 Rec (%) Spike 103 5.00 104 5.00 5.17 111 5.00 5.42 106 5.00 5.04 103 5.00 5.33 92 5.00 4.75 Spike Duplicate (ug/L) Result Rec % 5.06 101 103 108 101 107 95 CL RPD (%) RPD CL 47.0-142 1.8 30.00 76.0-124 0.96 30.00 76.0-119 2.4 30.00 75.0-123 5.2 30.00 76.0-123 3.0 30.00 67.0-122 2.8 30.00 103 99 64.0-140 103 97 82.0-117 97 97 85.0-115 Prep Batch: VXX4727 Prep Method: SW-846 5030B Prep Date/Time: 08/2312013 08:14 Spike Init 1Nt.Nol.: 40 mL Extract Vol: 40 mL Dupe Init Wt.Nol.: 40 mL Extract Vol: 40 mL N.C. Certificatiori #-481 5500 Business Dr. US • 28405 • Wilmington, NC t +r 910 3501903 f +1910 350 i557 www.sgs corn Page 12 of 25 Member of the SGS Group ISG5 SAI r- Batch Summary Analytical Method: SW-846 6010C Client Sample ID Well(118792DUP) MB for HBN 36491 [MXX/2947] LCS for HBN 36491 [MXX/2947] LCSD for HBN 36491 [MXX/2947] Outfall Outfall(118706MS) Outfall(118706MSD) Print Dale 09/03/2013 Prep Method: SW-846 3010A Prep Batch: MXX2947 Prep Date: 08/28/2013 10:40 Lab Sample ID Analysis Date 118940 08/28/2013 20:10 118935 08/29/2013 16:28 118936 08/29/2013 16:34 118937 08/29/2013 16:41 31301105001 08/29/2013 17:02 118938 08/29/2013 17:08 118939 08/29/2013 17:15 Analytical Batch Instrument Analyst MIP2123 ICP1 PSW MIP2126 ICP1 PSW MIP2126 ICP1 PSW MIP2126 ICP1 PSW MIP2126 ICP1 PSW MIP2126 ICP1 PSW MIP2126 ICP1 PSW N C Certification # 481 5500 Business Dr. US • 28405. Wilmington, NC t .1 9103501903 1.19103501557 www.sgs com Page 13 of 25 Membr ol)he SGS Group ISGS SAI SU _ - _. ANALYTICAL rsRM=rrnvc.r. ,�- Method Blank Blank ID: MB for HBN 36491 [MXX/2947] Blank Lab ID: 118935 QC for Samples: 31301105001 �._ Results by SW-846 6010C Parameter Lead Batch Information Result ND Qual U DL Matrix: Water LOQ/CL 0.00607 0.0100 Units mg/L DF 1 Analytical Batch. MIP2126 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Prep Batch: MXX2947 Prep Method: SW-846 3010A Prep Date/Time: 8/28/2013 10:40:39AM Prep Initial Wt.Nol.: 50 mL Prep Extract Vol: 50 mL Print Date: 09/03/2013 N.C. Certification # 481 5500 Business 0r. US • 28405 - Wilmington, NC t 910 3501903 1.1910 3501557 www.sgs.com Page 14 of 25 Member of the SGS Grow ISGS SA) .u� ANMYTICAl, fK R£..Ff.1TvFA r Blank Spike Summary Blank Spike ID: LCS for HBN 36491 [MXX/2947] Blank Spike Lab ID: 118936 Date Analyzed: 08/29/2013 16:34 QC for Samples: 31301105001 Results by SW-846 6010C Parameter Lead Its Batch Infonmatiurr Analytical Batch: MIP2126 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Spike Duplicate ID: LCSD for HBN 36491 [MXX/2947] Spike Duplicate Lab ID: 118937 Date Analyzed: 08/29/2013 16:41 Matrix: Water Blank Spike (mg/L) Spike Duplicate (mg/L) Spike Result Rec (%) Spike Result Rec (%) CL RPD (%) RPD CL 0.400 0.395 99 0.400 0.399 100 80.0-120 1.0 20.00 Prep Batch: MXX2947 Prep Method: SW-846 3010A Prep Date/Time: 08/28/2013 10:40 Spike Init Wt.Nol.: 50 mL Extract Vol: 50 mL Dupe Init Wt.Nol.: 50 mL Extract Vol: 50 mL Print-Gte'. 0910312013 N.C. Certification # 481 5500 Business Or. US - 28405 - Wilmington. NC t+1 910 3501903 1 +1910 3501557 www.sgs coin Page 15 of 25 Membe+ ut Itre SGS Group ISGS SAI ANALYTIC -At, PFR+1.osC7TVT matrix spiKe oummary Original Sample ID: 31301105001 (Outfall) MS Sample ID: 118938 MSD Sample ID: 118939 QC for Samples: 31301105001 Results by SW-846 6010C Parameter Lead Batch Information Analysis Date: 08/29/2013 17:02 Analysis Date: 08/29/2013 17:08 Analysis Date: 08/29/2013 17:15 Matrix: Water Matrix Spike (mg/L) Spike Duplicate (mg/L) Sample Spike Result Rec (%) Spike result Rec (%) CL RPD (%) RPD CL ND 0.400 0.367 92 0.400 0.363 91 75.0-125 1.1 20.00 Analytical Batch: MIP2126 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Prep Batch: MXX2947 Prep Method: SW-846 3010A Prep Date/Time: 08/28/2013 10:40 MS Init Wt.NoI.: 50 mL Extract Vol.: 50 mL MSD Init Wt.Nol.: 50 mL Extract Vol.. 50 mL Print Date. 09/03/2013 N.C. Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t+t 910350 1903 let 970 350 7557 www.sgs com Page 16 of 25 Member of the SGS Group ISGSSA) ANALYTCd6 PIR.PKTrv[fl ,-- Batch Summary Analytical Method: SM 2540-D Client Sample ID MB for HBN 36417 [INO/2721] LCS for HBN 36417 [INO/2721] A8-H (C)(118636DUP) Outfall Print Date 09/03/2013 Prep Method: SM 2540-D Prep Batch: IN02721 Prep Date: 08/23/2013 08:40 Lab Sample ID Analysis Date 118702 08/23/2013 08:40 118703 08/23/2013 08:41 118704 08/23/2013 08:41 31301105001 08/23/2013 08:46 Analytical Batch Instrument Analyst IN02721 BAL10 PPH IN02721 BAL10 PPH IN02721 BAL10 PPH IN02721 BAL10 PPH N C Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t +1 910 3501903 t+1910 350 i557 www.sgs com Page 17 of 25 Member or me SGS Group ISGS SAI Method Blank Blank ID: MB for HBN 36417 [INO/2721] Blank Lab ID: 118702 QC for Samples: 31301105001 Results by SM 2540-D Parameter Total Suspended Solids Batch Information Anaiyticai Batch: INO2721 Analytical Method: SM 2540-D Instrument: BAL10 Analyst: PPH Print Date 09/03/2013 Result ND Qual U DL Matrix: Water LOQ/CL 2.50 25.0 Units mg/L Prep Batch: INO2721 Prep Method: SM 2540-D Prep Date/Time: 8/23/2013 8:40:17AM Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL DF 1 N C. Certification # 4.81 5500 Business Or. US • 28405. Wilmington, NC t+1 910 3501903 I .1910 3501557 www.sgs coin Page 18 of 25 Member of for SGS Group ISGSSAI Blank Spike Summary Blank Spike ID: LCS for HBN 36417 [INO/2721] Blank Spike Lab ID: 118703 Date Analyzed: 08/23/2013 08:41 QC for Samples: 31301105001 Results by SM 2540-D Parameter Total Suspended Solids Batch Information Analytical Batch: IN02721 Analytical Method: SM 2540-D Instrument: BAL10 Analyst: PPH Print Date: 09/03/2013 Blank Spike (mg/L) so: Rec (%) 112 Matrix: Water CL 80.0-120 Prep Batch: IN02721 Prep Method: SM 2540-0 Prep Date/Time: 08/23/2013 08:41 Spike Init Wt.Nol.: 1 mL Extract Vol: 1 mL Dupe Init Wt.Nol.: Extract Vol: N.C. Certification # 481 5500 Business Or. US • 28405- Wilmington, NC t+t 910 3501903 1.1910 3501557 www.sgs cam Page 19 of 25 r lembet ul ttw SGS Gnu* ISGS SAI SG$ ANALYTICAL P,FAarCTriT4 Batch Summary Analytical Method: SM 4500-H+ B pH Prep Method: SM 4500-H+ B pH Prep Batch: INO2732 Prep Date: 08/27/2013 15:57 Client Sample ID Lab Sample ID Analysis Date Analytical Batch Instrument Analyst Outfall 31301105001 08/27/2013 15:57 INO2732 PH2 PPH Print Date 09/03;2013 N.C. Certification # 481 5500 Business Dr. US • 213405 - Wilmington, NC t +1910350 1903 1+1910 3501557 www.sgs corn Page 20 of 25 Member of me SGS Group ISGS SAI Batch Summary Analytical Method: EPA 420.1 (SUB) Prep Method: Prep Batch: EC Prep Date: Client Sample ID Lab Sample ID Analysis Date Analytical Batch Instrument Analyst Outfall 31301105001 08/28/2013 00:00 EC MDP Print Date: 09/03/2013 N.0 Certification # 481 5500 Business Dr. US • 28405. Wilmington, NC t +1 910 3501903 f .1910 3501557 www.sgs corn Member of the SGS Group ISGS SAI Page 21 of 25 envirochem ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 NCDENR: DWQ CERTIFICATE #94. DLS Cl;gilt. CATE #37729 SGS Environmental Services, Inc. 5500 Business Drive Wilmington NC 28405 Attention: Date of Report: Sep 03, 2013 Customer PO #: Report #: 2013-10267 Report to: Project ID: 31301105 Lab ID Sample ID: 31301105-001 13-24912 Site: Test Method Collect Date/Time Matrix Sampled by 8/23/2013 12:30 PM Water Barbara Hagen Results Date Analyzed Inorganic Phenols EPA 420.1 0.005 mg/L 08/28/2013 Comment: Reviewed by: SCIJILINilb���j, p��,0$9.��ra,�-J Report It: 2013-10287 Page 22 of 25 Page 1 of 1 SGMAMMAL PgIZSPECCTIVRE CHAIN OF CUSTODY 1'34aace� SOS ANALYTICAL PERSPECTIVES 5500 Business Drive Wilmington, NC 28405 +1 910 3601903 WW $G>e.COM CLIENT: t , as ,,.. •r lt r r Ln7r?:.%t.': '3 :,c : ' ::.: oxernitii. -. ct. `'al/ae0N0k?pi50 . / 90 .,PAGEd____ C SAMPLE TYPE e�lliaraTral - - -COHtACii OF PROJECT: 3 t 3 o 1 r o 5- SITE/ /WBS#: REPORTS TO: EMAIL rn thc`%L°� /. p P e ..,3. , cot-) O N i R C, COMP #■ Nuurw �o 1 //////// REMARKS INVOICE TO: aUOTE # 5& S P.O. 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Locations Nationwide • Alaska • Hawaii • Ohlo • Maryland • NewJersoy • North Carolina • VMst Virginia wwwws.sas.cam 091589. cum AligoV5 RFC QCAr Ge00 Q SGS Reference: 3I 3o 1i PAGE l OF / CONTACT: -Q[ln A�A,�A cM [ PHONE NO:( 9/9)AQ o5? ��``'�^^�i'' 1'r `��il� L7 (/ r �S/ ` 5(979 No STM E Preservatives UsedPE PROJECT: 140 SITE/PWSID# : apr C N T A E R $ Cu COMP G' GRAB AnO `fed ti "•rrit �. CIN. O �' �`� //// ,Watysis REMARKS REPORTS TO: E-MAIL: •� IIMMS FAX NO.:( ) fP INVOICE TO: QUOTE # C.l:''�' A'v `•'� P.O. NUMBER LAB NO. SAMPLE IDENTIFlCATION DATE TIME MATRIX © ©V TF� "2Z' 43 (Z3o Hz° v J J .1 w • 5 • , Collecte II uished By:(1) Date lime RecelvM K Date 4 lime 40 Shipping Shipping Carrier: Ticket No: Samples Temperature Received Cold? (Circle) NO IC: 4.. uv 7 9420 1Z'90 0 0410 V63 NO Relinquished y: (2) Date Time Received By: Date Time Special Deliverable Requirements: Chain of Custody Seal: (Circle) INTACT BROKEN BSEI Relinquished By: (3) Date lime Received By: Date The Special Instructions: Relinquished By: (4) • Date Time Received By: e1�F71-bt/Z ,Date VAK3 Time �j;;s ' Requested Turnaround lime: El RUSH TD Date Needed /do O 2001AL Potter IJ lve Anohorage, AK 88d/e Tel: (807) 6e2.2343 Fax: (907) 501.5301 O 5500 Business Drive WU:nlnaton, NC 28405 Tel: (0101350.1003 Fax: (910)350.1657 iS • O 1270 Greenbrier Street Charleston, WV 25311 Tel: (304) 34a-0726 Fax: (304) 346-0761 Whits • Retained Lab Yellow- Returned with Report SGS North America Inc. Sample Receipt Checklist (SRC) Client Ammons Resource Group Work Order No.: 31301105 1. X Shipped Notes: Hand Delivered 2. X COC Present on Receipt No COC Additional Transmittal Forms 3. Custody Tape on Container X No Custody Tape 4. X Samples Intact Samples Broken / Leaking 5. X Chilled on Receipt Actual Temp.(s) in °C: 5.8 Thermometer ID#: Login-1D Ambient on Receipt Walk-in on Ice; Coming down to temp. Temperature Blank Present no 6. X Sufficient Sample Submitted Insufficient Sample Submitted See comments 7. Chlorine absent X HNO3 <2 X HCL < 2 X Additional Preservatives verified (see notes) H2SO4 8. X Received Within Holding Time Not Received Within Holding Time 9. X No Discrepancies Noted Discrepancies Noted NCDENR notified of Discrepancies* 10. X No Headspace present in VOC vials Headspace present in VOC vials >6mm Comments: Inspected and Logged in by: JTH Date: Thu-8/22/13 00:00 *NCDENR must be notified when collection, holding time or preservation requirements are not met. MI_11.7 Page 25 of 25 ARG AmmnnS ResnlIrrp Grnl)n 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons©att. net July 23, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED AUG 06 2013 CENTRAL FILES Subject: JUNE 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the June 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples were collected from outfall 001 on June 12, 2013 for the quarterly sampling event as required by the permit. Samples were sent to SGS Environmental Services, Inc. of Wilmington, North Carolina for analysis. Analytical results indicate that compounds were below the permitted daily maximum limits. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons Resouce Group Frrt`mr�f�s�� ORC Enclosures: cc: June 2013 DMR Mr. Scott Milke, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH June FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE YEAR 2013 CERTIFIED LABORATORY (1) SGS Environmental Services. Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons PERSON(S) COLLECTING SAMPLES Fred Ammons CHECK BOX IF ORC HAS CHANGED ❑ Mail ORIGINAL and ONE COPY to: ATM: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE I CERTIFICATION NO. 992126 ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE * r rSIG1.EF ERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. '7 - 03 -12 DATE 0 DATE Operator Arrival Time 2400 aock Operator Time On Site ORC On Site? ** 50050 34030 343711 34010 81551 22417 34696 01051 00530 100400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE TOLUEN; TOTAL XYLENES METHYL TERT BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) S Q. 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFXiJ INF 0 DAILY - RATE HRS HRS Y/B/N MGD UG/L UG/L UG/L UG/L UG/L UG/L UG/L mg/L UG/L UG/L 1 0.000000 2 0.000000 3 0.000000 . 4 1300 2 yes 0.000000 5 0.001920 6 0.001920 7 0.001920 8 0.001920 9 0.001920 10 0.001020 11 0.001920 12 1230 2 yes 0.001920 nd nd nd nd 0.32 nd 12.30 nd 6.42 nd 5.00 ns 13 0.000988 14 0.000988 15 0.000988 16 0.000988 17 0.000988 18 0.000988 19 1600 2 yes 0.000988 20 0.001065 _ 21 0.001065 22 0.001065 23 0.001065 24 1100 2 yes 0.001065 25 0.000991 26 0.000991 27 0.000991 28 0.000991 29 1100 2 yes 0.000991 30 0.000991 AVERAGE 0.001118 MAXIMUM MINIMUM Comp. (C) / Grab (G) G Daily Maximum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) 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 publici 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. "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." Scott Milke, 140 West Franklin, LLC Permittee (Please print or type) /l. 4417, f ' . rmittee*** Date red unless submitted electronically) Permittee Address Phone Number 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) e-mail address ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Permit Expiration Date February 28, 2017 Parameter Code assistance may be obtained by calling the NPDES Unit 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 15A NCAC 8G .0204. *** Signature of Perinittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 nt Laboratory Report of Analysis To: Fred Ammons Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 Report Number: 31300789 Client Project: 1-40 West Dear Fred Ammons, Enclosed are the results of the analytical services perfomied under the referenced project for the received samples and associated QC as applicable. The samples are certified to meet the requirements of the National Environmental Laboratory Accreditation Conference Standards. Copies of this report and supporting data will be retained in our files for a period of five years in the event they are required for future reference. All results are intended to be used in their entirety and SGS is not responsible for use of less than the complete report. Any samples submitted to our laboratory will be retained for a maximum of thirty (30) days from the date of this report unless other arrangements are requested. If there are any questions about the report or services performed during this project, please call Michael D. Page at (910) 350-1903. We will be happy to answer any questions or concerns which you may have. Thank you for using SGS North America Inc. for your analytical services. We look forward to working with you again on any additional analytical needs. Sincerely, SGS North America Inc. y Digitally signed by: Michael Page Date: 2013.07.02 09:37:52-05'00' Michael D. Page Project Manager michael.page@sgs.com Print Date. 07/02/2013 Date N.C. Certification # 481 ANALYTICAL PERSPECTIVES IS NOW PART OF SGS, THE WORLD'S LEADING INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. 5500 Business Dr. US • 20405 • Wilmington, NC t 41 910 350 1903 1.1910 3501557 www.sgs com ktembe+ ai ne SGS Grain ISG S SA4 Page 1 of 26 SGt Report Definitions iti► ANALYTICAL YFRSAE4TTVE Laboratory Qualifiers DL Method, Instrument, or Estimated Detection Limit per Analytical Method CL Control Limits for the recovery result of a parameter LOQ Reporting Limit DF Dilution Factor RPD Relative Percent Difference LCS(D) Laboratory Control Spike (Duplicate) MS(D) Matrix Spike (Duplicate) MB Method Blank Qualifier Definitions ' Recovery or RPD outside of control limits B Analyte was detected in the Lab Method Blank at a level above the LOQ U Undetected (Reported as ND or < DL) ✓ Recovery is below quality control limit. The data has been validated based on a favorable signal-to-noise and detection limit A Amount detected is less than the Lower Method Calibration Limit J Estimated Concentration. O The recovery of this analyte in the OPR is above the Method QC Limits and the reported concentration in the sample may be biased high E Amount detected is greater than the Upper Calibration Limit S The amount of analyte present has saturated the detector. This situation results in an underestimation of the affected analyte(s) Q Indicates the presence of a quantitative interference. This situation may result in an underestimation of the affected analyte(s) 1 Indicates the presence of a qualitative interference that could cause a false positive or an overestimation of the affected analyte(s) DPE Indicates the presence of a peak in the polychlorinated diphenylether channel that could cause a false positive or an overestimation of the affected analyte(s) TIC Tentatively Identified Compound EMPC Estimated Maximum possible Concentration due to ion ratio failure ND Not Detected K Result is estimated due to ion ratio failure in High Resolution PCB Analysis P RPD > 40% between results of dual columns D Spike or surrogate was diluted out in order to achieve a parameter result within instrument calibration range Samples requiring manual integrations for various congeners and/or standards are marked and dated by the analyst. A code definition is provided below: M1 Mis-identified peak Note Results pages that include a value for "Solids (%)" have been adjusted for moisture content. Print Date. 07/02i23 1:: N C. Certification # 481 5500 Business Dr. US • 28405 Wilmington, NC t .1 910 3501903 f .1910 3501557 www.sgs corn Nembe: of the SGS Group ISGS S41 Page 2 of 26 A•l.V t, ..n Sample Summary Client Sample ID Lab Sample ID Collected Received Matrix Outfall 001 - 140 31300789001 06/12/2013 12:00 06/13/2013 10:00 Water Print Date: 07/02/2013 N C Certification # 481 5500Business Dr. US • 28405 - Wilmington, NC t +1 910 350 1903 1+19t03501557 www.sgs corn Member of he SGS croup IS6 S SAI Page 3 of 26 nv.uri_n.. r4Ff.;I.v w'i Detectable Results Summary Client Sample ID: Outfall 001 -140 Lab Sample ID: 31300789001-F Parameter Result Units EPA 420.1 (SUB) Phenol 0.005 mg/L SM 4500-H+ B pH pH 6.42 S.U. pH at Temperature 23 C SW-846 6010C Lead 0.0123 mg/L SW-846 8260E tert-Butyl methyl ether (MTBE) 0.320 ug/L J Quality Control Samples Client Sample ID: MB for HBN 34608 [MXXl2827] Lab Sample ID: 114230 Parameter Result Units SW-846 6010C Lead 0.00674 mg/L J Print Date: 07/02/2013 SGS ,L'd YI :. I P;;ispi CL:i:S N.C. Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t +1 910 3501903 f +1910 3501557 www.sgs corn Page 4 of 26 Member of the SGS Group iSGS S41 p Results of Outfall 001 -140 Client Sample ID: Outfall 001 -140 Client Project ID: 1-40 West Lab Sample ID: 31300789001-A Lab Project ID: 31300789 �- Results by SW-846 8260E Parameter 1,2-Dichloroethane Benzene Ethyl Benzene Naphthalene Toluene Xylene (total) tert-Butyl methyl ether (MTBE) Surrogates 1,2-Dichloroethane-d4 4-Bromofluorobenzene Toluene d8 Batch Information Result ND ND ND ND ND ND 0.320 100 100 99.0 Analytical Batch: yMS2942 Analytical Method SW-846 8260E Instrument: MSD4 Analyst: BWS Print Date: 07/02/2013 Collection Date: 06/12/2013 12:00 Received Date: 06/13/2013 10:00 Matrix: Water Qua! DL LOQ/CL Units DF U 0.0760 1.00 ug/L 1 U 0.0710 1.00 ug/L 1 U 0.100 1.00 ug/L 1 U 0.144 1.00 ug/L 1 U 0.0680 1.00 ug/L 1 U 0.200 2.00 ug/L 1 J 0.0890 1.00 ug/L 1 64.0-140 % 1 85.0-115 % 1 82.0-117 % 1 Prep Batch: VXX4649 Prep Method: SW-846 5030E Prep Date/Time: 06/14/2013 11:15 Prep Initial Wt.Nol.: 40 mL Prep Extract Vol: 40 mL Date Analyzed 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 06/14/2013 15:08 N C. Certification # 481 5500 Business Dr US - 28.405. Wilmington, NC t +1 910 3501903 1.1910 3501557 ww•w.sgs com Page 5 of 26 Member of me SGSGr ,uD iSG SA1 Results of Outfall 001 -140 Client Sample ID: Outfall 001 -140 Client Project ID: 1-40 West Lab Sample ID: 31300789001-E Lab Project ID: 31300789 Results by SW-846 6010C Parameter Lead Batch Information v-. Result 0.0123 Analytical Batch: MIP2041 Analytical Method:I SW-846 6010C Instrument: ICP1 Analyst: PSW Print Date 07/02/2013 Qual DL 0.00607 Collection Date: 06/12/2013 12:00 Received Date: 06/13/2013 10:00 Matrix: Water LOQ/CL Units DF 0.0100 mg/L 1 Prep Batch: MXX2827 Prep Method: SW-846 3010A Prep Date/Time. 06/17/2013 08:16 Prep Initial Wt.Nol.: 50 mL Prep Extract Vol: 50 mL 1 Date Analyzed 06/19/2013 11:14 N C. Certification # 481 5500 Business 0r. US • 28405 Wilmington, NC t *1 910 3501903 1.1910 3501557 www.sgs com Page 6 of 26 Member of fire SGS Gruup I SGS SAI AtJAI Results of Outfall 001 -140 Client Sample ID: Outfall 001 -140 Client Project ID: 1-40 West Lab Sample ID: 31300789001-G Lab Project ID: 31300789 Results by SM 2540-D Parameter Total Suspended Solids Batch Information Analytical IN02581 Analytical Metnod: SM 2540-D Instrument: BAL10 Analyst: PPH Print Date 07/02/2013 Result ND Qual DL U 5.00 Collection Date: 06/12/2013 12:00 Received Date: 06/13/2013 10:00 Matrix: Water LOQ/CL Units DF 50.0 mg/L 2 Prep Batch: INO2581 Prep Method: SM 2540-D Prep Date/Time: 0611312013 14:22 Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL Date Analyzed 06/13/2013 14:22 N C. Certification # 481 5500Business Or. US.28405 Wilmington, NC t +i 910 35C 1903 1+19103501557 www.sgs com Page 7 of 26 Member el me SGS Ci oup ISGS SA) c Results of Outfall 001 -140 Client Sample ID: Outfall 001 -140 Client Project ID: 1-40 West Lab Sample ID: 31300789001-D Lab Project ID: 31300789 Collection Date: 06/12/2013 12:00 Received Date: 06/13/2013 10:00 Matrix: Water -- Results by SM 4500-H+ B pH Parameter Result Qual DL LOQ/CL Units DF Date Analyzed pH 6.42 0.0100 0.0100 S.U. 1 06/17/2013 11:37 pH at Temperature 23 C 1 06/17/2013 11:37 Batch Information Analytical Batch INO2585 Analytical Method SM 4500-H+ B pH Instrument: PH2 Analyst: PPH Print Date 07/02/2013 Prep Batch: INO2585 Prep Method: SM 4500-H+ B pH Prep Date/Time: 06/17/2013 11:37 Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL N.C. Certification # 481 5500 Business Dr. US 28405 Wilmington, NC 1 ♦1 910 3501903 (.1910 350 7557 www.sgs com Page 8 of 26 Membr uI tnr SG S Gruue iSGS SAI Results of Outfall 001 -140 Client Sample ID: Outfall 001 -140 Client Project ID: 1-40 West Lab Sample ID: 31300789001-F Lab Project ID: 31300789 Collection Date: 06/12/2013 12:00 Received Date: 06/13/2013 10:00 Matrix: Water Results by EPA 420.1 (SUB) Parameter Result Qual DL LOQ/CL Units DF Date Analyzed Phenol 0.005 mg/L 1 06/27/2013 0:00 Laboratory: Envirochem Analytical Date/Tirle: 06/27/2013 00:00 Prep Method: Prep Date/Time: Pnnt Date. 07/02/2013 N.C. Certification # 481 5500 Business Dr. US • 28405 Wilmington, NC t ti1 910350 1903 1.1910 3501557 www.sgs cum Member of the SGS Grow ISGS S41 Page 9 of 26 Batch Summary Analytical Method: SW-846 8260B Client Sample ID LCS for HBN 34600 [VXX/4649] LCSD for HBN 34600 [VXX/4649] MB for HBN 34600 [VXX/4649] Outfall 001 - 140 MW-4(114162MS) MW-4(114162MSD) Print Date: 07/02/2013 Prep Method: Prep Batch: Prep Date: Lab Sample ID Analysis Date 114156 06/14/2013 11:22 114157 06/14/2013 11:47 114158 06/14/2013 12:37 31300789001 06/14/2013 15:08 114246 06/14/2013 19:47 114247 06/14/2013 20:13 SGS ^]I;t .+tPOIspec:rces SW-846 5030B VXX4649 06/14/2013 10:02 Analytical Batch Instrument Analyst VMS2942 MSD4 BWS VMS2942 MSD4 BWS VMS2942 MSD4 BWS VMS2942 MSD4 BWS VMS2942 MSD4 BWS VMS2942 MSD4 BWS • N C Certification # 481 5500 Business Dr. US • 20405 Wilmington, NC t +1910 3501903 f .1910 3501557 www.sgs com Page 10 of 26 Member ottheSGSGrow ISGSSU Method Blank • Blank ID: MB for HBN 34600 [VXX/4649] Blank Lab ID: 114158 QC for Samples: 31300789001 Results by SW-846 8260B Matrix: Water Parameter Result tert-Butyl methyl ether (MTBE) ND Benzene ND 1,2-Dichloroethane ND Toluene ND Ethyl Benzene ND Xylene (total) ND Naphthalene ND Surrogates 1,2-Dichloroethane-d4 95.0 Toluene d8 104 4-Bromofluorobenzene 101 Batch Information VMS2942 SW-846 8260B Analytical Batch: Analytical Method Instrument: MSD Analyst: BWS Print Date. 07702/2013 Qual U U U U U U U DL LOQ/CL Units 0.0890 1.00 ug/L 0.0710 1.00 ug/L 0.0760 1.00 ug/L 0.0680 1.00 ug/L 0.100 1.00 ug/L 0.200 2.00 ug/L 0.144 1.00 ug/L 64.0-140 82.0-117 85.0-115 DF 1 1 1 1 1 1 1 1 1 1 Prep Batch: VXX4649 Prep Method: SW-846 5030E Prep Date/Time: 6/14/2013 10:02:17AM Prep Initial Wt.Nol.: 40 mL Prep Extract Vol: 40 mL N.C. Certification # 481 5500 Business Dr. US 20405 - Wilmington, NC Id 910 3501903 1.1910 350 7557 www.sgs corn Page 11 of 26 Member t 4 the SGS Grua ISGS S4i AN 1 ,1:1AI I'{'.a._.'1:: 7,1,. Blank Spike Summary -m Blank Spike ID: LCS for HBN 34600 [VXX/4649] Blank Spike Lab ID: 114156 Date Analyzed: 06/14/2013 11:22 QC for Samples: 31300789001 '. Results by SW-846 8260B Spike Duplicate ID: LCSD for HBN 34600 [VXX/4649] Spike Duplicate Lab ID: 114157 Date Analyzed: 06/14/2013 11:47 Matrix: Water Blank Spike (uglL) Spike Duplicate (ug/L) Parameter Spike Result 1:_3(L'All Spike Result Rec % CL RPD (%) RPD CL tert-Butyl methyl ether (MTBE) 5.00 5.01 100 5.00 5.10 102 47.0-142 1.8 30.00 Benzene 5.00 5.13 103 5.00 4.98 100 76.0-124 3.0 30.00 1,2-Dichloroethane 5.00 5.01 100 5.00 4.73 95 76.0-119 5.7 30.00 Toluene 5.00 5.20 104 5.00 5.19 104 75.0-123 0.19 30.00 Ethyl Benzene 5.00 5.06 101 5.00 4.96 99 76.0-123 2.0 30.00 Naphthalene 5.00 4.92 98 5.00 4.48 90 67.0-122 9.4 30.00 Surrogates 1,2-Dichloroethane-d4 97 95 64.0-140 Toluene d8 102 104 82.0-117 4-Bromofluorobenzene 100 101 85.0-115 Batch Information - nalyticai catch. VMS2942 Analytical Method: SW-846 8260B Instrument: MSD4 Analyst: BWS Print Date: 07/02/2013 Prep Batch: VXX4649 Prep Method: SW-846 5030E Prep Date/Time: 06/14/2013 10:02 Spike Init WL.Nol.: 40 mL Extract Vol: 40 mL Dupe Init Wt.Nol.: 40 mL Extract Vol. 40 mL N C CertthcaLion # 48 5500 Business Dr US - 28405 - Wilmington, NC t 41 910 35)1903 f et 910 3501557 www.sgs corn Page 12 of 26 Member of the SGS Gram ISG SA1 sc$ Batch Summary n.1A,X„SAI. F'fi,f4PFG„rFx Analytical Method: SW-846 6010C Client Sample ID MB for HBN 34608 [I LCS for HBN 34608 LCSD for HBN 34601 Outfall 001 -140 Outfall 001-140(114 Outfall 001-140(114 Outfall 001-140(114 Print Date 07/D2/2013 Prep Method: SW-846 3010A Prep Batch: MXX2827 Prep Date: 06/17/2013 08:16 Lab Sample ID Analysis Date Analytical Batch Instrument Analyst 1XX/2827] 114230 06/19/2013 11:05 MIP2041 ICP1 PSW MXX/28271 114231 06/19/2013 11:08 M1P2041 ICP1 PSW I [MXX/2827] 114232 06/19/2013 11:11 MIP2041 ICP1 PSW 31300789001 06/19/2013 11:14 MIP2041 ICP1 PSW )74MS) 114234 06/19/2013 11:17 MIP2041 ICP1 PSW )74MSD) 114235 06/19/2013 11:20 MIP2041 ICP1 PSW )74DUP) 114233 06/19/2013 11:23 MIP2041 ICP1 PSW N C Certification # 481 5500 Business Dr. US • 28405 • Wilmington, NC t 41 910 3501903 1,1910 3501557 w' ew.sgs corn Page 13 of 26 Membr of the SGS Group ISGSSAI SG$__AILurnsx Method Blank Blank ID: MB for HBN 34608 [MXX/2827] Blank Lab ID: 114230 QC for Samples: 31300789001 Results by SW-846 6O1OC Parameter Lead Batch Information Result 0.00674 Analytical Batch wilt-2 41 Analytical Method' SW-846 6O1OC Instrument: ICP1 Analyst: PSW Print Date 07/02/2013 SGS r.r..31vt :cl nciSp Matrix: Water DL LOQ/CL Units 0.00607 0.0100 mg/L Prep Batch: MXX2827 Prep Method: SW-846 3O1OA Prep Date/Time: 6/17/2013 8:16:58AM Prep Initial Wt.Nol : 50 mL Prep Extract Vol: 50 mL DF 1 N.C. Certification # 481 5500 Business Or US 28405 . Wilmington. NC t .1 910 350 1903 f .1910 3501557 www.sgs com Page 14 of 26 Membr+ of t!m SGS Grew; ISGS S41 ANALPf1CA1. f%scmrss Blank Spike Summary Blank Spike ID: LCS for HBN 34608 [MXX/2827] Blank Spike Lab ID: 114231 Date Analyzed: 06/19/2013 11:08 QC for Samples: 31300789001 Results by SW-846 6010C Parameter Lead Batch Information Spike Duplicate ID: LCSD for HBN 34608 [MXX/2827] Spike Duplicate Lab ID: 114232 Date Analyzed: 06/19/2013 11:11 Matrix: Water Blank Spike (mg/L) Spike Duplicate (mg/L) S ike Result Rec (%) Spike Result Rec (%) CL RPD (%) RPD CL 0.400 0.390 98 0.400 0.399 100 80.0-120 2.3 20.00 Analytical Batch: MIP2041 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Print Date: 07/02(2013 Prep Batch: MXX2827 Prep Method: SW-846 3010A Prep Date/Time: 06/17/2013 08:16 Spike Init Wt.NoI 50 mL Extract Vol: 50 mL Dupe Init Wt.NoI 50 mL Extract Vol: 50 mL N C. Certification it 481 5500 Business 0r. US • 28405 - Wilmington, NC t f1 910 35C 1903 f +1 910 350 7557 www.sgs corn Page 15 of 26 Member of the SGS Grew ISGS SAi Matrix Spike Summary Original Sample ID: 31300789001 (Outfall 001 - 140) MS Sample ID: 114234 MSD Sample ID: 114235 QC for Samples: 31300789001 Results by SW-846 6010C Analysis Date: 06/19/2013 11:14 Analysis Date: 06/19/2013 11:17 Analysis Date: 06/19/2013 11:20 Matrix: Water Matrix Spike (mg/L) Spike Duplicate (mg/L) Parameter Sample Spike _ Rec (%) Spike Rec (%), CL RPD (%) RPD CL Lead 0.0123 0.400 80 0.400 0.314 75 75.0-125 5.6 20.00 Batch Information Analytical Batch: MIP2041 Analytical Method: SW-846 6010C Instrument: ICP1 Analyst: PSW Print Date 07/02/2013 Prep Batch: MXX2827 Prep Method: SW-846 3010A Prep Date/Time: 06117/2013 08:16 MS Init Wt.Nol.: 50 mL Extract Vol.: 50 mL MSD Init Wt.Nol.: 50 mL Extract Vol.: 50 mL N C. Certification # 481 5500 Business Dr US . 28405 4ViImington, NC t 4 t 910 3501903 f +1910 3501557 www.sgs com J Page 16 of 26 Member ul the SGS Crow ISGS SAr Duplicate Sample Summary Original Sample ID: 31300789001-E Duplicate Sample ID: 114233 QC for Samples: 31300789001 Results by SW-846 6010C Analysis Date: 06/19/2013 11:14 Analysis Date: 06/19/2013 11:23 Matrix: Water PARAMETER Original (mq/L) Qual Duplicate (mq/L) ual RPD (%) RPD CL Lead 0.0123 0.0115 6.7 20.00 Batch Information Analytical Batch: MIP2041 Analytical Method: SVV-846 6010C Instrument: ICP1 Analyst: PSW Pnnt Date: 07/0212013 Prep Batch: MXX2827 Prep Method: SW-846 3010A Prep Date/Time 06/17/2013 08:16 N.C. Certification # 481 5500 Business Dr. US • 28405 Wilmington, NC t +t 910 3501903 141 910 3501557 www.sgs corn Page 17 of 26 Member of the SGS Group ISL S SAI Batch Summary Analytical Method: SM 2540-D Prep Method: SM 2540-D Prep Batch: IN02581 Prep Date: 06/13/2013 14:22 Client Sample ID MB for HBN 34597 [IN0/2581] LCS for HBN 34597 [INO/2581] Sims OF 1(113931DUP) Outfall 001 - 140 Lab Sample ID Analysis Date 114080 06/13/2013 14:22 114081 06/13/2013 14:22 114082 06/13/2013 14:22 31300789001 06/13/2013 14:22 Analytical Batch Instrument Analyst INO2581 BAL10 PPH INO2581 BAL10 PPH INO2581 BAL10 PPH INO2581 BAL10 PPH Print Date 07/02/2013 N C Certification # 481 5500 Business Dr US • 28405 . Wilmington, NC 1 +t 910 3501903 f 1.1910 3501557 www.sgs com Membtr of ehr SGS Gnaw ISGS Soo Page 18 of 26 r Method Blank "1 Blank ID: MB for HBN 34597 [INO/2581] Blank Lab ID: 114080 QC for Samples: 31300789001 Matrix: Water Results by SM 2540-D Parameter Total Suspended Solids Batch Information Analytical Batch: INO2581 Analytical Method: SM 2540-D Instrument: BAL1(J Analyst: PPH Result Qual DL LOQ/CL Unit DF ND U 2.50 25.0 mg/L 1 Prep batch. IN02561 Prep Method: SM 2540-D Prep Date/Time: 6/13/2013 2:22:11 PM Prep Initial Wt.Nol.: 1 mL Prep Extract Vol: 1 mL Print Date 07/0212013 N.C. Certification # 481 5500 Business 0r. US • 20405 Wilmington. NC t ♦19103501903 141 910 3501557 ww•w.sgs corn Membe• ufthe SGSGrDiv ISGSSA) Page 19 of 26 A•ixtr.,._n, t Blank Spike Summary Blank Spike ID: L Blank Spike Lab ID Date Analyzed: 0 QC for Samples: 3 CS for HBN 34597 [INO/2581] : 114081 3/13/2013 14:22 1300789001 Results by SM 2540-D Parameter Total Suspended Solids Batch Information IN02581 Analytical Method! SM 2540-D Instrument: BALTO Analyst: PPH Blank Spike (mglL) Rec (%) 86 Matrix: Water CL 80.0-120 Prep Batch IN02581 Prep Method: SM 2540-D Prep Date/Time: 06/13/2013 14:22 Spike Init Wt.Nol.: 1 mL Extract Vol: 1 mL Dupe Init Wt.Nol.: Extract Vol: Print Date. 07/02/2013 * N.C. Certification # 481 5500 Business Or US - 28405 Wilmington, NC t +1 910 3501903 f .1910 3501557 www.sgs cam Member vI the SGS Grew ISG S SAI Page 20 of 26 ANA}t'r.;:a� 4•f RS. �E:.T;V.+c Batch Summary Analytical Method: SM 4500-H+ B pH Prep Method: SM 4500-H+ B pH Prep Batch: IN02585 Prep Date: 06/17/2013 11:37 Client Sample ID Lab Sample ID Analysis Date Analytical Batch Instrument Analyst Outfall 001 -140 31300789001 06/17/2013 11:37 IN02585 PH2 PPH Print Date. 07/02/2013 N C Certification # 481 S ; 5500 Business Dr. US - 28405 • Wilmington, NC t 41 9103501903 t+1910 3501557 www.sgs corn Mamba al the SGS Glow I SGS SAI Page 21 of 26 Batch Summary Analytical Method: EPA 420.1 (SUB) Client Sample ID Outfall 001 - 140 Prep Method: Prep Batch: EC Prep Date: Lab Sample ID Analysis Date Analytical Batch Instrument Analyst 31300789001 06/27/2013 00:00 EC MDP Print Date: 07/02/2013 N C Certification # 481 5500 Business Dr. US . 28405- Wilmington, NC t 41 910 3501903 f *1 910 3501557 www.sgs corn Member or the SUS Group tSGS S41 Page 22 of 26 ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 NCDENIR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 SGS Environmental Services, Inc. 5500 Business Drive Wilmington NC 28405 Attention: Michael Page Date of Report: Jul 01, 2013 Customer PO #: 31300789 Report #: 2013-06826 Report to: Michael Page Protect ID: 31300789 Lab ID Sample ID: 31300789-001 13-16570 Site: Test Method Collect Date/Time 6/12/2013 12:00 PM Matrix Water Results Sampled by Client Date Analyzed Inorganic Phenols EPA 420.1 0.005 mg/L 06/27/2013 Comment: , Reviewed by: maj0 2. d( Report #:: 2013-06826 Page 23 of 26 Page 1 of 1 Atijikm=__ CHAIN OF CUSTODY 13 (0ScUQ SOS ANALYTICAL PERSPECTIVES 5500 Business Drive Wilmington, NC 28405 +1 910 3501903 WWW.S8s.GOM CUM:sers.cr_♦alt:lFi;:.Ki: i i,.* j'tu :.i:aila, 1•i�.-=i:;-jE;• r. I •I•�•c•r •�ii�.: .� i;; ' ,:,...;: ••i.-tic..::.UIrC PAGE CONTACT:— rGhQ tG e PHONE N0: Cj'35D 0�ti,?t:,,;-. :t_� . r :; B PLE PIEIBMWEI g OF ! PROJECT 3 i -339 3C0SITE/ PWSID IWBS N: REPORTS TO: EMAIL 1GlQ01, G..s S • C • ..i T A I E R � romp ORM � � Q REMARKS //////// INVOICE TO: sas aU>)TE P.O,NUMBER 3t310 '1 SAMPLE IDENTIRCAIION DATE TIME MATRIX it - l» Eli IH i ' ; P .tii ra ' " i. 3) 3001$q�D ! (412 )3 � 12c� t 1 Q I s7 ., :tom..{.'0.�2? 7i,,gi...IN-ii :Ems!E � it4.1•.i�:F .. i �3� 1 }y wi ;illilil •igtitl «ig'na?:Plif.': iglii? :iiii! tier tti ; 1 r / . 1!rtii 7�i I'c Fki"jj Iifi,` h ifli iiZ,yiik�{ �+t Ir,,.I:,tlttr,�;1:i;p,�'N(g�+ •a lily a4i 'PAN T}t�i !�� N:; tai 2474r1: ep(!iitr!i ig "t'`S :k. • ds, i»r LPI tt; l :iiii t 4N 1 it. it fi� �7; ;y rE!Et li:'I�„it iiu Il,i#,. F:efilitilrii.*11144i F J1 Tr• 1 COLLE DJREUN !SHED BY: (1j � DATE TIME jI�ON (� RECEIVED BY: REPORT LEVEL D Level 1 O Laval U O Level IV REQUESTED TURNAROUND TIME: 0 Rush; O Standard ! Relinquished By: (2) Date The Received By: SPECIAL DELIVERABLES: State of Origin; 0 Trust Fund O DoD 0 EDD: Other: Relinquished By: (3) Date Time Received By: SPECIAL INSTRUCTIONS: ,: :+ ..3 : 'Y r• ..; :' ` 1 C•, �.awr i .1:_iJ• .... ............. .......... d•. .t, .,t.... ;., :- ' ,. .. l .' �� ;.i:,,, . ill!" t .. ti 1 .; t i} l _ . r • '� 1 u ..i� t�i { . - ,. ! . , o d EI � �!� t}II} 3a, •: ! i I F. '. i..5 1 - ii L : I i T•i jt,� • ��( : ,t .. !SS' ft L.h L.i-.... n..tx..I..,w... , IUJ77 .LI�i y# j ....!�, . !.. ql!f �;� ( t . tY Irk ,, � !�,'�1 . s�.c'11 !.•4 .. 1 f ` ,.. i>«iEi { �1? i y�--Ii3r, ..r R 1 +:1''d ) :[ ..a., a.. :_ihl.. am , { i ,1 t ;�� . 'k .• it .. ,.. i y:.� F .. , . , ii�� .� r' �t!C7. i •1' ti Ai .. �a•. it n! {�(rt1 �, ..:4'L:... - ., .. � �rnii:::' • � , 1 h:: �. .. '?t i, t{r:_ - . .., 1 •,: r.: ' .!. i y r . 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I �iF: � ti; s.i�Rr}:i.a' i t :.. t? , xiUiSt �I': .. �: :E•,, ,Errir9E;.i� • i.� 6: rL ..1.. .{ ..:.. • SajN ;(-tx;{,-,..:rHt .: •,. , !rl ,:: •a S • ».� ::ri: i ti•u ri?ll.t. 7..S! t , t 1•„0 .E,!'•c ..{ , ,.I... :.E , I:i .... ,.i 1 .I -:`:1 S '1�I�' : `: �7i 1!:: cyw. •.. » j 1 f,•Iw :i':.. :.u'r,>:.: 1.1• •y� Fjj 'tL •.. i r -� Ii r. ,,• ,, ,. _�.._.....F• .et�.. I.:f.7. ..:...:t::1i.... .........- .:d•.:a a � :::, :: r.:: E. ,:, r 1'1. � _Ml: 1. t:: •• ' t.....'r:2i :?..":: . .as;r: it Li' LTi '••f° i't` . r.. »:: ; ••i:!.i 7t:. �::t::�:' L:. .i. •,':i ..1 : ..•;.. !.,•_„r :::: � • L .•t rftriit:i:.:::� ,tv r. ..r!.. ,.. • t.:: •: 'E Fti {'ii,E.i,i..' • l'1 .. „<v , t �• .., . :..yi.'i� ; :,.i: { t.r, . . c » ., .3. i.:r:, I:i' :... •,• .:.1 , , ::. r,". •, I ,' .,I •�.. • . I -•I• :..:'i.:,nnrc .... : t.. ..t.:: rl ,•,t ,n 1.: i::.: '' 'a,' c:-ru:c. i, ,... •.;, .: .... i i E .,L:i:::d,.. :.::. t I::»IL..I;.,,....i. .. I •.t• ..:,•: ^- .t 1'. tt..; :.. ,: »::n : •, nl:i,:a:.;...pl'� • l-;. ETE.', ., �I ..•:'1 li+ i:: +T.: is:t3;�•1'Si •: ,1;41Su.:.i:t', I : •:t:t•, ur ; ,rt•i•r:'':.+',.: �.»' , t 3 •,1 n:n,l .:: L••. !,..li .,. r.!,I,,• . ut /.: ' •t .r:tS .1 !S; i ... .. ....r , ....., � ..:'• t ... w........ E.' ..... . .!.: !i: . .. , t, SOS-00055 WW121 ANALYTICAL PERSPECTIVES IS NOW PART OF SOS, THE WORLD'S LEADING INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. White - Retained by Lab YeUaw- Retained by Client 02 N SG$ CHAIN OF CUSTODY RECORD SGS North America Inc. Locations Nationwide • Alaska • Maryland • New Jersey • New York • North Carolina • Ohlo www.us.egs.com 107242 (J C� 6 CLIENT: � t/��/1 SGS Reference: 3�3001 CONTACT: - MOM PHONE NO:(p/9 )3a, 5rbTy• PROJECT: / go w p-S r SITE/PWSID# : REPORTS TO: FAX NO.:( } INVOICE TO: QUOTE #: P.O. NUMBER: LAB NO. SAMPLE IDENTIFICATION Ov r L Ao/- lyv Relinquishecj'By: (2) Relinquished By: (3) Relinquished By: (4) Date Date DATE Time Time Time Time tuap TIME lamo MATRIX Received By:i :5' T/� i-l ill 294I No c 0 N T A E S SSE C. COMP 0- GRAB Received By: Received By: Received By: S4. O 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 581-5301 0 5500 Business Drive Wilmington, NC 29405 Tel: (910) 350-1903 Fax: (910) 350-1557 Preservatives Used Shipping Carrier. Shipping Ticket No: PAGE OF Special Deliverable Requirements: Special Instructions: Requested Tumaround Time: ❑ RUSH 1 7,,JCI1 bm 92:620 Samples Received Cold? (Circle) E NO Temperature°C: SD- . Chain of Custody Seal: (Circle) INTACT BROKEN Date Needed JTD ABSEN White - Retained by Lab Pink - Retained by Client Client: 1. 2. 3. 4. 5. 6. 7. 6. 9. Fred Ammons SGS North America Inc. Sample Receipt Checklist (SRC) Work Order No.: 31300789 X Shipped HHand Delivered X COC Present on Receipt —7 No COC Additional Transmittal Forms Custody Tape on Container X No Custody Tape X Samples Intact I Samples Broken / Leaking Notes: Xi Chilled on Receipt Actual Temp.(s) in °C: 5.6 Thermometer ID#: Ambient on Receipt Walk-in on Ice; Coming down to temp. Temperature Blank Present X Sufficient Sample Submitted Insufficient Sample Submitted Chlorine absent X HNO3 < 2 X HCL < 2 X Additional Preservatives verified (see notes) X Received Within Holding Time Not Received Within Holding Time X No Discrepancies Noted Discrepancies Noted NCDENR notified of Discrepancies* 10. X No Headspace present in VOC vials Headspace present in VOC vials >6mm Comments: H2SO4 Inspected and Logged in by: bah Date: Thu-6/13/13 00:00 *NCDENR must be notified when collection, holding time or preservation requirements are not met. MI_11.7 Page 26 of 26 ARG Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@att.net June 23, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 sYcli J(/ 6• CS41//t404 )0/,y 4.1 413444 Subject: MAY 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the May 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples will be collected from outfall 001 during June 2013 for the quarterly sampling event as required by the permit. No flow was recorded for this time frame. This information is documented and is below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons Resource Group Fred m ons ORC Enclosures: cc: May 2013 DMR Mr. Scott Milke, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH MAY YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE I CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE * CHECK BOX IF ORC HAS CHANGED 0 Mail ORIGINAL and ONE GOPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY (SIG F ERATOR RESPONSIBLE CHARGE) 1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS RALEIGH, NC 27699-1617 CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. MCI 6• 23. 13 DATE DATE Operator Arrival Time 2400 aock Operator Time On Site ORC On Site? ** 50050 34030 343711 34010. 81551 22417 34696 01051 00530 00400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE TOLUEN; TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) 1 a 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFJ15J INF 0 DAILY RATE HRS HRS Y/B/N MGD UG/L UG/L UG/L UG/L UG/L UG/L UG/L mp,/L UG/L UG/L _ 1 0.000000 2 1200 2 yes 0.000000 3 0.000000 4 0.000000 5 0.000000 6 0.000000 7 0.000000 8 0.000000 9 1000 2 yes 0.000000 10 0.000000 11 0.000000 12 0.000000 13 0.000000 14 0.000000 15 0.000000 16 0.000000 17 1800 2 yes 0.000000 18 0.000000 19 0.000000 20 0.000000 21 0.000000 22 0.000000 23 1400 2 yes 0.000000 24 0.000000 25 0.000000 26 0.000000 27 0.000000 28 0.000000 29 1500 2 yes 0.000000 30 0.000000 31 0.000000 AVERAGE 0.000000 MAXIMUM MINIMUM Comp(C) / Grab (G) G Daily Maximum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) \11 monitoring data and sampling frequencies do NOT meet permit rcquirem ents x 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 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. "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." Scott Milke, 140 West Franklin, LLC Permittee (Please print or type) re of Permittee*** -z.q-f3 Date (Required unless submitted electronically) Permittee Address Phone Number 126 West Franklin Street. Chapel Hill NC 27516 (919) 868-1678 e-mail address Permit Expiration Date February 28, 2017 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit 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 ISA NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ARG 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@att.net May 22, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Subject: APRIL 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: N SY E LaP MAY 29 2013 CEN I KHL FILES DWOJBOG Attached is the April 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples will be collected from outfall 001 during May 2013 for the quarterly sampling event as required by the permit. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part I1, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons Resource Group Fred ons ORC Gf Enclosures: April 2013 DMR cc: Mr. Jon Keener, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill 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 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. "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." 140 West Franklin, LLC Permittee (Please print or type) 5-23-13 Sigr t e'of Permittee*** Date (Required unless submitted electronically) Permittee Address Phone Number e-mail address Permit Expiration Date 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 February 28, 2017 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protectiln 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 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per I5A NCAC 2B .0506(b)(2)(D). Page 2 EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH APRIL YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons PERSON(S) COLLECTING SAMPLES Fred Ammons 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 z (SIGN TURE 6F ERATOR IN RESPONSIBLE HARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. GRADE 1 CERTIFICATION NO. 992126 ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE * 1I 5 23- 13 DATE Operator Arrival Time 2400 sock Operator Time On Site ORC On Site? ** 50050 34030 1343711 34010 81551 22417 34696 101051 00530 00400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE TOLUENE TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) a 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFX:i) INF 0 .. C C HRS HRS Y/B/N MGD, UG/L UG/L UG/L UG/L UG/L UG/L UG/L my,/L UG/L UG/L 1 0.005813 2 0.005813 3 0.005813 • 4 0.005813 5 1100 2 yes 0.005813 6 0.000293 7 0.000293 8 1400 2 yes 0.000293 9 , 0.000000 10 0.000000 11 0.000000 12 0.000000 13 0.000000 14 0.000000 15 0.000000 16 0.000000 17 1500 2 yes 0.000000 18 0.000048 19 0.000048 20 0.000048 21 0.000048 22 0.000048 23 0.000048 24 , 0.000048 25 0.000048 26 1200 2 yes 0.000048 27 0.000000 28 0.000000 29 0.000000 30 0,000000 AVERAGE 0.0010'13 MAXIMUM MINIMUM Comp. (C) / Grab (G) G Daily Maximum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) ARG Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@attnet April 22, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 RECEIVED MAY 0 b 2013 CENTRAL FILES DWQ/BOG Subject: MARCH 2013 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC 140 WEST FRANKLIN STREET CHAPEL HILL, ORANGE COUNTY, NORTH CAROLINA NPDES PERMIT NO. NCG510532 Dear Sir/Madam: Attached is the March 2013 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples were collected from outfall 001 on March 14, 2013 for the quarterly sampling event as required by the permit. Samples were sent to SGS Environmental Services, Inc. of Wilmington, North Carolina for analysis. Analytical results indicate that compounds were below the permitted daily maximum limits. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons Resource Group Fred Tan mons ORC Enclosures: March 2013 DMR March 2013 Analytical Report cc: Mr. Jon Keener, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH MARCH FACILITY NAME 140 WEST FRANKLIN CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE I CERTIFICATION NO. 992126 CLASS NA COUNTY ORANGE YEAR 2013 PERSON(S) COLLECTING SAMPLES Fred Ammons 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 ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE * (SIGNATUE Ol: OPERATOR IN RESPONSIBLE CHARGE) BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. `/. ZZ - /3 DATE 0 DATE Operator Arrival Time 2400 Clock Operator Time On Site ORC On Site? ** 50050 34030 34371 34010 81551 22417 34696 l 01051 00530 00400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE TOLUENE TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) a 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFX3 INF 0 DAILY RATE HRS HRS Y/B/N MGD UG/L UG/L UG/L UG/L UG/L UG/L UG/L mg,/L UG/L UG/L 1 0.000000 2 0.000000 3 1000 2 yes 0.000000 4 0.000000 • 5 0.000000 6 0.000000 7 0.000000 8 0.000000 9 800 2 yes 0.000000 _ 10 0.000000 11 0.000000 12 0.000000 13 1200 2 yes 0.000000 14 1200 2 yes 0.007360 ND ND ND ND 2.29 ND 0.0062 ND 6.96 ND ND NS 15 0.004312 16 0.004312 17 0.004312 18 0.004312 19 1500 2 yes 0.004312 20 0.000168 21 0.000168 22 0.000168 23 0.000168 24 0.000168 25 0.000168 26 1300 2 yes 0.000168 27 0.000000 28 0.000000 29 0.000000 30 0.000000 31 0.000000 AVERAGE 0.000971 MAXIMUM MINIMUM Comp. (C) / Grab (G) G Daily Maximum 1.19 97 11 670 _ 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR -I (11/04) 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 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. "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." Jon Keener, 140 West Franklin, LLC Permittee (Please print or type) 15 (Required unless submitted electronically) Permittee Address Phone Number 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) e-mail address Permit Expiration Date February 28, 2017 ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.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 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 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 Laboratory Report of Analysis To: Fred Ammons Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 Report Number: 31300402 Client Project: 140 Franklin Dear Fred Ammons, Enclosed are the results of the analytical services performed under the referenced project for the received samples and associated QC as applicable. The samples are certified to meet the requirements of the National Environmental Laboratory Accreditation Conference Standards. Copies of this report and supporting data will be retained in our files for a period of five years in the event they are required for future reference. All results are intended to be used in their entirety and SGS is not responsible for use of less than the complete report. Any samples submitted to our laboratory will be retained for a maximum of thirty (30) days from the date of this report unless other arrangements are requested. If there are any questions about the report or services performed during this project, please call Michael D. Page at (910) 350-1903. We will be happy to answer any questions or concerns which you may have. Thank you for using SGS North America Inc. for your analytical services. We look forward to working with you again on any additional analytical needs. Sincerely, SGS North America Inc. Digitally signed by: Michael Page Date: 2013.04.01 11:06:18-05'00' Michael D. Page Project Manager michael.page@sgs.com Date ANALYTICAL PERSPECTIVES IS NOW PART OF SGS, THE WORLD'S LEADING INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. 5ECO 5isir ^_ss Or IJS • 2? :^ IIITI -igloo. 4.0 t .1 1 L 3E' 14C: f r' 91u 35u 55 a •:.: '•h5 :[� Memco. 7' ne 57S S5 5 SA • Page 1 of 22 ANAI 'TIC:^.! T 5Q JVf:TFVW' Laboratory Qualifiers J Report Definitions DL Method, Instrument, or Estimated Detection Limit per Analytical Method CL Control Limits for the recovery result of a parameter LOQ Reporting Limit DF Dilution Factor RPD Relative Percent Difference LCS(D) Laboratory Control Spike (Duplicate) MS(D) Matrix Spike (Duplicate) MB Method Blank Qualifier Definitions • Recovery or RPD outside of control limits B Analyte was detected in the Lab Method Blank at a level above the LOQ U Undetected (Reported as ND or < DL) ✓ Recovery is below quality control limit. The data has been validated based on a favorable signal-to-noise and detection limit A Amount detected is less than the Lower Method Calibration Limit J Estimated Concentration. O The recovery of this analyte in the OPR is above the Method QC Limits and the reported concentration in the sample may be biased high E Amount detected is greater than the Upper Calibration Limit S The amount of analyte present has saturated the detector. This situation results in an underestimation of the affected analyte(s) Q Indicates the presence of a quantitative interference. This situation may result in an underestimation of the affected analyte(s) Indicates the presence of a qualitative interference that could cause a false positive or an overestimation of the affected analyte(s) DPE Indicates the presence of a peak in the polychlorinated diphenylether channel that could cause a false positive or an overestimation of the affected analyte(s) TIC Tentatively Identified Compound EMPC Estimated Maximum possible Concentration due to ion ratio failure ND Not Detected K Result is estimated due to ion ratio failure in High Resolution PCB Analysis P RPD > 40% between results of dual columns D Spike or surrogate was diluted out in order to achieve a parameter result within instrument calibration range Samples requiring manual integrations for various congeners and/or standards are marked and dated by the analyst. A code definition is provided below: M1 Mis-identified peak Note Results pages that include a value for "Solids (%)" have been adjusted for moisture content. LIS C. 141 f 1191035O 1557 0;wtvs!Iscvr 4er r�' 5.1S6rrclS5SSA1 Page 2 of 22 Sample Summary Client Sample ID Lab Sample ID Collected Received Matrix 140 Duffel! 001 31300402001 03/14/2013 10:00 03/15/2013 09:55 Water I -:CQ 3isir ess Dr US • 292.C= V'vihr, v�ior, •.0 t =iC 3 : 1 i 3 ( o 91U 3501557 art.« figs c07 uelvw SsS GI..: I SJSS81 Page 3 of 22 Results of 140 Outfall 001 Client Sample ID: 140 Outfall 001 Client Project ID: 140 Franklin Lab Sample ID: 31300402001-A Lab Project ID: 31300402 `- Results by SW-846 8260B Parameter 1,2-Dichloroethane Benzene Ethyl Benzene Naphthalene Toluene Xylene (total) tert-Butyl methyl ethe Surrogates 1,2-Dichloroethane-d4 100 64.0-140 % 1 03/19/2013 11:21 4-Bromofluorobenzene 99.0 85.0-115 % 1 03/19/2013 11:21 Toluene d8 101 82.0-117 % 1 03/19/2013 11:21 Collection Date: 03/14/2013 10:00 Received Date: 03/15/2013 09:55 Matrix: Water Result Qual DL LOQ/CL Units DF Date Analyzed ND U 0.296 1.00 ug/L 1 03/19/2013 11:21 ND U 0.156 1.00 ug/L 1 03/19/2013 11:21 ND U 0.251 1.00 ug/L 1 03/19/2013 11:21 ND U 0.217 1.00 ug/L 1 03/19/2013 11:21 ND U 0.195 1.00 ug/L 1 03/19/2013 11:21 ND U 0.298 2.00 ug/L 1 03/19/2013 11:21 r (MTBE) 2.29 0.200 1.00 ug/L 1 03/19/2013 11:21 Batch Information :03 3Lsiress Or US . _ _.. .. •ij on. NC t • IC 2E 191? 1 1910350 T557 icv,,•. top _vr Page 4 of 22 Meru o' r•r S1S G,:: ISSS Se Results of 140 Outfall 001 r Client Sample ID: 140 Outfall 001 Client Project ID: 140 Franklin Lab Sample ID: 31300402001-E Lab Project ID: 31300402 Collection Date: 03/14/2013 10:00 Received Date: 03/15/2013 09:55 Matrix: Water Results by SW-846 6010C Parameter Result Qual DL LOQ/CL Units DF Date Analyzed Lead 0.00615 J 0.00607 0.0100 mg/L 1 03/20/2013 14:06 Batch Information e.s Dr US 2gec5 y'vihn ig1on. " C 1 :1C 35C 15C? f 91U 350155? Page 5 of 22 \1Nm::.S5S SAS Results of 140 Outfall 001 .s, Client Sample ID: 140 Outfall 001 Client Project ID: 140 Franklin Lab Sample ID: 31300402001-F Lab Project ID: 31300402 Collection Date: 03/14/2013 10:00 Received Date: 03/15/2013 09:55 Matrix: Water Results by SM 2540-D Parameter Result Qual DL LOQ/CL Units DF Date Analyzed Total Suspended Solids ND U 2.50 25.0 mg/L 1 03/18/2013 14:32 Batch Information S `..f 1 • =1i_ ==: t.' 510350 1551 rcJ. .p^-:'LT Page 6 of 22 Nercr ,'rr5S5rn::15555. , - Results of 140 Outfall 001 Client Sample ID: 140 Outfall 001 Client Project ID: 140 Franklin Lab Sample ID: 31300402001-D Lab Project ID: 31300402 Collection Date: 03/14/2013 10:00 Received Date: 03/15/2013 09:55 Matrix: Water Results by SM 4500-H+ B pH Parameter Result Qual DL LOQ/CL Units DF Date Analyzed pH 6.96 0.0100 0.0100 S.U. 1 03/20/2013 15:58 pH at Temperature 21 deg. C 1 03/20/2013 15:58 Batch Information 5Ct7 3isiressbr US • 2?4C5 *din C 1 .1 91C 3E6 1.SC3 f r' 91U35U 1557 vv vjs co'r Page 7 of 22 Men::-d—•e53SCity: ISCSSd, Results of 140 Outfall 001 Client Sample ID: 140 Outfall 001 Client Project ID: 140 Franklin Lab Sample ID: 31300402001-G Lab Project ID: 31300402 Collection Date: 03/14/2013 10:00 Received Date: 03/15/2013 09:55 Matrix: Water Results by EPA 420.1 (SUB) Parameter Result Qual DL LOQ/CL Units DF Date Analyzed Phenol ND U 0.00400 mg/L 1 03/21/2013 0:00 r _c^ Ca US 29:ilir,19:e1). \C t .1 51C 3E, 15C: t •' 91O3501557 af. c sgs :(1 tfrccr s! rr 555 0i v::.1555 SA, Page 8 of 22 / Batch Summary Analytical Method: SW-846 8260B Client Sample ID LCS for HBN 33714 [VXX/4570] LCSD for HBN 33714 [VXX/4570] MB for HBN 33714 [VXX/4570] 140 Outfall 001 GM-10 MS GM-10 MSD Prep Method: SW-846 5030E Prep Batch: VXX4570 Prep Date: 03/19/2013 07:42 Lab Sample ID Analysis Date 109013 03/19/2013 09:43 109014 03/19/2013 10:07 109015 03/19/2013 10:57 31300402001 03/19/2013 11:21 31300422002 03/19/2013 20:04 31300422003 03/19/2013 20:29 Analytical Batch VMS2874 VMS2874 VMS2874 VMS2874 VMS2874 VMS2874 Instrument Ana st MSD8 BWS MSD8 BWS MSD8 BWS MSD8 BWS MSD8 BWS MSD8 BWS I ;)t 1 I' 910350 i557 Page 9 of 22 Merct-:10 S3SG,=IS_555 SGS Method Blank A44A1.•T1CIA. PiB%iCYT 1 Blank ID: MB for HBN 33714 [VXX/4570] Matrix: Water Blank Lab ID: 109015 QC for Samples: 31300402001 Results by SW-846 8260B Parameter Result Qual DL LOQ/CL Units DF tert-Butyl methyl ether (MTBE) ND U 0.200 1.00 ug/L 1 Benzene ND U 0.156 1.00 ug/L 1 1,2-Dichloroethane ND U 0.296 1.00 ug/L 1 Toluene ND U 0.195 1.00 ug/L 1 Ethyl Benzene ND U 0.251 1.00 ug/L 1 Xylene (total) ND U 0.298 2.00 ug/L 1 Naphthalene ND U 0.217 1.00 ug/L 1 Surrogates 1,2-Dichloroethane-d4 100 64.0-140 % 1 Toluene d8 100 82.0-117 % 1 4-Bromofluorobenzene 103 85.0-115 % 1 Batch Information :., 51.sir es; Di 05 • 122C5 1 .191C 2EC 150? f4 910 350 4557 a•r, e: sgs:Gv mems2— SASIS§SS6 Page 10 of 22 Blank Spike Summary Blank Spike ID: LCS for HBN 33714 [VXX/4570] Blank Spike Lab ID: 109013 Date Analyzed: 03/19/2013 09:43 QC for Samples: 31300402001 l- Results by SW-846 8260B Spike Duplicate ID: LCSD for HBN 33714 [VXX/4570] Spike Duplicate Lab ID: 109014 Date Analyzed: 03/19/2013 10:07 Matrix: Water Blank Spike (ug/L) Spike Duplicate (ug/L) Parameter Spike Resuit Rec % Spike Result Rec (%) CL RPD (%) RPD CL tert-Butyl methyl ether (MTBE) 5.00 5.02 100 5.00 5.69 114 47.0-142 13 30.00 Benzene 5.00 4 80 96 5 00 4 93 99 76.0-124 2.7 30 00 1,2-Dichloroethane 5.00 4 77 95 5.00 5 35 107 76.0-119 11 30.00 Toluene 5.00 4.58 92 5.00 4.95 99 75.0-123 7.8 30.00 Ethyl Benzene 5 00 4.0:3 81 5.00 4.67 93 76.0-123 15 30 00 Naphthalene 5.00 4 59 92 5.00 5.40 108 67.0-122 16 30 00 Surrogates 1,2-Dichloroethane-d4 Toluene d8 4-Bromofluorobenzene Batch Information Analytical Batch. VMS2874 Analytical Method: SW-846 8260E Instrument. MSDB Analyst: BWS 97 98 64.0-140 102 98 32.0-117 102 101 85.0-115 Prep Batch: VXX4570 Prep Method: SW-846 5030B Prep Date/Tirne. 0311912013 07:42 Spike Init Wt.IVol.. 40 mL Extract Vol. 40 rnL Dupe nit Wt.Nol 40 mL Extract Vol 40 mL _.__;r irflSSbr U$-28-C:• •OAT' jton.$C 1.1;1C35315L5 fr'9103501557 r:.a•;g,:rr Page 11 of 22 MembrofThe SLSCswoISGSSAI PrAS,F.'.771T= ,— Batch Summary Analytical Method: SW-846 6010C Client Sample ID MB for HBN 33693 [MXX/2681] LCS for HBN 33693 [MXX/2681] LCSD for HBN 33693 [MXX/2681] 5288(108735MS) 5288(108735MSD) 140 Outfall 001 140 Outfall 001(108878DUP) Date 34 0:;2013 Prep Method: SW-846 3010A Prep Batch: MXX2681 Prep Date: 03/18/2013 08:40 Lab Sample ID Analysis Date 108922 03/20/2013 13:16 108923 03/20/2013 13:22 108924 03/20/2013 13:28 108925 03/20/2013 13:41 108926 03/20/2013 13:47 31300402001 03/20/2013 14:06 108927 03/20/2013 14:12 Analytical Batch Instrument Analyst MIP1951 ICP1 PSW MIP1951 ICP1 PSW MIP1951 ICP1 PSW MIP1951 ICP1 PSW MIP1951 ICP1 PSW MIP1951 ICP1 PSW MIP1951 ICP1 PSW N C Cer,:1 a!,cn # 481 S3� 3tsir nss Dr US 29,45 W to i igloo, NC 141 91C 3E019Ci2 f 0 910 3501557 who: sgs Corr Page 12 of 22 Member of eK SGS Grow. ISGS SAI ANAIY]ICAI r"[N%Dff.TTVfl Method Blank Blank ID: MB for HBN 33693 [MXX12681] Blank Lab ID: 108922 QC for Samples: 31300402001 Results by SW-846 6010C Matrix: Water Parameter Result Qt DL LOQ/CL Units DF Lead ND U 0.00607 0.0100 mg/L 1 Batch Information Anaiyucai batcn Analytical Method. SW-846 6010C Instrument ICP1 Analyst PSW Prep batch MXX2681 Prep Method SW-846 3010A Prep Date/Time: 3/18/2013 8:40:05AM Prep Initial Wt.Nol.: 50 mL Prep Extract Vol 50 mt.. uii c.; Dr US • c'-L_• .''iihri ig:un. \C 1 +i 9/02501557 r;^, : l xi Page 13 of 22 Membr• of Mr SUS Group ISO S41 Blank Spike Summary — --- Blank Spike ID: LCS for HBN 33693 [MXX/2681) Blank Spike Lab ID: 108923 Date Analyzed: 03/20/2013 13:22 QC for Samples: 31300402001 Results by SW-846 6010C Parameter Lead Batch Information Spike Duplicate ID: LCSD for HBN 33693 [MXX/2681) Spike Duplicate Lab ID: 108924 Date Analyzed: 03/20/2013 13:28 Matrix: Water Blank Spike (mg/L) FiesIft 104 Spike Duplicate (mg/L) Rec % RPD (%) 104 0.72 5;JJSsir ,2ssCr US 21:1=_5•vvilin1jon.t.151CJE0151;7! f910 350 1557 .....sns:c-r Page 14 of 22 Mernh.• v1 nr Su"S G17= ISGSSAI Duplicate Sample Summary Original Sample ID: 31300402001-E Analysis Date: 03/20/2013 14:06 Duplicate Sample ID: 108927 Analysis Date: 03/20/2013 14:12 Matrix: Water QC for Samples: 31 300402001 Results by SW-846 6010C PARAMETER Original (mg/L) Qua! Duplicate (mg/L1 Lead 0.00615 J ND Batch Information ual RPD (%) RPD CL U 20.00 ;11 i,l}.n. 1 t1t+•91U 350 i557 S(S OG1 Page 15 of 22 +.1w•c:•�' 373G„- I5:1SSA, Batch Summary Analytical Method: SM 2540-D Client Sample ID MB for HBN 33706 [ LCS for HBN 33706 140 Outfall 001 Prep Method: SM 2540-D Prep Batch: INO2415 Prep Date: 03/18/2013 14:32 Lab Sample ID Analysis Date Analytical Batch Instrument Analyst NO/2415) 108978 03/18/2013 14:32 INO2415 BAL10 DES [IN0/2415] 108979 03/18/2013 14:32 INO2415 BAUD DES 31300402001 03/18/2013 14:32 INO2415 BAUD DES >'J 3L ir.ess Cif US • 2E41' • 4'lilir. vl:pn. NC f .' 9t035U 1557 ev.c: sgs _gin Page 16 of 22 tfr,:: r rSSSGr,.c�S $i SG$ Method Blank Blank ID: MB for HBN 33706 [INO/2415] Blank Lab ID: 108978 QC for Samples: 31300402001 Results by SM 2540-D Parameter Total Suspended Solids Batch Information Matrix: Water Result Qual DL LOQ/CL Units DF ND U 2.50 25.0 mg/L 1 Bi sir ;.:ss. Or US • 2.9,1".: *dr t •". 2.-=•:: 1 f 911:1 350 /557 kVi• 414. s s :CT Page 17 of 22 r- Blank Spike Summary Blank Spike ID: LCS for HBN 33706 [INO/2415] Blank Spike Lab ID: 108979 Date Analyzed: 03/18/2013 14:32 QC for Samples: 31300402001 Results by SM 2540-D Parameter Total Suspended Solids Batch Information Matrix: Water Blank Spike (mg/L) Rec(%) 82 'r.>ir e_sC, US • 2 'C: .°:ilin rq;un.'rC 1 _11 lEt' f •. 91113501557 r..sa sp_ _er Page 18 of 22 '.1er: f-tS3SGr_trSS5SA. ANALYTICAL & CONSULTING CHEMISTS Environmental Chemists, Inc. 6602 Windmill Way • Wilmington, NC 28405 (910) 392-0223 (Lab) • (910) 392-4424 (Fax) 710 Bowsertown Road • Manteo, NC 27954 (252) 473-5702 NCDENR: DWQ CERTIFICATE #94. DLS CERTIFICATE #37729 SOS Environmental Services, Inc. 5500 Business Drive Wilmington NC 28405 Attention: Michael Page Date of Report: Mar 27, 2013 Customer PO #: Report #: 2013-03036 Report to: Michael Page Project ID: 31300402 Lab ID Sample ID: 31300402-001 13-07329 Site: Test Method Collect Date!Time Matrix Sampled by 3/14/2013 10:00 AM Water Client Results Date Analyzed Inorganic Phenols EPA 420.1 < 0.004 mg/L 03/21/2013 Comment: Reviewed by: / 47)---- Report#:: 2013-03030 Page 19 of 22 Page 1 of 1 ZZ to OZ a6ed SG$ ANALrncAI. Rumpacmes CHAIN OF CUSTODY SGS ANALYTICAL PERSPECTIVES 5500 Business Drive Wilmington, NC 28405 +1 910 3501803 G&COM •p Sc3" 3 l CUENT: S4-5 �• t rl Y,-r . ' :w•,... •::;;.:Y �ii:i ;::- • i �i �_t. .7i , PAGE I PHONE NO: (q/O) 3 50 1 q03 CONTACT: iG1,4 r 1 is'it' i ..,, I „ t # TYPE n>„, OF PROJECT: ,313 b ekt 0 SITE/ PWSID / WBS 0 : C 0 REPORTS TO: EMAIL: ai I c,h c,l °� foie e s S. COh A I R S COMP OM GRAB 1 //////// REMARKS INVOICE TO: QU aY J 14SUMBER 3 f Jots-f �- P.O.P.Ot ♦ 1,;-��i tit/ _�:•�� 1"•i = ^',•�,.}�:,� ,y},,�c� tit u t:_. t• 1 Zv rlii• SAMPLE IDENTIRCATION DATE TIME MATRIX >p0alrl "� I.V/� - a/ 3)1 �„Ijjj 13 I DI ) t4— 3 & q7.52I4 ., / y 1:4F1-Ir • it,... g -1 :.:i7:is.,z 'rail h•ill ••r •;iC 1r9 "p,":•,•:1 �7 .", 1. onvi !!]rstMl! i- t. 1'r�•t _ I.fi: •'i 3•ii•'LL.'tlt .:• • iL� ellri�tt�try�iliil!n•:::: ': yA, COLLECTED/REUN S ED BY: (1) a Dr 3 TIME 104'5 REC - ED BY: '.'r ' REPORT LEVEL 0 Level I 0 Level II 0 Level IV REQUESTED TURNAROUND TIME: 0 Rush: 0 Standard Relinquished By: (2) Date TheReceived By: t SPECIAL DELIVERABLES: State of Origin: 0 Trust Fund 0 DOD 0 EDD: Other: Relinquished 8y: (3) Date Time Received By: SPECIAL INSTRUCTIONS: ......... «. .. ... «u ... rn. ..._. - .• , j.r ,!...• _ .. . 6 It ' •' I t .ilT:l:::tt �Lti[� i{ .,1 .t {.LT .. � .• i,_i. 'i' .1. 7• .. _.1.. . �. •.. .... I..... t..l.»».T1�L tw :: ,..« , r •r. r • . �. ,,, 7 . L. •. __..-...... .Y ...'i.�-1 :L�r_t�l... . •- It/, ti '�. .. .. ..«» t.CL..p. .. . ; .._...�. •. ., 7.. Si 1NY:.-x •.. .. 7 i?Iit '''' ,, -•� .... . x, yy 1i11!tSt-i!itlYl•. C.. ..: i. . ,. .,.I.Iti-utlu,'i.1QL!{P._._ . r .-`P.._. r. +l.�:..9:..srflt't t N �• .� rtit:::�l:+i:1.,71tlit1L:712: u.r !• ,, _.1 Y!. I�•.. .ti .!tk.i .14« `l...•y k._. - t. •_.-• ' ._ N ... .«. I..tL .!.p'•7_._.. �•. 1._ri .+� : .�.�•, 4,,,,i iiiN l' .r_L- , • i.�....«i:�l41;,,, _. ..{: .._ .l t .._. ._ . _ a! 1.....:: �:IS•c::•t! _u, ,.u�. . su l lttc !,�,:Tatar:rte:1!lrtt�rtti:�':+l:.ltt7'e':�tt':•: s::..: �uiieutx'3tt.��k�,e• :: .�..., •:. ._»S.LIfO,_L:.n_ -,I•.:iLl:lt «— Jt :. _" TI.. t .. ._...:' �... .. !._.. .. u: ...... � . • ,�? S i .►_. -._p r71 AL -' - Rf tY ;RI .,i� .,�r•.��mt 1.... t-:':. '— .. +. . `r :4 .S - _se: ., r ..a ._ _!!•• .. 1 �i'fr.4.i, �' L_I .'�T3. t .. ir._••'�', f!D t!L t._ si._� _ ,, t7i- . � .. � .�: — .2:. L'fL.bK[s. -�� t •r.... !.rt! i',•:rJttteni ._ _ .. .., . LsN,rl,..u7._ .y.%! �.. .l ,.} .L't:N—Y. .+: . 4,. .� ..� r � • • • .Lt�}�.t!�Q r W?d$C s r 1- 7 . t K! . , s : •.iei J , : l.,r t,L. ll l_ .:.%� .1•s[�4 (ry�t: YY l.1ti �tllil�. - -' • � 1' �Z" �'•1it•i! t ' r �t .3?- - r :.1 ! _.:t:ra.. !!tt :.::. .L..l.�t � .-. L�: _ tlr.l }tt: t 'i �[ ' 7i r'ir l�i pp-.. , .l�l=.f . _ •Q:: •-. ^. . L ItL_ r _ .. �-.. .• �-2...ttn tt�'"� f1....L..,::et:et!: '. t- y, •p•. _ . .. :.. a UV. tt ..:1. TiYl1<`iL ItlCrt.i- .,�. !....• _l`""•I_•�? •.. -1,'� :.i:l! ' -- 4 1 yam- 1 t •• _.'-�t• .J. _ ^� - ..i.. ,) .,»-tf:-c�r� !'i` - K l.,. Kh�.r tc. 't:r Y.,n:k><it. j. huz` •--= ..I :..t. .`lei !''lp.:L N!• r`i K''r'. - rliti .• r•:.: .4.1:.:_-.. . Ee :-?:•:: nits!—�'t'- -•.._. ..... .._. t !f :a•i'i:t�iktr' i J.. .,y� ..ii: _... i.; :l ! - •i:E!1 �RiFti� : j.. :�}.::'_• '1 ' , •• r •»T^mot ..it• -: i 7 t._ _ J - _ il�,'•Y �i,' .. + _ 1 ... .�:.1.. .,.rs.•.n r :•:t. ::i^ ; {; .. •'t ( ::T� - ..J 1 - t - - .. !.> .tit . r'..L•. tw _.... .... • . . .. . � 7t; .1:kL}L4.: � ... • ._ r!n,irr7ip.Lir.,. . .t - . a•::.ua•tt7 .....�i•. - -r ' !. �•t�•ta',4,h�.. 5�1: li .. . n t :t •' .,- ,� .. .,.:..,:. .. r..� :g.. .iit�t. ,,�, .�' — .. . ,_ »..r7}�. It t } •r... Kl -., r L..._.t •� -, . ...y u,3;;►. .!...1.+,1..,••- , ... ,. _... .. ,. SGS-00055 t88/121 ANALYTICAL PERSPECTIVES IS NOW PART OF SGS,THE WORLD'S LEADING INSPECTION, VERIFICATION, TESTING AND CERTIFICATION COMPANY. Whtte - Retained by Lab Yellow - Retained by Client SG$ CHAIN OF CUSTODY RECORD SGS North America Inc. Locations Nationwide • Alaska • Maryland • New Jersey • New York • North Carolina • Ohio www.us.sgs.com 107236 1 CUENT: AAkMoA9s R wA+ 442ouo SGS Reference: ' PAGE OF PHONE NO( 2I3oc02 - CONTACT. Q�AA VQ) 3L y 5'G%�C I l'GGiJ !! // , [ / /i N o 4 SITE/PWSID# : SAMPLE "TYPE ua8 ed ✓ V d / : i PROJECT. / 110 f V �7'1�V I—v. ��� C REPORTS TO: NCOMPFAX NO.:( ) T n4flnoj15 Roqulred O INVOICE TO: QUOTE #: A P.O.NUMBER: N1'ER GGRAS `�• /13/C0.% NO. SAMPLE IDENTIFICATION DATE TIME MATRIX S �� '`, 0LAB REMARKS l lO ouirrAu.. oo ( 3- ('{-i3 t000 O 0 6 ✓ v J V• ✓ _ VerX, M.-B 0 l 2, oc�>! 1 3240 . . . . . . , _ . . , Collect e quashed By:(1) Date 3 /3 Time At" Received By: ,,,le a 5158 ga ( Shipping Carrier. Shipping Ticket No: Samples Received Cold? (Circle) YES NO Temperature°C:__ ft W • 0 elinquish d By: (2) Date lime Received By: Special Deliverable Requirements: Chain of Custody Seal: (Circle) • INTACT BROKEN 6BSENT Relinquished By: (3) Date Time Received By: — Special Instructions: Relinquished By: (4) 3 ate 1ilaeld0.41 lime .Date Received By: Requested Tumaround Time: ■ RUSH STD ' a Dq Q�ii Needed O 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 552-2343 Fax: (907) 561-5301 O 5500 Business Drive Wilmington, NC 28405 Tel: (910) 350-1903 Fax: (910) 350-1557 White • Retained by Lab Pink - Retained by Client SGS North America Inc. Sample Receipt Checklist (SRC1 Client: Ammons Work Order No.: 31300402 1. X Shipped Notes: Hand Delivered 2. X COC Present on Receipt No COC Additional Transmittal Forms 3. Custody Tape on Container X No Custody Tape 4. X Samples Intact Samples Broken / Leaking 5. X Chilled on Receipt Actual Temp.(s) in °C: 3.6° Ambient on Receipt Walk-in on Ice; Coming down to temp. ATL 6. X Sufficient Sample Submitted Insufficient Sample Submitted 7. Chlorine absent X HNO3 < 2 X HCL < 2 X Additional Preservatives verified (see notes) 8. X Received Within Holding Time Not Received Within Holding Time 9. X No Discrepancies Noted Discrepancies Noted NCDENR notified of Discrepancies* 10. X No Headspace present in VOC vials Headspace present in VOC vials >6mm Comments: H2SO4 Inspected and Logged in by: BAH Date: Fri-3/15/13 00:00 *NCDENR must be notified when collection, holding time or preservation requirements are not met. MI_11.6 Page 22 of 22 EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH February FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE YEAR 2013 CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons PERSON(S) COLLECTING SAMPLES Fred Ammons CHECK BOX IFORC IASCDANCED ^ I ❑ Mail ORIGINAL and ONE,OPl' lo.• Z013 ATTN: CENTRAL FILES rr �� VV 4 GRADE I CERTIFICATION NO. 992126 ORC PHONE (919) 369-5679 NO FLOW / DISCHARGE FROM SITE DIVISION OF WATER QUALITY I(S1 NAT ' E 1 OPE R IN RESPONSIBLE CHARGE) 1617 MAIL SERVICE CENTER AL ILEA BY THIS SIGNATURE, I CERTIFY THAT TIIIS REPORT IS RALEIGH, NC 27699-1617 WO/' )(y ACCURATE AND COMPLETE. TO TIIE BEST OF MY KNOWLEDGE. /3 DATE DATE Operator Arrival Time 2400 Clock Operator Time On Site ORC On Site? ** 50050 34030 34371 34010 81551 22417 34696 01051 00530 00400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE z w 0 i-. TOTAL XYLENES METHYL TERT_BUTYL ETHER(MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) . 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFNfl INF ❑ F G a HRS HRS Y/B/N MGD UG/1. UG/I. UG/L UG/L UG/L LJG/L UG/L mg/L UG/L UG/L 1 0.000000 2 0.000000 3 0.000000 4 0.000000 5 0.000000 6 1400 2 yes 0.000000 7 0.000000 `EjD 8 0.000000 QECEi! `/ (,j 9 0.000000 10 0.000000 N O V 1 8 2 )13 II 0.000000 12 0.000000 ^. c^ .iu i' i aELTION 13 0.000000 `.w61"1, ODn(:E$ ING OW 14 0.000000 15 1400 2 yes 0.000000 16 0.000000 17 0.000000 18 0.000000 19 0.000000 20 1400 2 yes 0.000000 21 0.000000 RECEIVED 22 0.000000 23 0.000000 24 0.000000 APR 1 5 2014 25 1400 2 yes 0.000000 26 0.000000 CENTRAJ FILES 27 0.00000o C WQ/R DG 28 0.000000 AVERAGE 0.000000 MAXIMUM MINIMUM Comp. (C) / Grab (G) G Daily Maximum 1.19 97 I 1 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) 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 X 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 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. "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Jon Keener, 140 West Franklin, LLC Permittee (Please print or type) Sign tui'e of Permittee*** Date (Required unless submitted electronically) Permittee Address Phone Number e-mail address Permit Expiration Date 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 February 28, 2017 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.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 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 I5A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH January YEAR 2013 FACILITY NAME 140 WEST FRANKLIN CLASS NA COUNTY ORANGE CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Amnions GRADE 1 CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons ORC PHONE (919) 369-5679 �� CHECK BOX IF ORC H ��.�� G11ANGED 0 n _ NO FLOW / DISCHARGE FROM SITE * L�J Mail ORIGINAL and ONE OPY to:, ATTN: CENTRAL FILES DIVISION OF WATER QUALITY (SI A I Oh OR IN SPONSIBLE CHARGE) 1617 MAIL SERVICE CENTEI�,EI� 1 Kiz- i ILES BY THIS SIGNAT RE, 1 CERTIFY'I'IIAT THIS REPORT IS RALEIGH, NC 27699-1617 n\NOISQG 1CC[1RA't'F. AND COMPLETE TO THE BEST OF MY KNOWLEDGE DATE_ DATE Operator Arrival Time 2400 Clock Operator Time On Site * d m o a o 50050 34030 34371 34010 81551 22417 34696 01051 00530 00400 32103 03604 00556 FLOW m z lal N Z 14 ETHYLBENZENE TOLUENE TOTAL XYLENES METHYL TERT_BUTYL ETIIER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) S G 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFFNO INF ❑ W 7 FIRS IIRS Y/BIN MGD UG/L UG/L UG/L UG/L UG/L UG/l. UG/L mg/L UG/1. UG/L 1 0.000000 2 0.000000 3 0.000000 4 0.000000 5 0.000000 6 0.000000 7 0.000000 8 0.000000 9 1300 2 yes 0.000000 10 0.000000 11 0.000000 12 0.000000 13 0.000000 14 0.000000 15 1400 2 yes 0.000000 16 0.000000 17 0.000000 18 0.000000 19 0.000000 20 0.000000 21 1400 2 yes 0.000000 22 0.000000 23 0.000000 24 0.000000 25 0.000000 26 0.001)000 27 0.000000 28 0.000000 29 1200 2 yes 0.000000 30 0.000000 31 0.000000 AVERAGE 0.000000 MAXIMUM MINIMUM Comp.(C)/Grab(G) G Daily Maximum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR -I (11/04) 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 Noncompl iant 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. "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Jon Keener, 140 est Frankli , LLC o Permittee* equired unless submitt- . electronica y Permittee Address Phone Number 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 e-mail address ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Environmental Testing Solutions, Inc Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Permit Expiration Date February 28, 2017 37 Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.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 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 15A NCAC 8G .0204- *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ARG Ammons Resource Group 2040 Peach Grove Lane Zebulon, NC 27597 919-369-5679 fredammons@att.net January 27, 2013 To Whom It May Concern Central Files North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 rn Z m T Subject: DECEMBER 2012 DISCHARGE MONITORING REPORT 140 WEST FRANKLIN, LLC Umi m 140 WEST FRANKLIN STR CHAPEL HILL, ORANG - OUN , ORTH CAROLINA NPDES PERMIT NO. Dear Sir/Madam: Attached is the December 2012 Discharge Monitoring Report for the 140 West Franklin site on Franklin Street in Chapel Hill, North Carolina. This work was conducted under NPDES Permit No. NCG510532. Discharge from site dewatering activities to outfall 001 began May 17, 2012. Water samples will be collected from outfall 001 during the next flow discharge event (possibly January 2013) for the quarterly sampling event as required by the permit. Flow rates were recorded and documented and were below the permitted daily maximum limits. This information is submitted as required by Part II, of Section D. (2.) of its NPDES Permit. If you have any questions or need additional information, please feel free to contact me at 919- 369-5679. Sincerely, Ammons Resour e Group F ORC Enclosures: December 2012 DMR cc: Mr. Jon Keener, 140 West Franklin, LLC Mr. Mike Taylor, Chapel Hill EFFLUENT NPDES PERMIT NO. NCG510532 DISCHARGE NO. 001 MONTH December YEAR 2012 FACILITY NAME 140 WEST FRANKLIN CERTIFIED LABORATORY (1) SGS Environmental Services, Inc CERTIFICATION NO. 481 (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Fred Ammons GRADE 1 CERTIFICATION NO. 992126 PERSON(S) COLLECTING SAMPLES Fred Ammons ORC PHONE (919) 369-5679 CHECK BOX IF ORC HAS CHANGED ❑ NO FLOW / DISCHARGE FROM SITE * CLASS NA COUNTY ORANGE Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 ( ‘'' GNA OF OPERATOR IN RESPONSIBLE CHARGE) Y THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. /•27 /3 DATE 0 DATE Operator Arrival Time 2400 clock Operator Time On Site ORC On Site? ** 50050 34030 34371 34010 81551 22417 34696 01051 00530 00400 32103 03604 00556 FLOW BENZENE ETHYLBENZENE TOLUENg TOTAL XYLENES METHYL TERT_BUTYL ETHER (MTBE) NAPHTHALENE TOTAL LEAD TOTAL SUSPENDED SOLIDS (TSS) S a 1,2 DICHLOROETHANE (1,2 DCA) TOTAL PHENOLS OIL AND GREASE EFF)11 INF 0 DAILY RATE HRS HRS Y/BiN MGD UG/L UG/L UG/L UG/L UG/L UG/L UG/L mg,/L UG/L UG/L 1 0.004130 2 0.004130 3 700 2 yes 0.004130 4 0.003858 5 0.003858 6 0.003858 , 7 0.003858 8 0.003858 9 0.003858 10 1200 2 yes 0.003858 11 0.003520 12 0.003520 13 0.003520 14 0.003520 15 0.003520 16 0.003520 , 17 0.003520 18 0.003520 19 0.003520 20 1300 2 yes 0.003520 21 0.003520 22 0.000000 23 0.000000 24 0.000000 25 0.000000 26 0.000000 27 0.000000 28 0.000000 29 0.000000 30 0.000000 31 1200 2 yes 0.000000 AVERAGE 0.002520 MAXIMUM MINIMUM Comp. (C) / Grab (G) G Daly Maximum 1.19 97 11 670 19 12 25 30 6<pH<9 0.38 300 monitor DWQ Form MR-1 (11/04) 9 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 x Compli int 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 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. "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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations." Jon Keener, 140 West Franklin, LLC Permittee (Please print or type) Signature of ittee*** Date unless submitted electronically) r (13, Permittee Address Phone Number 126 West Franklin Street, Chapel Hill NC 27516 (919) 868-1678 Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) e-mail address ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Permit Expiration Date February 28, 2017 Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.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 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 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2