NCG210028_2021 DMR_20210518

Baxter
May 17, 2021
NCDEQ Division of Water Quality
Attn: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1636
RE: Certificate of Coverage No. NCG210028
Year 3 — Period 1
Stormwater Discharge Outfall Monitoring Report
Baxter Healthcare Corporation
Enclosed is the semiannual SDO monitoring report as required by the General Stormwater Permit
NCG210028, Part II, Section B. All sample results are within benchmark limits, with the exception of
one. Outfall STO 6 exceeded the benchmark limit for TSS. A Tier 1 response was performed, and a
contributing source was not discovered during the site inspection. At this point in the reporting period,
no discharge obtained from Outfalls STO 5 and 7 has occurred.
If you have any questions regarding this report, please contact Corey Carpentier at 828-756-6636.
I certify, under penalty of law, that this document and all attachments were prepared under my direction
or supervision in accordance with a system designed to assure that qualified personnel properly gather
and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
system, or the persons directly responsible for gathering the information, the information submitted is, to
the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information including the possibility of fines and imprisonment for
knowing violations.
Sincerely,
Corey Carpentier
EHS
Enclosures: Semiannual DMR. Submitted electronically
Baxter Healthcare Corporation
PO Box 1390. Marion, NC 28752
T 828.756.4151

NCDEQ Division of Energy, Mineral and Land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG210000
Timber Products
Click here for instructions
Complete, sign, scan and submit the DMR via the 5tormwater NPDES Permit Data Monitoring Report (DMRj Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Regional Office.
Certificate of Coverage No. NCG210028
Person Collecting Samples: Stephen Gouge
Facility Name: Baxter Healthcare Corporation
Laboratory Name: Baxter WWTP Lab
Facility County: McDowell
Laboratory Cert. No.: 935
Discharge during this period: ❑✓ Yes ❑ No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? ❑✓ Yes []No
If so, which Tier (I, II, or III)? Tier I
A copy of this DMR has been uploaded electronically via httPs.Bedocs.deq.nc.gov/Forms SW-DMR 0 Yes ❑ No
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities— Benchmarks in (Red)
Parameter
Code
Parameter
Outfall STO 6
Outfall NA
Outfall NA
Outfall NA
Outfall NA
N/A
Receiving Stream Class
Tr
NA
NA
NA
NA
N/A
Date Sample Collected MM/DD/YYYY
03/25/2021
NA
NA
NA
NA
46529
24-Hour Rainfall in inches
3.2
NA
NA
NA
NA
C0530
TSS in mg/L (100 or 50')
71.4
NA
INA
INA
INA
00340
Chemical Oxygen Demand (120)
57
INA
INA
INA
INA
Additional parameters for outfalls in drainage areas that use >55 gallons per month of new hydraulic oil on average
00552
Non -Polar Oil & Grease in mg/L (15)
NA
NA
NA
NA
NA
NCOIL
Estimated New Motor/Hydraulic Oil
Usage in gal/month
NA
NA
NA
NA
NA
Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (PNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
Notes (optional): Final sampling results received on 4/20/2021
"1 certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
false i motion, including the possibility of fines and imprisonment for knowing violations.
Signature of Permitt a Delegated Authorized Individual
5/3/2021
Date
Email Address [e-mail] Phone Number 828-756-6608

Environmental
Quality
Stormwater Discharge Outfall (SDO)
Qualitative Monitoring Report
For guidance onftlling out thisform, please visit https:`:-deq.ne.gov;'about/divisions/energy-mineral-land-resources?
npdes-stormwater-gps
Permit No.: NIClGl21 `1010l Ql Dl or Certificate of Coverage No.: N/C/G/ 2 / I / U/ 0/ -1/t
Facility Name:
County: r) C
Inspector:
Date of Inspection:
Time of Inspection:
tt
Total Event Precipitation (inches): 31Z
Phone No. - 1 S - S
All permits require qualitative monitoring to be performed during a "measurable storm event."
A "measurable storm event" is a storm event that results in an actual discharge from the permitted site
outfall. The previous measurable storm event must have been at least 72 hours prior. The 72-hour storm
interval does not apply if the permittee is able to document that a shorter interval is representative for
local storm events during the sampling period, and the permittee obtains approval from the local DEMLR
Regional Office.
By this signature, I certify that this report is accurate and complete to the best of my knowledge:
(Signature of Permittee
1. Outfall Description: '
OutfalI No. &TO Structure (pipe, ditch, etc.): P t
Receiving Stream:
NOkrl4 CAI Aw,3
Describe the industrial activities that occur within the outfall drainage area:
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2. Color: Describe the color of the discharge using basic colors (red, brown, blue, etc.) and tint
(light, medium, dark) as descriptors: C1C-6 V-
3. Odor: Describe any distinct odors that the discharge may have (i.e., smells strongly of oil, weak
chlorine odor, etc.): tJ ON L
4. Clarity: Choose the number which best describes the clarity of the discharge, where I is clear
and 5 is very cloudy:
Ol 2 3 4 5
5. Floating Solids: Choose the number which best describes the amount of floating solids in the
stormwater discharge, where 1 is no solids and 5 is the surface covered with floating solids:
Ol 2 3 4 5
6. Suspended Solids: Choose the number which best describes the amount of suspended solids in
the stormwater discharge, where I is no solids and 5 is extremely muddy:
1 0 3 4 5
7.
8.
9.
Is there any foam in the stormwater discharge? O Yes t 6 No. _
Is there an oil sheen in the stormwater discharge? 0Yes 05 No.
Is there evidence of erosion or deposition at the outfall? O Yes CV No.
10. Other Obvious Indicators of Stormwater Pollution:
List and describe
Note: Low clarity, high solids, andlor the presence of foam, oil sheen, or erosion/deposition may be
indicative of pollutant exposure. These conditions warrant further investigation.
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