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NC0076643_Regional Office Historical File Pre 2018 (2)
; N< Hiekory pint R A Gencrid Elem,ric(;pySa GRADE: q#R PERIOD: O !/a(S PERMIT VERSION: +a CLASS:P O Rt:Ry S Perky ORE HAS CHANGED: No VERSION: G PERMIT STATUS: Activc ! u . aRT NUMBER 2 'VMS. © S, iE2d SAMPLING LOCATION: EFFLUENT DISCHARGE NO:001 NO DISCHARGE*: NO NtiMobtio **®»Rm+N<aiGE +m aaVWTHR=yVisitation -w«e ViferalieriNocO =w G<wumY NPDES PII-RMIT NO.: .NO11070)43 PERMIT VERSION: -Ea FM:111TV NANIE: Hickory Plain ClASS: PC-1 OWNER t'iLANIE: General Electric company - Salisbury ORC: Ray S Ponley GRADE: PC-1 elENIR PERIOD: 118-2019 (.4oto:st 2019) — - COMPLIANCE STATUS: Comph:mt ORC I-1AS CDA.NGED: No VERSION: 1.0 CONTACU PHONE 4: 82S 3 1'2 1 tbti PERMIT STATUS:. Aclivc CO I),VTV: ORC CERT NuMBEW .17KCEIVE"Cpri4AIDWR s I us: process." wrIPOS St BMiSSION DATE: 09,16 'ON " RE ClONA1: OF51( 09109 20 14 ORr.71Certifter Signature: Ray Penlev It.-Mall:ray,penley(ctge.com Phone :828 312 I()58 Date By this signa urc, T certify that thi' 0purl l accurate and com.plete to the best (dirty knowledge, 'The permit:tee shall report to the Directo•r or the appropriate Regional Office any noncompliance that potentially threatens public health or the en'. ironment, Any information shall be provided orally tivithin 24 hours from the time the perminee became toivare of the eircumstt:inces..A writien submission shall also be 'provided within 5 days of the time the permittee becomes aWare or the circumstance,s, If the facility is noncompliant, please ttittach a list of correctivee actions being, taken and a time -table 'for improvements to bee made tis. required by 1ar >1 1 6 of the NPDES permit, 09,' 612019. Permittee/Su.bmitter Signature:*** Bob Whitsell E-Mailrohert,witsclItAtge,com Phone titl:706-291-3319 Date Permittee Address: 1.223 Fairgrove Church Rd Flick.ory NC 28602 Pentair Expiratiim Date: 07/31/2020 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systerti designed to assure that qualified personnel properly gather and evaluate the information submitted.. Based on my inquiry ofihe person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of in knowledge and belief, true. accurate, and complete.. aware that there are significant penalties for submitting ralsc information, including the possibility' of fines and imprisonment for knowing violations,. FCC • pvv, LAB NAME: Pace Analysica Services, hie CERTIFIED LAB #: 381 PEIRSON(s) COLLECTING S,:\ ES: GE Hickory Parameter Code assistance may be obtained •by c.a. CERTIFIED LABORATORIES PARAMETER CODES t,"P 'Unit (019) 807-6300 or by siong . AA' CA iAA'R c cyr7r'rrov; p:liportal,nedenr,orglwelEwq/swpipsinpdesiforms, FOCTYNOT1 S Use only units of measurement designated in the reporting facility's NPDES permit 'for reporting data.. * No FlowlDiseharge from Sitct Check this box rine, dishat go occurs and, as a result, there t-tre no data to be entered for all of the parameters on the DMR for entire monitoring period, ORC on Site?: ORC must visit facility and document isllalion °Tractility as required per 1.5A INCAC 8() ,0204„ *** Signature of Permittee, If signed by other than the permittee, then delegation oldie signatory authority must be on tile With the state per 15A NCAC 213 „0506(b)(2)(D), NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC -I OWNER.NAME: General Electric Company - Salisbury ORC: Ray S Pcnlcy GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 08-2019 (August 2019) VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO G - e et ai E 6 7osa1 Composite Time g 1 O II O E O �' N 8' u ce O No Rcparting Reason•••• 50050 00400 34475 39180 Continuous 2 X month Quanerly Quarterly Recorder Grab Grab Grab FLOW p11 TETCLETY TCETHYLE' 2400 et.rk no 2400 dark Ws Yn1W'S mgd su nett ug/1 1 cm) 8 Y 0,064 <1 <1 1 0800 8 Y 0.064 3 N 0.064 4 N 0.064 5 0800 8 Y 0.065 6 0800 8 Y 0.065 7 4 Y 0.065 7.9 8 0800 4 Y 0.065 9 0800 4 Y 0.065 to N 0.065 11 N 0.065 12 0800 8 Y 0.063 13 0800 8 Y 0.063 14 0800 4 Y 0.063 15 0800 4 Y 0.063 16 1200 4 Y 0.063 17 N 0.063 18 N 0.063 19 0800 8 Y 0.064 20 0800 8 Y 0.064 21 0800 4 Y 0.064 8 22 0800 8 Y 11.064 13 N 0.064 24 N 0.064 25 N 0.064 26 0800 8 Y 0.068 27 0800 8 Y 0.068 28 0800 4 Y 0.068 19 0800 4 Y 0.068 30 0800 4 Y 0.068 31 N 0.068 monthly A•erage Limit: 0.12 \]onthly,lrerage: 0.064774 0 0 ni0y51a1mam' 0.068 8 0 0 Daily 3na1016111: 0.063 7.9 0 0 sa• No Reporting Reason; ENFRUSE= No Flow-Reuse/Recycle; ENVWTHR=No Visitation -Adverse Weather; NOFLOW No Flow; HOLIDAY • No Visitation -Holiday Pea ANALYTICAL RESULTS Project: Quarterly NF D99 Sampling Pane Project Pies.: 2621 i ti r1e, PLC 1101`ecyrr Parkway 2 770)7344200 Sample: fn1Went Parameters 8269611 t,1(Di hlnroethene cis -ES- " ta° tend `tetrahiurthna Trilttidr r thene Vinyl chloride Surrogates LE-0tdhtrsraethane•(d (( Dibrrr ftutarn thane (.) 4-gees fl ene (S) lc ueh ft ( ) Lab tlx: 2621 1 01 Collected: 08101119 09. i1 tie iverf. 08 02119 09:0 t P atrtx: water Rastas Units Report LtrrtjtDF Prepar star ed CAS No, Qual An h4eti ad EPA 8260D Egg. urt. ugtL ug[L. ug/L ND 10 99 0 /0 12019 t9941 1,0 100 109 100 1,0 82-114 82-120 92-109 °atti7r19 12:00 79 08/0811912:ti9 156- a9-2 0iia°Ga 11912;09 127318 08 08 19 12:0 9-01-6 08/0771912:00 7'5-01-4 08107/ 1912: 09 17060.0 7-9 1 rt77P1912:00 1868-53-7 (1 . t7t1912:00 4 _qg ti8(0791912`00 037-2 - REPORT OF LABO TORY ANALYSIS This report shall not be reproduced, except un tul1. out t e written wansent of Pace Analytical Sernices, L1. Fag+ GRADE NO,: NC0076643 GRADE: PC-1 ER NAME: Genc A" NAME: Hick j -tric Com an ' - Salisbu ' CLASS: PC--.1 ORC HAS CHANGED: N PERMIT VERSION: 4,0 )RC: Ray S Polley OMR PERIOD: 07-2019 (July 2019) VERSION: Lo COMPLIANCE STATUS: Compliant CONTACT PHONE *4: 8283121058 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SUBMISSION DATE: 08/22/2.019 ()RC/Certifier Signature: Ray Yen1ey LMn1 rapdn!\(q4e,.com Phone #,828 312 1058 By this signature, I certify that this report is accurate and complete to the best of my knowledge, 08/051' Date The perrnittee shall report to the Director or the appropriate Regional Office ,any noncompliance that potentially threatens public health or the environment, Any infomiation shall be provided orally 'within. 2.4 hour from the time the permittee became aware of the circumstances, A written submission shall also be provided within 5 days ofthe time the permittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken arid a thne-tablefor improvements to be made as required by part 11..E.6 of the NPDES permit. 111/10 1 9 Perinittee/Submitter Signature:*** Bob Whirscll E-Nlail:robert..witsellgge..com Phone #:706-291-3, Date Permittee Address: 1223 .Fairgrove Church Rd Hickory NC 28602 Permit Expiration, Date: 07/31/2020 1 certify, under penalty of law, that this docurnent 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 cornplete 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violatic.ms. CERTIFIED LABORATORIES LAB NAME: Pace Analytical Smices., tne CERTIFIED LAB #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penley and jeffery her PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES 1211it (919) 807-6300 or by visiting Impilportal.nedenr.org/web/wq/swpips/npdesiforms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reportingdata, * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period, ORC on Site?: ORC must visit 'facility and document visitation of thcility as required per 15A -NCAC 8G .0204. "1* Signature of Pennittee, If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D), Q « IN NAME Hick, q NAME: Ggmluxa=( ,E.%GBt IR et: QOE «.yeas ! JER' I VERSI:4M CLASS: P( ORC HASCHANGrm \ VERSION: G PERMIT S R« COUNTY:Qu w OR( Erg NUMIIEKma « SWNPLING LOCATION:EFFLUENT DISCHARGE NO:001 NO DLS USE» w Flovqkeusee@q ;m 1)\ Nl Him 1lir RAIFF NO:: NC:0(776643 IMPLIANCE STATUS: Compliant IR PERIOD: 06-20t9 Oune 2019) RNAME: Ciencral. Elecuac Company - Salisbury ORC: Ray S E:Pentey .NlArlin: Hickory Ham CLASS: Pi OR( DAS CHANCED: No. CON -FACT PHONE 1: 828.3[2105S vERSioN: PERATIT VERSION: ,4 0 ORC/Certifier Signature: Ray By this sig au.re, certify that this report is accurate an PERMIT STAILS: AcLove COUNTY: Catawba ORC CERT NUMBER: 2788S STIVIIES: Processed SUBMISSION DATE:. 07:2,2.'2019 07/0 1120 1 9 cy E-M: iiy p e e g e c• o un Phone .828 3 1 2 1 0 5 8. Date -.te to the best• wledge, The pennotee shall report to the Director or the rippropriate Regional Office any noncompliance that cnn ilk hreatens pubire health or the environment, Any information shall bc provided orally within 24 hours from the time the perinittee became aware of the circumstances, A written sub -mission shall also be provided within 5 days of the time the permittec becomes .tiware of the circumstances. lithe facility is noncompliant, please attach a list of corrective actions being taken tind :1 time -table for improvements to be ma.de i req • ed by part 1 LE,6 of the NPDES peimit Peru pee/Submit:ler Signature,*** Boh Whitsell E-Mail:robert,witsell((n ge.com Phone r 706,-291-3319 Pei mince Address: 1.223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 I certify, under pcnal•ty of law, that this document and till attacliments were prepared .under my direction or superViSIOU in accordance with a system designed to :Assure that qualified personnel properly' gather tind evaluate the information submitted, Based on my inquiry of the personor persons Who managed the system, or those persons directly responsible, for gathering the information, the information submiticrl is, to the best of my k.nowledge arid belief, true, accurate, and co•mplete, I am aware that there are significant penalties for• submitting false information. including the possibility of:fines and imprisonment for know•ing violations. CERTIFIED LABORATORIES LAB NAME: Pace Analytica Services, Inc CERTIFIED LAB #: /11 PERSON(s) COLLECTING SAMPLES: Ray Penley and Jeffery Fisher PARAMETER CODES 07/22,'20 19 Date Parttmeter Code assistance may be obtained by eallitri the NPDES Unit (919) 807-6300 or by visiting Imp://portal.nedenrorgfweblwq/swpipsinpdes/forrus, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting, i1iti, * No How/Discharge FrOM SitC: Check this box i I no discharge occurs and., as as result, there arc no data to be entered for rill of the parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of facility as required per I 5A. N1.AC7 8G .0204. *** Signature of Permit•tee: 11.signe!d by other than the perminee, then delegation of the signatory ituthority must be on file -with the state per 15A. NC,,‘( 213 .0506(b)(2)1 Di. S PERMIT NO.: NCOi1"7d643 PERMIT VERSION: 3.0 FACILITY NAME: Hickory Platt CLASS: PC-1 OV N.ER NAME: Genet 1;1c>tne iprny - SnGshur ORC: Ray S Penlcy GRADE: PCB-1 ORC HAS CHANGED: N' eDM.R PERIOVERSION: 1.10 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUM 4' STATUS: Prucar AF.G101'4AL OFFICE SAMPLING I OCATION: EFFLUENT EMSCHARGE NO.: 001 NO DISCHARGE*: NO •re*'No Reporting Reagan: E-NP-RUSE No Flow-ReuieiRecyc e; t-NVWTHR Vignation Advea e Weather : NO»LOW _. No Flea.; HOLIDAY '.: "4°t iEa4icrn - Holiday DES PERMIT NO.: NC0076643 FACILITY NAME: Hickory Plant OWNER NAME: General Electric Company - Salisbury GRADE; PC -I eDMR PERIOD: 05-2019 (May 2019) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Ray S Pcnlcy ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8283121058 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SUBMISSION DATE: 06/04/2019 ORC/Certifier Signature: Ray Penley E-Mail:ray.penley@ge.com Phone #:828 312 1 05 8 By this signature, I certify that this report is accurate and complete to the best of my knowledge. 06/03/20I Dat 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 0l the NPDES permit. 1/W-P 06/04/201 Permittee/Submitter Signature:*** Bob Whitsell E-Mail:robert.witsell@ge.com Phone #:706-291-3319 Dat Permittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment fa knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Analytical Services. Inc CERTIFIED LAB #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penley and Jeffery Fisher PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). aceAnalytical e mvwpacelabs.cam ANALYTICAL RESULTS Project: Quarterly GW NC0076643 Pace Project No.: 2618214 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Comers, GA 30092 (770)734-4200 Sample: Influent Lab ID: 2618214001 Collected: 06/06/19 12:00 Received: 05/07/19 09:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260D MSV Analytical Method: EPA 8260D 1,1-Dlchroroethene 1.7 ug/L 1,0 1 05/14/19 13:52 75-35-4 cis-1,2-Dichroroethene 406 uglL 200 200 05/15/19 11:59 156-59-2 Tetrachloroethene 969 uglL 200 200 05/15/19 11:59 127-18-4 Trichlorosthene 1640 uglL 200 200 05/15/19 11:59 79-01-6 Vinyl chloride ND ug/L 1.0 1 05114/19 13:52 75-01-4 Surrogates 1,2-Dlchloroethane-d4 (S) 101 %. 81-119 1 05/14/19 13:52 17060-07-0 Dtbromofluoromethane (S) 106 %. 82-114 1 05/14/19 13:52 1868-53-7 4-Bromoiluorobenzene (5) 86 %. 82-120 1 05/14/19 13:52 460-00-4 Toluene -dB (S) 85 %. 82-109 1 05/14/19 13:52 2037-26-5 Date: 05/15/2019 01:52 PM REPORT OF LABORATORY ANALYSIS Thls report shall not be reproduced, except in fun, without the written consent of Pace Analytical Services, LLC. Page 5 of 12 aceAnalytical° winxpacetebs.oam ANALYTICAL RESULTS Project: Quarterly GW NC0076643 Pace Project No.: 2618214 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Corners, GA 30692 (770)734-4200 Sample: Outfall 001 Lab ID: 2618214002 Collected: 05/06/19 12:00 Received: 05/07/19 09:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260D MSV Analytical Method: EPA82600 1,1-Dichloroethene ND ug/L 1.0 1 05/15/19 11:33 75-35-4 c1s-1,2-DIchloroethene ND ug/L 1.0 1 05/15/19 11:33 156-59-2 Tetrachloroethene ND ug/L 1.0 1 05/15/19 11:33 127-18-4 Trichloroethene ND ug/L 1.0 1 05/15/19 11:33 79-01-6 Vinyl chloride ND ug/L 1.0 1 05115/19 11:33 75-01-4 Surrogates 1,2-Dlchloroethane-d4 (S) 98 %. 81-119 1 05/15/19 11:33 17060-07-0 Dlbromofluoromethane (S) 104 %. 82-114 1 05/15/19 11:33 1868-53-7 4-Bromofluorobenzene (S) 87 %. 82-120 1 05/15/19 11:33 460-00-4 Toluene-d8 (S) 84 %. 82-109 1 05/15/19 11:33 2037-26-5 Date: 05/15/2019 01:52 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without tho written consent of Paco Analytical Services, LLC, Page 6 of 12 NC0076643 NAME: I lickory Plant CLASS: PC- R NANIE: GooL:ral Electric Compat Salistwy, OR(: Ray S Pcn ADE: EC-1 DNIR PERIOD; 04-2m 19 (Apr112019). PERMIT VERSION: 4, tqtAY 2; 3 2 019 OR( II AS CIE ANC E D: " • - , , VERSION PERMIT STATUS: Aoivo COUNTY: C4woo.4m OR( CERT NUMBER.; 27888 STATUS: Proccied, SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI UM) coal,. WM) t St) ) Monday ,0040 Vivo)), Nlor0111, A)010g0" ), !)fromcwo Nio)00)000 uancriv Glah RECER/EDiNcDENRI)W- ). TiLl'1,1, No Reporting Reason. l'''„NFRI...!S E1,0-12eue/Recycic: 1NV WTI IR Vi.sitat4on '6Vcaritc.r. NO.FLOW No 1:1.ow. I IOLIDA No Vis,itation — Holiday ONAL OPFFC NO.; NC0076643 PERMIL VERSION: 4.0 , NAME: FilOoary Plant CLASS: PC-1 NAME: Gencral 1111tric Company - Salisbury OR( Ray S Polley E; PC-1 ORC IRS CILANCED;No PERIOD: 0.4-2019 (Arial 20 11 VERSION; 1.0 COMPLIANCE STATUS: Compliant CON'llACC PliONE ORC;Certifier Signature. Ray Petiley PERMIT STATUS: Acnvt; COUNTY: Catawba OR( ('ER! NI.J1141WR; 27888 S"LATUS: Processed SUBMISSION DATE: 05,13:2010 05107/2019 E - ge,com Phone 4 8 .7" 8 .3 I 2 I. 0 By this signature. I certify that this report is accurate and coinplete to the best of my knowledge: The .permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the CtIVir011al.ont, Any information shall he provided orally within 24 hours from the time the permittce became aware of the circumstances.. A written submission shall also be provided within 5 days oldie time the permittee becomes aware of the circumstances. lithe facility is noncompliant, please attach a list or correeti ve actions being taken and ill iime-table for .improvements to he made as rein. ice ,1 6 I the NPDES permit. 051 3 2011) Permittee'Submitter Signaturc:*** Bob Whitsell .Phone q:706-291-3319 Date Pertnittee :Address: 1223 .Fairgrove Church Rd hickory 'NC 28602 Permit Expiration Date: 07/31;2020 .1 certify, .under penalty of law, that this document and all attachments were prepared under my dire.ction or supervis on in accordance with 1system designed to assure that qualified personnel properly gather and eviduate the information submitted Based on my inquiry of the person or persons who managed the system, or those persons directly responsible 'for gathering the iffillartnatton, the information submitted is, to the best of my knowledge and belief, true_ accurate, and 001)) p0. 10 1 am aware that there are sigititi cant penalties fOr submitting false information, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LA BORA-101U ES LAB NAME; Pace Analytical Setsit CERTIFIED LAB *l 82 PERSON(s) COLLEC"IIING SAMPLES:. Ray S Jeffery Fisher PARAMETER CODES Parameter Code: assistance may be obtained by calling the NPDES 11rl (919) 807-6300 or by visiting h p:(1portaliaccieur,orgiwebfwcfswp/psinpdesifor s: o T ES 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 occiurs and, as as result, there are no data to he enteredentored tufor he parameters on the [)MR for entire monitoring period: • OR( on Site OR( must visit facility and document visit— of Gieility0 required per I 5A NCAC 86 :0204, * Signature of Permittee: If signed hy other than the permittee, then delegation of the signatory authority must he ou file with the state per 1_5A NCAC 213 OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0001956 (City of Salisbury) Sampling Plan Sampling for this project consists of sampling the residuals just before land application is to occur. Based on the dry tonnage of this plant, there will be one sample for each parameter per year. The residuals shall be sampled annually for the following: (Regulatory level in milligrams per liter in parentheses.) Arsenic (5.0) Barium (100.0) Benzene (0.5) Cadmium (1.0) Carbon tetrachloride (0.5) Chlordane (0.03) Chlorobenzene (100.0) Chloroform (6.0) Chromium (5.0) m-Cresol (200.0) o-Cresol (200.0) p-Cresol (200.0) Cresol (200.0) 2,4-D (10.0) 1, 4-Dichlorobenzene (7.5 ) 1, 2-Dichloroethane (0.5) 1, 1-Dichloroethylene (0.7) 2, 4-Dinitrotoluene (0.13) Endrin (0.02) Hexachlorobenzene (0.13 Nitrobenzene (2.0) Pentachlorophenol (100.0) Pyridine (5.0) Selenium (1.0) Silver (5.0) Tetrachloroethylene (0.7) Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5) Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5) Hexachlorethane (3.0) 2,4,5-Trichlorophenol (400.0) 2,4,6-Trichlorophenol (2.0) 2,4,5 TP (Silvex) (1.0) Vinyl Chloride (0.2) Lead (5.0) Lindane (0.4) Mercury (0.2) Methoxychlor (10.0) Methyl ethyl ketone (200.0) The residuals will also be sampled, based on the chart below, for the following constituents Dry Tons Generated (short tons per year) Monitoring Frequency _ (Established in 40 CFR 503 and 15A NCAC 02T.1111) <319 1 time per year =>319-<1,650 1 per Quarter (4 times per year) =>1,650-<16,500 1 every 60 days (6 times per year) =>16,500 1 every month (12 times per year) Aluminum Ammonia -Nitrogen Arsenic Cadmium Calcium Copper Lead Sodium Adsorption Ratio (SAR) Magnesium Mercury Molybdenum Nickel Nitrate -Nitrite Nitrogen Phosphorous Potassium pH Plant Available Nitrogen (calculation) selenium Sodium % Total Solids Total Kjeldahl Nitrogen Zinc In order to meet pathogen and vector requirements, the material will be sampled for fecal coliform density and 38% VSR. The samples will be taken from the Cake Storage Pad and WWTP Influent Pump Station. Additional samples will be taken for TCLP/RCI and nutrients and metals analysis. Methods of sampling will follow the conditions of the permit and applicable regulations. The following people are responsible for sampling: Erik Bruce, Technical Services Manager or his designee. OPERATIONS AND MAINTENANCE PLAN RESIDUALS LAND APPLICATION FOR WQ0001956 (City of Salisbury) Inspection Plan Inspections will be conducted as often as necessary to ensure the proper operation of the water treatment system, and within 48 hours during/within any land application activity. Inspection frequency is based on the time frame to complete the project and the amount of dry tons to be land applied from the facility. The inspections will consist of inspecting a field that is currently being applied as well as inspecting random fields that have been completed. These inspections wilt consist of: 1. Verifying that the "Pre -Operations Check List" has been completed and signed by both operational and technical staff. 2. Checking the calculated loads to insure the correct amount of residuals are being land applied. 3. Insuring that all manned equipment has a copy of the spill control plan, the permit, and the operations and maintenance plan. 4. Insuring that the field has been flagged properly and that all buffers are being adhered to. 5. Insuring that the "Crop and Landowner Verification" form has been filled out. 6. Verifying that the residuals have been adequately sampled to confirm compliance. The records will be kept in the project files in the respective office for the project. The Permittee or Inspector shall report by telephone to the DWQ Mooresville Regional Office at 704-663-1699, as soon as possible, but no later than 24 hours after, or the next working day, following the occurrence or first knowledge of the occurrence of the following. • Any occurrence with the distribution program resulting in the land application of significant amounts of material that is abnormal in quantity or characteristics. • Any failure of the program that results in a release of material to surface waters. • Any time that self -monitoring information indicates that the program has gone out of compliance with the permit. • Any process unit failure that results in the system not adequately treating the residuals. • Any spill or discharge from a vehicle or piping system during residuals transportation. Any release that requires immediate reporting outside of normal business hours shall be called in to DENR at 800-662- 7956, 800-858-0368, or 919-733-3300. These numbers are to be called in the event of a release to surface waters or the imminent failure of a storage system when the event occurs outside of normal business hours. Within 5 days of the first notice of on occurrence, a written response in the form of a letter shall be sent to DENR outlining the actions taken or proposed actions taken to ensure that the problem does not recur. Persons responsible for inspections on this project are as follows: Erik Bruce, Technical Services Manager, or his designee is responsible for inspections on this project . PERMIT NO NC FACILITY NAME:'Statesville Fcrttltaer Plant O VN ER NAME: So etltem States C araperacive Inc GRADE: PC -I el�MR PERIOD: 03-2009 (March 2019) PERMIT VERSION; 4,0 CLASS: PC-1 ORC: Thomas luster Haynes OR(' FIAS CHANGED: No VERSION: 1.0 tiov— Zp/q t,V 03lS� PERMIT STATUS: £xp red COUNTY: fredcll ORC CERT NUMBER: 390461 STATUS: Prcyeed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ••*` No Reporrong Reason. l?Ni RUSEN Recycle: F.C*VWTHR= No Adverse Weather, NC)F'LOV :,: o F1©.v: HOLIDAY = No VTsitati liday 'PDES PERMIT NO.: NC0082821 PERMIT VERSION: 4.0 FACILITY NAME: Statesville Fertilizer Plant CLASS: PC -I OWNER NAME: Southern States Cooperative Inc ORC: Thomas Foster Haynes GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 03-20I9 (March 20I9) VERSION: 1.0 PERMIT STATUS: Expired COUNTY: Iredell ORC CERT NUMBER: 990461 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue) a H 9 IT y e ci 3 Et u a �. J 7 x i B C o in. O 8 F Y . x y $ u o No Rcportth Rena 06620 Monthly Grab KDHi 2400 doele Iles 2400 ebek lln Y181N rtgll l 2 3 4 5 6 7 0 9 10 t1 0930 5.25 Y 25 12 13 1.1 15 16 17 1B 19 10 71 22 23 u 25 1215 2 Y 26 27 20 29 30 e 31 + Monthly Averse, Lim14 Monthly Average: 25 Daly MaaGnomt 25 ' Daily Mamma: 25 99e9NoReporting Reason: ENFRUSE,=NoFlow-Reuse/Recycle; ENVWTHR=NoVisitation —Adverse Weather, NOFLOW No Flow; HOLIDAY No Visitation —Holiday NPDES PERMIT NO.: NC0082821 FACILITY NAME: Statesville Fertilizer Plant OWNER NAME: Southern Stat s Cooperative Inc GRADE: PC-1 cD1R PERIOD: 03-2019 (March 2019) COMPLIANCE STATUS: Non -Compliant ORC/Certifier By this signature, 1 S F PERMIT VERSION: 4.0 CLASS: PC-1 ORC: Thomas Foster Haynes ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE if: 9198589898 PERMIT STATUS: Expired COUNTY: Iredell ORC CERT NUMBER: 990461 STATUS: Processed SUBMISSION DATE':: 04/18/2019 04/18/2019 nature: Jayson A Kilcoyne E-Mail:jaysonacdunckleedunham.com Phone #:919-858-9898 Date certify that this report is accurate and complete to the best of my knowledge. The perrnittee 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 circumstance& if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of the NPDES permit. 04/18/2019 Permittee/Submittcr tune:••• Jayson A Kilcoyne E-Mail:jayson@adunekleedunham.com Phone #:9t9-858-9898 Date Permittee Address: 2582 S. ury Hwy Statesville NC 28677 Permit Expiration Date: 03/31/2019 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Duncklee & Dunham CERTIFIED LAB 4: 5484 PERSON(s) COLLECTLNG SAMPLES: Thomas Haynes PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http d portal.ncdenr.org/web/wq/swpipslnpdeslfornts. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for repotting data. • No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. • ORC on Site?: ORC must visit facility and document visitation of facility as required per I5A NCAC 8G .0204. •'• Signature of Permittee: if signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 28 .0506(b)(2)(D). DES PERMIT NO.: NC0082821 PERMIT VERSION: 4.0 PERMIT STATUS: Expired FACILITY NAME: Statesville Fertilizer Plant CLASS: PC -I COUNTY: lredell OWNER NAME: Southern States Cooperative Inc ORC: Thomas Foster Haynes ORC CERT NUMBER: 990461 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 03-2019 (March 2019) VERSION: 1.0 STATUS: Processed Report Comments: *Total Suspended Solids (TSS) = 54 mg/L during 3/25 sampling event. pr610 E Center Ave, Mooresville, NC 28115 to grants creek wwtp salisbury nc - Google M. Page 1 of 2 Google Maps 61 0 E Center Ave, Mooresville, NC 28115 Drive 28.7 miles, 40 min to grants creek wwtp salisbury nc M p data ©2017 0,cogie 2 mi 610 E Center Ave Follow E Park Ave, NC-801 N and US-70 E to Enon Church Rd/W Ridge Rd in Franklin t 1. Head west on E Center Ave toward Cedar St r 2. Turn right onto E Statesville Ave Turn right at the 3rd cross street onto N Church St 41 4, Turn left at the 3rd cross street onto E Park Ave rfl's• • 1 httos://www. Q000.le,comirnapsidir/6 1 04-E-H,2enter— Avc..4-Mooresv 1 15/granto'... 2/17/2017 Fir 610 E Center Ave, Mooresville, NC 28115 to grants creek wwtp salisbury nc - Goo& M,.. Page 2 of 2 5. Continue onto NC-801 N '1 6. Turn left to stay on NC-801 N r 7. Turn right onto US-70 E Turn left onto Enon Church Rd/W Ridge Rd 0 c,,nt1),ie r 9 Turn right onto US-601 S Continue on E Ridge Rd. Drive to Grubb Ferry Rd 1 10, Turn left onto E Ridge Rd T. 11, Turn right onto Hollywood Dr 1 12, Turn left onto Grubb Ferry Rd Grant Creek Waste Water Treatment ,5irur:t These drrections are for piannng purposes only. ',,5oLi may find that construct,lon projects, traffic, vveather. or other eve.ms nday cause conditions to efer from the map resuds, and Should Oan :,/our ro3te according.1), You MuST Ube,/ Sgos notices regardIng COUte m ..r3ro mo, 311 s 551 5t) fro n htths://www.google.cornimansidiri6i 04-E+Center-i- Ave.+Mooresville..-+-NC+2R 1 1 5.6.-yrantc.± 2/1 712017 610 E Center Ave, Mooresville, NC 28115-2548 to 850 Heiligtown Rd, Salisbury, NC, 2... Page 2 of 2 I10. Turn right onto N Long St. N Long St is just past Leonard Rd. If you are on E Jefferson St and reach N Salisbury Ave you've gone about 0.2 miles too far. hen - 0, 51- miles 28.59-total-mile& I11. Take the 2nd right onto Heiligtown Rd. Heiligtown Rd is 0.4 miles past Robinson Rd. If you reach Long Ferry Rd you've gone about 0.2 mites too far. Then.0,84.miles 9 12. 850 Heiligtown Rd, Salisbury, NC 28144-1436, 850 HE]LIGTOWN RD is on the Ieft, If you reach the end of Heiligtown Rd you've gone a little too far. 29.43. total. miles Us. of directions sag mega is CUbj.Ct to out Term. of Vse_ We don/ guarantee .CCu<.Cy. route conditions or uaabikty. You calamine .n risk of ult.. https://www.mapquest.comldirections/list/1 /us/north-carolina/mooresville/28115 -2548/61... 3/20/2017 k t a c NPDES PERMIT NO.: NC0076643 PERMIT 'VERSION; .4i) FACILITY NAME: Hickory Kant CLASS: PC -I OWNER General El:::oric Col parly Sulosbury ORC: Ray S Polley GRADE: PC-1 OR( HAS CHANGED: No t:DMR PERIOD:. 03-2019 (Alarch 2019) VERSION: I ;p1KIM yr STATUS: \Lu COUNTY Catowba rin C, 0 1,9 0 RC CI,R 1 NUMBER: 27S88 STATI'S:Pwscd SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: No Rvortmg Roos -on: ENF01SE — No Flo',,,'-Reumnit,:cydc; 1N R No V iii Ar.l.vcrw We.":111:10 NOFLOW No 1low; IAOLIDAY No iThin — H.oliday \PDE"S PERMIT NO,: N(OU7ai6-13 FACILITY NAME: liicckor OWNER NAME: IF: General E Icciric 1. pany" - S GRADE: PC-1 elflR PERIOD: tI It COMPLIANCE: SiAT(S: Compliant PERMIT VERSION. 4.0 PERMIT STATI 5: Acti ("LASS: PC- ORC: Ray Penley ORC HAS CHANGED: No VERSION: l.Cr CONTACT PRONE #:1t._'w21''1058 SI.13\1ISSION DALE. u:4103Ui4 COUNTY: Catawba ORC CERT NUMBER: 2,7 STATUS: S: Processed, ify that this report is accurate ;and complete to the best of my knowledge, An informant:), tall be provided orally the provided within 5 days of the time the pem If the facility is noncomplitlnt, }blear¢ attael the NPDLS permit, e Addres. e appa°erlariaic Re iortal Office uty noneomphance that laotetrtiatiy° threatens lbtthlmc. )')i ltb abr tlae enviroatntent. at 24 hours from the time the penmttee became aware of the circumstances. A Written submission shall also be re hero ms aware of the circumstances. list ol'eot-sective actions being taken and a time -table for improvements to be made as required by part 1L1w.6 of rove Church Rd Hickory NC Perm i t l cot°iffy', under penalty of law, that this document and all attachntcrtts were prepared under my directo to ds st,ne That qualified personnel properly gather and evaluate the in f rrtt tID:ion wubttbitted. Based on an S stern, or those persons directs) responsible for gathering the 'nifi nnatiotnnition stalrmi,ttd accurate, and complete, I am aware that there are significant penalties for submit kitties=site violations.. L,AR NAME: Pack Analytical ServicesJac. CERTIFIED EAR #: 3.8.2 PERSON(s) COLLECTING SALES: R ty= 4 Penley' Jeffery Fish: Parameter ("ode assistance may he obrai No Flow/I: f mett ctrement designated in the reportn cx IFl.ED LAliOR.ATORIES PARAMI 711 FOOT'"NOTES 's \PD1'S permit tot ck this boar if no discharge occurs and, as a resit ink data. asion ingcttry ofthe ptl to the best ofna an hiding the possibility, of fines and imp accaarclan p. ps(t)pdes t desi. Ito managed the ed ment to be entered for all of"the parameters on the L)MR *'* ORC on Site": ORC must v°isrt tacihty' ¢a.nd document visitation of facility as r quired per 15 . NCA.( tiG .0Lt)4. *** Signature () ,0506(hF2)(D). ittce:: If signed ,ermittee, then delegtttiabn cbt the sigtt;atorq. 5A NCA.C° 2ii N00076b43 NAME: Hickory Platt :R NAME: (:General 1`:;leu n ( DE: PCI cDN R PERIOD: 02A20Irl CP'ornate .** Na, Repo, PERMIT G`ERSION: 4.0 (:'LASS: PC -I %5bur) ORC Ray S Perky ()RC HAS CHANGED, \o VERSION: 1,0 PERMIT STATUS: Active COUNTY: Catawba OR(." CERT NUMBER: 2788$ ST.RI"ICS: Prt-- ;ed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: NI NO DISCHARGE*: NO .: "Rt+SE /Recycle: LtiV5h''C"FIR— No %/Pim Visitation H s,ll COMPLIANCE STATUS: Compliant. ORCICertifier n NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC-1 OWNER NAME: General Electric Cornpany- Salasfrury ORC: Ray S Penley GRADE-: PC• I ORC HAS CHANGED: No e1fl R PERIOD: 02-2019 (February 2019) VERSION: 1.0 CONTACT ACT :PHONE, #: 8283121058 PERMIT STATUS. Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SUB,VIISSIO.N DATE: 04/'2019 03/01/2019 ure: Ray Pen ley E-Maim:ray.penley(age.corn Phone 4:828 31 1058 Date By this signature, I certify that this report is accurate and complete to the best of knowledge permitter. shall re o the Director or the appropriate Reg ce tiny noncompliance that potentially threatens public health or the environment. Any infornadon shall be provmoed orally within 24 hours from the time the permute e became: aw°are of f}te circumstances. A written submission shall also he provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a tune -table for improvements to be made as required by part ILE.5 of the. NPDES permit. Permiubmitter Signature;*** Bob Vhitsell F .Masl:robert.ti 03/0412019 Itdge,eom Phone 4:706-291-3319 Date Permittee Address: 1223 Fairgrovc Church Rd Hickory NC 28602 Permit Expiration Date. 07/31/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed. to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for Submitting false information, including the possibility of tines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAM : Pace Analytical Sir iccs,tnc. CERTIFIED LAB #: 382 PERSON(s) COLLECTING S.AM.P: Ray S Peaky Jeffery Fisher PARAMETER. CODES Parameter Code assistance may; be obi: 'ined'bycalling the NPDF- a Ctnit (91SJ} 807-6300 or by visiting http°/,/portal,ncdenr,orglweblwga,5tisplpsa`npdes forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.. * No Flow,/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period.. *'* ORC on Site?: ORC must visit facility and document s^ism Lion of facility as required per 15A NCAC SO .0204, *** Signature of Permittee: If signed by other than the pe_nnittee, then delegation ofthe signatory authority must he on file with the state per 15A NCAC° 2f3 .0506(b)(2)(D), aceAnalytical wwa.pacelabscam ANALYTICAL RESULTS Project: Hickory NC Pace Project No.: 2614692 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Comers, GA 30092 (770)734-4200 Sample: Influent Lab ID: 2614692001 Collected: 02/07/19 10:30 Received: 02/08/19 09:15 Matrix: Water Parameters Results Units Report Limit OF Prepared Analyzed CAS No. Qual 8260D MSV Analytical Method: EPA 8260D 1,1-Dichloroethene ND ug/L 1.0 1 02/20/19 13:57 75-35-4 cis-1,2-Dichloroethene 357 ug/L 50.0 50 02/20/19 16:26 156-59-2 M3 Tetrachloroethene 459 ug/L 50.0 50 02/20/19 16:26 127-18-4 M3 Trichloroethene 1260 ug/L 50.0 50 02/20/19 16:26 79-01-6 M3 Vinyl chloride ND ug/L 1.0 1 02/20/19 13:57 75-01-4 Surrogates 1,2-Dichloroethane-d4 (S) 103 %. 81-119 1 02/20/19 13:57 17060-07-0 Dibromofluoromethane (S) 101 %. 82-114 1 02/20/19 13:57 1868-53-7 4-Bromofluorobenzene (S) 109 %. 82-120 1 02/20/19 13:57 460-00-4 Toluene-d8 (S) 104 %. 82-109 1 02/20/19 13:57 2037-26-5 Date: 02/21/2019 02:19 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except In full, without the written consent of Pace Analytical Services, LLC. Page 5 of 12 aceAnalytical w.w.pacelabs.com ANALYTICAL RESULTS Project: Hickory NC Pace Project No.: 2614692 Pace Anatyticai Services, LLC 110 Technology Parkway Peachtree Corners, GA 30092 (770)734-4200 Sample: Outfall Lab ID: 2614692002 Collected: 02/07/19 10:30 Received: 02/08/19 09:15 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260D MSV Analytical Method: EPA 8260D 1,1-Dichloroethene ND ug/L 1.0 1 02120/19 16:51 75-35-4 cis-1,2-Dichloroethene ND uglL 1.0 1 02/20/19 16:51 156-59-2 Tetrachloroethene ND ug/L 1.0 1 02120/19 16:51 127-18-4 Trichloroethene ND uglL 1.0 1 02/20/19 16:51 79-01-6 Vinyl chloride ND ug/L 1.0 1 02/20/19 16:51 75-01-4 Surrogates 1,2-Dichloroethane-d4 (S) 107 %. 81-119 1 02/20/19 16:51 17060-07-0 Dibromofluoromethane (S) 100 %. 82-114 1 02/20/19 16:51 1868-53-7 4-Bromofluorobenzene (S) 108 %. 82-120 1 02/20/19 16:51 460-00-4 Toluene-d8 (S) 104 %. 82-109 1 02/20/19 16:51 2037-26-5 Date: 02/21/2019 02:19 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 6 of 12 NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC - OWNER NANIE: General Electric Company - Salisbury OIRE: Ray S Penley GRADE: PC -I, ORC HAS CHANGED: No cOMR PERIOD: 02I0L9 (January 2019) 'VERSION: 1 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Proceised SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 7tim Reporting Re 5 50 34404 Continuous Recorder ,j 2 X month Grab Quarteri Grab • 000.108' terCLETA .00 , 31 2403 shtick Hiss 2430 Hock Hiss 11471 mad 0800 4 y 076 0800 4 4 400 N Ylonilt. ernite AlotablI A. et*e: Ody AhAlmtin.: 0.070 0.076 0 076 0,076 01,070 0.076 0,076 04 3 0.073 0.073 0.073 0.12 00074935 0.076 7.16Aimum 0.073 003000044 TCE tItYLt 20 **** No Reporting Reason; PNFRUSE No Flow,•Reuse/Recycle; ENVWTHR -No Visitation - Adverse Weather: NOFLOW -.No 1ow; HOLIDAY - No Visliation - Holiday NPDES PERMIT NO,: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Catawba OWNER NAME General Electric Company - Salisbury ORC: Ray S Penlcy ORC CERT NUMBER: 27888 GRADE: PC-1 ORC HAS CHANCE VERSION: 11..0 STATUS: Processed CONTACT PHONE 41: 8283l21058 SUBMISSION DATE: 02/13/2019 FACILITY NAME: Rickory Pam eDMR PERIOD: 01-2019 (Js COMPLIANCE STATUS: Compliant 02/07/2019 ©RCICertit"ier Signature: Ray Penley E-Mail. ray,pcnley(?ge.corn Phone #:828 312 1058 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the [) the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided e raily within 24 hours from the time the pennittee became aware of the eireumstances. A written submission shall also he provided within 5 days of the time the permittee becomes aware of the circumstances. lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -able the NPDES permit. Permitteelsubttlittcr Signature:*** Bob 'U4hitsel 0 o be made as required by part ILE.6 of 02/13/2019 291-3319 [)ate Permittee Address; l'2"23 Fairgrovc Church. Rd Hickory NC 28602 Permit Expiration Date: 07131./2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on nay inquiry of the person or persons who m.turaged the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete: I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment: for knowing violations.. LAB NAME: Pace Analyt'scat Services, ine CERTIFIED LAB #: 381 PERSON(s) COLLECTING SA.MPI,ES:1 v and Rife CERTIFIED LABORATORIES PARAMETER CODES Parameter Code assistance may be ohtaincd by calling, the NPDES Unit (919) 807-6300 or by v°isiting ltttp:J Porial.ncdenr.o'cblwq'swpllnpdesiforms FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flowl.Discharge From Site: Check this box if no discharge occurs ands, as a result, there are no data to be entered for all of the parameters on the DMR. for entire monitoring period. ** ORC on Site:?: ORC must visit facility and da)ctnnent visitation of facility as required per 15A NCAC 8G :0204. ** Signature of Perntittce: If signed by other than the permit .0506(b)(2)(D)• then delegation of the signatory authority must be on file with 'the state per I SA NCAC 2B ERMIT Na: NC0076643 ITT NAME: Hickory Plant PERMIT VERSION: TO CLASS: PC-1 ER NAME: General Electric Company - Salisbury ORC: Ray S PenIcy .DE: PC-1 OR( HAS CHANGED: No DMR. PERIOD: 12-2018 (December 2018) VERSION: 1,0 PERMIT STATUS: Active f777 COUNTY: Catawba ( r , ORC CERT NUMBER: 27888 4 e!4„1 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:',N0 0800 (AOC 0700 74104bly t(tw*.g0 Limit nolnkty Avtragc 48440 Maximum May latticat 07407mitous 7. X tnorgh X66706466 0(069 (4002 07062 (4062 0. 062 omhz om62 0,062 0.0 7-4 0..074 OA 74 0.07,1 0,074 ' 0,0'74 0.074 (7074 (4074 0,074 (4074 0,074 6..074 0.074 0.075 0,(2 0.0.64435 0 075 (trah 34475 )04,1040,, Narietty 4111(4 Grab TCETIIITE Lowl **** No Reporting Reason: EN FRIJSE s' No Floss-ReuseiRes:ycle; ENVWTHR No Visitation — Adverse. Weather NOFLOW ss No How:. HOLIDAY No Visitation — Holiddy rPERMIT NO,: NC0076643 PERMIT VERSION: 4,0 ATI NAME: Hickory Plant CLASS; PC -I . NER. NAME: General Electric Company - Salisbury ORC: Ray S Polley . RADE: PC -I ORC HAS CHANGED: N' cDMR PERIOD: 12-2018 (Dem ceber 20ON 18) VERSI: l .0 COMPLIANCE STATUS: Compliant CONTACT PHONE #t 8283 l2 l 058 PERMIT STATUS: Active COUNTY: Cakawba ORC CERT NUMBER: 27888 STATUS: Piocessed SUBMISSION DATE: 01/02/2019 01/0112019 ORC/Certifier Sig -nature: Ray Penley E-Mail:ray.perileyge,com Phone #:828 312 1058 Date By this signature,. I certify that this report is accurate and complete to the best of my knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment, Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the perminee 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 11.E.6 of the NPDES pemnt, 01/0272019 Perrnittee/Submitter Signature:*** Bob Whitsell E-Mail:robert, witsell@ge.com Phone #:706-29 Date Penninee Address; 1223 fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 1 certify, -under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with. a systemdesigned to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the hest of my knowlede 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, CERTIFIED LABORATORIES LAB NAME: ,Pace Analytical Services,Inc, CERTIFIED LAB #: 382 PERSON(s) COLLECTING SAMPLES: R.ay S Penlev Jeffery Fisher PARAMETER. CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting hup://portaIncden.rorglwehlwq/swpIpsinpdes/fotms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Dischar,ge From Site; Check this box if no discharge occurs and, as a result, there are no data to be entered for all le parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC must visit facility and document sisitaton of facility as required per ISA NCA( 8G .0204. *** Signature of Pennittee: If signed by other than the perrnince, -then delegation or the signatory authority must be on file with the state per I5A NCAC 213 NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Ilickory: Plant CLASS: PC-1 RECEIVE coUNTY; Catawba OWNER NAME: GePeral Electric Company - Salisbury ORC: Ray S Polley ORC' CERT NUMBER: 27888 1 GRADE: PC -I ORC HAS CHANGED: No eDNIR PERIOD: 10-2018 (October 20 I I•i) VERSION: I 0 CENI b(AL FILES STATUS: Processed DVVR SECTION 24P0 drat), SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 19101.1 Sat IC( Mraday Arariad LIPPE Mouthra Istiragra Pails Mrainurau 590)50 0, 072 ti 072 0.021 f707 i) 1771 17071 /7071 1107 1702 0.12 0.71711)777 11,073 2 X morith PH su 7,9 14475 uartrrly 70220) QuidIssly IrOl ICE WELL '*** No Reporting Reason; ENFR1.3SE, Flow-ReuseRecyde; ENvviTHB No 'visitation — Adverse Weather; '}FLOW No iow; biot,10AY No ,v)silation — Holiday NPDES PERMIT NO.: NCO 0'76643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: hickory Plant CLASS: PC- i COUNTY: Catawba OWNER NAME; General Electric, Ccruapany - Salisbury ()RC: Ray S Pcnlcy ORC CERTNLUMBER: 27888 GRADE: PC -I ORC HAS CHANGED: No eDAIR PERIOD: 10-2018 (Oetober 2018) VERSION: 1.0 STATUS: Procesed COMPLIANCE STATUS: Compliant CONTACT PHONE 1: 8283121058 SUBMISSION DATE: 11/05/2018 ORC/Certifier gnature: Ray Pcnley E-Mail: ray.penley(u?ge.corn Phone By this signature, 1 certify that this report is accurate and cornplete to the best of in k'.nowledge. T'he perrn shall report to the Director or the appropriate Rc Any infortnatio yt nonccatnpliance that potet 5, 2018 31.2 1.058 Date ns public health or the environment. be provided orally within 24 hours from the' time the pc°rnittee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the permittec becomes aware of the circumstances, lithe facility is noncompliant, please attach a list of corrective scours being t:rken ,tna the NPDES permit. Perrnitteer'`Su'bm Pennittee Address: I table for irnprovcments to be made as required by part 11,b 6 of Signature:'"** Bob 'Ahitsell E- 'tail.robert.wits ltg`age.catrtt Phone #:706-291-1319 Date grove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision it 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 massaged the system, or those persons directly responsible for gathering the information, the in.fomiation submitted is, to the best of nay 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 viwalatiosas. CERTII IED I AIIORATORII: S LAB NAME: Paee Analytical F,erviee,s,In.., CERTIFIED LAB #:382 PERSON(s) COLLECTING S.. 'IPLES: Rras Penley and Jeffrey Fisher PARAN11i1"haft. CODES Pararneter Code assistance rnay° be obtained by calling the y;PDFS Unit (919) 807-6300 or by lung http:r` cdenr.orglwc'b:`wq swwrplpsinpdes FOOTNOTES Use only units of measurement designated in the reporting, facility's NP'DES permit for reporting data. * No Flo wv/Dili barge Prom 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 1)MR for entire monitoring period. ** ORC on Site?: ORC must visitfacility and document visitation offacility' as required per 15A NCAC 8C1 .0204. *** Signature of Permittee: Ifsigned by other than the pertnitiec, then delegation of the signatory authority must be on file with the state per 15A NCAC 213 .050( b)(2)(D), NPDES PERMIT NO.: NC-0076643 PERMIT VERSION: 40 FACILITY .NAME: Hickory Plant CLASS: PC -I OWNER NAME: General Electric Company Salisbury ORC: Ray S Penley GRADE: PC-! ORC HAS CHANGED: No eDVIR PERIOD: 09-201 S (September 2018) VERSION: I J) PERMIT STATUS: .Active COUNTY: Caiawba ORC CERT NUMBER: 27888 STATUS: PrO4xo0d SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*,p 1 is 1 4. i! 7, 1 „=, E. - 1 , c 8 0 2400 clock Uri 7404 clock Hr4 1 , N - - . 2 N a 1.000 I B 4 ' 0800 8 13 $ 1 !. B 0800 8 6 0800 $ Y , 7 : 0800 1 2 13 8 N q N ... . 10 8 Y 0800 - , - - -- -- : 1 8 ! Y 1 08410 12 .14800 4 ' Y, ... 13 0800 : Y.... 14 1 0900 a 15 1 N la N 17 0800 S Y 18 OROO 8 Y , - 19 0800 144 0800 8 22 23 151111111111 26 27 1444 29 30 13 BIM 8 4 '4 8 ! osoo 0300 9140)) o kcparting Rtaou RASO 00400 CorthnuolLi 2 X month Grab 11414 FLi)v, rugd su 007 I 0 07 0 Orra 0.069 0„060 7 9 1 069 0,009 0.069 0.060 0,07 OM'? 0.071 0,07 I 0.07 I 04171 1) )1' 0.073 0.07.3 1 112071 0.073 41 073 0,073 0,073 11 074 0.074 0.074 0,074 0 074 0 074 01 0 074 Monthly Averagr 14001, 40oo143y Average, 0,0717 Daily Maximam. "" 4 Daily 14iil-6111MM, 0 000 7,9 34475 Quarterly Grub 11lICLETY 39180 Quarterly Grab TC.EIHYLE 7.9 7.9 " No Reporting. Reason; ENFRUSE —No Flow-Reuse/Recycle; ENVWTHR,i; No Visitation — Adverse Weather; NOFLOW No Flow, HOLIDAY No Visitation Holiday NPDES PERMIT NO.: NC0076643 FACILITY NAME: Hickory Plant OWNER NAME: General. Electric Ccarrrpany GRADE: PC-1 eDMR PERIOD: 09-2018 (September 2018) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 CLASS: PC-1 ry ORC: Ray S Pcnlcy ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE#: 8283121058 SUBMISSION DATE: 10I10i2018 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed ORC/Certifier Signature:RayPenleY E-Mai:raY•Pcn1eYC ge,com By this signature, I certify that this report is accurate and complete to the best of my knowledge. Phone 8:828 312 1058 0U04U2 Date The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens publichealth 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 iaraprovements to be made as required by part 11.E.6 of the NPDES permit, 1 0/1 0/20 18 Permittee/Submitter Signature;*** Bob Wbitsell E-M.ail:robert.witsetl(dge.com Phone #:706-291-3319 Date Permittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07131/2020 I certify,. under penalty of law, that this document and all attachments were prepared under my direction or supe to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry lion in accordance with a system designed .he 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 infomiation, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Analytical Scrvicc CERTIFIED LAB #: 381. PERSON(s) COLLECTING SAMPLES: GE Hickoy PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES'Unit (919) 807-6300 or by visiting http://portal,ncdenr.orglwdblwq/swp/pshrpdeslforms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204, *** Signature of Permittee: 1f signed by other than the perr�ittee, then delegation of the signatory, authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D), NC0076643 PERMIT VERSION: 4„RECEIVED E: Flickory Plant CLASS: PC-1 ER NAME: General. 'Electric Company Sal isInny OR( : Ray S Penley GRADE: PC-i. ,CFNINAL FILES ORC HAS CHANGED: N('DVVR SECTION eIDAIR PERIOD: 08.20 I S (Aursi 2018 VERSION: I 0 PERMIT STATUS: Active COUNTY: Ca:awba ORC CER'f NUMBER: 27888 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO mouREs,,,EL REwNAL Virs IOW c6ck Otttni Munittiv Antrave Mottnit .4444414, nwily Maximum 50050 t-•mto 1 1000!t10041.4 t.1.4M2 (Mtn?: 0 ttnOt! thi.n4S 0.07: V: ( .: no. '1,Ofttt I MO odd 74! 0.074 l• X month Gr2b irrculty **** No Reporting Reason: ENFRUSE!,-No Flow,RouseiRei:yele: ENVWT[Ilz, No Visitation Adverse V.V,Nitfier NidELOVV = No Flow: [K./U[7AV No Visi[ation —Holiday NPDES PERMIT NO.: NC0070643 PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC-1 OWNER NA7iiF: General Electric Company - Salisbury; OR(;`:. Ray S Polley GRADE: PC-1 ORC HAS CHANGE. No eDNIR PERIOD: 08-2018 (Au us 2018) VERSION: 1.0 COMPLIANCE STATUS: Compliant CONTACT PHONE?t: ORC/Certifier Signature: R.ay° Pe PERMIT STATUS: Active COUNTY:. Catawba. ORC CERT NUMBER: :2788,8 STATUS: Processed SUBMISSION DATE:09rI0=2018 E-Ntail:ray.pcnIcPhone By this signature. I certify that this report is accurate and complete to the. best o1) my knowledge, The pernt`s Any infor7 to th 09'06.12018 312 1058 Date or or the appropriate l. Office any noncompliance that potentially threatens public health or the enwrirorttttet n shall he provided orally' within 24 hours from the time the permittee became aware oft.h.c circumstances. A written submission shall also be provided within 5 days of the time the perntittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for itrrprovements to he made as required by p `t 1T.E,6 of the NPDES permit, Permitteer`Submitter Signature:*** Bob Whitsell E-Mail:rtabert. 09110:`201 8 1(u ge-corn Phone #:706-291 -3319 Date Perrnittee Address: 1223 Fairarove Church Rd Hickory'NC 28602 Permit Expiration Date: 07,'31 2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system d.esigrted to assure that qualified personnel properly gather and evaluate th.c 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 knowing violations, CERT U'IFeL LAB NAME: Pace Analytical ,Services, Inc CERTIFIED LAB 4: 381 PERSON(s) CIMA,E:(:TINC SA Parameter Code assistance may he obtained by calling the NPDia Use only PA.RAM Unit (919 ment designated in the reporting facilityrs ,ABORATOI(I hS ER CO 07-630t3 or by v OOTNOTFS s data chiding the possibility of fines and imprisonment for p;!lport:rl.ncdcnr-org,'webwgr'swp lrsrnpcics fo * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a rewuft, there are no data to be entered for all o'f the parameters on the DIOR for entire monitoring period, *" ORC on Site?: ORC must visit facility and document sisitation offacility as required per 15A NCAC 8G .0204. **'* Signature of Pern.ittee: If signed by other than the perrnr ee, then delegation attic signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D), Pace Analytical Services, LLC 110 y Parkway tleAnafy[I[.ai Peachtree Comers, .:Rnvaccela8s.con (770)734.4200 ANALYTICAL RESULTS Project: Quarterly Groundwater Pace Project No.: 267802 Sample: Influent Lab ID: 26780200i Collected: 08/02/18 11:00 Received: 08/03118 09:45 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260B MSV Analytical Method: EPA 8260B 1,1-Dichloroethene ND ug/L 1.0 1 08/15/18 19:33 75-35-4 cis-1,2-Dichioroethene 317 ug/L 50.0 50 08/16/18 13:35 156-59-2 Tetrachloroethene 555 ug/L 50.0 50 08116118 13:35 127-18-4 Trichloroethene 1360 ug/L 50.0 50 08/16/18 13:35 79-01-6 Vinyl chloride ND ug/L 1.0 1 08/15/18 19:33 75-01-4 Surrogates 1,2-Dichloroethane-d4(S) 112 %. 81-119 1 08/15/18 19:33 17060-07-0 Dibromofluoromethane (S) 105 %. 82-114 1 08/15/18 19:33 1868-53-7 4-Bromofluorobenzene (S) 103 %. 82-120 1 08115/18 19:33 460-00-4 Toluene-d8 (S) 103 %. 82-109 1 08115/18 19:33 2037-26-5 Date: 08/17/2018 03:33 PM REPORT OF LABORATORY ANALYSIS This report shall not be reproduced, except in Nil, without the written consent of Pace Analytical Services, LLC, Page 5 of 12 ce1911 yt]cal rw41 ce73iss.can ANALYTICAL RESULTS Project: Quarterly Groundwater Pace Project No.: 267802 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Comers, GA 30092 (770)734-4200 Sample: °uttaii 001 Lab ID: 267802002 Collected: 08/02/ i8 11:00 Received: 08/03/18 09:45 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Quer 8250E MSV Analytical Method: EPA8260B 1,1-Dichloroethene ND ug/L 1.0 1 08/16118 13:05 75-35-4 cis-1,2-Dichloroethene ND ug/L 1.0 1 08/16/18 13:05 156-59-2 Tetrachloroethene ND ug/L 1.0 1 08/16/18 13:05 127-18-4 Trichloroethene ND ug/L 1.0 1 08/16/18 13:05 79-01-6 Vinyl chloride ND ug/L 1.0 1 08/16/18 13:05 75-01-4 Surrogates 1,2-Dichloroethane-d4 (3) 113 gib. 81-119 1 08/16/18 13:05 17060-07-0 Dibromofluoromethane (3) 102 %. 82-114 1 08/16/18 13:05 1868-53-7 4-Bromofluorobenzene (S) 105 %. 82-120 1 08/16/18 13:05 460-00-4 Toluene-d8 (S) 103 %. 82-109 1 08/16/18 13:05 2037-26-5 Date: 08/17/2018 03:33 PM REPORT l OF LABORATORY ORY ANALYSIS This report shall not 0e reproduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 6 of 12 NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4,0 FACILITY NAME: Hickory Plant CLASS: .PC -I OWNER NAME:. General Rleetric Company - Salisbury ORC: R.ay S Pmc GRADE: PC-1 ORC HAS CHANGED: No VERSION: TO eDMR PERIOD: 07-201.8 (July 201.8) rERMIT STATUS: Active ,18 COUNTY: Catawba ORC CERT NUMBE/t 27888 STATUS: Processed RECENE C DEN A OW R SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*;,,,,,, m F 4,"'',:l'AONAL„ OFFICE Ott t 0 SOO DNA $0050 0.062 00 62 1, 082 66.2 O.D62 0..050 , 05 9 0 050 0.05Q n 6:9 0 0 5 0 Mpeohly mato Limit; 2 .X month 691 fin QoMicriy m TCETHYLE 0t0m0b4 A^001%,,, 062011 PMIlV llflla*20211. 0999 MI60.66, 0.010 9 •'". No .Reportiatt Rcason: ENFRt...;SE = No Flt:twatnise,Rc-cycl.c; ENVWTHR No Vi5itatiort - A.ttvergt. Wetollt:T NOFLOW = NO Ftovi: V-10LtDAY = No Vitatation Holiday NPDES PERMIT NO,: NC0076643 PERMIT VERSION: 4,0 FACILITY NAME: Hickory Plant CLASS: PC -I. OWNER NAME.': General Electric Company - Salishw> ORC: Rav-S 1"ena!�y GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 07-2018 (A 2018) VERSION: l 1) CONTACT PHONE #: 8283121058 COMPLIANCE STATUS: Cot ORC/Certifier Signature, Ray Penley By this signature, s accurate and complc st of my know ledge. PERMIT STATUS: Active COUNTY: Catawba ORC CER'1` NUMBER: 27888 STATUS: Processed SUBMISSION DATE' 08 13/2018 m. Phone 08/021201 t 31 2 1058 Date The perrnutec shall report to the Director or the appropriate Regional Office any noncompliance that potentially thrcatcn public health or the envirunment. Any information shall be provided orally within 24 hours from the time the permittee became aware of"the c t :umstances. A written submission shall also be provided within 5 days of the time the permitter becomes aware of sate circumstances. If the facility is noncompliant, please attach a list of con-ectivc actions being taken and a tints -table for improvements to be,trade as requires$ by part Il.E.6 of the NPDES permit. Permitbmitter Signature,' Whitscll E-SMar:ii;rober,t. n 08/03/2( 18 Phone #:706-29 1 -33 1 9 Date Permittee Address: 1.223 Fairgrove Church Rd hickory NC ` 28602 Permit Expiration Date 07131/2020 I certify, under penalty of law, that this document and all att.achrnents were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate' the intosanatiott submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering die information, the irlforrnation submitted is, to the best of my knowledge- and belief. trite,. accurate, and complete, 1 ant aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Army CERTIFIED LAB#: 381 PI R'SONfs) COLLECTING: S<" MPL :S: Ray Pcnlcy and Je PARAMETER CODES Parameter Code assistance may' be ohfairted by calling the NPDES Unit (919) 807-6300 or by visiting http,#7porta Use only un€tt * No Flown Di for entire morn ORC on Site?: ORC must visit facility and document visi'itx'tion of facility as required per l SA NCAC SO ,0204. t"`'' Signature of Permittee: If signed by other than the permitter, then delegation of the signatory authority must be on file with the state per 15,,A NCAC" 2H' 0506(h)(2)(D)• 'w'eb w q/swp/pt;/,piles/forms FOO[NOTES inea.surernent designated in the reporting facility's NP.DhS permit for repotting data ire: Check this box if no discharge occurs and, as a result, there are no data to he' entered. Cor all of the parameters on the DMR NP01;:S PERMII NO.; NCI:10766,43 PERMIT VERSION.: 4,0 FACILITY NAME: Hickory Plant CLASS: PCA OWNER N.AME: General. Electric Conrpany Sal:sbu:): ORC: Ray S Penley GRADE: PC-1 ORC H.AS CHANGED: No cDMR PERIOD: 0.6...2.018 (June 2018) VERSION: 1.0 14 1400 0.0 n.-Rma STATUS: Active COUNTY: Catawba ?UlEMU CERT NUMBER: 77A88_, tii:.,Cc-LVEDINCOGNROVIR STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: OM NO DISCII r H VII 2400 61466 II1n, 0800 7 9 010.0 111.11/0 0800 0800 416960 1:0161711.10113 Record:0' 44 044 11 44,14 00440 2 X month 041,4 641 70 Quarterly 341811 Quartedy 4,11 1ET0L,11111 (49)11719 0.069 0,000 017 06)67 91107 11 71000nl1 Averne 1.1000: 0 067 0,061 0.011 10:07 0 066 0,0/, 0066 36066 0.1444 0 066 10.0:11 :1 066 10'00 10.006 !:11011 0.011 10 1111 0,001 0.014 1 Or 1:16-165 01:65 04705 0,11 84141 Avernt: DAiiy MANitI1/1011: 110.11. 410010000 0164-1333 :V 047 31311,4 **** No Reporting Reason: ENERDSE - No Flow-Rottse/R,Nycle.: ENV:117E1R ::: V13611111011 A,16.17733 Ara; NOPLOW ::: No Flow: HOLIDAY No Visitation -HoIIday NPUES PER:!11I'T NO.: NC0076643 E.ACILITY NAME. Hickory Plant OWNER NAME: General Electric Company - Salisbul) ORC: Ray S Penl GRADE: PC -I eDNIR. PERIOD: 06-2018 (lone 2018) COMPLIANCE STATUS: Compliant PERANT VERSION:4,0 CLASS: PC-1 ORC F1AS (;FLANGED: `Jr 'VERSION: I.0 CO\ FAc1 PHONE #: 8283121058 PERMIT STATUS: Active COUNTY: Catawba ORC: CERT NUMBER: 27888. STATUS: Processed StR%I1SS1ON DATE: 07'05/2018 ORC,tCertif'icr Signature: Ray Penley E-Mail:ray.penley ci.ge.corn Phone 4 828 312 1058 Date By this (signature, I certify that this report te to the best of m.y knrasviedgc. The pennittee shall report to the 1 he appropriate Regional Office any noncompliance that potentially threatens public health or the envirrarmtnent. Any. information shall be provided24 hours from the time the perrnittce became aware of the circumstances. A written submission shall also be provided within 5 days of' the time the permitter becomes aware of the circumstances, 11" the facility is noncompliant, please attach a lit of corrective actions being taken and a tin'tc.-table fo the NPDt S permit, Horde as required by part It t 6 of Permitteei`Subntitter Signature:"** Bob W' 706-291-3.3I9 Pcnnittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Perntit'Expiration Date: 07/3 E2020 I certify, under penalty of Saw, that this document and all attaehntents were prepared under my direction or supcion 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 rn, or those persons direr esponsible for ,gathering the information, the information suhmittcd IS, to the hest ofitty knowledge and belief, true, accurate, and complete. I tan aware that there are sig kno LAB LN 'tE: Pa e Anatytital Sen'ices, tnc CERTIFIED L,AB# 351 PERSON(s) COLLECTING SA'4dPEES: nt penalties for submitting false information, including the possibility of lines and imprisonme CER"IIFtED L.D BORATO'RII'S PARAMI (1 R CODES Date Parameter Code assistance may be obtained by calling the NPD[S Unit (919) >307-6„100 or by visiting http:' portal,ncdeenr.orgtvvch,`wgt'swplpsdnpdestfonm. FOOTNOTES Use only units cut measurement designated in the reporting facility NPDES permit for reporting data, * No Flow,°Discharee From Site: Check this box lino discharge occurs and, as a result, there are o data to be entered for all of the, Fria. for entire monitoring period, ** ORC on Site?: ORC must visit facility and document sasitatttan of facility as required per 15f NCAC 8G .0204 *** Signarure of Perrnittee: If signed by other than the permit e, 'their delegation ate signatory authority must be on file with the star .0506(b)(2)(D). c DMR per 15A NCAC 2B . S PERMIT NO.: NC007664,3 FAciun NAME: Hickory Plant CLASS: PC-1 OWNER NAME: General Elcctric Company - Salisbury, ORC r Ray S Penley GRADE: PC —I et/MR PERIOD: 05-2018 , ay 2018) PERNIFT YER,SION: 4 0 ' 606,6 N 2 t'.5 .2 018 ORC HAS CHANCECH lD o E s VFRS1O'% 11SE0. 1-) ON PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 kEaWEDINCOIENRIDWR STATUS; Prixe,r6601 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DI$101-AMNIA,_ OFFICE III=1E1E11111= .11.1111E 111111E1111111 ttaratt 14)06,0 Coininuous (1t 0,1166 064 0.069 a MO 0 Mtn Orr 08,00 06)7 ! , n Matahly Vrtrne Av'n°' DO6S258 usitystssiminsi :0 07 awry Waituorn, .0 060 661,140 .2 X month )4425 Quarterly Gran Ivrro.. wry o 39160 Quarterly Grab irckt IBY IK 1101 '"'•• No Reriori ing Prrason; ENERLFSE 0, No How-konsenRocyclon ENV - N Visitation — Advorse Weatheri NOFLOW - No Flow; FIOLIDAY — Nu Visitation — 1.10.htlany NPDES PERMIT NO: i' C0076I 43 PERMIT 't'ERSION: 4,0 FACILITY NAME: Hickory Plant (:LASS: PC-1 OWNER NAME: General. Electric ("ornpany - Salisbury ORC: Ray S Pcnlcy° GRADE: PC-1 ORC HAS. CHANGED: Ni eDMR PERIOD: 05-2018 May 2018) V=ERSiON: t_tl COMPLIANCE STATUS: Compliant CONTACT PHONE #: 8283121058 ()RC/Certifier Signature: Ray Penlcy E-Mail:ray.penle By this signature, tify that this report is accurate and complete to the best of my knowledge, The pernsittee shall report to the Director or the appropriat Any information shall be provided orally within 24 hours from the Untie the permutee became aware of the circumstances, A written submission shall also be provided within 5 days of the time the pemtittee becomes aware (Attie e:ire;uanstances, lithe facility is noncompliant, please attach a list of corrective actions bin and a time -table for improvements to he made as required by part 11.E.6 of the NPDES permit, PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SUBMISSION DATE titrr lst2t Phone #:828 3 1 2 1 058 Date ny noncompliance that potentially threatens public health or the environment:. 061181201h Permittee!Subntitter Signature;*** Bob V hitsell E-MailLrohert.wit ell ge Pennittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07131/2020 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance witEt a systenn designed to assure that qualified personnel properly gather and evaluate the information submitted. 1:3a.sed on myinquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the iraft miation submitted is, to the hest of my knowledge and belief, true, accurate, and complete, I am aware that there are significant penalties 15r 4uhntitting false information, including the possibility of fines and imprisonment for knowing violations, LAB NAME: Pa cc Anakv CERTIFIED LA13 #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penlry a d Ic.hte . Fy dtc. TI11T°:l Lt113ORATORIES PARAMETER CODES Phone ft.706-291-3319 Date Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting httpalportal.nedenr.rrrglweblwglswpip stanpdes/forms. FOOTNOTES Use only units rrf rneasstrement designated in the reporting fan ality°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 fot entire monitoring period. ** ORC on Site'': ORC mast visit facility and document visitation of facility as requited per 15A NCAC 8Ci ,020, *** Signature of Permittee: if sign ed by other than the permutee, then delegation of the signatory authority must' be on file with the state per 1SA NCAC 2I3 .0506(h)(2)(D). aceAnalyticial mew.pece<.ahacom ANALYTICAL RESULTS Project: Quarterly Groundwater Pace Project No.: 264647 Pace Analytical services, LLC 110 Technology Parkway Peachtree Comers, GA30092 (770)78 ; :200 Sample: Influent Lab ID: 264547001 Collected: 05/03/18 09:30 Received: 05/04/18 10:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No. Qual 8260B MSV Analytical Method: EPA 8260E 1,1-Dichloroethene 1.6 ug/L 1.0 1 05/11/18 14:22 75-35-4 cis-1,2-Dichloroethene 342 uglL 10.0 10 05/14/18 22:57 156-59-2 Tetrachloroethene 469 ug/L 10.0 10 05/14/18 22:57 127-18-4 Trichloroethene 1100 ug/L 10.0 10 05/14/18 22:57 79-01-6 Vinyl chloride ND ug/L 1.0 1 05/11/18 14:22 75-01-4 Surrogates 1,2-01chloroethane-d4 (5) 100 %. 81-119 10 05/14/18 22:57 17060-07-0 Dibromofluoromethane (S) 94 %. 82-114 10 05/14/18 22:57 1868-53-7 4-Bromofluorobenzene (5) 93 %. 82-120 10 05/14/18 22:57 460-00-4 Toluene-d8 (S) 93 %. 82-109 10 05/14/18 22:57 2037-26-5 Date: 05/15/2018 07:00 PM REPORT OF LABORATORY ANALYSIS This report shall riot be reproduced, except it full, without the written consent oT Pace Analytical Services, LLC. Page 5 of 12 aces Ma!yti al a wmvpacslab .caen ANALYTICAL RESULTS Project: Quarterly'Groundwater Pace Project No.: 264647 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Comers, GA 30092 (770)734-4200 Sample: Duttali Lab ID: 264647002 Collected: U5/03/18 09:30 Received: 05/04/18 10:00 Matrix: Water Parameters Results Units Report Limit DF Prepared Analyzed CAS No, Qua! 8260B MSV Analytical Method: EPA 8260B 1,1-Dichioroethene ND ug,L 1.0 1 05/14/18 22:31 75-35-4 cis-1,2-Dichloroethene ND uglL 1.0 1 05/14/18 22:31 156-59-2 Tetrachtoroethene ND ug/L 1.0 1 05/14/18 22:31 127-18-4 Trichloroethene ND uglL 1.0 1 05/14/18 22:31 79-01-6 Vinyl chloride ND ug/L 1.0 1 05/14/18 22:31 75-01-4 Surrogates 1,2-Dichloroathane-d4 (5) 101 %. 81-119 1 05/14/18 22:31 17060-07-0 Dibromofluoromethane (S) 93 %. 82-114 1 05/14/18 22:31 1868-53-7 4-Bromofluorobenzene (S) 92 %. 82-120 1 05/14/18 22:31 460-00-4 Toluene-d8 (5) 94 %. 82-109 1 05/14/18 22:31 2037-26-5 Date: 05/15/2018 07:00 PM REPORT OF LABORATORY ANALYSIS Tills report shah not be reproduced. except in full, without the written consent of Pace Analytical Services, LLC. Page 6 of 12 NPDES PERMIT NO.: NC0076643 .PERMIT VERSION: 4,0 FACILITY N,AME: Hickory Plant CLASS: PC-1 OWNER. NAME: General .Eilectric Coinpriny - Salisbury ORC: IZay S Penley GRADE: PC-1 ORC HAS CHANGED: No eDMIR PERIOD:4)4-2 . 201g) VERSION: 1,0 4 9 11 tit .15 17 111 19 70 11 17 2.4 13 70 17 79 79 3.6 PERMIT S'FATLIS: Activr.: COUNTY: Catawba ORC CERT NUMBER: 278WiCEIVEDiNCOENRIDWR STATUS: Nov, essecl SAMPLING LOCATION: EFFLUENT DISCHARG NOE: 001 NO DISC intinSti COratinkonei 0 40110,..4.41a, 14.1,4 ',OWN 0800 :8 CO(0 WO( 1 44 1. 065 SOO 84. 44 'Y 44 Y 0,06,5 40484 0,06.5 .042 0,062. 4402 0.00, 100', WA 0.07. 0„07 OAP OM? 0141Ni44,4404, 0.062 14 W R 0 S NI k S 17, R 4110NA L 0 F4F410 A J91$0 7.9 74 **** No Reporting Reason: ENTRUST :iv No Flow-RetiseiRecycli VtVTFIR — Nit Visitation Adveast: Weatlictt NOFLOW :::: No now: HOLIDAY — No Visitation.— Ptoliday NPDES PERMIT" NO.: N 1)076643 FACILITY NAME: Hickory Plant OWNER, NAME: L GRADE: PC-I. PERMITVERSION:4 CLASS: PC-1 General Electric Company - Salisbury ORC: R iy S Pen eDMR PERIOD: 04-2018 (April 2018) COMPLIANCE STATUS: Complinni ORC/C"ertifier Signature: Ray ORC HAS CHANGED: NO VERSION: 1.0 C:0N'T ACT PHONE 4: 82S31'2 tt azure, I certify that this report is accurate and couple PERMIT STATUS: Active COUNTY: Catawba OR(:: CERT" NUMBER: 37 STATUS: Pro essed. SUBMISSION DATE: 0.S 15t20 05/02/°201 S penleyrrcge.conl Phone i:328 312 1058 Date o the best oftny knowledge. The pernuttce shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the. e Any information shall be provided orally within 24 hours from the time the permiuee became aware of the provided v.vitlt.in 5 days of the'tone the pernr_ittec becomes aware of the circumstances.. lithe, facility is noncompliant, pleas the NPDES permit. ircu.mstances. A written suhrniss:on sh rttent. a a list of co,rreetive actions being taken and a time -table for improvements to he made as required by part 11.1;.6 of Perrrsiatec,` ubnri'tter Signature:*** Bob '1 hitsell E-Malt.robert,w Perrmtl;ee Address: 1223 Fairgrove Church Rd Hickoy NC 286.02 P'emut Expiration, Date: 07/31,12020 1 certify, un.der penalty of law, that this document and all attachments were prepared under my direction ea to a sure that qualified, personnel properly gather and evaluate the information submitted, Based on my in persons directly responsible for gathering time information, the int°orn and complete. I atn aware that there are si ions. LA NAE- Pace Aral iic t Scrv°ire . In CERTIFIED LAB Y€:3&'1 PF R.SON(s) COLLECTING SA v1 PLLS: Ray Pent Use only u t penalties for submittin C'bRTIF1E e may he obtained by calling t: of measurerneitt ti'csi mated in the re corn Phone :706-291-3319 Date p in accordance designed of the person or persons who managed the submitted is. to the best of my 'knowledge and belief, true, information, including the possibility of fines and imprisonment for PARAMETER .CC 'ES NPDES Unit (919) 807-6300 or by visiting h * No 1-loss Discharge From. Site: Check this box if no disci for entire monitoring period. ** ORC on Site?: ORC roust visit FOOTNOTES 's NPDES permit for reporting data, rge occurs and, as a. result, there are no data to be entered for all of the paramctc:as on the DMR tcdenr.org/web/wq/swp/ps/npdcslforms. nd document visitation offacility as required per 15A NCAC SG .0204. *** Signature of Permittee: If signed by other than the perrnitt .0506(b)(2)(D)• theft delegation of the signatory authority must be on file with the state per 15A NCAC 2B NPDES PERMEE NO.: NC0070643 PERM! r VERSION: 4 0 FACILITY NAME: I lickory Plant CLASS: PC -I OW NER NAME: General Electric (oinpair - Salisbury ()RC: Ray S Penky GRADE: PC.1 ORC HAS CHANGED: No eDMR PERIOD: 01.2018 arch 20 VERSION: 1.0 2400 chick PERMIT STATUS: Active COUNTY: Catawba, ORC CERT NUMBER:2W RECEIVEDIN0DENRowR STATUS: Processed v'cv SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCWiL:,,,..„44310NAL 24710 tit.* 71771 0.067 Of kV 0.067 0 067 0,066 0 0.66 0.066 777) ati66 0.067 1:?, 067 0,067 n.067 0 067 01467 0.062 0.062 0.062 (0067 0 067 77777 X monk Yira pit Quarterly rETCLEIY 7171 narterly (Ural, CitITMt ES 71 •••• No Reporting Reason: ENFR171I No Flow-RouseRcyclo.i EiNVWFHR. — No 'Visitation — .Aiilvorsc Weather: NO.FLOW rit 'No 1OW; HOL [DA V iii tion Iolidy NPDES PERMIT NO,.: NC0076643 PERMIT VERSION. 4.0 FACILITY NAME: hickory Plant CLASS: PC-1 OWNER NAME: General Electric Company - Salisbury ORC: Ray S Penlcy GRADE: PC-1 ORC HAS CHANGED: No VERSION: 1,0 CONTACT P1IONF<#: 8283121058 eDt4'IR PERIO CONIPi iANC,E STATUS: Compliant ORClCertit"ier Signature: enley PERMIT STATUS: COUNTY: Crttaw#oa ORC CERT NCiMDER: 27Yt{S STATUS: Processed SUBMISSION DA`6F:: 04/11/2018 04 /03/201.8 e.conr Phone #:828 312 1.058 Date By this signature, t cerat this report is accurate and complete to the best of my knowledge. TheIoermi'ttee shall report to .the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any ittfornaation shall be provided orally within 24 hours 'from the time the permittee became aware of the circumstances- A Britten submission shall also be provided within. 5 days of the time the peernritteebecomes aware of the rstcumstances. lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for im the NPDES permit. rentents to be made as required hyr part CLE..6 of 04/1I/2018 Pcrmittce/Submitter Signature.*** Bob \Vhitsell E- corn Phone t?:706-291-3319 Date Permittee. Address: 1223 Fairgrove Church Rd Efick.ory NC 28602 Permit Expiration Date, 07i31 `2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations., CERTIFIED LABORATORIES LAB NAME: Pacts Ai alytical Sers CERTIFIER LAB It; PERSON{sl COLLECTING CTI',NG SAMPLES: Ray Penley and JeCtery Fisher Parameter Code a PARAMETER CODES c may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdeni orgi reb/wglswp/pslnpd es/fora s. FOOTNOTES Use only units ofrnc tsurement designated in the reporting facilit r"s NPDES pet7nit for reporting data. * No Flow/Discharge From Site: Check this box lino discharge occurs and, as a result, there arc no data to be entered for all of the parameters an the D1v]R for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per l5A NCAC 8G .0204, *** Signature of Permittee: If signed by other than the per.rnittee, then delegation of the signatory authority must he on file with the state per lSA NCAC 211 0506(b)(2)(,D), S PERMIT NO.: NCI0'6043 CILI"IY NAME hickory Plant OWNER NAME: General E:lectri. C° GRADE: PC-1 0 eDMR PERIOD: 02-20I (Fcbra.tar. ..a:TNoRcp PERN T VERSION:. 41-d7 CLASS: P01-1 ORC: Ray S Fen1 ORC HAS CHANGED: No VERSION.. 1,0 PERMIT ti ATuS, Active COUNTY Catawba ORC CER'I NUMBER; SANIPLING LOCATION: EFFLUEN'I' DISCHARGE NO.: 001 NO DISC irrg Ems EN Recycle: ENV GV1'HR- RioVisitatiron— AdvcrscWeather; NOFLOW No Flow, 1101.11)AY=NoVisitation —Holiday NPDES PERMIT NO.: 1'+C0076641 PERMIT FACILITY NAME: Hickory Plant OWNER NAME: Gen rai' llleetric GRADE: PC -I cDDIR PERIOD: 02-2018 (February 2018) COMPLIANCE STATUS: Compliant Ct ASS:.Pe ORC: Ray S P nleti ORC HAS CFIA\(;.I?.1?: No VERSION: 1.0 CONTACT PHONE p: 821i ORC-/Ccrtifi.cr Signature: Ray Penlcy By this signature, 1 certify that PERMIT: COUNTY: Catawba ORC CERT NUMBER: 2"i888 STATUS: Prue sscd SUBMISSION DAl F?: 03 12.2018 03/01.12018 ?vlail:ray penlcy@ge.com Phone #:828 3l2 1058 Dale accurate and complete to the best of my knowledge, 'The perrnittee shall report to the Director or the appropria Any information shall be provided orally: within 24 hours n al Office rany noncompliance that potentially threatens pabbe health or the environmentt, penrminec became aware of the circumstances, A_written submission shall also be provided within 5 days ofthe time the pennittee becomes aware oldie circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a tune -table for improvements to be made as required by part I1.E.6 of the NPDES permit. 03/ 12r'201 8 PermitteelSubmitter Signature:*** Bob'Whi'Isell E-M.ail:robert.w^dtsell tige 1'caudtt e Address'.: 1223 Fairgrove Church Rd Hickory NC. 2 ia602 Permit Expiration Date: 07/31'2.02(1 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designs-d to assure. that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons vvh(a managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and he true, accurate, and complete. 1 am aware that there are significant penalties for sub.naitting false information, including the possibility' ol:'fines and imprisonment for knowing violations, LAB NAME: Pace Analytical Services, CERTIF11:D LAD eft 33V PERSON(s) COI, I.FCTINC SA'MPi.,ES:: stay Pen lcy amad 3effert CERTIFIED 1 ARORA,TORiES PAR.AMI/.'i-ER. CODES Phone #:706-291-3319 Date Parameter Code assistance may obtained by calling the NPDI S Unit (919) 807-6300 or by visiting http://portal.ncdenr,orgywch wgr`swp`ps'npdes/forms, Use only units oftneasurerrtcnt designated in t FOOTNOTES reporting facility's NPDES permit for reportingdata, * No Flow/Discharge From Site: Check this box, if no discharge occurs and, as a result-, there are no data to be entered for all of the, parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC must virequired per 15A NCAC 8(1 .0204.. *** Signature of Permittee If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NC.0 2I .0506(b)(2)(D). rf. . J.'_z!° �rac,CA taIyut at Aampacelabszom ANALYTICAL RESULTS Vr ect: Lir0Una:"rater Pace Project No.: 261514 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Comers, GA 30092 (770)7 344200 Sample: Trip Blank Lab ID: 261514003 Collected: 02/06/18 00:00 Received: 02/07/18 09:35 Matrix: Water Parameters Results Units Repoli Limit DF Prepared Analyzed CAS No. Qual 8260B MSV Analytical Method: EPA8260B 1,1-Dichloroethene ND ug/L 1.0 1 02/05/18 16:43 75-35-4 l43-1.G-VIl.I11VIOetrieI IC IYV UU L 1.0 1 ULI VV/ 1.1 IV. .1 1W-J6-2. Tetrachloroethene ND ug/L 1.0 1 02/08/18 16:43 127-18-4 Trichloroethene ND ug/L 1.0 1 02/06/18 16:43 79-01-6 Vinyl chloride ND ug/L 1.0 1 02/08/18 16:43 75-01-4 Surrogates 1,2-Dichloroethane-d4 (8) 96 %. 81-119 1 02/08/18 16:43 17060-07-0 Dibromofuoromethane (S) 93 %. 82-114 1 02/08/18 16:43 1868-53-7 4-Bromolluorobenzene (S) 99 %. 82-120 1 02/08/18 16:43 460-00-4 Toluene-d8 (S) 94 %. 82-109 1 02/08/18 16:43 2037-26-5 Date: 02/19/2018 03:20 PM REPORT OF LABORATORY ANALYSIS This report shall not be repraduced, except in full, without the written consent of Pace Analytical Services, LLC. Page 7of12 w,vw.pacelabs.co ANALYTICAL RESULTS I-/ro;ect: Quarterly ISround:vater Pace Project No.: 261514 Pace Analytical Services, LLC 110 Technology Parkway Peachtree Comers, GA 30092 (770)734-4200 Sample: Out -fall Parameters Lab ID: 261514002 Collected: 02/06/18.10:30 Received: 02/07/18 09:35 fviatrix: Water Results Units Report Limit DF Prepared Analyzed CAS No. Qua} 8260B MSV 1,1-Dichloroethene .L-i..hc 111)1 UCII IOI IC Tetrachloroethene Trichloroethene Vinyl chloride Surrogates 1,2-Dichloroethane-d4 (S) Dibromofluoromethane (S) 4-Bromofluorobenzene (S) Toluene-d8 (S) Date: 02/19/2018 03:20 PM Analytical Method: EPA 8260E ND IVL! ND 1.4 ND 96 92 103 95 uglL VU?L ug/L ug/L uglL °lo 1.0 1 IA; 1.0 1 1.0 1 1.0 1 81-119 1 82-114 1 82-120 1 82-109 1 REPORT OF LABORATORY ANALYSIS This report shell not be reproduced, except in fUII, without the written consent of Pace Analytical Services, LLC. 02/08/18 16:16 75-35-4 VL/VVI IV IV.IV IJV'JJ'L 02/08/18 16:16 127-18-4 02/08/18 16:16 79-01-6 02/08/18 16:16 75-01-4 02/08/18 16:16 17060-07-0 02/08/18 16:16 1868-53-7 02/08/18 16:16 460-00-4 02/08/18 16:16 2037-26-5 Page 6 of 12 NPOES P.ERAIIT Na: NC0076643 FACIEFFY N.AMEz Hickory Plant PERMIT VI:1610N; 4,0 CLASS t PC-1 11.1.1 1 1 ,k0/Y 01‘ NAME: Gencial Electric Company - Sal kbury ()RC: Ray S Penley 7 ,/k(= CERT NUMBEW 27tC$8 GRADE: PC-1 ORC ELMS CITANGEIE No eDMR PERIOD; 01-2008 (January 2018) VERSION"; I 0 STATI1S: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO PERMIT STATES: Active COUNTY; Catawba Zgl. 6'00, Oa 10 $0 11; 10 aNthl %loath. AY... LIMO, Moons. O111,1y ...111 Recorder FLO., ORM 0,07 0 (1111 0..00 54$ 0_07 **** No Reporting R,ecisort ENFRUSE — No Ho Rouc RcoyeLc t NVW1T 2 X month. treat, $4475 341110 tduarterly 0 TE1I'COYKIN 0 Visitation —AiNersc \-Veittlier; 'NOELOW = No Flow; HOLIDAY is No VLsitation Holiday NPDES PERMIT NO..: NC0076643 FACILITY NAME: Hickory Plan OWNER NAME: General Electric Company - Sal GRADE: PC-1 eDNIR PERIOD: 01-21', uary 201 8 ) COMPLIANCE STATUS: IJS: Compliant ORC/Certifier his signature, I certify that thi PERMIT R'ERSION: 4.0 CLASS: PC-1 ORC: Ray S Pcnlcy ORC HAS CHANGE!}. No VERSiON: 1.D CONTACT PHONE #:82831210.58 PER:MIIT STATt. S: Active. COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS. Processed SUBMISSION DATE: t)2 12.='05/2018 Ray Penley E-Mailtray.penley@ge.coin Phone prat[ is accurate and complete to the hest of my knowledge. 312 1058 Date The permittee shall report to the .Director trr the appropriate Regional Office any noncompliance that potentially threatens public health or enviirnnment. Any information shall be provided orally tsithin 24 hours from the time the pertnittec 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 tL of corn ti c actions being taken and a time -table for improvements to he made as required by part. ILE.6 of the NPDES permit. 02/ . 2/20.18 Permitt e:'Subnattter Sig.naturc.*** Bob Wh.itsell E-Mail:robert.w.itsellti'ge.Com Phone 4:706-291-3319 Date Pemtittee Address_ 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 0.7/3112020 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 tines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME: Pace Anatyticai Services, Inc CERTIFIED LAB #: 38.1 PERSON(s). COLLECTING SAMPLES: Ray Polley and Jeffery Fisher Parameter Code assistance may be obtained by ca PARAMETER CODES he NPDES Clm,t (919) 807-6300 or by visiting http /,portal ncdenr orglweblwq/swpfpsinpdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on lh.e DR for entire monitoring period.. ORC on Site?: ORC must visit fa and document visitation of facility as required per 15A NC".AC 8C, .0204. ** * Signature of Pennittee°. If signed by other than the pernnuttee, then delegation of the signatory authority must be on file with the state per 1.5 A NCAC 2I3 .0506(b)(2')(D), 1ES PERMIT \() : \CO076641 #CI"LITv NAME: Hickory Plant OWNER NAME: General Electric Company• Salisbury ()RC: Ray S Pcr Icy GRADE: PC -I eDMR PERIOD: 12-2017 IDecemuber 2017) PERMIT VERSION: 4CLASS: PC -I HVE � „� PERMIT STATUS: COUNTY; Catawba ()RC CERT VUI► ORC IIAS CHANGED: CNo A rwor ILES VERSION: 1 DWR SECTION STA"1"C : Prctce SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO D CIIA GE*: ENO(. c use/Recycle: Ii1vVWTk1RVi Advcrse Wcallrcr, 'NOFLOW = No Flow; I -I ILIDAY �, Ott "is.1(atlare- H.cl DES PERMIT NO: NC0076643 PERMIT VERSION:40 AMITY NAME: Hickory Plant CLASS: PC-1 OWNER NAME: General Electric Company - SalisburyORC; IL S Penley GRADE: PC-1 ORC HAS CHANGED:No eflMR PERIOD: 12-2017 IDOXtrober 201.7) VERSION: 10 COMPLIANCE STATUS: Compliant coNTACT PHONE' 8 PERMIT STATUS; .Aerie COUNTY; Catawba ORC CER.T NUMBER: 2.7888 STATUS: Processed SUBMISSION DATE: 0111/2018 ORC/Certi.'.'er Signature:: Ray Penley E-M.ail:ray,penley@ge,com Phone #:828 312 1058 By this sign.ature, 1 certify ihat this report is accurate and cornpletc to the best of:my knowledge, 01/04/2018 Date The pennittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the pemintee became aware or the circumstances,. A ‘vritten. submission shall also be provided. within 5 days of the time the permittee becomes aware °Cate circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken ;ind a tirne-table for improvements to be made as required by part .0..E.6 of the NPDES permit:, 01/1112018 Perm.ittee/Submitter Signature:*** Bob Wh Is ell E-Mil,robert.witscll@gc.com Phone #:706-291-3319 Date Pennine° Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 cerfify, 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, CERTIF1 ED ,LABORATORIES LAB NAME; Pace Analytical Sery CERTIFIED LAB #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penley and jeffery Fisher PARAMETER CODES Parameter Code assistance may he obtained by calling the NODES Unit (919) 807-6300 or by visiting hUp //porlal ncdenr„irglweb/wq/swpIps/npdes/forms. FOOTNOTES Use only unit S of measurement designated in the reporting thcility's NPDES .permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result,there are no data to be entered for all of the parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G „0204, *** Signature. of Permittee:: If signed by other than the permittee, then delegation of the signatory authority must he on file with the state per l5A NCAC 213 .0506(b)(2)(D), " NO.: NC0076643 PERMIT VERSION: 4,0 'TY NAME: Hickory Plant CLASS: PC -I 114 N AMU: General Electric Company - Salisbury ORC: Ray S Penley GRADE: PC-1 ORC HAS CHANGE N ieDM R PERIOD: I 1-2017 (November 2017) 'VERSION: 1.0 KRAUT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 2.444£4 et6e6 Hr ' 4 OHM 0800 0400 4400 0$00 0800 8 • Y. 060/7 6 • Y 067671 4 Y 04iX) 8 Y. 17 (4,k.00 Y 600 77 0600 4 Monthty 6,6,6xmott Limit Racurrirr 0,0 0 074. 47.07/4 0.074 0 07 `, 0,075 r07$ 0 076 0,075 0.075 075 0.07 1107 0.064 0,064 4/0•4•44 C77066 0.066 2. X month Quarterly Orab (ifab i411 TETCLETV Y "'" No Roportiog Reason: ,ENFRUSE — No Elow-R,.useRroyele; 17NVWTt No VisilaOon — Adverst Weather; NCIFLOW fro Flow; HOLIDAY - No Viiitation Hohday NPi)ES PERNIFI`.NO.: NC0076643 PERMIT VERSION:4.0 FACILITY NAME: Hickory Plant CLASS: PC -I OWNER „NAME: General Electric Company - Sal.islsury ORC: Ray 5 Penley ORC IlAS CHANGED: No VERSION: LO STATUS: Proee ed CONTACT PIIONE #: 8283121058 SUBMISSION DATE: 12/1:3/2017 GRADE: PC -I. eDNIR PERIOD 11-2017 (November 2017 COMPLIANCE STATUS: Compliant PERMIT STATUS.: Active COUNTY: Catawba ORC CERT NUMBER: 27888 1.210 7.a_2 017 ORCICertifier Signature: Ray Penley E-Mail-ray,pcnley{'ri.;ge,com Phone #:828 312 1058 Date 1$v this si The pentitter: Any inliormati fy that this report, is accurate and coniplcte to the best of my knowwtled,ge. 1l report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. shall be provided orally within 24 hours from the time the permitter became aware of the circumstances. A written submission shalt also be provided within 5 days of the time the permlttee becomes aware of the circumstances. If the facility is noncompliant:, please attach a list of corrective actions being taken and a time-t the NPDLS perm Unproventents tta be made as required 'by part II.E.6 of 12/1312017 Per ltteelSubmitter Signature:'** Bob Whitsel'I F-vCail.robert. ttselltd=>go orn Phone #:706-291-33.19 Date Peron ttee. Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date. 07/3112020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best ofnty 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. CERTIFIED LA130E ATORIE'S LAB NAME: Pace Analytical Se.n ica CERTIFIED LAB #: 38➢ PERSON('s) COLLECTING SAMPLES: Ray Pen'ley and Jeffery E"Ishcr Parameter Code lts PARAMETER CODES may be obtained by calling the NPDFS linit (919) 807-6300 or by 4^islting lattpI/portal.nede-nr.org'web'wq/swp/ps/npdeslforms. 1-OOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC' must visit facility and document visitation of fact uired per 15A NCAC 8G ,0204, *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on tile with the state per 15A NCAC 2S .0506(b)(2)(D), General Electric - Hickory Plant GWR 1223 Fairgrove Church R© Conover NC, 28613 Attention; Mr, Ray Penley Report No.: AAK0100 Client ID: Influent Daterlime sampled: 1//0212017 9:00:00AM Matrix: Ground Water Analyte Volatile Organic Compounds by EPA 8260 PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Comers, GA 30092 (770) 734-4200 FAX (770) 734-4201 Project: Hickory Plant GWR Lab Number ID: AAK0100-01 DatetTime Received: 11f03/2017 9:20:00AM Recruit RL Mt7L Units Method Qual. DF November 10, 2017 Preparation Analytical Clete Date Batch Init. 1,1-Dichloroethane 1.4 1.0 0.7 ug/L. EPA8260E1 cis-1,2-Dichloroethene 270 50 33 ug/L EPA 8260B Tetrachieroethene 430 50 39 ug/L EPA 8260E Trichloroethene 1500 50 17 ug/L EPA 8260E1 Vinyl Chloride 0.6 1.0 06 ug1L EPA 8280E 111/08/17 10:00 11/09/17 06:24 7110218 JG 50 11/0811710'00 11109/17 11:52 7110218 JG 50 11/08/17 10:00 11/09/17 11:52 7110218 JG 50 11/08/17 10:00 11109/17 11:52 7110218 JG 1 11/08/17 10:00 11/09/17 06:24 7110218 JG Surrogate: Dibromofluoromethane 89 % 80-120 EPA 82608 1//08117 10:00 11/09/17 06:24 7110218 Surrogate: Dibromottuororllethane 90 % 80-120 EPA 8260B 11/08/17 10:00 11/09/17 11.52 7110218 Surrogate: 1,2-Dlchlonnethane-c-14 90 % 78-120 EPA 82608 11108/17 10:00 11/09/17 11:52 7110'218 Surrogate: 1,2-Dichlorrethane-d4 90 % 78-120 EPA 8260B 11/08/17 10:00 11C09117 06:24 7110218 Surrogate: Toluene-d8 102 % 80-120 EPA 8260E 11/08/17 10:00 11/09t1711 rat 7110218 Surrogate: Toluene-d8 99 % 80.120 EPA 82608 11/08/17 10:00 11/09/17 06:24 7110218 Surrogate,- 4-Bromoftuor"obenzene 97 % 810-120 EPA 8260B 11/08/17 10:30 11/09/17 11:52 7110218 Surrogate: 4-Bromofluorobenzene 9'6 % 80-120 EPA 82608 11,/08/17 10:00 11/U9117 06:24 7110218 General Electric - Hickory Plant GWR 1223 Pairgrove Church Rd Conover NC, 28613 Allen -bore Mr. Ray Penley Report No:: AA14O10O Client ID: Outtall Date/Time Sampled: 1 Matrix: Ground Water Analyte Voletile Organic ompounds by E 1,1-Dich /oraethene cis-1,2-Dichloroethene Telrachloroethene Trichioroethene Vinyl Chloride Surrogate:: Dibromofuoromethane Surrogate: Dibrom©tluoromethane Surrogate. 1, 2-D//chloroethene-d4 Surrogate: 1, 2-D/chlaroethane-.li4 Surrogate: Toluene-d8 Surrogate. Toluene-d8 Surrogate: 4-Brorno6uorobenzene Surrogate: 4-Bromotluorobenzene :OOAM PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 Result RL MDL Units Method NO 1.0 0,7 ND 1.0 0,7 ND 1,0 0.8 ND 1.0 0:3 ND 1,0 0.6 91 % 80.120 89 % 80-120 90 % 78.120 93 % 78-120 160 % 80-120 100 % 80-120 94 % 80.120 99 % 80-120 ug/L EPA 82608 ug/L EPA 826OB ug/L EPA 82606 ug/L EPA 8260B ug/L EPA 8260E EPA 82608 EPA 8'260B EPA 8260E EPA 8260E EPA 8260E EPA 82608 EPA 82608 EPA 82608 November 10, 2017 Poppet: Hickory Plant GWR Lab Number ID: AAK0100-02 Date/Time Received: 11103/2017 0:20:OOAM OF Preparation Date 1 11108/17 10:00 11108/17 10:00 1 11 /08117 10:00 1 11/08/17 10:00 1 11 /08117 10:00 11/08/17 10:00 11/08/17 10:00 11/08/17 10,:00 11/08/17 10:00 11./08//17 10:00 11/08/17 10:00 11/08/17 10:00 11/08/17 10:00 Analytical Date Batch /1109/17 06: ;4 11/09/17 06' 54 11,/09/17 06:54 11/09/17 16:27 11/09/17 06:54 11 /09/17 16:27 11/09/17 06:54 11 /09/17 06:54 11/09/17 16:27 11/09/17 06:54 11/09/17 16:27 11/09/17 06:54 11 /09/17 16:27 7110218 7110218 7110218 7110218 7110218 7110218 7110218 7110218 7110218 7110218 7110218 7110218 7110218 JG ,1G JG JG JG NPDLS I'I RMI 1 NO.: NCOO7(;d4,3 PERMICf 'VERSION: 4 ( FACILITY NAME: Hickory Plant CLASS: PC.'-1 OWNER NAME; General Electric Company - Salisbury ORC: Ray S Penflew GRADE: P(.°-1 ()RC HAS CHANGED: No eDr 1R PERIOD: IO-2017 (0- ber 2lYl r7 VERSION: l.(Y CENT SAMPLING LOCATION: EFFLUENT DISCHAI k1n.�tff iF Avow : a aly 't aYt .4: €7 PERMIT STATUS: Acoive COUNTY: Catawba DC CE:RT NUMBER: 2788 TATI'S: i't°sxesxc NO DISCHARGE*: NO **** Na Reporting Reason: E;NE"RUSE m No (lov,..1(ceese RkNyc€e, P lIR =- No Visitation - 1d Holiday NPDESPERMIT NOs NC0076643 PERMIT VERSION: 4 0 PERMIT STATUS: Active 'FACILITY NAME: Hickory Plant, CLASS: PC -I. COUNTY: C'atawha OWNER NAME: General twtee,ta c Cinipm, - Salisbury ORC: Ray S Polley ORC CER3 ,NUMBER: 78$8 C:R.A.DE: PC'-1 ORC HAS CHANGED: No eDMR PERIOD: 1t3-20l7 (October201"€) VERSION: 1,0 COMPLIANCE STATUS: Compliant CONTACT PHONE #, 828'3121058 SUBMISSION DATE: 11 13/2017 ORC/Certifier Si STATUS: Pro. saved 1 1:02%'2017 ure: Ray Penley E-Mail: ray,penle _,,ge,corn Phone 4:828 3112 1058 Date By this signature, I certify that this report is accurate and complete t o the best of my kilo ledge. The permiittee shall report to the Director or the appropriate Regional Office any nonconrpli nee That potentially theea.tens public health or the environment. Any information shall be provided orally within 24 hours from the time the perrnittee became aware oldie circutnst:rnces. A written submission shall also be provided within 5 days of the time the perrnittee becomes aware (lithe circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a tithe -table for improvements to' be made as required by part 11,E.6 of the NP.DES permit. Perm. ittt ,'Submitter Signature.*** Boob Whitasell E-Mail:robert.w°itsetl{u, e.cum Phone 4:706-291-331.9 PennitteeAddress: 1223 Fairgrove Church Rd i-tic:koty NC 28602 Permit Expiration Dtte:07131'2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervisic to assure that qualified personnel properly gather and evaluate the int©rmation subrnitted. Based on my inquiry of the 1/03/2017 Date accordance with a system designed can or persons who managed the system, or those persons directly responsible for gathering the infannation, the. infomiation submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 trot aware that there arc significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NA.AI _: 1' CERTIFIED LAB #: 3 PERSON(s) COLLECTING CERTIFIED t AF3(:)RAT(. Rlt'S Pcnle-y arid. Jeffery Fit PARAMETER CODES meter Code assistance may be oblsairted by calling the NPS Unit (919) 807-6300 or by visiti 0 I.node rtr.orglwch,'wq/swpfps/npdcslforms. FOOTNUTES Use only units of measurement dasigttated in the reporting facility's NPD'ES permit for reporting data. * No Flow/Discharge From. Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the p�metc t ota doe C38LR for entire tnottiteanng ,period. ** ORC on Site?; ORC roust visit facility and document visitation of facility as required per 15A NCAC 8U .02(i4, **° Signature ofPermittee: if signed by other than the perrnittee, then delegation of the signatory ,authorit ° must be on file with the state per I5A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NC0076(4 PERMFF VERSION: 4,0 FACILITY NAME: Hickory Plant CLASS: PC-1 f 3 OWNER NAME: General Electric Crimpany - Salisbury ORC: Ray S Polley GRADE: PC-1 ORC HAS CHANGED: No eDAIR PERIOD: 09-'20)7 tSemember 2017) VERSION: 1,0 SECT '- SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGENO' PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888,„: STATUS: Processed PH HP NItAthte Averato Uritit !itHathl, Averago, Corlailluoris trim 0,068; 0,oria 0.06H 0,06$ 41068 0 68 OA*H 0 irrsto 0 066_ 0 066 0,066 0 066 inurr 0 066 PI,PWi '7 1 3 3 068. 0.066 2 X morn !Grab Quarterly Ora 33 ! rk:TCLE1V (11 Quarterly Grab TC1HItIVLI • No Reporting Reason: ENFRUSE -;;;; No Flow-Rousei.Recycle; ENVWTIIR --- No Visitation - Adverse Weather; 601LOW - No Flow; HOLIDAY sr. No Vlsitation - Holiday NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS; PC-1 OWNER. NAME: General Electric Company - Salisbury ORC: Ray S Penley GRADE: PC-1 ORC HAS CHANCED: No eDAIR PERIOD, 0 .2 17 'September 2017p 'VERSION: 1.0 COMPLIANCE STATUS: Compliant CONTAC"I PHONE #: 828312105;5 use: Ray Penley By this signature, !certify that this report is accurate and complete to the best. of The perrrtittee sh.xll report to the Director or the appropriate It PEI'2NiE!' STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 278t 8 STATUS: Processed SUBMISSION DATE: 10/06/2017 10/05/2017 ge.cona Phone #:828 312 1058 Date ,ny noncompliance that potentially threatens public health or the environment Any information shall be provided orally within 24 hours from the tune tltc, perrnittee became aware. of the circumstances„ A written submission shall also be provided within 5 days of the time the permittce becomes aware of the circumstances; lithe facility is noncompliant, please attach a list of corrective actions being taken and a time -table for unprov-ements to be made as required by part II.E.6 of theNPDFS permit, I0/061 017 Permittee/Suhritter Signature:*** Bob Whitsell.E-Mail:robert.rvi'tsell(u,ge.com Phone ##:706-291-331q Date Permit:tee Address: 1.223 Fairgrove Church Rd hickory NC 28602 Permit Expiration Date: 07/31 /2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or superv�si on in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted; Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations; CERTIFIED LABORATORIES LAB NAME: Pace Analy ne CERTIFIED LAB #: 381 PERSON(s) COLLECTING C1'ING SAMPLES: Ray Pcnley and kllery Fisher PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://port,a'l.ncdenr.r:rrg/webtwq/swpipipdes/forms. FOO `+it)T Use only units of measurement * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the. parameters on the DMR for entire monitoring period. ORC on Site? ORC must vrisi facility and document visitat'on of facility as required per 15A NCAC gG .0204. in the reporting facility's NPDES permit for reporting data. *** Signature of Permittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D), PEWS, " NO.: NC0076643 PERMIT VERSION: 4.0 ACILTTV NAME: Iliekory Plant CLASS: PC-1 OWNER NAME: General Electric. .ont Amy Saiisbu ()RC: Ray S Pule GRADE: P( -1 ORC ILAS CHANCED: No eDMR PERIOD: 08-2017 (August 2017) VERSION: TO PERMIT STATES: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: N), , 246.12122r Amdd-dard 1 loditd ktoodidid, di.iddlogtd 222d4 TETCLETN: URA idd d 2 0.(K,7419 ***. N.o Reporting Reason: ENFRUSE r, No Flow-RouseiRecycle; ENVVITHR w No Visitation — Adverse Weather; NOFLOW ==,No How; HOLIDAY ,r No Visitalion — Holiday NPDES PERMIT NO.: NC0076643 PERMIT VERSION; 4,0 FACILITY NAME: Hickory Plant CLASS; PC-1 OWNER NAME: General Electric Company - Salisbury ORC: Ray S Paley (RADE: PC..I eDMR PERIOD: 08-20 I7 (August 2017) COMPLIANCE STATUS: Compliant °RC/Certifier Signature: Ray Pc ORC DAS CHANGED: No. VERSION; CONTACT PHONE #; 8283121058 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUNIDER: 27888 sTATUS: Processed SUBNUSSION DATE: 2017091131 ey E-Mailiray,penley4ige,com Phone #t 828 By this signature, I certify that thisreport is accurate and complete to the best of my knowledge. i 0 5 8 09/05/2017 Date he permittee shall report to the Director or .the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Anv. information shall be provided orally within 24 hours from the time the permittec became aware of the circumstances, A written submission shall also be provided within 5 days of the time the permitter becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being takenand a time -table for improvements to be made as required by part I1 E.6 of the NPDES pemrit. 09/13/20 7 Permittee/Submitter Signature.,.*** Bob Whitsell F-Mailirobert,witsell@ge,corn .Phone #:706-291-3319 Date Penuittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/3112020 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, Rased on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the inforn.ration, 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 irnpris.oninent for knowing violations, CERTIFIED LABORATO.RlES LAB NAME: 'Paee Analytical Serviees,Inc CERTIFIED LAB Ok 381 PERSON(s) COLLECTINC SAMPLES: Ray Penley and icifery Fisher Parameter Code assistance may be obtained by ca PARAMETER CODES c NPDES Unit (9 l 9) 807-6300 or by visiting tittpl/portal.nedcrwomiweblwq/swpips/npdes/fonns, FOO"FNOTES 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 he entered for all of the parameters on the DMR for entire .monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G 0204.. *** Signature of Permittee: If signed by other than the perrnittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B ,0506(b)(2)(D). cr12, (dce Analytical General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AAH0179 Client ID: Influent Date/Time Sampled: 0810312017 9:30:00AM Matrix: Ground Water Anatyte PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 1 (770) 734-4200 FAX (770) 734-4201 Project: Hickory Plant GWR Lab Number ID: AAH0179.Ot Datemme Received: 08/04/2017 10:00:O0AM Preparation Analytical Result RL Units Method Qual. OF Date Date August 11, 2017 Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene 1.7 1.0 ug/L EPA8260B 1 8/07/17 9:00 8/07/1710:56 7080306 RAC cis-1,2•Dichloroethene 250 100 ug/L EPA 8260B 100 8108/17 9:00 8/0811719:33 7080306 RAC Tetrachtaroethene 230 100 ug/L EPA 8260B 100 8/08/17 9:00 8/08/1719:33 7080306 RAC Trichloroethene 1100 100 ug/L EPA 8260E 100 8/08/17 9:00 8/08/1719:33 7080306 RAC Vinyl Chloride ND 1.0 ug/L EPA82608 1 8/07/17 9:00 8/07/1710:56 7080306 RAC Surrogate: Dibmmoiluoromethane 94 % 80-120 EPA 8260E 8/07/17 9:00 8/7/17 10:56 7080306 Surrogate: Dlbromofluorometharte 92 % 80-120 EPA 826013 8/08/17 9:00 8/8/17 19:33 7080306 Surrogate:1,2-Dichloroethene-d4 86 % 78-120 EPA 82608 8/08/17 9:00 8r8/1719:33 7080306 Surrogate: 1, 2-Dichloroethane-d4 84 % 78-120 EPA 826013 8/07/17 9:00 8/7/17 10:56 7080306 Surrogate: Toluene -dB 95 % 80-120 EPA 8260E 8/08/17 9:00 8/8/1719:33 7080306 Surrogate: Toluene-d8 91 % 80-120 EPA 82608 8/07/17 9:00 8/7/1710:56 7080306 Surrogate: 4-Sromoiluorobenzene 99 % 80-120 EPA 826013 6/08/17 9:00 818/17 19:33 7080306 Surrogate: 4-Bromotluorobenzone 96 % 80-120 EPA 8260E 8r07/17 9:00 8/7/17 10:56 7080306 Page 3 of 12 _--PaceAnalyticar General Electric - Hickory Plant GWR 1223 Falrgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AAH0179 Client ID: Duffel! DatelTime Sampled: 08/03/2017 9:30:OOAM Matrix: Ground Water Anelyte PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 Project: Hickory Plant GWR Lab Number ID: AAH0179.02 Date/Time Received: 00/04/2017 10:00:00AM Preparation Analytical Result RL Units Method Qual. DF Date Date August 11, 2017 Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene ND 1.0 ug/L EPA8260B 1 8/07/17 9:00 8/07/1711:22 7080306 RAC cis-1,2-Dichloroethene ND 1.0 ug/L EPA8260B 1 8/07/17 9:00 810711711:22 7080306 RAC Tetrachloroethene ND 1.0 ug/L EPA 826013 1 8/07/17 9:00 8/07/1711:22 7080306 RAC Trichloroethene ND 1.0 ug1L EPA 82608 1 8/08/17 9:00 8/08/17 10:00 7080306 RAC Vinyl Chloride ND 1.0 ug/L EPA8280E 1 8/07/17 9:00 8/07/1711:22 7080306 RAC Surrogate: Dlbromofluoromethane 89 % 80-120 EPA 8260E 8/08/17 9:00 8/8/17 10:00 7080306 Surrogate: Dlbromofluoromethane 91 % 80-120 EPA 82608 6/07/17 9:00 8/7/1711:22 7080306 Surrogate: 1,2-Dlchlorcethane-d4 85 % 78-120 EPA 82608 8/07/17 9:00 8/7/1711:22 7080306 Surrogate: 1,2-Dfchforoethane-d4 84 % 78-120 EPA 8260E 8/08/17 9:00 8/8/1710:00 7080306 Surrogate: Toluene-d8 91 % 80-120 EPA 8260B 8/07/17 9:00 8/7/17 11:22 7080306 Surrogate: Toluene-d8 94 % 80-120 EPA 8260E 8/08/17 9:00 8/8/17 10:00 7080306 Surrogate: 4-Bromofluorobenzene 95 % 80-120 EPA 82608 8/07/17 9:00 8/`7/1711:22 7080306 Surrogate: 4-8romofiuorobenzene 96 % 80-120 EPA 8260B 8/08/17 9:00 8/8/1710:00 7080306 Page4of12 -NPHES PERMIT NO.; NC0076643 FACILITY NAME: Hickory Plant OWNER NAME: General Electric Company - Salisbury GRADE: PC71 eDMR PERIOD: 07-201 7 uf y 2017) PERMIT VERSION: 4. CLASS: PC-1 ORC': Ray S ORC HAS CHANCED; VERSION: I P RMIT STATUS: Active rCEIVE - - - COUNTY: Catawba ORC CERT NUMBER: 27888 A Li G 8 2 0 ° CENTRAL FILES DWR SECTION STATUS; Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCI ARGE*: NO „ 4 c 2.400 dock WA 1449lo 14, 'r NMI No Reporting Rrniortiiii %WO COMUThen.6 ccordcr FLOW m,!,2 0.06g (2064 ,07 ro7 l2(17 0.00 4416 CU)69 14161 0 1;).2269 Niuttltly AYrfrats Limit 12 At outfit) Autrage, 0 069 00404 2 X morith Grab : 34475 mrierly 39180 Quarterly Chat, Gra: RECEIVEL'i METH YrE. R•,;;DA,',41.3,,OVVT1 DArt, %Muni.: 07 644 Minimum, "*" No Roporting Reason. ,ENFRUSE No Flow,;Reoe/Recycle. ENV‘VTHR. No ViSlieirlOri — Adverse., Weather..OFLOW No Flow; HOLIDAYr Vistaiion lokday NPDES PERMIT NO.= ?sk(.t1076643 FACILITY NAME: flicko: OWNER NAME;: General 1 Ice GRADE: PC -I eDMR PERIOD: (17-2017 (July 2017) COMPLIANCE STATUS: C'omrodiut'al ORC/Certifier By this ature, t PERMIT VERSION: 4.0 CLASS: PC-1 lisbury ORC: Ray S Peaalc} PERMIT STATUS: Ac. CO'ENTY: Catawba OR( CERT NUMBER: 227888 ORC HAS CHANCEIh: No. VERSION: 1.0 STATUS: Processed CONTACT" PHONE #: 8283121058 St IIMISSION DATE; 08 0 '20 7 '07/201 7 ure: Ray Penley E-Mail:ray,penley@ge, corn Phone #:828 31 eport is accurate and eomplete to the best of my knowledge. 7 1 05 8 Date The penmittce shall report to the Director or the appropriate Regional Office any noncompliance that p tentially thretalens 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 (Attic circumstances, Ifthe facility is noncompliant, please attach a List of corrective actions being taken and a tire -'table for improvements to be made as required by pare II.E.6 of the NPDES permit. PernwittcelSubmi'tter Signature;*** Bob sh'hi'tsel. 08/08/2017 aige,com Phone {i:706-291-3319 Date Penmi'ttee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration. Date: 07131'2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supers+isis'an 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 arm assure that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Pace Analytical Services,tnc CERTIFIED LAB tt: 381 PERSON(%) COLLECTING SAMPLES: Ray Petty and Jeffery C"E.RTIF'IED LABOR\I ORU PARAME1 ER CODES Parameter Code assistance may be obtained by calling the NPDI Unit (919) 807-6,300 or by visiting httpa/porta1.ncdenr-aarglweblwq✓swpt`ps/npdeeslforms, FOOTNOTES llse only units of measurement designated in the reporting facility's NPDES permit for repo rtltrg data. * No Floss 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 ID\IR for entire monitoring period. ** ORC on Site?: ORC must v It facility and document vtisita 'red per 15A NCAC 8C .0204. * ** Signature of Perm'ittee: If signed by other than the permittee, then delegation of the signatory authority must' be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO NC007664.3 PERMIT VERSION: 4 1 PERMIT STATUS: Active FACILITY NAME: Thckory Plant CLASS: PC-1 .70UNTY: Catawba. OWNER NAME: Cenci -al Electric Company - Salis ry OIRC: Ray S Polley ilj t,.. 1 201 -/ OR( CERT NUMBER: 27888 GRADE: PC-1 ei)MR PERIOD: 110-20 It c 2017) OR.0 I-IAS CHANGED: Nu CENTRAL., FILES VERSION: 1..0 CIWR SECTI.ON STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 34 dock IWO Oir OKE/0 Malta* AveTsgr COrairtEMIS P40 rder VI OW (1.(1,6$ 1 116 0.06S 00,7 0,1)67 0 1)67 0,07 0 (Kis 7110 2 X month QmartorGy *'" ReporiingRcastm ENF RUSE -.-, F n-Rco Rdo ENVWTDR Visitation — Ads'ers Wcdther; NOFLOW No now; HOLIDAY No Visitatioo INC:OEN:RID*? NPDES PERMIT NO.: NC 76 3 FACILITY NAME; Ilic'kury Plant OWNER NAME: General Electric Cot GRADE: PC-1 eDMR PERIOD: (,le -2017 (June 20171 COMPLIANCE STATUS: Compliant PERNIFF VERSION:4.1 CLASS: PC -I try ORC; Ray S Penley ORC HAS CHANGED; No VERSION: 1.0 PERMIT STATUS: ACrt1r'e COUNTY: Catawba. ORC CERT NUMBER. 27888 STATUS; Proca s,Ld CONTACT PHONE #: 828312.1058 SUBMISSION DATE: 07:06 2(117 ORC/Certifier Signature„ Ray Penley By this signature, I eertify that this report is aecu P 07^05`201.7 ,pen lcy(a ge.com Phone #:828 3 1. 2 10511 Date he best of my' knowledge, T'he permittee shall report to the Director or the appropr#ate Regional Office any noncotnp'. Any information shall be provided orally. within 24 hours from the time the permittee bcca provided within 5 days of the tune the permittee becomes aware of the circumstances. lithe facility is noncompliant, please attach a list of corrective actions being taken and a ti the NPDES pe.rnzil. hat potentially threatens public health or the environaraent. are of the. ances, A written submission shall also be ntprovements to be ma a edhsera E.6 of 7 Perntittee?Submttter Signature:*** Bob Whitsell E-M'ail:robert.witsellktge,com Phone +t.706-291-3319 Date P'emnitlee Address: 1723 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date. fl7;'31/2020 1 certify, under penalty of law,. that this document. and all attachments were prepared under my° direction or supervtsaora 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 infomuation submitted is, to the best of my knowledge and belief, true, accurate, and complete, I am aware that There are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Analytical Serv'ices,lnc Pr SON(s) COL.LEC"'1`INC SAMPI ES: Ray Penley an d Jct3ery Pi het Parameter Code ass may he obtained by PAR 'TITER CODES NPDES Unit (919) 807-6.300 or by visiting ht,tp://portalncdenr.org'we'b:"wq/swpIps/npdes/forms. FOOTN TES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No FlowiDisc'harge 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 DCvlR. for entire monitoring period. * * ORC on Site?: ORC must s istt ;facility and document s isitataon of facility as required per 'I SA NCAC )1(i .0204. * * * Signature of Permnittee: if signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 1 SA NCAC 2B .0506(b)(2)(D). NPDES PERMierN0,: NC007(,643 FACILITY NAME: Hickory Plant PERMIT VERSION: 4, ) CLASS: PC-1 OWNER NAME; General Electric Company Salisbury ORC: Ray S Pen ley GRADE; PC - PERIOD: io 203 7) 1E 111 .14 19. 119 0 19 ORC HAS CHANGEDi No VERSION: If) PERMIT STATUS: Acto.e COUNTY: Catawba ECEIVED oRc CERT NUMBER: 2788S 1 0 1 CENTt--AL, HILLS D R SECTION SAMP NG LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO STATUS: Processed 2.1110 91994 Itm. OKT111 (WOO 0)0 0) 400 won OR,00 000 )401) 0S00 0904) 01010 00101 0 '900 .949.1109 .9.9909g9 )49#0919 A909990, 0909 SIANi1111111A, FLOW 0.074 1)..074 0,1)74 0074 0.074 0,073 04/21 0.071 1).07 I 0,072 0.072 0.0.72 1'7).072 72 0,072 0,000 0.072 904199 noth 39475 39140 '00 00)011' 0 I) 0 Daily 9411099ttrn, ( )0,4 7 9 0 0 **** No Reporting Reason EN) -RUSE — .No Ilow.RouseiRecycle; fiNVW"1-HR — No Visitation —Adverse Weathor; NOFLOW No Flow; HOLIDAY :,,, No VisitaTion — Holiday NPDES PERMIT NO.: NC0076643 PERM IF VERSION: 4.0 FACILITY NAME:11*u Ian CLASS: PC-1 OWNER NAME; General Linen -lc Company - Salisbury ORC: Ray S FiIty GRADE: PC- eDMR PERIOD: 05-2017 (May 2017) COMPLIANCE STATUS: Compliant ORC HAS CHANGE : No RSION: 1,0 CONTACT PHONE /S: 8283 12105S PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER; 27888 STATUS: Processed SUBMISSION DATE; 06/14/2017 06,05,'20 17 ORC/Certifier Signature: Ray P e r.penley(iige.com Phone #:.82 8 3 12 1 058 Da.te By this signature. I certify that this report is accurate and complete to the best of my knowledge, The permittee shall report to the Director or the appropriate. Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware of the eircurnstances_A written submission shall also be provided within 5 days of the time the perminee 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 I1 E.6 of the NPDES permit. 06/14/201 7 Permittee/Submitter Signature:*** Bob Whitsell E-Mail:robert.witsellgge,com Phone #:706-291-33 19 Date Permittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the .information submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: pace analytical services CERT I Fl ED LAB #: 381 PERSON(s) COLLECTM: SAMPLES: Ray Pulley, Jeffrey Fisher CERTIFIED LA.BORATORI ES PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portalricdenrorg/weblwq/swpipsInpilesilorms. FOOTNUFES 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 D.MR for entire monitoring .period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee : If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per I 5.A NCAC 2B .0506(b)(2)(D). ace Analyticalt General Electric • Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Peniey Report No.: AAE0144 Client IO Influent Dat&Time Sampled: 5/3/2017 9:00:OOAM Matrix: Ground Water Analyte Volatile Organ 1„1 Cichloroethene cis-102-Dichloroethene Tetrachloroethene Trichloroethene Vinyl Chloride nds by EPA 82 Surrogate: Oihromoflucrromethane Surrogate: Dibromotluoromethane Surrogate: 1, 2-Dichlorooethane-d4 Surrogate: 1, 2-OichIoraethane-d4 Surrogate: Toluene-d8 Surrogate: Toluene-d8 Surrogate:: 4-Brornofluorobenzene Surrogate:: 4.8romofluorobenzene PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 Result RL Unite Method 1:4 1.0 ug/L EPA 826OB 200 10 ug/L EPA 82608 420 10 ugrL EPA 82608 1100 10 ug(L EPA 8260B NO 1,0 a y'L EPA 8260E 91 % 80-120 EPA 82608 93 % 80-120 EPA 82608 102 % 78-120 EPA 82608 102 % 78-120 EPA 82608 103 % 80-120 EPA 82608 104 % 80-120 EPA 82608 108 % 80-120 EPA 826015 108 % 80-120 EPA 8260E Project: Hickory Plant GWR Lab Number ID: AAE0144-01 DatefTime Received: 5/4/2017 9::25:00AM Dual. DF Preparation Date Analytical Date May 05, 2017 Batch Initn 1 5/04:17 9:07 5/04/17 12:55 7050168 LIH 10 5/04/17 9:07 5/04/17 13:20 7050168 LIN 10 5/04/17 9:07 5/0411713:20 7050168 LIH 10 5104)17 9:07 5/04/17" 13t20 7050168 LIH 1 5'04:17 9:07 5/04/17 12:55 7050168 LIH 5/04/17 9:07 5/4/1712::55 7050168 ._. 5/04/17 9:07 5/4717 13:20 7050168 5704/17 9:07 5/4/17 /2:55 7050/68 504J17 9:07 5/4/17 13:20 701;168 5/04717 9:07 54/1712:55 7050168 5/04117 9:07 5/4/17 13:20 7050168 5/04/17 9:07 5/4/1712:55 7050168 5/04/17 9:07 514/1713:20 7050168 Page 3 of 11 General Electric - Hickory Plant GWR 1223 F'airgrove Church Rd Conover NC, 28613 Attention: Mr, Ray Penley Report No,: AAE0144 Client ID: Outfall Date/Time Sampled: 5/3/2017 9:00:00AM Matrix: Ground Water Analyte Volatile Organic Compounds by EPA 8280 PACE ANALYTICAL SERVICES, LLC. Result Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 RL Units Method Project: Hickory Plant GWR Lab Number ID: AAE0144-02 Date/Time Received: 5/412017 9:25:00AM Preparation Analytical Oval, DF Date Date May 05, 2017 Batch Indt. 1,1-Dichloroethene ois 4 ,2-Dichloroethene Tetrachkxoethene Trichloroethene Vinyl Chloride Surrogate: Dibromofuororethane Surrogate:: 1, 2-Dich1oroethane-d4 Surrogate.: Tolueee48 Surrogate.: 4-8rornoffuambenzene ND 1,0 ug/L EPA, 8251E 1 5104117 9:07 5104/17 13:45 7050168 LIH ND 1.0 ug/L EPA 8260E 1 5/04/17 9:07 5/04/17 1'3:45 7050168 LIH ND 1:0 ugiL EPA 8260E 1 5/04/17 9:07 5/04/17 13:45 7050168 LIH ND 1.0 ugiL E'PA8260B 1 5/04/17 9:07 5r04111713:45 7050168 LIH ND 1,0 ugiL EPA8260B 1 5104'17 9:07 5104/1713:45 7050168 LIH 88 % 80-120 EPA 82608 5104/17 9:07 54/17 13:45 74750188 100% 78.120 EPA 82608 5104/17 9,07 5/'4/17 13:45 7050168 105 % 80-120 EPA 82608 5/04117 9:07 514/17 13.45 7050168 108 % 80-120 EPA 82508 5104✓77 9.07 5/4/17 13:45 7050168 Page 4of11 NO.: NC0076643 TNN, ME. Illekory Plant 'NER NAME; General Electric Can GRADE: PC-1 eDMR PERIOD 04-20'17 (April 20171 PER VERSION: 4.0 CLASS: PC-1 y ORC: B a.y S Penley ORC HAS CHANGE VERSION: 1.0 RECEIVED F © d y � y A .._, c1 9 e.. CENTS SAN, PLING LOCATION. EFFLUENT DISeW I PERMIT STATUS: Active COUNIN; Catawba ORC C ERT NUMBER: STATUS: Processed 001 NO DISC "'• No .Reporting Reason: ENFRUS,E No Flow-Rruse.'Recycle; ENV14" t1JR = No Visitation—Adver;„e Weat4ter; NOFLOV NO Flow: KOLIDAY = No Visi oliday^ NPDES PERMIT NO,: NC (10 6643 FACILITY NAME: hickory Plant OWNER NAME: General Electric Company - GRADE: PC-1 DMR PERIOD: 04-2017 (.4.pr0 2017) COMPI.I NCE STATUS: ConmrHaat ORC/Certifier Signature: Ray PERMIT VERSION: 4.0 CLASS: P ORC: Ray S Penley ORC HAS CHANCED: No VERSION: 10 CONTACT PHONE #: 8283121058 PERMIT STATUS: Active COUNTY: Catawba ORC C,FRT NUMBER: 27888 STATUS: Processed SUBMISSION DATE 0511;tr2(117 0 5/01 J2017 E-Mail: ray.penley a ge.corn Phone 4.828 3l2 I 0 5 8 Date By this signature, I certify that this report is accurate and complete to the hest of my knowledge, `The pc .ns public health or the cnvironmt:nt. Any it rm Lion shall be provided orally within 24 hours from the time the permitter became aware of the etreuntstances. Awritten submission shall also he provided within 5 days of the time the permittec becomes aware of the eircum.stanccs, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be trade as required by part 1i.E..6 of the NPDES permit. ittce shall report to the Director or the appropriate Regional Office any noncompliance that potent. Permittee:°Sul hits€ll h--Mail,rohert 05/ 1 8/2017 corn Phone t/:7(16-291-3319 Date Pennittee Address: 1223 Eairgrove Church' Rd. Hickory NC 28602 Permit Expiration Date. 07/31/2020 I certify, under penalty of Law, that this document and all attachments were prepared under myy, direction or supervision in accordance with a system d,csigned 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 iintixrmation 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 inapri,sonnnent for knowing violations„ CER°I"11tIED LABOA'TORIES LAB NAME: Pace Analytical Se.rviccs,inc CERTIFIED LAB ti: 381 PERSON(%) COLt.,EC7"IN(: SAMPLES; Ray Penley and Jeffery, Fisher PARAMETER CODES Parameter Code its in may be obtained by calling the NPf)ES Unit (919) 807-6300 or by v'osiring http.1/portal.nederu.orglweh/wq/swp/ps/npdeslfomis, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR ;for entire monitoring period.. ORC on Site"?: ORC must visit facility and document vistl *** Signature of Permittee: if signed by other than the permi 0506(b)(2)(D). n of facility as required per 15A NCAC 8L ,0204. then delegation of the signatory authority must he on file with the state per 1SA NCAC 2B IT NO.: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active TY NAME: Hickory Plant CLASS: PC-1 COUNTY: Catawba ER NAME: General Electric Company - Salisbury ORC: Ray S Penley ORC CERT NUMBER: 27888 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 04-2017 (April 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO a el 9 r 1 U d l= ; a C F E 1 o• o ay 8. AFLAW 50280 00409 34475 39162 Continuous 2Xmon16 Quarterly , Quinted y Recorder Grub • Grab Grab g11 TUMMY TCETIIYLE 2400 clock 10n 240041orek 11n YIBIM Riga 99 agog • Gall 1 N 0.074 _ 2 N 0.074 r . 3 0800 8 Y 0.077 4 0800 8 Y 0.077 . 5 0800 4 Y 0.077 7.9 6 0800 8 Y 0.077 T 0800 8 B 0.077 . a N 0.077 9 N 0.077 1 10 0300 B Y 0.073 , 11 0800 8 Y 0.073 , 12 0800 4 Y 0.073 , 13 0800 8 Y 0.073 14 0800 8 B 0.073 1s N 0.073 16 N 0.073 17 0800 8 Y 0.074 16 0800 8 Y 0.074 19 0800 4 Y 0.074 7.9 20 0800 4 Y 0.074 21 0800 4 Y 0.074 22 N 0.074 23 N 0.074 24 0800 8 Y 0.076 25 0800 8 Y 0.076 !6 0800 4 Y 0.076 , 37 0800 8 Y 0.076 - - 2a N 0.076 24 N 0.076 39 N _ 0.076 - , Alan hlp Anne Limn: 0.12 1 MatuldyA•cr,g"' 0.074933 Daly Tlaalmam: 0.077 7.9 0o07N1Inlmum; 0.073 7.9 I . •••• No Reporting Reason: ENFRUSE=No Flow-Reuseaecycle; ENVWTHR..+No Visitation -Adverse Weather; NOELOW -No Flow; HOLIDAY No Visitation'- Holiday NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Hickory Plant CLASS: PC-1 COUNTY: Catawba OWNER NAME: General Electric Company - Salisbury ORC: Ray 5 Penley ORC CERT NUMBER: 27888. GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 04-2017 (April 2017) VERSION: 1.0 STATUS: Processed COMPLIANCE STATUS: Compliant , CONTACT PHONE #: 8283121058 SUBMISSION DATE: 05/18/2017 ORC/Certifier Signature: Ray Penley E-Mail:ray.penley@ge.com Phone #:828 312 1 05 8 By this signature, I certify that this report is accurate and complete to the best of my knowledge. 05/0I /2017 Date 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. 'Ai„),-_,!) 05/18/2017 Permittee/Submitter Signature:*** Bob Whitsell E-Mail:robert.witsell©ge.com phone #:706-291-3319 Date Permittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed. to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME: Pace Analytical Services.Inc CERTIFIED LAB #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penley and Jeffery Fisher PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NC0076643 PERMEE VERSION: 4,0 FACILITYNAME: Hickory Plant CLASS: PC -I OWNER NAME: General Electric Company - Salisbury ORC: Ray S Peaky GRADE: P1. 1 ORC HAS CHANGED: No eDMR PERIOD: 03-2047 (March 2017) 'VERSION: IM PERMIT STATUS: Active c ENIC:AL u NTY: Catawba A PR1 7:201/ ORC CERT NUMBER: 27888 DIAN 3E, sTATuS: Processed 177 SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: DOI NO DISCHARGE*: NO ntily Ntaxitoutor. MkkhNIPIR, •••• No Reporting Reascrii ENFRUSE No Flow-Reuselitecyclo .ENVWTHR No Visitation —Adverse Weather; NOFLCAV No Flow; /10LID,,kY — No Visitation — Holiday NPDES PERMIT NO,: NC0076643 PERMIT VERSION 4.t PERMIT STATUS: Acri FACILITY NAME: Hickory Plant CLASS: PC-1 OWNER NAME: General Electric Company - Salisbury ORC: Ray $ Polley GRADE: PC ORC HAS CHANGED: No eDNIR PERIOD: 03-2017 (March 2017) COMPLIANCE STATUS: Compl VERSION: 1.0 /� CONTACT .PHONE ORC/Certifier Signature: R.ay Pen 0 COUNTY: Catawba ORC CERT NUMBER STATUS: Processed 7 SUBMISSION DATE: 04/10/2017 y E.-Mail:ray.pcnlcyr ge,com Phone s828 3l2 By this signature, I certify that this report is accurate and complete to rthe best of m.y knowledge, The permittee shall report to the I he appropriate Regional Office any n 04105./2017 Date pllance that potentially threatens public health or the environment, Any information. shall be' provided orally within 24 hours from the time the permittee became aware o'fthe ctteurttstances. A written submission shall also be provided within 5 days of the time the pet nittee, becomes aware of the circumstances. If the facility is noncompliant, please attach a 'fist of corrective actions being taken and a time -table for improvements to he made as required by part ILEE,6 of the NPDES permit. Permutes/Subrttitter Signature:*** Bob Whitsell E-Mail:robert,w Phone #:717ti-291.-3319 Peranittee Address: 1223 Fairgrove Church Rd Hickory 28602 Perttmit. Expiration Date: 0'7/31/2020 1 certify,. under penalty of law, that this document and all attachments were prepared under my direction or supervision in acc. dan 04110J20I7 Date 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 compl knowing violations. t aware that there are significant penalties for suhmi CIIR T 1FIE1 LAB NAME: Pace- AnaIyttca8 Serviees,Iarc CERTIFIED LAB #: 381 PEILSOsN(s) COLLECTING SAMPLES: Rav Penl Parameter Code assistance may be obtained by calling the NPDE Use only units of measurement designated in the reporting. facili * No Flow/Discharge From Site: Check this box Lino discharge for entire monitoring period, ** ORC on Site?: ORC must visit facilmty and document visitata ** * Signature of Permittee: If signed by other than the permittee, t .0506(b)(2)(D), information, including the Possibility of tines and imprisonment for 'TOR i EE S PARAMETER CODES it (919) 807-6300 or by visiting; http://portal'.ncdenr.org/w'ehl'wq/swp/ps/'nptleslforms. FOOTNOTES { s NPDES permit for reporting data, ceurs and, as a result} there are no data to be entered for all of the parameters on the DMR acility as required per 15A NCAC 8G .0204, delegation of the signatory authority must be on file with. the state per 1.5A NCAC 2B NPDES PERMIT NO.: NC0076643 i'ACILITY NAME; Htekory Elam OWNER NAME; Gencral Electric Company - Salisbury GRADE; PC -I eDAIR PERIOD: 02-2017 (February 20171 2 15 24 151 27 112 215 21 22 PERMITVERSION; 4A) CLASS: PC-1 OR( Ray S Pen ley OR( HAS CHANCED: No PERMIT STA'TUS: Active 0775 r '57 ORC CERT NUMBER; 27888 M AR 2 2 1 VERSiON: CENTRAL C1WR EC:f 10 N COUNTY: Catawba .STA'ITIS; Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGEtv:NO 0805 0800 HMO GaltirmouS OAS 052 57.5t5i5 AH-7445 552 52451101 5115'n' Duil!, Maximum; a aaa 2 month irak 7.8 41$ 164-1 Tierm,res 10 Dail," 'Alamein; C Qum-I:et-1y icr. tiVLE A511 **** Na, Reporting Reason: ENTRUST No Fikpu,',ReuseiRecycie, ENVWTHR No Visitation -- Adversc Weather; 1OFLOW No Flew, HOLIDAY No 'visitation —Holiday NPDES PERMIT NO.: N(:007fii43PERMIT" VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC -I OWNER NAME; General Electric Company 3 Salisbury ORC: Ray S Polley ORC HAS CHANGE IA: No GRADE: PC-1 eDMR PERIOD: 02-2017 (February 2017) COMPLIANCE STATUS: Compliant VERSION: h0 CONTACT PHONE q: 8283121038. ORC/Certifier Signature: Ray Pentey PERMIT STATES: Active COUNTY: Catawba ORC CERT NI. NIBER: 27888 STATUS:, Processed ON DATE: 03; }9 2017 0.3r01!2017 .penlr.yra ge,cam Phone k:828 312 1058 Date By this st azure, 1 cern that this report is accurate and complete to the best ofmy knowledge,. The permittee shall report to the Director or the appropriate Regional Office my 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 ofth.e 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 11.E.6 of the NPDES permit. 03/09/201 7 Pcrmittee/Submitter Signature:*** Bob Whi'tsell E-Mail:robcrt.wttsell(aage,com Phone ft:700-291-.3319 Date Pernnttee .Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date:. 07/31/2020 !certify, under penalty of law, that this document and all attachments were prepared under nay direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gith.ering the inforination, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete, l am aware that there are si„nific:int penalties for submitting false information, including the possibility .of fines and imprisonment for knowing violations, LAB NAi.tE: Pace A.naiviica CERTIFIED LAR #: 3111 PERSON(s) COLLECTING SAMPLES: tray Penley and Jeffery Fisher El) LABORATORIES PARAMETER C()1)ES Parameter Code assistance may he obtained by calling the NPDFS Unit (919) 807-6300 or by visituag Itttp://portal,ncdenr.org/web/wglswplps npdes/forms. Use only units of measurement designated in the rtin, FOOT"NO1 ES 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 D 'iR for entire monitoring period. ** ORC on Site?: ORC must visit facility and docuriteut i nation of facility as required per 15A NCAC 8.G .0204. *'* Signature of Permittee: "{signed by other than the permittee, then delegation of the signatory authority must be on file with the state .0506(b)(2)(1)). 15A NCAC 213 Analytical General Electric • Hickory Plant GWR 1223 Feirgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No,: AAB0131 Client ID: Influent Date/Time Sampled: 2/2/2017 12:00:00PM Matrix: Ground Water PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Comers, GA 30092 (770) 734-4200 FAX (770) 734-4201 Project: J-ftekory Plant GWR Lab Number ID: AAB0131-01 Date/Time Received: 2/3/2017 9:15:OOAM February 06, 2017 Preparation Analytical Analyte Result RL Units Method Qual. DF Date Date Batch Init. Volatile Organic Compounds by EPA 82Cr0 1,1-Dichloroethene 1.7 1,0 ug/L EPA 82608 1 2103/17 11:00 2/03/17 21:36 7020116 RAC cis-1,2-Dichloroethene 230 10 ug/L EPA 8260E 10 2/03117 11:00 2/03/17 21:08 7020116 RAC Tetrachloroethene 290 10 ugg/L EPA 8260B 10 2103117 11:00 2/03/17 21:08 7020116 RAC Trichloroethene 900 10 ug/L EPA 8260B 10 2103/17 11:00 2103/17 21:08 7020116 RAC Vinyl Chloride NO 1,0 ug/L EPA 8260E 1 2103717 11:00 2103117 2136 7020116 RAC Surrogate: Dibrornolluorometharle 94 % 80-120 EPA 82608 2`'0347 11;00 2'3/17 21.08 7020116 Surrogate: Dibromofluorornethane 95 % 80-120 EPA 82608 2/03/17 11:00 2/3/17 21:36 7020116 Surrogate: 1,2-Dichloroethane-d'4 104 % 78-120 EPA 82608 2/03/17 111)0 2/307 21.:36: 7020116 Surrogate: 1,2-3uhloroothane-d4 101 % 78-120 EPA 8260E 2/0347 11:00 2/3/17 21:08 7020116 Surrogate: Toluene-d8 99 % 80-120 EPA 8260E 2/03/17 11:00 2/3/17 21:08 7020116 Surrogate: Toluene-d8 100 % 80-120 EPA 82608 2/03/17 11:00 2/3/17 21:36 70201'16 Surrogate: 4-8rornolluor©benzene 101 % 80-120' EPA 8260,8 2/03/17 11:00 2/3/17 21:08 7020116 Surrogate: 4-Brnm©5iuor©benzene 100 % 80-120 EPA 8260E 2/03/17 11:00 2/3/17 21:36 7020116 ace Analytical General Electric - ry Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr, Ray Penley Report No.: AAB0131 Client ID. OutfaII Date/Time Sampled: 212/2017 1:00:00PM Matrix: Ground Water Anal Organic Compounds by EPA 8269 1,1-Dichloroethene cis-1,2-Dichloroethene Tetrachl©roethene Trichloroethene Vinyl Chloride Surrogate: Dibrnnlof/u©romefilane Surrogate, 1,2-Orchloroethane-d4 Surrogate; Toluene-d6 Surrogate; 4-Brnmoffuorobenaene PACE ANALYTICAL SERVICES, LLC. Environmental Monitoring & Laboratory Analysis 110 TechnoRogy Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 Result RL Project: Hickory Plant GWR Lab Number ID: AAB0131-02 DatemTime Received: 202017 9:15:00AM Preparation Analytical Units Method Qual. DF Date Date February 06, 2017 Batch Init. ND 1.0 uty/L EPA 82608 1 2103/17 1'1:00 2/03/17 20:14 7020116 RAC ND 1,0 u,g/L EPA 8260B 1 2103/17 11:00 2/03/17 20:14 7020116 RAC ND 1.0 ug/L EPA 8260B ND 1.0 ug/L EPA 8260E 1 2/03/17 11:00 2/03/17 20:14 7020116 RAC 1 2/03/17 11:00 2/03'17 20'14 7020116 RAC ND 1.0 eg/L EPA 82608 1 2/03/17 11:00 2103/17 20:14 7020116 RAC 80-120 EPA 6260E 2/03/17 11:00 2/3/17 20.14 7020116 101 "/a 78-120 EPA 6260E 100 °% 80-120 EPA 8260E 102 % 80-120 EPA 62608 2/03/17 11:00 2/3/17 20:14 7020116 2/03/17 11:00 2/3/17 20:14 7020116 2/03/17 17 00 23/17 20:14 7020116 Page 4of11 .PDES PER\UT NiO.: NC007(6643 PERMIT VERSION:. 4.0 FACILITY JMIAAE: Hickory Plant CLASS: PC -I OWNER NAME: Flecertc C nspany Sailisbtrry ORC: Ray S Pentey GRADE: PC-1 ORC HAS CHANGED: No VERSION a 1.0 eDMR PERIOD: 01-.2017 (January 2017) PERMIT STATUS: Active COUNTY'. Catawba ORC: CER 1 NUMBER; 27 STATUS: Processed SAMPLING LOCAT"ION: EFFLUENT DISCHARGE NO.: 001 NO DISCHAR( "*' Na Rcport{n Rcas : FNFJ USE— No Flow -Re seiR yw1 Adverse 'Weather; NOFLOW.ti Ne Flow', HOLIDAY s No Visitation - R OS N ()FRC t ri� NPDES PERNITf NO.: NC;0076643 FACi'LITY NAME:. hickory Plain PERMTE VERSION:: 4,0 CLASS: PC-1 OWNER NAME: General Electric Company - Salisbury ORC: Ray S Peuley GRADE: PC: -I el)MR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant ORC/Certifier Signature; Ray ORC HAS CHANGED: No VERSION; 1.0 CONTACT PHONE #: 8281121058 PERIMi7" STATUS;cti COUNTY; Catawba ORC CERT NUMBER; 27888 STATUS: Processed SUI3t1ISSiO:N DATE: 02/03.°'2017 y t-Mail:ray. penleyrc+ ge.com Phone By this signature, 1 certify that this report is accurate and complcte'to the best of tra•y° know°l 312 1058 Date The permit ttee kha11 report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health. or the env°irontnettt. Any information. shall be provided orally within 24 hours from the time the permittcc became :aware of the circumstances. A written submission shall also be provided within 5 days of the time the permitted becomes aware of the. circumstances. lithe facility is noncompliant, please attach a list of corrective actions being taken and a time-4able for improvements to be made as required by part 11 ±.6. of the NPDES permit. Permittee,Sub ttitter Signature:*** Bob Whitsel 02'14l2017 I:robert.witsell{rage.com Phone 0:706-291-3319 Date Pernnittee Address: 1223 Fairgrove Church 'Rd hickory NC 28602 Permit Expiration Date: 07e31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a systems 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 diree'tly respoltsib4e for gathering the infonnaticsn, 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 subi knowing violations, LAI3 NAME: Pace Analytical Services„ INC" CERTIFIED LAB #; :381. PERSON(%) COLLECTING SAMPLES: Ray Penley rind Jeltic}` Fisher g false infonnation, including the possibility of fines and imprisonment for 30RATOR. PARAMETER CODES Pararneter Code as-sistanee may be obtained by calling the NPl l S Unit (919) 807-6300 or by visiting http://portal ncdenr.org'web/wq/swplps'npdeslfomis. FOOTNOTES Use t'snly units of measurement designated in the• reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204, *** Signature of Perrnittee: if signed by other than the permitted„ then delegation of the signatory authority must be on tile with the state per 15A NCAC 2B .0506(b)(2)(D). NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Hickory Plant CLASS: PC -I COUNTY: Catawba OWNER NAME: General Electric Company - Salisbury ORC: Ray S Penley ORC CERT NUMBER: 27888 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 01-2017 (January 2017) VERSION: 1.0 STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO 2 g 1• L N6< 1a E U F c� — {= li w a O C n O e 0 p` o ix O 2 64 1° 56050 00400 34475 39100 Continuous 2 X month quarterly Quarterly Recorder Grob Grab Grab FLOW p11 TETCLETY TCETHYLE 2400 clock Him 2420 clock Hra YINN 600_ 516 nil e81i 1 N 0.076 2 0800 8 Y 0.085 3 0800 8 Y 0.085 4 0800 4 Y 0.085 5 0800 8 Y 0.085 0 0800 4 Y 0.085 7 N 0.085 8 N 0.085 9 0800 8 Y 0.077 16 ONO 8 Y 0.077 11 0800 4 Y 0.077 7.9 12 0600 8 Y 0,077 13 0800 4 Y 0.077 14 N 0.077 15 N 0.077 16 0600 8 Y 0.057 17 0600 8 Y 0.067 18 0600 4 Y 0.067 19 0800 8 Y 0.067 20 0400 4 Y 0.057 21 N 0.067 N 0.067 Y21 33 0800 8 Y 0.071 24 0800 8 Y 0.071 28 0800 4 Y 0.071 7.9 26 0800 8 Y 0.071 27 0800 4 Y 0.071 20 N 0.071 29 N 0.071 30 0800 8 Y 0.07 31 0800 8 Y 0.07 31anthly Average L13211: 0 12 Moa1hly Arer•Eec 0.07471 Daily91a11mumr 0.085 7.9 Dolly Minimum: 0.067 7.9 •"•'NoRepotting Reason: ENFRUSE—No Flaw-Reuse/Recycle; ENVWTHR No Visitation — Adverse Weather; NOFLOW=NoFlow; HOLIDAY No Visitation — Holiday NPDES PERMIT NO.: NC0076643 FACILITY NA:4E: Hickory Plant OWNER NAME: General Electric Company - Salisbury GRADE: PC-1 eDMR PERIOD: 01-2017 (January 2017) COMPLIANCE STATUS: Compliant PERMIT VERSION: 4.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Catawba ORC: Ray S Penley ORC CERT NUMBER: 27888 ORC HAS CHANGED: No VERSION: 1.0 STATUS: Processed CONTACT PHONE #: 8283121058 SUBMISSION DATE: 02/14/2017 02/03/2017 ORC/Certifier Signature: Ray Penley E-Mail:ray.penley®ge.com Phone #:828 312 1058 Date By this signature, I certify that this report is accurate and complete to the best any knowledge. The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the permitter became aware of the circumstances. A written submission shall also be provided within 5 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. 41 UV Permittee/Submitter Signature:*** Bob Whitsell E-Mail:robert.witsell©ge.com Phone #:706-291-3319 Date Permittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Perrnit Expiration Date: 07/31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. CERTIFIED LABORATORIES LAB NAME; Pace Analytical Services, INC CERTIFIED LAB #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penley and Jeffrey Fisher 0 2/14/201 7 PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. " ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 80 .0204. *** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). RMIT NO,: N)076643 PERMIT VERSION: 4.0 -FA -TY NAME: .Hickory Plant CLASS: PC-1 OWNER NAME; General Electric Compatty - Salisbury ORC: Ray S Peaky GRADE: PC".-i ORC HAS CHANGED: No eDMR PERIOD: 12-2,016 (December201E) VERSION 1,6 ;RIMIT STATUS: Active g,a COUNTY:' Catawba ORC CERT tiUM1IBER: 2755E STATU,'S: Pr cessed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO ) H Rllwei ruenm¢ '"`*• No Reporting Rea son' PNFRVSE = S Flow-RcaseiR cycle; ENL°\ V'HR ha Vfsl1atior HOLID, ,A`=lvg y-lsatatiOn—H NPDES PERMIT NO.: NC:0076643 PERMIT VLRSICIN.4.tt FACILITY NAME: Hickory Plant CLASS: PC-1 OWNER NAME: General Electric Company - Salisbury ORC: Ray S .Penlcy GRADE: PC-1 ORC HAS CHANCED: No eDNIR PERIOD: 12-2016 (December 2016) COMPLIANCE STATUS: Compliant OR,CI'Certifier Signature: By thss signature, 1 ce VERSION: 1.0 CONTACT PRONE #: 828312l058 y .potfl is accurate and complete to'the best ofnty leneawledge. PERMIT STATUS: Active COUNTY: Catawba ORC Ck 2T" NUMBER: 27 8:8 STATUS: Processed SUBMISSION DATE: t}[t(i412017 1/07 4:828 312 1058 Date 'Th.c perntittee 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 c:ircutnstances. A written submission shall also be provided. 'within 5 days of the time the pennittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of the NPDES permit. 04/2017 Permittee/Subenitter Signature:*** Bob Whitsell E-Mail:robcrt,witsollr%go Pem,ittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Pernut Expiration Date. 07/31/2020 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted, Based on my inquiry of the person or persons who managed the r those persons directly responsible for gathering the infor nation, the information submitted is, to the best of my knowledge and belief, true, and complete. 1 am aware that there are significant penalties for suhm knowing violations. Phone 4:706-291-3319 Date rmation, including the possibility of fines and imprisonment for CERTIFIED LABORATORIES LAB NAME: Pa e Analytical Services, Inc CERTIFIED I..AB 4: 381 PERSONS) COLLECTING SAMPLES: Ray Polley, and Jeffrey Fishcr Parameter (:'od.e assistance may be obtained by calling the NPI: PARAMETER CODES it (919) 807-6300 or by visiting http://portal.nodenr.org/ cb/wq/swp/ps/npdes/forms. FOOTNOTES Use only units of measurement designated in the reporting faci'litry"s NPDFS pemtit for reporting data, * No Flow/Discharge From. Site: Check this box if no discharge occurs and, as a result, there are no data to he entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site?: OKC must visit facility and document visitation offacility as required per 15A NCAC 80 .0204. *** Signature. of Perrnittee: If signed by other than the permittee, then delegation of the signatory authority must be on the with the state per 15A'NCAC 213 .0506(b)(2)(Di. NP/S PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Hickory Plant CLASS: PC-1 COUNTY: Catawba OWNER NAME: General Electric Company Salisbury ORC: Ray S Penley ORC CERT NUMBER: 27888 GRADE: PC-1 eDMR PERIOD: 12-2016 (December 2016) Report Comments: ORC HAS CHANGED: No VERSION: 1.0 Effluent recorder out of service all values from influent meter. STATUS: Processed NPDFS PERMIT NO.: NC0476h4.3 PERMIT VERSION:4.t1 FACILITY NAME: Hickory Plant CLASS: PC-1 OWNERNAME: General Electric (ompang - Salisbury ORC: Rap S Pcs:Jey GRADE: PC -I ORC HAS CHANGED: No eDMR PERIOD: 1 I-2016 (November 20161 VERSION: 1.0 CE N I Y `'i 4}�t\ 7 SAMPLING LOCATION: EFFLUENT DISCHARGE,' Daily nunYonnm: 0074 PERMIT STATUS: Active COUNTY: Catawba RT NUMBER: 27868. TATUS: Processed 7 NO DISCHARGE*: NO ..rs No Reporting Ronson. FNFRUSE Na P cwt-Rruse'Rcc) Le, PNVW+T 'adverse Weather; NC)FLQWt No Flow;; HOLIDAY visa:Ikon— Holiday NPDES PERMI NO.: NC0076643 PERMIT VERSION: 4_ 1) FACILITY NAME: Hickory Plant CLASS: PC-1 OWNER NAME. General Electric Company - Salisbury ORC: Ray S Pcnlc.y GRADE: PC, I ORC HAS CHANGED: No eDh1R PERIOD: 1 1-201(1 (November 2016) VERSION: l.l) COMPLIANCE STATUS: Compliant CONTACT PHONE #: 828312105X ORCICert i e r nature: PERMIT STATUS: Active COUNTY: Catawba ORC (:'ERT NUMBER: 2.7888 STA I"US: Processed SUBMISSION DATE; 1 .92016 12/0112016 Penley E-Mail:ray.penlege,com Phone #:828 312 1058 Date By this signature, 1 certify that this report is accurate and complete to the best of my knowledge. The permittce shall report to the Director or the appropriate R Any information shall be provided orally within 24 hours from t.h any noncompliance that potentially threatens public health or the environment. permittee becam,c aware of the circumstances. A written submission shall also be provided within 5 days of the time the per -mil -tee becomes aware. of the c'tr'cumstances,. if the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for it°rtprovements tea be trade as required by pact II.I ".C- the NPDES permit, 6 Permitbmitter Signature:*** Bob Whitsell E.-Maii:robert.witselIfo)ge.com Phone #:706-291-3119 Date Permittee Address: 1223 Fairgrot"`e Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best ofrny 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. LAIS NAME : I ace n,styticat Se ices, true CERTIFIED LAB #: 381 PERSON(s) COLLECTING SANIPLES: Ray Penley and JcMt% fisher .ABORATOR] S PARA,MFTER (.,'ODES Parameter Code assistance may be obtained by calling the NPDES Unit .(919) 807-6300 or by visiti portal.ncdenr.org/webrwq/swp/ps/npdes/forms" FOOTNOTES Use only units of measurement designated in the reportingy's NPDES permit for reporting data. * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period. ** ORC on Site': ORC must visit facility and docu: *** Signature of Permittee: if sig ted by other than the permittee, then delegation ofth.e signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). ity as required per 15A NCAC 8G ,0204, PACE ANALYTICAL SERVICES, INC. �aceMalyticale General Electric - Hickory Plant GWR 1223 Falrgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZK0152 Client ID: Influent DatelTime Sampled: 11/3/2016 10:20:00AM Matrix: Ground Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Comers, GA 30092 (770) 734-4200 FAX (770) 734-4201 November 14, 2016 Protect: Hickory Plant GWR Lab Number ID: AZK0152-01 Date/Time Received: 11/412016 8:50:00AM Preparation Analytical Result RL Units Method Qual. OF Date Date Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichioroethene 2.4 1.0 ug/L EPA8260B 1 11/10/1611:00 11/10/1621:24 6110312 RAC cts-1,2-Dichloroethene 230 10 ug/L EPA 8260E 10 11/10/1611:00 11/10/16 21:52 6110312 RAC Tetrachloroethene 390 10 ug/L EPA 8260E 10 11/10/16 11:00 11/10/16 21:52 6110312 RAC Trichioroethene 780 10 ug/L EPA 82608 10 11/10/16 11:00 11/10/16 21:52 6110312 RAC Vinyl Chloride ND 1.0 ug/L EPA8260B 1 11/10116 11:00 11/1011621:24 6110312 RAC Surrogate: Dibromoflucromethane 104 % 80-120 EPA 8260E 11/10/16 11:00 11/10/18 21:24 6110312 Surrogate: Dibmmofluoromethane 101 % 80-120 EPA 82608 11/10/16 11:00 11/10/16 21:52 6110312 Surrogate: 1,2-D/chloroethane-d4 102 % 78-120 EPA 82608 11/10/16 11:00 11/10/16 21:24 6110312 Surrogate: 1,2-Dichloroethane-d4 102 % 78-120 EPA 82608 11/10/16 11:00 11/10/16 21:52 6110312 Surrogate: Toluene-d8 90 % 80-120 EPA 8260B 11/10/16 11:00 11/10/16 21:24 6110312 Surrogate: Toluene -de 91 % 80-120 EPA 82608 11/10/16 11:00 11/10/16 21:52 6110312 Surrogate: 4-8romoiluorobenzene 95 % 80-120 EPA 82608 11/10/16 11:00 11/10/16 21:24 6110312 Surrogate: 4-Bromafluorobenzene 94 % 80-120 EPA 8260E 11/10116 11:00 11/10/1621:52 6110312 Page 3 of 10 ft 1ce Analytical° General Electric - Hickory Plant GWR 1223 Falrgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZK0152 Client 1D: Outfall Date/Time Sampled: 11/312016 10:20:OOAM Matrix: Ground Water Analyte PACE ANALYTICAL SERVICES, INC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Comers, GA 30092 (770) 734-4200 FAX (770) 734-4201 November 14, 2016 Project: Hickory Plant GWR Lab Number ID: AZKO152.02 Datefrlme Received: 11/4/2016 8:50:OOAM Preparation Analytical Result RL Units Method Qual. DF Date Date Batch init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene ND 1.0 ug/L EPA 8260B 1 11/10/16 11:00 11/10/16 20:29 6110312 RAC cle-1,2-Dichloroethene ND 1.0 ug/L EPA B260B 1 11/10/16 11:00 11/10/16 20:29 6110312 RAC Tetrachloroethene ND 1.0 ug/L EPA 8260E 1 11/10/16 11:00 11/10/16 20:29 6110312 RAC Trichloroethene ND 1.0 ug/L EPA 8260B 1 11110/16 11:00 11/10/16 20:29 6110312 RAC Vinyl Chloride ND 1.0 ug/L EPA 8260B 1 11/10/1611:00 11/10/16 20:29 6110312 RAC Surrogate: Dlbromofuoromethene 101 % 80-120 EPA 8260B 11/10/16 11:00 11/10/16 20:29 6110312 Surrogate: 1,2-D/chloroelhane-d4 102 % 78-120 EPA 8260B 11/10/16 11:00 11/10/16 20:29 6110312 Surrogate: Toluene -de 91 % 80-120 EPA 8260E 100/16 11:00 11/10/16 20:29 6110312 Surrogate: 4-Bromotluorobenzene 94 % 80-120 EPA 8260E 11/10/16 11:00 11/10/16 20:29 6110312 Page 4 of 10 NPIIES PE-?1I"I'" "S O,: NC0076643 PERMIT VERSION; 4.0 FACILITY NAME: I'Iickory Plant CLASS: PC-1 OWNER N& ilE: 1 Electric Company -Salisbury" ORC: Ray S Penley G;R,AD :; PC-1 ORC HAS CHANGED: No cDMR PERIOD: 10-20L0 (October /0110 VERSION: 1.0 PERMIT 'STATUS: Neti e COUNTY: Catawba ORC CERT NUMI3I R:, , 13E1i STATUS: Processed SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCIHARE h}t' Avernus Llenit': SA outhly AveragC: Daily Maximum: Daily t-tlnimam: .." " No Reporting Reason; ENFRUSE No Flow-Ctcu$elt ey lc; EaNVW1 FIR — No Vis'itatk ii OW = No l how: HOLIDAY No VisitafiCan— Holiday NPDES PERMIT NO,: NC0076643 'PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC-1 OWNER NAME: General Electric Company - Salisbury ORC: Ray S Penley GRADE: PC-1 ORC HAS CHANGED: No eDhIR PERIOD: 10-2016(October 2016) VERSION: 4.0 COMPLIANCE: Compliant CONTACT PHONE 10 1)283I21058 PERMIT STATUS: S: Active Fe COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SUBMISSION DALE: 11114,2016 `14`2016 ORC:/Certifier Signature: Ray Penley E-Mail:ray.penley(a:ge,com Phone By th The pen, ify that this report is accurate and complete to the best of my knowl dge. .port to the Director or the appropriate Regional Uffice any nonco 312 I 0 5 8 Date potentially threatens public health or the environment. Any information shall be provided. orally witdlin 24 hours from the time the permit tee became aware of the circumstances. A a,'eitten submission shall also be provided within 5 days ofthe timc the perrnittee becomes aware of the circumstances. If the facility is noncompliant, please attach a the NPDES permit. Permittee/Sub f corrective actions being taken and a tin -table for itriprovetnents to be trade as required by part 11.F-6 of I 1 /1412016 Signature:*** Bob \%hitsell E-Mail:robert.witsetl tge.corn Phone #:'706-2.91-3319 Date Perrnittee Address: 1223 Fa'irgruve Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 I. certify, under penalty of law, that this documem 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 informations the information submitted is, to the best of my' knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. LAB NAME: Pace Analytical Services„ Itrc CERTIFIED LAB 4: 381 PI.IRSONIs) COLLECT"ING SAMPLES; Ray Penley and Jeffrey 1 shcr ABORATOR1E.S PARAMETER CODE Parameter Code assistance may be obtained by ca1hng tl°te NPDES Unit (919) 807-6300 or 'by visiting'littp://portal ncdenr.orgtweb/wq/swp/ps/npdes/fonns. Use only units of FOOTNOTES urement designtcd 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 DM.R for entire monitoring period. ** ORC on Site?: ORC must visit facili'ry'and document visitation offacits'ty as required per 15A NCAC 8G .0204. *** Signature of. Permittee: If signed by other than the perm'ittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 28 .0506(b)(2)(D)„. NPDES PETIT NO.: NC0076643 FACILITY NAME: Hickory Plant OWNER NAME: General Electric Company - Salisbury ORC: Ray S Penley GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 10-2016 (October 2016) Outfall 001 - Effluent Comments: PERMIT VERRSION: 4.0 PERMIT STATUS: Active CLASS: PC-1 COUNTY: Catawba ORC CERT NUMBER: 27888 VERSION: 1.0 STATUS: Processed effluent recorder out of service all values are from Influent meter NPDES PEFt1VIIT NO.: NC007bta4. FACILITY NA. kory Plant f➢ iER NAME; Caenora1 El °ic C`t ntpany - Salisb C$RAIFE. PC-1 eDMR PERIOD: 10 016 (ktober 2Ql6 Report Co Effluent recorder out of servrce aPl values from Iuflua PERMIT VERSION:4.0 PC-1 S Penley ORC HAS CHAN F:D: No VERSION: l 01 PERMIT STATES: 1Lctwe COUNTY: CdGa% ba ORC CERT STATUS. Processed N POLS PERMIT NO.: NCO 766,41 PERMIT VERSION: 4 0 PERMUI S rAirrsH,:\oi,c, RECEIVED FACILITY NAME; Hickory Plant CLASS: PC -I ' COUNTY: Ci:IEH‘Ela OWNER NAME: Gorieral Electr4H Company H Salisbury OR( : Ray S PQnlq NO V 4 I 2016 ORC CER.T NUMBER: 2,M88 GRADE: PC-1 ORE: DAS CIIANGED •N'o CENTRAL FILES cryttm pEtti1)n:o9.2ot6{Sq11e011h1 r 2016 VERSION: I DR SECTION S.:FAILS: Processed 522I 24440 2162k 2-22 7 6 0606 6 02040 I to It SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGErl.;.,, .,...' 74 1 i ...., :g. . , . , . 1 . =•.,.4. He, 2460 eieek lira 222142N 0101 1 y 441 i 2 t00 "1- 01 I 222 2" 2'- 21 7 2,2 24 I 56 12,7 2t2 000 0s26I I 06221 -I- 060; I i :., , 4_ 1,,,,00 N , _....., : , ,,,,,,, 144 I 400 I f226222; "E2 ,222.2 2 -22 • I 60666 I 60200 3E476' f 32211 ite I ; 1 2— 22----- 2:00000000 , 66002 22222210022 Q06220111 02000,22,02 i Grab 42201k i PH 722 20012 I Grab itt1022 2.21,1;i2 I T2I5ET224011,0I 25-5 21.-6-5,22 Nlavahly ,426.rage 2.0202, 1' NIneghty Alta age, 0743,3 tOan 44eera66612: „ 0 Dag!, N400i4»04:6211 0 0 „ —02 5o Repon;622 440622201 ENERUSE - IH0.6.-44eust Recyck% r 224254 THR .6.4,.E.i,tha,0„ NUFLow - HoL [Div - FE.6E,6,„ NPDES PERMIT NO.: NCD076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Hickory Plant CLASS: PC-1 COUNTY: Catawba OWNER NAME: General Electric Company- Salisbury ORC: Ray S Penley ORC CERT NUMBER: 27888 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 09-2016 (September 2016) VERSION: 1.0 STATUS: Processed Report Comments: Effluent recorder out of service all values from Influent meter 'NP DES PERNIEF NOt; N[t)076643 PERM FE VERSION; 4.0 FACULTY NAME: Hickory Plant CLASS.: PC-1 OWNER NAME,: General Electric Coo mny SaEsbury ORC; Ray S GRADE: PC-T ORC HAS CHANGE! : NO eDAIR PERIOD: 09-2016 (September 2016 VERSION: 10 COMPLIANCE: Compliant CONTACT PHONE t4: I0"11 PE ickur st,N.TUS: Active COU.NTV: Catawba ORC CERT NUMBER: 27888 STATES: Processed SUBMISSION DATE: 10/2612016 ORC/Certi der Signature: Ray Penley E-Mailiray.penlevk.ge.com Phone : 7 0 6 - 291-3319 By this .I. certify that 1011, ipurt 1, accurate imci complete to die best or iny 0/10/2016 Date "Ube permittee shall report to the Director or the appropriate Regional Office tiny noncompliance that potentially. threatens public health or the environment, Any information shall be provided orally ‘,.vithin 24 hours from the time the permittee became aware of the circumstances. A written submission shall tilso be provided within 5 days of the time the permittee becomes a\vare of the circumstances, lf the facility is noncompliant, please attach a list olcorrective actions being take]) iiind a time -table for Uflpl overt .thts lade as required by part 1 L 1 0of the NPDES permit. I 0126/20 6 Permittee/Submitter Signtratire:','" ['lob Whiisell li-Mailirober1.witselli4ge.co1fl Phone 0i706-291-3319 Date Permittee Addresis: 1223 Fairgrove Church Rd Hickory NC28602 Permit Expiration Date: 07/3E2020 I certify. under penalty °flaw., 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 .gathcr and evaluate the infonuation submitted Based on my inquiry cif the person or .persons who managed the system, or those persons directly responsible liar ginherini.ii the information, the information submitted is, to the best ttf 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 iltir knowing violations. CERTIFIED LA BORA- )R I ES LAB NAME: Pace Analyucal services.,ha, CERTIFIED LAB 4: 381 PERSON(s) COLLECTING SAM PLES Rzly Penky Aid kffi-cv Fisher PARAMETER CODES Parameter Code assistance may be .obtainecl by calling the NPDES Unit 0919) iS10-6300 or by visiting up.://portalincdenr„orglweblwif swpips/npdest forms, FOOTNOTES Use only units. of measurement designated in the 1 P1 111112 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 inr all of/ the parameters itm the DNIR lnr entire monitoring period. 4/* ORC on Site?: ORC MUSE VISit faCiLity and document visitation of facility as required per ISA NC.AC sO 0204. ' Signature of Permittec: If s.igned by other than the pet -mince, then delegation of the signatory authority must be on file with the state per 5.A. NCAC 2B .0506(b)(2)(D): y .NI'DES PER.111T NO.: NC0076t43 PER:Mir VERSAON: t1.tiG CEIVED pozmrt-srArus: Ak2tivQ: I: A I. I I., 1 T Y. NA NtIttt: Llickkwy Plant Cl„..Atiti: IT'HN I RE' couNTY: Catawba OWNER NAME: Geoml Honri,:t Coriya.rly - Sal ishitry OR(`: Ray S. I'LmIc:,,, ()RC CIL.RT Nt VI BER: 2 .7St15.6 (;RA.E)E; R7tt I OR( NAS CHANGED:: NoN0 li 0 1 .e,,,i16 elYNIR PERIOD: 0-20 I(t.t (August 2.[)1(t) IttizSloN: 2to CENTRAL FILEs STAMS: ProcL's- DWR SECTION SAMPLING LOCATION: EFFLUENTDISCHARGE NO.: 901 NO DISCI.'" 20 21 25 14 15 1.5 27 211 I 29 .14 31 1 t41050 ..glifittif 1 1 N MO f I,ONN t pli 270Y.101twk ' ffry. .4.0f) chtwk t .05 , '5 ,'415-.. -.7.7 1 , , , 0505 5 1 V 10 447 7 . 04.040 5 5.- 102)57 , 5,555 1 1_, 1 4 .2.24 5 5577 17. 1 5, 44.444444444 /4' 40 080,4 444444.140 4 4444 -4 I, 44.44444.41 4 t. V otttito I i wtoo 4.4 4 N 50 ---- i 4 t . 4 40 ... 0.4.0 4 8 4 4 74Pt4.4444 44444 11 71- 4 1 I N 1 IN 4 1 11:'1::::: 1 ! 5505 4 4E-4744 4 St 4 074 414475 151141 Qua ficdy it 1(4114441 I557 Ug.'i 5 557 454H t 4 44 4 5-7+ 4 4if ,NNerage1 mit 4,, Mom kb 44era90, Daily i1451 04) 044ni!.11401; 4-- " Repoo:klig Rcallorr UNFRUST:141414011<- V44;14.114041 4d452444.4.44 '4147,44.44,4444 N1114W - Fkuk, HOLIDAY No VisLinum- Hulidt* NPDES PERMIT NO.: NC0076643 PERMIT VERSION:4.0 PERMIT STATUS: Active FACILITY NAME: Hickory Plant CLASS: PC-1 COUNTY: Catawba OWNER NAME: General Electric Company - Salisbury ORC: Ray S Penley ORC CERT NUMBER: 27888 GRADE: PC-1 eDMR PERIOD: 08-2016 (August 2016) Report Comments: ORC HAS CHANGED: No VERSION: 2.0 Effluent recorder out of service all values from influent meter STATUS: Processed NPDES PERMIE NO.: NC0076643 PERNIFE VERSION:4.0 FACILITY NAME: Hickory Pluni, CLASS; PC-1 OWNER NAN' L: Gener:11 Electric Company - ()RC: Ray S Oil ley GRADE: PC-1 OR( HAS CHANGED: \o VERSION: 2.0 eDMR PERIOD: (August 2016) COMPLIANCE: Compliant FERMI'''. STATUS: Aenve COUNTY: Catawba ORC CEWI NUMBER: 27888 STATUS: Pro/..,:essed covrAcr PHONE #: 82g312105g SUBMISSION DAITE: 10/26/2016 1011 0120 I 6 ORC Certifier iintUrc: Ray Pe ey E-Mail:ray.pcilley4;ge,com Phone tt: 7 0 - 2 91-3319 Date By this signature. 1 certify that this report is accurate and complete to the host of my knowledge.. The permittee shall report to the Director or the appi-opriate Regional Office any noncompliance that potentially threatens public health or the environment, Aily information shall be provided orally -within 24 hours from the time the peimittee became aware of the circumstances. A NkTi tt en submission. shall also be provided within 5 days 01-the, time the permittee becomes aware oflthe circumstances. Ilthe facility is noncompliant, please attach a list of correctivc actions being taken and a time -table for improvements to be made as :required by part .I.LE.6 of the NPDES permit. Y26. /2016 Perinittee/Submitter Signature:*" Bob Whitsell E-Nitiikrobert,witsell 00 00111 l'hone #.:706-291-3319 Date liermittee Atid.ress. 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiratton .Date: (17/)112020 1 certify, under penalty of law, that this document and all iittachinents were prepared under niy. direction o! j r!fl 11 accardance. with a system designed to assure that qualified personnel properly gather and evalirate 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 info1 mation. submitted is. Oa the best of my knowledge aild belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false inForrnation, including the pos.sib.ility of fines and imprisonment for knowing vinlations„ (Trawl ED LABORATORFE.',S LAB NA m E1 Paee Anilo ical ServicosInc CERTIFIED TAR PERSON(s) COLLECFING SAMPLES: Ray Remo['crilo iird lefties 1-1111 PA RAMFFER CODES Parirricl.er Code, assisnince may be obtainct: 1v calling the NPDES Unit (919) Str7-6300 01- by 51011100 Fittp://portaimedent.org1webfwgiswpips/npdesiforms, FOOTNOTES Use only units of measurement designated in the reportilig facility's NPDES permit for reporting data. * \o Flow/Discharge -From Site: Check this box ;lino discharge occurs and, as a result-, there are no data to be entered for all of the parameters on the DMIR for entire monitoring period.. °RC on SIo,i, ()RC must visit facility imd chrcument i,i,sitiraion of facility 115 equIred per I 5A NCAC SIG .0204., "** Signature o.f. Perinittee: 11 signed by other than the. t)crinitice, Moo delegation oldie signatory authority mustbe on -tile with the state per I5A NCAC 2B .0506(b)(2)(D). ,PaceAnalytical v' General Electric - Hickory Plant GWR 1223 Felrgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Pen ley Report No.: AZN0198 Client ID: Outtatl Datemme Sampfed: 814/2016 10:00:00AM Matrix: Ground Water Analyte PACE ANALYTICAL SERVICES, INC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 August 11, 2016 Project: Hickory Plant GWR Lab Number ID: AZF10188.02 Datemme Received: 81812016 9:00:00AM Preparation Analytical Result RL. Units Method Goal. DF Date Date Batch init. Volatile Organic Compounds by EPA 8260 t,1-Dlchlcrcethene ND 1.0 ug/L EPA8280E 1 8/09/16 7:00 8/0911610:41 6080282 ART cis-1,2-Dhhloroethene ND 1.0 ug/L EPA B260B 1 8109/16 7:00 8/09/1610:41 6080282 ART Tetrachloroethene ND 1.0 ug/L EPA 82608 1 8/09/16 7:00 8/09/18 10:41• 6080282 ART Trlchlaroethene ND 1.0 ug/L EPA 8260E 1 8/09/16 7:00 8/09/1810:41 8080282 ART Vinyl Chloride ND 1.0 ug/L EPA82608 1 8lob/1e 7:00 8/09/1610:41 6080282 ART Surrogate: Dlbromoiluammethane 104 % 80-120 EPA 62608 8/09/16 7:00 8/9/1610:41 6080282 Surrogate: 1,2-Dlchl9roethane-d4 105 % 78-120 EPA 8260B 8/09/16 7:00 819/1610:41 6080282 Surrogate: Toluene -dal 90 % 80-120 EPA82608 8/03/1a 7:00 8/9/1610:41 6080282 Surrogate: 443romofuorobenzene 103 % 80.120 EPA 8260B 8/09/16 7.:00 8/9/1610:41 6030282 Page 4 of 10 -PaceAnalytical t., General Electric - Hickory Plant GWR 1223 Fairgmve Church Rd Conover NC. 28813 Attention: Mr. Ray Penley ReportNo.: AZH0198 Client lb: Influent DatelTime Sampled: 8f412018 19:00:OOAM Matrix: Ground Water Analyte PACE ANALYTICAL SERVICES, INC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA30092 (770) 734-4200 FAX (770) 734-4201 August 11, 2016 Project: Hickory PlantGWR Lab Number ID: AZH0198-01 DatelTime Received: 81512018 9:00:80AM Preparation Analytical Result Rt. Units Method Rual. DP Date Date Hatch Init. Volatile Organic Compounds by EPA B280 1,1-DIchloroethene 1.7 1.0 ug/L EPA826013 1 B(09/16 7:00 8109118 9:18 6080262 ART cls-1,2-Diohloroethene 210 10 ug/L EPA8260B 10 8/09/16 7:00 B/09/16 12:5B 6080282 ART TetraahIoroethene 350 10 ug/L EPA 826013 10 8/09/16 7:00 8109/1612:58• 6080282 ART Trichloroethene 750 10 ug/L EPA826013 10 B/09/16 7:00 B/0811612:5B 60130282 ART Vinyl Chloride ND 1,0 ug1L EPA82609 1 8/09/16 7:00 8109/16 9:16 8080282 ART Surrogate: 0lbramofluaromeflrane 105 % 80-120 EPA 8260E 8109/18 7:00 8/9/18 9:18 6080282 Sunagafe: Dibromofluommethane 103 % 80-120 EPA 8260E 8109/16 7:00 819/1612:68 6080282 Surrogate: 1,2-Dlchlomethane-d4 103 % 78-120 EPA 82808 8/09/16 7:00 8/9/16 9:18 8080282 Surrogate: 1,2-D1chlaroethane-d4 105 % 78-120 EPA 8260E 8109116 7;00 819/1612:58 6080282 Sunagate: Toluene -dB 92 % 80-120 EPA 8260E 8/09/18 7:00 819/18 9:16 6080282 Surrogate: Taltrene-d8 93 % 80-120 EPA 8280E 8/09/18 7:00 8/911612:58 6080282 Surrogate: 4-Bromofluorabenzene 102 % 60-120 EPA 8260s 8/09116 7:00 8/9/18 9.18 8080282 Surrogate: 4-13romofluarobenzene 101 % 80-120 EPA 82608 8/09116 7:00 8/9/1612:58 6080282 Page 3 of 10 NmbPERMIT NO. WOO 76643 !. mRYNAME I-hckory m+ OWNER \ we Gam; cm«cam, Gt DES 1 m9RPERIOD:(July 216 #,ISTATUS: Acuvo COUNTY:(a oRc cry NUMBER: 27:9 SIAI D: u SAMPLING LOCATION: EFFLUENT »ISCHARG£ NO.:001 NO DISCHARGE*: NO PIPER.MIT vF »my +, CLASS: /d ORC: [( SP m ORC HATCHANGED: No VERSION: e, wee . _ MAR __ a . s;� � � � LA-F R.15S r:NVWT R. «swam «.Rrs..; 1Va me mrm*=m HOW:. mr Ikarnidt- NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 PERMIT STATUS: Active FACILITY NAME: Hickory Plant CLASS: PC- l COUNTY: Catawba OWNER NAME: General Electric Company- Salisbury ORC: Ray S Penley ORC CERT NUMBER: 27888 GRADE: PC-1 ORC HAS CHANGED: No eDMR PERIOD: 07-2016 (July2016) VERSION: 2.0 STATUS: Processed Report Comments: Effluent recorder out of service all values are from influent meter \PODS PERMIT NO.: N( )07f;(at3 FAC'Il'..1'T'i NAME: Hickory Plant OWNER NAME: Gen er.I Electric Coln GRADE: PC -I ttIL) lR PERRY July 2016) COMPLIANCE: Comp By this sic gnature: hat 1111, rapt o¢ PERI T VERSION: 64,0 CLASS: PC-1 ()RC: Rt.yx S Pea;lu ORC' HAS CHANCED- \ VERSION: 2.0 CONTACT PHONE k: 8283121058 PERhtITSt 11S:A 'ivr COUNTY: 1 Y: GAtawh'a ORC C ERT NUMBER R �7s8S STATUS: Proces,ud SUBMISSION RAT ItAt2d "2ts16 0120I (; nlc E,-\tail'ray.penley+a;pe.com Phone 1i:706-291.3319 Date d. The perImttae shall report to the Director or the appropriate Regional Office arty I'iC n ompltalaee theft Piatns public health or the ett 'trC fanaa,tit. Any information shall be provided orally within 24 hours from the tithe the pet -mime became aware of the circumstances, A written submission sha11 also be provided within 7 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 rime -table #or ianprovetncnts to he taiade as required by part 11.E.6. of the NPDES permit. )r Pcrmitteer'Submitter Signature:*** Bob Pennittee Address: 1223 Fa b c..com Phone #:706-291-331 rch Rd Hicko,ry NC 25602 Permit Expiration Data-. 07131/2020 plied under,111V direction or supervisicata its sage lrclataec ith a system d igned snhntitiecl, fta ed on my inquiry of/the person or persons who managed the system, or those persons directly responsible for,gathering the information, the information subrnitled 1S, to the hest of my knowledge ,ind belief- true, accurate, and complete.1 am aware that there are significant penalties for submitting false information, including the possibility of fines and impri-sonment for knowing violations. { certify. under penalty of law, that this dtaculaaent rand all attachrneni to assure that qualified personnel properly _rather and evaluate the in 9 10'26 2016 („A II NAME: Pace Anaalyiica CERTIFIED LAB 4, 381 PERS0\{9 COLLECTING' SAMP S: Ray Penley and av he oht<aincd of t>7easuaemcnt de c"ERTIFiF_D LABORATOR1iiS PAR,\\IFTL:.R C(ODES NPLII 1 C1ntt {91t7} w(17-6311(.) or by visitit NPDES permit for re lr urine data. No Floss Discharge From Site: Check this box if no discharge occurs and, as a result, there are 1 fi 'r cuttte mitaitoring period. * ()RC' tan Site'': OR'C must visa facility a d diacument visil,alion t,f facilitw as required per I SA "" Signature of Pernnittee: Cl }1b12)(D)• 1 the 1 ern it nr ort awela,^wc ' entered Idr all of the parameters on the DII1R 0 he on file with it r 1.5A NCAC 2F3 PERMIT NO.; E 70076641 FACILITYNAME; Hickory Plant OWNER NAME; Crene.ralF°Icctrie GRADE: PC -I Ow1R PERIOD: 08=2d.?Ib (August PERMIT VERSION: 4.0 CLASS: PC -I Salisbury OR(°: Ray 5 Penlcy OR( IIAS CHANGEfl VERSION: 1.0 PERMIT STATUS: Act COUNTY: CaL ba ORC CER T'NUMRER: 27888 STATUS: Pscacess i SAMPLING LOCATION. UPSTREAM DISCHARGE NO.: 001 Daily Minimum: Ca k 1:Yred 1IT(UTv ."'r• No .Reporting Reusoii FNFRUSE = No Fioc4-RetiseARccycle; FNV WTHR = No Visitation —,Adverse Weather: NOI LOW No'FIovt: HOLIDAY = No V'is tenon — Holiday NPDES PERMIT NO.: NCOO76643 FACILITY NAME: Hickory Plant OWNER NAME: (icncial I,Iccttd,r GRADE: PC-1 e[)MIR PERIOD: 08-2016 {A¢aRtast2 PER 1)IT VERSIO'(: 4,0 CLASS. PC-1 ORC: Ray S Penlc}F ORC HAS CHANGED: No VERSION: 1.0 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STATUS: Processed SAMPLING LOCATION: INFLUENT DISCHARGE NO.: 001 Monthly Average Llmli, Monthly Average; Daily Maximum: Daily Mlalmnim: "'" No Reporting Reason: ENFRUSE=No F ow-Reuse(Recyclei [t' \ F'HR-1vn Visitat'iAdverse Weather: NOFLOW A No Flow; HOtLID,AY - No Visitation--T Holiday NPDES PERMIT NO.: NC0076643 PERMIT VERSION: 4.0 FACILITY NAME: Hickory Plant CLASS: PC -I OWNER NAME: General Electric C"ontpany - Salisbury ()RC: Ray S Penley GRADE: PC-1 eDN1R PERIOD: 08-2016 (August 2016) COMPLIANCE: Compliant. ORC HAS CHANGED: No VERSION: 1.0 CONTACT PHONE #: 8283121058 PERMIT STATUS: Active COUNTY: Catawba ORC CERT NUMBER: 27888 STAT' '5: Processed SUBMISSION DATE: 09/27/2016 09/02/2016 ORC/Certifier Signature. ..ay Penley E Mail:ray.penley(age,com Phone #:706-291-3319 Date By this signature, I certify that this report is accurate and complete to the best of my knowledge. The perm shall report to the ,Director or the appropriate Regional Of ee any noncompliance that potentially threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the pet -mince became aware of the circumstances. A written submission shall also be provided. within 5 days of the time the perrnittee becomes aware of the circumstances, If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part 11.E.6 of the NPDES permit. 09/27/2016 Permittee/Submi.tter Signature:*** Bob WXitse'l] E-Mail;robert.yuitsellgge.com Phone #':706-291-3319 Date Pennittee Address: 1223 Fairgrove Church Rd Hickory NC 28602 Permit Expiration Date: 07/31/2020 I certify., under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false i �nform.ation, including the possibility of fines and imprisonment for knowing violations, CERTIFIED LABORATORIES LAB NAME:, Pace Analytical Sea -vices Inc. CERTIFIED LAB #: 381 PERSON(s) COLLECTING SAMPLES: Ray Penley and Jeffrey PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit (919) 807-6300 or by visiting h rp al,ncdcnr, org/web/wglswp/ps/npdesiforms, FOOTNOTES Use only units of measurement designated in the reporting facility's NPDES permit for reporting data, * No Flow/Discharge Froan Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR for entire monitoring period, ** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204. *** Signature of Penarittee: If signed by other than the pennittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 213 .0506(b)(2)(D), General Electric - Hickory Plant GWR 1223 Falrgrove Church Rd Conover NC, 28613 Attention: Mr, Ray Penley Report No,: AZH0198 Client ID: Influent DaterrIme Sampled: 8/4/2016 10:00:00AM Matrix:: Ground Water PACE ANALYTICAL SERVICES, INC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA30092 (770) 734-4200 FAX (770) 734-4201 Project: Hickory Plant GWR Lab Number ID: AZH0198-01 Daterrime Received: 8/5/2016 9:00:00ANI August 11, 2016 Preparation Analytical Analyte Result RL Units Method Qual, DF Date Date Batch Init Volatile Organic Cornpounds by EPA 6260 1,1-D ichloroethene 1,7 1.0 ug/L EPA 8260B 1 8/09/16 7:00 8/09/16 9,16 6080282 ART cis-1,2-Dichloroethene 210 10 ug/L EPA 8260B 10 8/09/16 7:00 8/09/16 12:58 6080282 ART Tetrachloreethene 350 10 ug/L EPA 8260B 10 8/09/16 7;00 810911612:58 6080282 ART Trichlorcethene 750 10 ug/L EPA 8260B 10 8/09/16 7:00 8/09/1612:58 6080282 ART Vinyl Chloride NO 1,0 uglL EPA 82606 1 8409/16 7:00 8/09/16 9:16 6080282 ART Surrogate: Oibromofluorornettrane 105 % 80-120 EPA 82608 8/09/16 7:00 8/9/16 9:16 6030262 Surrogate: Dibrornoffuoromethane 103 % 80-120 EPA 82608 5/09/16 7,00 8/9/1612:58 6080282 Surrogate; 1,2-0ichlorpethane-c14 103 % 78-120 EPA 626013 8/09/16 7:00 8/9/16 9:16 6080282 Surrogate: 1,2-Dichloroethene-ct4 105% 78-120 EPA 82606 6/09/16 7:00 8/9/16 12:58 6080282 Surrogate: To)uene-cf8 92 % 80-120 EPA 82608 8/09/16 7:00 8/9/16 9:16 6080282 Surrogate: Toluene-d8 93 % 80-120 EPA 8260B 8/09/16 7:00 8/9/1612:58 6080282 Surrogate: 4-Brornefluorobenzene 102 % 80-120 EPA 82608 8/09/16 7,-00 8/9/16 9:16 6080282 Surrogate: 4-Brom06u0r0benzene 101 % 80-120 EPA 82608 8/09/16 7:00 5/9/1612.'53 6080282 Page 3 of 10 , raceAnalytical" General Electric -Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr, Ray Penley ReportNo.: AZH019B Client ID: Influent Daterrime Sam pied: 81412010 10:00:00AM Matrix: Ground Water Analyte PACE ANALYTICAL SERVICES, INC. Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA30092 (770) 734-4200 FAX (770) 734.4201 August 11, 2016 Project: Hickory Plant GWR Lab Number ID: AZH0198-01 DatelTime Received: 8/5/2016 8:00:00AM Preparation . Analytical Result RI. Units Method Dual. DF Date Date Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene 1.7 1,0 ug/L. EPA82606 1 8/09/16 7:00 8/09/16 9:16 6080282 ART cls-1,2-Dichloroethene 210 10 ug/L EPA 82608 10 8/09/18 7:00 8/09116 12:58 6080282 ART Tetrachloroethene 350 10 ug/L EPA82609 10 8/09/16 7:00 8109/1612:58• 6080282 ART Trichloroethene 750 10 ug/L EPA 82608 10 8/09116 7:00 8109/16 12:58 8080282 ART Vinyl Chloride ND i.0 ug/L EPA8260B 1 8/09/16 7:00 8/09/16 9:16 6080282 ART Surrogate: Dibiomorluoromethane 105 % 80-120 tPA 8260B 8/09/16 7:00 6/9/16 9:16 6080282 Surrogate: Dlbromoftuoromethane 103 % 80-120 EPA 82608 8/09/16 7:00 8/9/1612:58 6080282 Surrogate:1,2-Dlchloroethene-d4 103 % 78-120 EPA 82608 8/09/16 7:00 8/9/76 9:16 6080282 Surrogate: 1,2-Dlchloroethene-d4 105 % 78-120 EPA 82608 8/09/16 7:00 8/9/1612:58 6080282 Surrogate: Toluene-d8 92 % 80-120 EPA8260E1 6/09/16 7:00 EV/16 9:16 6080282 Surrogate: Toluene-d8 93 % 80-120 EPA 82808 8/09/16 7:00 8/9/1612:58 6080282 Surrogate: 4-Bromotluorobenzene 102 % 80-120 EPA 8260B 8/09/16 7:00 8/9/16 9:16 6080282 Surrogate: 4-83romolluorobenzene 101 % 80-120 EPA 8280E 8/09/16 7:00 8/9/1812:58 8080282 Page 3 of 10 General Electric = Hickory Plant GWR 1223 Falrgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Peney Report No.: AZH0198 Client ID: ©utratl Datemme Sampled: 8/4/2018 10:00:00AM Matrix: Ground Water Analyte Volatile organic Compounds by EPA 8260 PACE ANALYTICAL SERVICES, INC. Result Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA 30092 (770) 734-4200 FAX (770) 734-4201 RL Units Method August 11, 2016 Project: Hickory Plant GWR Lab Number ID: AZH0198-02 Date/Time Received: 8/5/2016 9:00:00AM Preparation Analytical ©ual. OF Data Date Batch !nit 1,1-Dichloroethene NO 1,0 ug/L EPA 8260B 1 B S9/16 7:00 8/09/1610:41 6080282 ART cis-1,2-Dichloroethene ND 1,0 ug/L EPA8260B 1 8/09/16 7:00 8/09/1610:41 6080282 ART Tetrachloroethene ND 1.0 ug/L EPA8260B 1 6/09/16 7:00 8/09/16 10:41 6080282 ART Trichloroethene ND 1.0 ug/L EPA 8260E 1 8/09/16 7:00 8/09/16 10:41 6080282 ART Vinyl Chloride ND 7.0 ug/L EPA 8260B 1 8/09/16 7:00 8/09/16 10:41 6080282 ART Surrogate: Dibromofuoromethene 104 80 1, E'PA 82606 6/09/16 700 8,9/16 10:41 6080262 Surrogate: 1,2-DIch/©roothane-d4 105 % 78-120 EPA 8260B 8/09/16 7:00 8/9/16 18:41 6080282 Surrogate: Toluene-d8 90 % 80-120 EPA 82608 6/09/16 7:00 8/9/16 10:41 6080282 Surrogate:4-6mmotluorobenzene 103 % 80-120 CPA 8260E 8/09/16 700 8/9/16 10:41 6080262 Page 4 of 10 PACE ANALYTICAL SERVICES, INC. �� �aceAflalytical Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Peachtree Corners, GA30092 (770) 734-4200 FAX (770) 734-4201 General Electric - Hickory Plant GWR 1223 Falrgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZH0198 Client ID: Outrali DatelTlmo Sampled: 8/4/2016 10:00:00AM Matrix: Ground Water Analyte Project: Hickory Plant GWR Lab Number ID: AZH0198-02 DatefTimo Received: 8/512018 9:00:OOAM Preparation Analytical Result RL Units Method Qual. DF Date Date August 11, 2016 Batch MIL Votattle Organic Compounds by EPA 8260 1,1-Dlrhloroethane NO 1.0 ug1L EPA 8260E , 1 8/09116 7:00 8/09/16 10:41 6080262 ART cis-1,2-Dchloroethene ND 1.0 ug1L EPA 82605 1 8109116 7:00 81D9116 10:41 6080282 ART Tetrachioroethene ND 1.0 ug/L EPA8280E1 1 8/09/16 7:00 8/09/1610:41• 6080282 ART Trichloraethene ND 1.0 ug1L EPA 8260E 1 6/09/16 7:00 8109/16 10:41 6060282 ART Vinyl Chloride ND 1.0 ug/L EPA 82603 1 8109/16 7:00 8109/1610:41 6080282 ART Surrogate: Dlbromofluormmethane 104 % 80-120 EPA 82608 6/09/16 7:00 8/911610:41 6080282 Surrogate: 1,2-Dfchloroethane-d4 105 % 78-120 EPA 82608 8/09/16 7:00 8/9/1610:41 8080282 Surrogate: Toluened8 90 % 80-120 EPA8260B 8/09/16 7:00 8/9/16 10:41 6080282 Surrogate: 4-Brom0t7uar0benzene 103 % 80-120 EPA 82608 8/09/18 7:00 8/9/1610:41 6080282 Page 4 of 10 416. NPDES PERM FT NO:: NC0076043 FACILITY NAME: Hickory Plans PERN-11-1 VERSION; 4,1) CLASS: Pe-i OWNER NAME: General Electric Crrtripauy 'burORC: Ray S GRADE:1C-1 ORC HAS CHANGED; No 00MR. PERIOD: 07-2016 (July 2010,y VERSION: 1.0 240 rind, 110s , 2400 clock 1119 00 98110 ffl8202 900 '00 12 3 0900 14 9200 0S09 7,0 22 2 3 24 25 (44409 0990 14 0909 '4 0000 9 0800 y10 SA[%IPIJ!\C LOCATION: INFLUENT r00i9,00,1 FL DNA 0.07: 0,07k 9Yo 9 079 9,971 0,971 0 971 0.972 9 079 10„079 10,079 0,079 0,077 10,977 9.079 0.077 _40.077 9.077 Monthly Average 21-0132 0.977 M.99091) A verage: „7„42 NIR-041991,: 229219 Minimum: 004110 CO29.2€2,1 197 7,9 0 971 1.7 9 putrorr sTATus:Activc COUNTY: Catawba ORC CERT NUMBER: 2718 STATUS: Processed HLI,AUNAL CHARGE Na: 001 3.4475 301LS0 491 OENT FIL2L:5 nwR SECT r3N, Reim -Ong Reoson: ENFEWSE No Flow-lt.cuselZecyclo: - No V 009 Akivco. Wezich, N(WLOW - No Flow: [10L I DA Y N9 Vkitation Holiday IVINa.7,S PERMIT NO,: NC:007664s FACILITY NAM E: Hickory Plant PERMIT VERSION: 4.I) CLASS: PC- OWNER NAME: 1ienrs41 Flectric Comp,Nny -Satisbary ()RC. Ray ' Penicy GRADE: PC-1 eDAIR PERIOD: 0720)6 Duty 2oi6i tANC.Er Compliant ORC liAS CRANGCD: No VERSION: k 0 CONTAC I PHONE' sc,s2 PE lour STA 1 Ni COUNTY: (71ta,,,,, ORC CERT NLMBER: 27,S sTA-tcs, Processed SUBMISSION liVEE: 18'2,7,C016 0,S/22/2016 ORC/Certifier Signature: Ray 'eriley EL -Ma :ray.penlevrirge.eom Phone 4 L 706- 29 - 3319 Date 1 1hi siznat Lire, t certify that this report s ;Accurate an11. complete, to the hest ol my knowledge. The perannee shall report to the Director or the tippropriate Regional Orrice Limy noncompliance that potentially duct -aims public tiealth ix the environment. Any information shall be provided orally within 24 hours 110111 Me time: the permittee becrane ttware of .theL circumstances. ,A written bmission shall also be provided within 5 days of the time the permittee becomes aware or the circumstances:. IT the facility is noncompliant, please attach a. I is corrective actions being tak.en and a t me -table to improvements to be made as required by part 11;,E,6 of the NTDES permit. 0 8/2 21.2 0 6 Permittee/Subrnitter Signature:*" Bob WhitscII E-Mailrobert,tyltsellAge.com Phone 1,U-1106-291-.3219 Date Perinittee Address: 122.3 Fairgrove Church Rd Hickory NC 28602 Permit Expiration LL)ate: 07131/202.0 1 certify, under penalty' of law, that this document and all attachments .were prepared under iny direction or SUpervision ni accordance ‘vith a system designed to assure that Littalrlied personnel properly gather ruld evaluate die information submitted, Bused L:Ln 0 inquiry of the person or persons who mana.ged the system, or Mose persons directly responsible ror gathering the in lorrnatton, the in fort -nation submitted is., Lo the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there rtre significant penalties for submitting false information: including thc possibility of fines and imprisonment. for knowing vi(ilations, CERTIFIED LA BORAFORI 1..„AH NAME: Pact:', Analytk.vAl Sevices„. CE.RTI LIED LAB 0: .-,ufl PERSON(s) COLLECTING SAMPLES; Rs Ponley and re ilrL,), F siw PAR.AM ETER corks Parameter, Cod.e assistance may be 011111111011 by calling the NPDES Unit (919) SO7-6300 or hy 5 IsI1111 hp://portal,nctienr,orgiwehlwryswp/psInpdestiorms, FOOTNOTTS Use, only units of measurement designated In the reporting facility's NPDES permit for reporting data. 11' No E1ow/Discharge From Site: C.heck 1his 'Dos 1 110 discharge occurs and. as Li result, there arc no data to he entered Mr 311 of the parameters on the DMR for entire monitoring period, *4 OR.0 on Site?: OR( must visit facility, and docurnent visitation ris required per I .5A NCAC LL.LG .0204, *** Signature of Permittee: If signed by other thLin Litc perirnflec, then delegation oCthe signititory julhoriLy illuSt be Ori rile With the state. per 15A NCA.11 213 :(1506(0)(2)(1)), NPDES PER;MFF *iO. NC0076643 FACILITY NAME __General Electric Company CERTIFIED LABORATORY (1) ANALYTICAL, SD VICES,IN (list additional laboratories on the backside/page 2 or this 'ForiT OPERATOR IN RESPONSIBLE CHARGE (ORC) PERSONS) COLLECTING SAMPLES Ray Penley CHECK I30K IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL. SERVICE CENTER RALEIGH', NC 276994617 EFFLUENT DISCHARGE NO, Ray Penley x (SIGNAfLJRF:OFOP A:I RP1"R SPON •IBLEC`'HARCrF;t BY THIS SIGNATURE,1 CERTIFY TIIAT "THIS REPORT IS AC(uRAPE AND COMPLETE TO THE HEST OF NIV 1'NOV ,EDGE, fttlt MONTH JUNE YEAR 2016 CLASS C COUNTY Catawba CERTIFICATION Na 381 GRADE PC1 CERTIFICATION NO 27888 ORC PHONE_ 82S-4(i6-7818 NO FLOW'' f DISCHARGE FROM SITE * o DALE DWQ Fonn MR-1 (11/04) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, applicable) Al l ronitor'ing 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 subtnission shall also be provided within 5 days of the tinte th pernrittee becomes aware of the circumstances. If the'facility is noncompliant, please attach a list of corrective actions being taken and a timetable for improvements to be made as required by Part II.E.6 of the NPDES permit. 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," 1223 Fairgrove Church R,D Conover NC 28613 Bob Permi'ttee (Please print or type) �l Signature of Per (Required unless submitted electronically) 706-291-3319 Permittee Address Phone Number email address July 31 2020 Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LAJ3ORATORIES 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.umsl'wgs and linking to the unit's 'information pages. Use only units o ignated in the reporting facility's. NPDES perms f rst.portirtg data, * No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result., there are no data to he 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 perrnittee, then the delegation of the signatory authority must be on File with the state per 15A NCAC 2B .0506(b)(2)(D).. Page 2 EFFLUEN NPDES PERMIT NO. NO(076C4i FACILITY NAME General Electric Company CERTIFIED LABORATORY (I) ANALYTICAL'SERVICES,INC. (lust additional laboratories on the backside/page 2 of this foam) OPERATOR IN RESPONSIBIwE CHARGE (ORC) Ray Penley PERSON(S) COLLECTING SAMPLES Ray Penley 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 27699-161'7' x (SIGNATURE OFOI*ERA1'C}R IN RESPONSIE LE CHARGE) RS,, THIS SI(;NATCRE.1 CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MS" KNOWLE",DUE., DISCHARGE NO. OM M©NTH MAY YEAR 2016 CLASS C COUN IY Catawba CERTIFICATION Na 81 GRADE PC1 CERTIFICATION NO 7P ORC PHONE 828-466-7818 NO FLOW 1 DISCHARGE FROM SITE* DATE DWQ Form MR -I. (II I.'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 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 circumstance's. 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 belieL 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," 1223 Fairgrove Church RD Conover NC 28613 Perrnittee Addres Bob Witsell Pennittee (Please print or type) Signature of Permittee* Date (Required unless submitted electronically) 706-291.-3319 Phone Number fmrse,,,missgasatts,:n. July 31. 2020 e-mail, address Permit Depilation Doe 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.en.r.state.nc,uslwqs 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 DNIR. for the entire monitoring period, ** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15.A NCAC SG ,0204, ***Signature of Permittee: Ifsigned by other than the permittee, then the delegation of the signatory authority must he on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ASI ANALYTICAL SERVICES, INC. General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZE0194 Client ID: Outfall Date/Time Sampled: 51512016 9:00:00AM Matrix: Ground Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Norcross, GA 30092 (770) 734-4200 FAX (770) 734-4201 May 13, 2016 Project: Hickory Plant GWR Lab Number ID: AZt;0194-02 DatefTime Received: 5/612016 9:00:00AM Preparation Analytical Result RL Units Method Qual. DF Date Date Batch init. Volatile Organic Compounds by EPA 8280 1,1-Dichloroethene ND 1.0 ug/L EPA8260B 1 5/09/16 6:00 5/09/16 11:11 6050179 ART cis-1,2-❑ichloroethene ND 1.0 uglL EPA8260B 1 5/09/16 6:00 5/09/16 11:11 6050179 ART Tetrachroroethene ND 1.0 ug/L EPA 8260B 1 5/09/16 6:00 5/09/16 11:11 6050179 ART Trichloroethene ND 1.0 ug!L EPA 8260E 1 5/09/16 6:00 5/09/16 11:11 6050179 ART Vinyl Chloride ND 1.0 ug/L EPA8260B 1 5/09/16 6:00 5/09/16 11:11 6050179 ART Surrogate: Dibromofluoromethane 90 % 80-120 EPA 82608 5/09/16 6:00 5rt9/16 11:11 6050179 Surrogate: 1,2-Dichloroethane-d4 99 % 78-120 EPA 82608 5/09/16 6:00 5/9/16 11:11 6050179 Surrogate: Toluene-d8 105 % 80-120 EPA 82608 5/09/16 6:00 5/9/16 11:11 6050179 Surrogate: 4-Bromofluorobenzene 105 % 80-120 EPA 8260E 5/09/16 6:00 5/9/16 11:11 6050179 Page 4 of 10 AS1 ANALYTICAL SERVICES, INC. General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZE0194 Client ID: Influent Date/Time Sampled: 5/512016 9:00:OOAM Matrix: Ground Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Norcross, GA 30092 (770) 734-4200 FAX (770) 734-4201 May 13, 2016 Protect: Hickory Plant GWR Lab Number ID: AZE0194-01 Dat&Time Received: 5/6/2016 9:00:OOAM Preparation Analytical Result RL Units Method Qual. DF Date Date Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene 1.3 1.0 ug/L EPA8260B 1 5/09/16 6:00 5/09/1611:36 6050179 ART cis-1,2-Dichloroethene 230 10 ug/L EPA8260B 10 5/09/16 6:00 5/09/1612:52 6050179 ART Tetrachloroethene 380 10 ug1L EPA 8260B 10 5/09/16 6:00 5/09/16 12:52 6050179 ART Trichloroethene 810 10 uglL EPA 8260B 10 5/09/16 6:00 5/09/16 12:52 6050179 ART Vinyl Chloride ND 1.0 ug/L EPA 82608 1 5/09/16 6:00 5/09/16 11:36 6050179 ART Surrogate: Dibromofluoromethane 90 % 80-120 EPA 82608 5r09/16 6:00 5/9/16 11:36 6050179 Surrogate: Dibromofluoromethane 89 % 80-120 EPA 8260B 5/09/16 6:00 5/9/16 12:52 6050179 Surrogate: 1,2-Dichloroethane-d4 100 % 78-120 EPA 8260E 5/09/16 6:00 5/9/16 11:36 6050179 Surrogate: 1,2-Dichtoroethane-d4 100 % 78-120 EPA 826013 5/09/16 6:00 5/9/16 12:52 6050179 Surrogate: Toluene-d8 104 % 80-120 EPA 8260E 5/09/16 6:00 5i9/16 11:36 6050179 Surrogate: Toluene-d8 102 % 80-120 EPA 8260B 5/09/16 6:00 5/9/16 12:52 6050179 Surrogate: 4-Bromofluorobenzene 104 % 80-120 EPA 8260B 5/09/16 6:00 5/9/16 11:36 6050179 Surrogate: 4-Bromofluorobenzene 105 % 80-120 EPA 8260B 5/09/16 6:00 5/9/16 12:52 6050179 Page 3 of 10 NPDES PERMIT NO. NC0076643 FACILITY NAME General Electric Company CERTIFIED LABORATORY (1) ANALYTICAL SERVICES,INC. (list additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CIwIARGE (ORC) Ray Penley PERSON(S) COLLECTING SAMPLES Ray Penley CHECK: BON IF ORC HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRA,I., FILLS DIVISION' OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGII, NC 27699-1617 FFFUU ENT DISCHARGE NO, no MONTH CLASS C COUNT CERTIFICATION NO, 381 EAR 2016 GRADE _PCICERTIUICATION NO 27888 ORC PHONE 828-46(-7818 NO FLO%S C DISCHARGE FROM SITE *' (SIGN, f REC? OPE.R. T 7R Ri SPONSICHARGE) BY 'THIS SICNA"I L3RE,1 CERTI FY 111 AT THIS REPORT 1S ACCURATE AND COMPLETE, TYi THE REST OF MN KNOWLEDGE. srl� -/ G DATE DWQ Form MR-1 (11I04) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, ifapplicable) All monitoring data and sampling frequencies do NOT meet permit requirements Compliant Non.compliant 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 °filly knowledge and belief, true, accurate, and complete. lam aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations," 1223 Fairgrove Church RD Conover NC 28613 Bob 'Witsell Permittee (Please print or type) 57/2 of Permittee*** Date (Required unless submitted electronically) 706-29 1-33 19 Permittee Addirss Phone Number July 3.1,2020 e-mail address. Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADIM1 JONAL 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.ennstate.nc.ustwqs and linking to the unit's information pages. Use only units of .measurem.ent designated in the reporting facility's NPDES permit fbr 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 SG .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 15.A NCAC 2B .0506(b)(2)(D). Page 2 EFFLUENT NPDES PERMIT NO. NC1076643 DI FACILITY NAME General Electric Company CERTIFIED LABORATORY (1)w_ ANALYTICAL $ERVICES,INC, (list additional laboratories on the backside/page 2 of thus form) OPERATOR IN RESPONSIBLE CHARGE (ORC_ PERSON(S) COLLECTING SAMPLES Ray Penley CHECK BOX IF °RC HAS CIII�P�111 * Mail ORIGINAL and ONE COPY to• ATTN.CENTRAL FILES A P 2 DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 NT R,A IQr6C130 400 Na NI MONTH MARCH YEAR 2016 CLASS C COLTNTY Catawba CERTIFICATION NO. 381 GRADE_ PC1 CERTIFICATION NO 27888 ORC PRONE_ 828-466-7818 NO FLOW 1 DISCHARGE FROM SITE * ( AT 1?,il �MB�� X�,.��., r •T�A� ) BY 'THIS SIGNATURE, 1 CERTIFY THAT MISREPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOAA"LEDGE, DWQ Form 4 Facility Status: (Please check one of the 'following) All monitoring data and sampling frequencies meet permit requirements (including weekly avera.ges, 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 pertnittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the perrnittee becomes aware of the circumstances„ If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision. in accordance with a system designed to assure that 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 'bestofmy knowledge and belief, true, accurate, and complete, I am aware that there are significant. penalties for submitting false information, including the possibilityof fines and imprisonment for knowing violations.." 1223 Fairgrove Church R.D Conover NC 28613 Permittee Address Bob 'Witsell Pemittee (Please print or type) Signature of Permittee*** Date. (Required unless su.bmitted. electronically) 706-291-3319 mtee—vlitgatufma 'Phone Number e-mail address July 31 2020 Permit Ex.piration 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 byvisiting the Surface Water Protection Section's web site at h2o.enr.state.ne.us/wqs and linking .to the units information pages. Use only units of measurement designated in the reporting facility's NP ing dat& No Flow/Discharge From Site: Cheek this box if no discharge occur S 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 15.A NCAC 8G .02.04, "* Signature of Permittee: 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, NC007 >ti43 FACILITY NAMEu General E1ttnc Company CERTIFIED LABORATORY (1)__ ANALYTICAL SERVICES,INC. (list additional laboratories on the hackside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Ray Penley PERSON(S) COLLECTING SAMPLES Ray Penley CHECK. BOX IF OR(( HAS CHANGED Mail ORIGINAL and ONE COPY to: ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1b17 MAIL: SERVICE CENTER RALEIGH, NC 27699-1617 �001Y 00010 00400 FL©V EFF I1 INF 0 —Iw IC 0 0,065 0.120 UNITS 7.8 6 9 50060 00310 00610 �w az 20 w= CIS i dp cc Q m + cr 1% realm 1 C/L MG/1, MMGIL DISCHARGE NO, 001 'MONTH FEBRUA Y ; `SEAR_ 2016 CLASS C COUNTY Catawba CERTIFICATION NO. 381 GRADE PCI CERTIFICATION NO 27888 ORC PHONE_ 828-406-7818 NO FLOW / DISCHARGE FROM SITE * EJ ERAT'SI IN RE 01 EC'H.ARGE) DATE CERTIFY THAT THIS HT IS :OMTLE'TE TO THE BEST OF IY KNO% LEII(;L 00530 NIGH: 3161E 0600 l 00665 344 DWQ Form MR-1 (1P'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 shail 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 inforniation, including the possibility of fines and imprisonment for knowing violations," Bob Witsel Permittee (Piease print or pe) Signature of Perrnittee* Date (Required unless submitted electronically) 1223 Fairgrove Church RD Conover NC 28613 706-291-3319 Permittee Address Phone Number e-mail address 31-Jul-20 Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) A T ONAL CERTIFIED LA130RAT0»WS 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.uslwqs 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 [)MR for the entire monitonng period. ** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC SG .0204, "* Signature of Permittee: lfsigned by other than the perm ittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2 ASI ANALYTICAL SERVICES, INC. General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZB0121 Client ID: Trip Blank Date/Time Sampled: 2/3/2016 12:00:OOAM Matrix: Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Norcross, GA 30092 (770) 734-4200 FAX (770) 734-4201 February 14, 2016 Project: Hickory Plant GWR Lab Number ID: AZB0121-03 Date/Time Received: 2./412016 9:20:00AM Preparation Analytical Result RL Units Method Qual. DF Date Date Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene ND 1.0 ug/L EPA8260B 1 2/05/16 11:30 2/05/16 16:39 6020161 ART cis-1,2-Dichloroethene ND 1.0 ug1L EPA 8260B 1 2/05/16 11:30 2/05/16 16:39 6020161 ART Tetrachloroethene ND 1.0 ug1L EPA 8260B 1 2/05/16 11:30 2/05/16 16:39 6020161 ART Trichloroethene ND 1.0 uglL EPA 8260B 1 2/05/16 11:30 2/05/16 16:39 6020161 ART Vinyl Chloride ND 1.0 ug/L EPA 8260B 1 2/05/16 11:30 2/05/16 16:39 6020161 ART Surrogate: Dibromofluoromethane Surrogate: 1,2-Dichloroethane-d4 Surrogate: Toluene-d8 Surrogate: 4-Bromafluorobenzene 96 % 80-120 EPA 82608 2/05/16 11:30 215/16 16:39 6020161 104 % 78-120 EPA 82608 2/05/16 11:30 2/5/16 16:39 6020161 101 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 16:39 6020161 104 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 16:39 6020161 Page 5 of 10 ASI ANALYTICAL SERVICES, INC. General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZB0121 Client ID: Influent Date/Time Sampled: 2/3/2016 2:35:00PM Matrix: Ground Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Norcross, GA 30092 (770) 734-4200 FAX (770) 734-4201 February 14, 2016 Project: Hickory Plant GWR Lab Number lD: AZ80121-01 Date/Time Received: 2/4/2016 9:20:00AM Preparation Analytical Result RL Units Method Qual. DF Date Date Batch Init. Volatile organic Compounds by EPA 8260 1,1-Dichloreethene 1.4 1.0 ug/L EPA 8260B 1 2/05/16 11:30 2/05/16 17:32 6020161 ART cls-1,2-DIchloroethene 340 10 ug/L EPA8260B 10 2/05/16 11:30 2105/16 18:50 6020161 ART Tetrachloroethene 590 10 ug/L. EPA 8260B 10 2/05/16 11:30 2/05/16 18:50 6020161 ART Trichloroethene 1700 25 ug/L EPA 82606 25 2/08/18 7:30 2/08/16 8:32 6020161 ART Vinyl Chloride 1.5 1.0 ug/L EPA B260B 1 2/05/1611:30 2/05/18 17:32 6020161 ART Surrogate: Dtbromofluoromethane 99 % 80-120 EPA 82608 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: Dibromofluoromethane 97 % 80-120 EPA 8260B 2/05/16 11:30 2/5/16 17:32 6020161 Surrogate: Dibromofluoromethane 95 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: 1,2-Dlchloroethane-d4 104 % 78-120 EPA 8260B 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: 1,2-D1chloraethane-d4 102 % 78-120 EPA 82608 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: 1,2-Dichloroethane-d4 103 % 78-120 EPA 8260E 2105/16 11:30 2/5/16 17:32 6020161 Surrogate: Toluene-d6 98 % 80-120 EPA 8260B 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: Toluene-d8 99 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: Toluene-d8 100 % 80-120 EPA 8260E 2/05/16 11:30 2/5/16 17:32 6020161 Surrogate: 4-8romofluorobenzene 106 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: 4-Bromofluorobenzene 106 % 80-120 EPA 82608 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: 4-8romofluorobenzene 105 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 17:32 6020161 Page 3 of 10 EFFLUENT NPDES PERMIT NO. NC0076643 DISCHARGE NO. 001 MONTH FEBRUARY YEAR 2016 FACILITY NAME General Electric Company CLASS C COUNTY Catawba CERTIFIED LABORATORY (1) ANALYf'ICAL SERVICES,INC. CERTIFICATION NO, 381 (list additional Iaboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Ray Penley GRADE PC1 CERTIFICATION NO 27888 PERSON(S) COLLECTING SAMPLES Ray Penley ORC PHONE_ 828-466-7818 NO FLOW / DISCHARGE FROM SITE * 0 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 3—a—a (SIGNATURE OF (OPERATOR EN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE, I w A Operator Arrival Time 2400 Clock Operator Time 50050 00010 00400 50060 00310 00610 100530 31616 00300 00600 00665 34475 J 39180 ORC On Site? ** FLOW TEMPERATURE CELSIUS x RESIDUAL CHLORINE G V m$ AMMONIA NITROGEN TOTAL SUSPENDED RESIDUE FECAL COLIFORM (Geometric Mean) DISSOLVED OXYGEN TOTAL NITROGEN TOTAL PHOSPHORUS TETRACHLOROEI THYLENE TRICHLOROETHY LENE EFF 1NF ❑ >-w 0 ct uv disinfection HRS HRS YIBIN MGD Q C UNITS UGIL MG/L MG/L MG1L #/100ML MGIL MGIL MG1L UG/L UGfL 2 18V01': 5:%: !.:i1Y:%:%:::,V,..7:ii%:% 7 d�( �F i.moti • }1 T !. 4 g ::::8::% : ::%::::%i1 2:: 6 'ii 1:7 �( N li 8 ESDD: ic81:' Eicf !EA. 's.. &5i€ to saai i€:s i r ? € io. s € i -8 122:1Ob:j::::::-:: :::i:f &::: 14: illfj5i?i :l • o0:% ::11:::::::;1;:::::'il: I.VU i ,. 16 ii8Q01•€:':8;%: iiii`:i:: '•i•': : I'I •• i; :; itt.l y. ICI ih.h 1 1 :: } ! 1 I :'1;':: .1-.-. . 18 ::BDD::::%$: % ::1:;1!:::%(1`O69::: y 8Q�t tt��)) �I�I itl. oii'i ... ... jli.j:j �Iij:j iji .... ... .. ..... .. ... .. .. ... .. .. .. .. .. ... .. .. 20 . i 1 FI I•I I Y }�. �1} WC •i:1}r A/;F77i i , 22 :%$QQi:::$:i:1:: ":;,:::i:0 6S:;i 24 y8 ii iw,` 's' it :::: y '''ffi E` r`ifi ` `9! Q 16#:i ,. ... 26 i 80 i $ :F' : ' s0 6 : %i% 11' Fi �•I� �1.1�1.1 } .I' i3' . 1I i1 28 :1 : I�I-1•:.I 1I I 1 1 I :%:t 16$,ii :11•i1l•I11i1 . :24A01144: :::: •::1I<8?.Q:::: iii 30 ?iiii':iii 3ii i3iiiiiEiiiii AVERAGE 0.068 t:` MINIMUM 0.065 7.8 <I #4::: % ? L Q:i:i:;. 4'••.ii, J4iii'. Wii::i . , ii:Oiiiii i Tii iiiii isiii iii .. 1%16il•?:? :::% i%,,,:.::::, iii :—. MonthlyLimit 0.120 6 9 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." 1223 Fairgrove Church RD Conover NC 28613 Permittee Address Bob Witsell Permittee (Please print or type) 3id1/6 Signature of Permittee** ate (Required unless submitted electronically) 706-291-3319 rebetlynts01 ne.cerrk Phone Number e-mail address 3 1-Jul-20 Permit Expiration Date ADDITIONAL CERTIFIED LABORATORIES Certified Laboratory (2) Certification No. Certified Laboratory (3) Certification No. Certified Laboratory (4) Certification No. Certified Laboratory (5) Certification No. PARAMETER CODES Parameter Code assistance may be obtained by calling the NPDES Unit at (919) 733-5083 or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.ustwqs 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 AMR 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 Iasi ANALYTICAL SERVICES, INC. General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZB0121 Client ID: Outfall 001 Date/Time Sampled: 2J312016 2:35:00PM Matrix: Ground Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Norcross, GA 30092 (770) 734-4200 FAX (770) 734-4201 February 14, 2016 Protect: Hickory Plant GWR Lab Number ID; AZB0121-02 Date/Time Received: 2/4/2016 9:20:OOAM Preparation Analytical Result RL Units Method Qual. DF Date Date Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene ND 1.0 uglL EPA 8260E 1 2/05/16 11:30 2/05/16 17:05 6020161 ART cis-1,2-Dichloroethene ND 1.0 ug/L EPA B260B 1 2/05/16 11:30 2/05/16 17:05 6020161 ART Tetrachloroethene ND 1.0 uglL EPA8260B 1 2/05/16 11:30 2/05/16 17:05 6020161 ART Trichloroethene ND 1.0 ug/L EPA 8260B 1 2/05/16 11:30 2/05/16 17:05 6020161 ART Vinyl Chloride ND 1.0 ug/L EPA 8260B 1 2/05/16 11:30 2/05/16 17:05 6020161 ART Surrogate: Dibromofluoromethane Surrogate: 1,2-Dichloroethane-d4 Surrogate: Toluene-d8 Surrogate: 4-8romofluorobenzene 94% 80-120 EPA 8260B 2/05/16 11:30 2/5/16 17:05 6020161 103 % 78-120 EPA 82608 2/05/16 11:30 2/5/16 17:05 6020161 101 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 17:05 6020161 103 % 80-120 EPA 8260B 2/05/16 11:30 2/5/16 17:05 6020161 Page 4 of 10 ASI ANALYTICAL SERVICES, INC. General Electric - Hickory Plant GWR 1223 Fairgrove Church Rd Conover NC, 28613 Attention: Mr. Ray Penley Report No.: AZB0121 Client ID: Influent Date/Time Sampled: 2/3/2016 2:35:OOPNI Matrix: Ground Water Analyte Environmental Monitoring & Laboratory Analysis 110 Technology Parkway, Norcross, GA 30092 (770) 734-4200 FAX (770) 734-4201 February 14, 2016 Project: Hickory Plant GWR Lab Number ID: AZB0121-01 Date/Time Received: 2/4/2016 9:20:OOAM Preparation Analytical Result RL Units Method Qual. OF Date Date Batch Init. Volatile Organic Compounds by EPA 8260 1,1-Dichloroethene 1.4 1.0 ug/L EPA8260B 1 2/05/1611:30 2/05/16 17:32 6020161 ART cis-1,2-Dichloroethene 340 10 ug/L EPA8260B 10 2/05/1611:30 2/05/16 18:50 6020161 ART Tetrachloroethene 590 10 ug/L EPA 8260B 10 2/05/16 11:30 2/05/16 18:50 6020161 ART Trichloroethene 1700 25 ug/L EPA 8260B 25 2/08116 7:30 2/08/16 8:32 6020161 ART Vinyl Chloride 1.5 1.0 ug/L EPA 8260B 1 2/05/16 11:30 2/05/16 17:32 6020161 ART Surrogate: Dibromofluoromethane 99 % 80-120 EPA 8260B 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: Dibromofluoromethane 97 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 17:32 6020161 Surrogate: Dibromofluoromethane 95 % 80-120 EPA 8260E 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: 1,2-Dichloroethane-d4 104 % 78-120 EPA 82608 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: 1,2-Dichloroethane-d4 102 % 78-120 EPA 82608 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: 1,2-Dichloroethane-d4 103 % 78-120 EPA 8260E 2/05/16 11:30 2/5r16 17:32 6020161 Surrogate: To1uene-d8 98 % 80-120 EPA 8260B 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: Toluene-d8 99 % 80-120 EPA 8260E 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: Toluene-d8 100 % 80-120 EPA 8260E 2/05/16 11:30 2/5/16 17:32 6020161 Surrogate: 4-Bromofluombenzene 106 % 80-120 EPA 82608 2/05/16 11:30 2/5/16 18:50 6020161 Surrogate: 4-Bromofluombenzene 106 % 80-120 EPA 8260E 2/08/16 7:30 2/8/16 8:32 6020161 Surrogate: 4-Bromofluorobenzene 105 % 80-120 EPA 8260E 2/05/16 11:30 2/5/16 17:32 6020161 Page 3 of 10 EFFLUENT NPDES PERMIT NO. NC007I;Is43 DISCHARGE NO. OW MONTH JANUARY YEAR_ 2016 FACILITY NAME General Electric Company CLAS, C COL i"I°Y_ Catawba CERTIFIED LABORATORY (1)_ ANALYTICAL SERVICES,INC. CERTIFICATION NO, 381. (list additional laboratories on the haeksider'pa,ge 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC)_ Ray Penley PERSON(S) COLLECTING SAMPLES Ray Penley CHECK BOX IF ORC HAS CHANGE© Mail ORIGINAL .and ONE COPY to: ATFN: CENTRAL FILES DIVISION OF WATER QuALU V 1617 MAIL SERVICE CENTER RALEIGH, NC 27699-1617 GRADE PCICER°FIFICATION NO 27888 ORC PHONE82S.466-781.8 NO FLOW I DISC:HLIRCE FROM SITE * NATURE OF O1 RATOR. IN RES'PO 1BLE CHARGE) ATORE,1 CERTIFY THAT TII IS 111 PORT IS ACC°LILATh AND COMPLETE TO THE BEST OF MY 1(NO%%LODGE. DATE 50050 00010 00400 50060 00310 00610 00530 , 31616 00300 00600 00665 34475 7, 4F: v fc z uFLOW w ¢i lEFF I Cr cacc 1, Z INF © wI^a x 0 w 0O s !-w ' Oo— Occ ©m�U MCC Oe. —II— O 1— 4 4ZL z o x A Facility Status: (.Please check one of the following) All monitoring data and sampling frequencies meet permit (including weekly averages, i.f applicable) quirements 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 wTitten submission shall also be provided within 5 days of the time the permittee becomes aware of the circumstances. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. 1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that 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 arc significant penalties for submitting false infornnation, including the possibility of fuzes and imprisonment for knowing violations,.,, 1223 Fairgrove Church RI) Conover NC 28613 Permittee Address Bob Witsell Permittee (PI or r pe 2 Signature of`Pertnmttee** Dat (Required unless submitted electronically) 706-291-'3319 ; I4 a3U�;„3 dart Number e.-mail address 31-1u1-20 Permit Expiration Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDI'I"ZONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No, Certification No. Certification No. Certification No, Pararrteter 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 repo a y' NPDES permit 6 r reporting data, * No Flow/Diseharge From Site: Check this box if no discharge occurs and, as a result, there are no data t© be entered for all of the parameters on the DMR for tthe 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 pennittee, then the delegation of the signatory authority must be on file with the state per 15A NCAC 2B .0506(b)(2)(D). 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